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Full-Text Articles in Medicine and Health Sciences
Kenia: Ofrezca Servicios De Planificación Familiar En Salas Hospitalarias, Frontiers In Reproductive Health
Kenia: Ofrezca Servicios De Planificación Familiar En Salas Hospitalarias, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
From The Home To The Clinic: The Next Chapter In Bangladesh's Family Planning Success Story Rural Sites, Linda Bates, Md. Khairul Islam, Sidney Ruth Schuler, Md. Alauddinn
From The Home To The Clinic: The Next Chapter In Bangladesh's Family Planning Success Story Rural Sites, Linda Bates, Md. Khairul Islam, Sidney Ruth Schuler, Md. Alauddinn
Reproductive Health
This study reports on Bangladesh’s new program model for reproductive health service delivery and people's reactions to it. NGOs in Bangladesh have discontinued door-to-door contraceptive distribution in response to the government’s integrated, clinic-focused approach. The findings from this study strongly support these policy changes: clients and communities are responding favorably to many aspects of the new model, and there do not seem to be intractable social barriers to service utilization. As the NGOs and the Bangladesh government proceed with implementation of the integrated, essential health services model, additional strategies will be needed to erode the paternalistic service delivery culture that …
Intra-Household Decision-Making On Health And Resource Allocation In Borgou, Bénin, Pierre Ngom, Salome Wawire, Timothee Gandaho, Pierre Klissou, Toussaint Adjimon, Mbaye Seye, Emile Akouanou, Laurie Winter
Intra-Household Decision-Making On Health And Resource Allocation In Borgou, Bénin, Pierre Ngom, Salome Wawire, Timothee Gandaho, Pierre Klissou, Toussaint Adjimon, Mbaye Seye, Emile Akouanou, Laurie Winter
Reproductive Health
The African Population and Health Research Centre carried out this study, with support from FRONTIERS and USAID, in order to inform Benin’s Projet Intégré en Santé Familiale (Integrated Project on Family Health—PROSAF) about socio-cultural factors in Borgou that can impede health improvements. More specifically, the study aimed to identify key players in household decisionmaking processes, map out patterns of health-seeking behavior, elucidate how such patterns are associated with prevailing health services utilization, assess community valuation of existing health services and products, and recommend to PROSAF approaches to identified target groups for their intervention. The findings indicate that for all the …
Integrating Issues Of Sexuality Into Egyptian Family Planning Counseling, Nahla G. Abdel-Tawab, Laila Nawar, Hala Youssef, Dale Huntington
Integrating Issues Of Sexuality Into Egyptian Family Planning Counseling, Nahla G. Abdel-Tawab, Laila Nawar, Hala Youssef, Dale Huntington
Reproductive Health
The Population Council studied the acceptability of including sexuality issues in family planning (FP) in Egypt, a conservative society with social restrictions around discussions of sex. The study results showed that sexuality counseling is acceptable to family planning clients in Egypt; in fact, sexuality-related problems and concerns were found to be very common in the study group. Similarly, training family planning service providers on issues of sexuality is both feasible and acceptable to providers. The report offers recommendations for refining existing FP training programs and services including: integrating issues of sexuality into FP counseling, training FP service providers on the …
Senegal: Train More Providers In Postabortion Care, Frontiers In Reproductive Health
Senegal: Train More Providers In Postabortion Care, Frontiers In Reproductive Health
Reproductive Health
Recognizing unsafe abortion as a serious health problem, the government of Senegal adopted a national health strategy in 1997 that aims to halve the number of unsafe abortions by 2001. In 1997, the Center for Training and Research in Reproductive Health (CEFOREP) and the Obstetrics and Gynecology clinic (CGO) at Le Dantec University Teaching Hospital in Dakar introduced new clinical techniques to improve emergency treatment for women with complications from miscarriage or abortion. CGO and two other teaching hospitals served as pilot sites. Physicians, nurses, and midwives at the three sites received training in manual vacuum aspiration, family planning, and …
Burkina Faso: Upgrading Postabortion Care Benefits Patients And Providers, Frontiers In Reproductive Health
Burkina Faso: Upgrading Postabortion Care Benefits Patients And Providers, Frontiers In Reproductive Health
Reproductive Health
