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Full-Text Articles in International Public Health

Integration Of Sti And Hiv/Aids With Mch-Fp Services: A Case Study Of The Busoga Diocese Family Life Education Program, Uganda, Joy Mukaire, Florence Kalikwani, Baker Ndugga Maggwa Jan 1997

Integration Of Sti And Hiv/Aids With Mch-Fp Services: A Case Study Of The Busoga Diocese Family Life Education Program, Uganda, Joy Mukaire, Florence Kalikwani, Baker Ndugga Maggwa

Reproductive Health

The Family Life Education Project (FLEP) was started in 1986 by the Busoga Diocese of the Anglican Church of Uganda with assistance from Pathfinder International. The project provides integrated MCH, FP, STD, and HIV/AIDS services to more than 500,000 individuals through 48 clinics and 162 trained village health workers (VHWs). Each clinic serves an estimated 11,000 people living in a sub-Parish. Each sub-Parish has a health subcommittee selected by the community that is responsible for hiring clinic staff, identifying VHWs, and mobilizing resources for clinic staff salaries. Data suggest that the program is reaching a large number of clients through …


Postabortion