At the request of the Family Health Directorate of the Ministry of Health in Burkina Faso, the Reproductive Health Research Network (CRESAR) conducted a study during 1996–98 to introduce emergency care for women with complications from miscarriage or unsafe abortion. With technical assistance from the Population Council and JHPIEGO, CRESAR trained staff at two large hospitals in Ouagadougou and Bobo-Dioulasso to provide postabortion care (PAC). Training for physicians, nurses, and midwives covered manual vacuum aspiration, family planning methods, infection prevention, and communication with patients. Staff also participated in the development of policies and standards for PAC services. To measure changes …
Burkina Faso: Mejorar La Atención Postaborto Beneficia A Pacientes Y Proveedores, Frontiers In Reproductive Health
Burkina Faso: Mejorar La Atención Postaborto Beneficia A Pacientes Y Proveedores, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
Kenya: L'Identification Des Iar Demeure Hasardeuse: La Prévention Est Primordiale, Frontiers In Reproductive Health
Kenya: L'Identification Des Iar Demeure Hasardeuse: La Prévention Est Primordiale, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
Peru: Tell Clients How To Use Their Chosen Method, Frontiers In Reproductive Health
Peru: Tell Clients How To Use Their Chosen Method, Frontiers In Reproductive Health
Reproductive Health
In 1998, the Peruvian Ministry of Health (MOH) issued quality of care norms to ensure that family planning providers respond to clients’ reproductive health care needs and goals. In mid-1999, the Population Council collaborated with the MOH on a study to determine whether length of counseling sessions affects amount of information provided. The study focused on 19 health centers in 10 urban areas. Six simulated clients (women posing as clients) made a total of 114 visits to the health centers during June–July 1999. Each client was trained to say that she wanted to switch from the rhythm method to a …
Pérou: Informer Les Clients Sur Le Mode D'Utilisation De Leur Méthode De Choix, Frontiers In Reproductive Health
Pérou: Informer Les Clients Sur Le Mode D'Utilisation De Leur Méthode De Choix, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
Meeting Women's Health Care Needs After Abortion, Dale Huntington
Meeting Women's Health Care Needs After Abortion, Dale Huntington
Reproductive Health
Women who seek emergency treatment for abortion complications—bleeding, infection, and injuries to the reproductive tract system—should be a priority group for reproductive health care programs. These women often receive poor-quality services that do not address their multiple health needs. They may be discharged without counseling on postoperative recuperation, family planning (FP), or other reproductive health (RH) issues. Women who have had an induced abortion due to an unwanted pregnancy are likely to have a repeat abortion unless they receive appropriate FP counseling and services. Preventing repeat unsafe abortions is important for RH programs because it saves women's lives, protects women’s …
Report On The International Symposium On Quality Of Care In China, Population Council
Report On The International Symposium On Quality Of Care In China, Population Council
Reproductive Health
In 1995, China’s State Family Planning Commission (SFPC), the governmental agency charged with developing and implementing China’s population policy, issued an official call for the reorientation of the family planning program from a focus on demographic targets to meeting clients’ needs. In support of this reorientation effort, the SFPC selected six rural counties and five urban districts with comparatively good socioeconomic conditions as pilot sites for a quality-of-care experiment. This report provides a summary of an international symposium on quality of care held in Beijing from November 17–19, 1999. The symposium was sponsored by SFPC with the support of the …
Senegal: Capacite A Más Proveedores En Atención Postaborto, Frontiers In Reproductive Health
Senegal: Capacite A Más Proveedores En Atención Postaborto, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
Future Trends In Contraception In The Developing World: Prevalence And Method Mix, John Bongaarts, Elof D.B. Johansson
Future Trends In Contraception In The Developing World: Prevalence And Method Mix, John Bongaarts, Elof D.B. Johansson
Poverty, Gender, and Youth
The main objectives of this study are to review existing methodologies for projecting future trends in contraception, evaluate the validity of the assumptions underlying these projections, propose methodological improvements, and assess the prospects for new methods of contraception in the coming decade. The prevalence of contraception in the developing world has increased dramatically over the past several decades from near zero to around 60 percent in 2000. Demand for contraception can be expected to continue to rise rapidly for the next few decades as population size continues to grow and fertility declines further to near the replacement level. As a …
Some Preconditions For Fertility Decline In Bengal: History, Language Identity, And An Openness To Innovations, Alaka Malwade Basu, Sajeda Amin
Some Preconditions For Fertility Decline In Bengal: History, Language Identity, And An Openness To Innovations, Alaka Malwade Basu, Sajeda Amin
Poverty, Gender, and Youth
This paper argues that looking solely for the immediate causes of reproductive change may fail to take into account not only the impact of policies and programs but the societal decision to adopt these policies and programs to begin with. The paper examines the historical origins and spread of ‘modern’ ideas in Bangladesh and the state of West Bengal in India. It concludes that a colonial history in which education and modernization processes took hold very early among the elite in the larger Bengal region was paradoxically accompanied by a strong allegiance to the Bengali language. This strong sense of …
Unmet Need For Family Planning In Developing Countries And Implications For Population Policy, John B. Casterline, Steven W. Sinding
Unmet Need For Family Planning In Developing Countries And Implications For Population Policy, John B. Casterline, Steven W. Sinding
Poverty, Gender, and Youth
Unmet need for family planning has been a core concept in international population discourse for several decades. In this paper we reevaluate its utility. We review the history of unmet need and the development of increasingly refined methods of its empirical measurement. We then turn to the main questions that have been raised about unmet need during the past decade, some of which concern the validity of the concept and others its role in the post-ICPD environment. The discussion draws heavily on empirical research conducted during the 1990s, much of it localized, in-depth studies combining quantitative and qualitative methodologies, that …
Unmet Need For Family Planning In Developing Countries And Implications For Population Policy [Arabic], John B. Casterline, Steven W. Sinding
Unmet Need For Family Planning In Developing Countries And Implications For Population Policy [Arabic], John B. Casterline, Steven W. Sinding
Poverty, Gender, and Youth
Unmet need for family planning has been a core concept in international population discourse for several decades. In this paper we reevaluate its utility. We review the history of unmet need and the development of increasingly refined methods of its empirical measurement. We then turn to the main questions that have been raised about unmet need during the past decade, some of which concern the validity of the concept and others its role in the post-ICPD environment. The discussion draws heavily on empirical research conducted during the 1990s, much of it localized, in-depth studies combining quantitative and qualitative methodologies, that …
Spatial Variation In Contraceptive Use In Bangladesh: Looking Beyond The Borders, Sajeda Amin, Alaka Malwade Basu, Rob Stephenson
Spatial Variation In Contraceptive Use In Bangladesh: Looking Beyond The Borders, Sajeda Amin, Alaka Malwade Basu, Rob Stephenson
Poverty, Gender, and Youth
This paper tries to promote a more complete understanding of social change by analyzing spatial patterns of contraceptive use in Bangladesh and the contiguous state of West Bengal in India. The paper takes it’s cue from earlier analysis which found strong evidence of higher contraceptive prevalence in districts of Bangladesh that border Bengali speaking districts on India, as well as from analysis of fertility decline in historical Europe where language played a critical role. Using multilevel analysis to control for variations in individual and household level correlates, mapping districts that deviate considerably from their regional averages, the analysis highlights an …
Adolescent Pregnancy And Parenthood In South Africa, Carol E. Kaufman, Thea De Wet, Jonathan Stadler
Adolescent Pregnancy And Parenthood In South Africa, Carol E. Kaufman, Thea De Wet, Jonathan Stadler
Poverty, Gender, and Youth
South Africa’s total fertility rate is estimated to be one of the lowest in sub-Saharan Africa, less than 3.0 births per woman nationally and declining. At the same time, adolescent childbearing levels remain high more than 30 percent of 19-year-old girls are reported to have given birth at least once. Using evidence from focus groups conducted in urban and rural areas in South Africa with young black women and men, and with the parents of teenage mothers, we consider the experience of early parenthood. Specifically, the analysis explores four aspects of teenage childbearing as it relates to key transitions into …
Kenya: Offer Family Planning On Hospital Wards, Frontiers In Reproductive Health
Kenya: Offer Family Planning On Hospital Wards, Frontiers In Reproductive Health
Reproductive Health
In Kenya, more than one in three women hospitalized for gynecological problems has complications from miscarriage or unsafe abortion. These women generally receive no information or services for family planning (FP) or other reproductive health needs. During 1996–97, the Kenya Ministry of Health, the Population Council, and Ipas tested three models for providing postabortion care (PAC) and FP information and services in two areas of the hospital. Researchers compared model effectiveness by using surveys before and after the intervention. As concluded in this brief, the most effective way to ensure that women being treated for incomplete abortion obtain FP is …
Egipto: Los Proveedores De Servicios De Planificación Deben Motivar A Sus Clientas A Hablar De Sus Problemas De Sexualidad, Frontiers In Reproductive Health
Egipto: Los Proveedores De Servicios De Planificación Deben Motivar A Sus Clientas A Hablar De Sus Problemas De Sexualidad, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
Egypt: Family Planning Providers Should Encourage Clients To Discuss Sexual Problems, Frontiers In Reproductive Health
Egypt: Family Planning Providers Should Encourage Clients To Discuss Sexual Problems, Frontiers In Reproductive Health
Reproductive Health
This 1999 study examined the feasibility and impact of introducing the discussion of sexuality during family planning (FP) consultations. Conducted by the Population Council in collaboration with the Egyptian Ministry of Health and Population (MOHP), the study took place in four MOHP clinics and two affiliated private clinics. Nurses and physicians at all six clinics attended a two-day training session on contraceptives with an emphasis on barrier methods. Providers in the three clinics that had been randomly chosen as intervention sites also received three days of training on sexuality, gender, and counseling skills. To assess the acceptability of sexuality counseling …
Egypte: Les Prestataires De Service De Planification Familiale Doivent Encourage Les Discussions Sur Les Problèmes Sexuels, Frontiers In Reproductive Health
Egypte: Les Prestataires De Service De Planification Familiale Doivent Encourage Les Discussions Sur Les Problèmes Sexuels, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
Kenia: La Identificación De Las Itr Sigue Siendo Un Problema: La Prevención Es Esencial, Frontiers In Reproductive Health
Kenia: La Identificación De Las Itr Sigue Siendo Un Problema: La Prevención Es Esencial, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
Egypt: Expand Access To Postabortion Care, Frontiers In Reproductive Health
Egypt: Expand Access To Postabortion Care, Frontiers In Reproductive Health
Reproductive Health
The Population Council has supported a series of studies to improve the quality of postabortion care (PAC) in Egypt. A 1994 pilot study in two Egyptian hospitals showed that upgrading PAC and training physicians in manual vacuum aspiration (MVA), infection control, and counseling led to significant improvements in the care of postabortion patients. The 1997 study, conducted by the Egyptian Fertility Care Society with support from the Population Council, sought to institutionalize improved postabortion medical care and counseling procedures in ten hospitals. Five senior physicians from each hospital attended a five-day training course in MVA, infection control, and family planning …
Egypte: Développer L'Accès Aux Soins Après Avortement, Frontiers In Reproductive Health
Egypte: Développer L'Accès Aux Soins Après Avortement, Frontiers In Reproductive Health
Reproductive Health
No abstract provided.
Men As Supportive Partners In Reproductive Health: Moving From Rhetoric To Reality, Saraswati Raju, Ann Leonard
Men As Supportive Partners In Reproductive Health: Moving From Rhetoric To Reality, Saraswati Raju, Ann Leonard
Reproductive Health
This book builds on presentations of the Workshop on Men as Supportive Partners in Reproductive and Sexual Health held in Kathmandu, Nepal, in 1998. By analyzing the experiences of nongovernmental organizations across India, this publication reviews important concerns that should inform the discourse on male partnership. The previous views of reaching men as contraceptive users and removing them as impediments to women’s efforts to control fertility are too limited. The argument is not whether men and women should use family planning, but rather the extent to which men can become supportive of women’s reproductive and sexual rights and actively take …
Kenya: Identifying Rtis Remain Problematic: Prevention Is Essential, Frontiers In Reproductive Health
Kenya: Identifying Rtis Remain Problematic: Prevention Is Essential, Frontiers In Reproductive Health
Reproductive Health
Since 1990, the Nakuru Municipal Council (Kenya) has implemented a multifaceted program to reduce the incidence of reproductive tract infections (RTIs), especially those that are sexually transmitted, including HIV/AIDS. Staff in the Council’s five health clinics use syndromic management guidelines, based on clients’ reported symptoms and clinical signs, to identify clients with RTIs. In 1998, the Population Council conducted a study to assess the accuracy of syndromic management and determine the best ways to integrate RTI management into existing antenatal (ANC) and family planning (FP) services. After an assessment of existing RTI services, 18 nurses from the five municipal clinics …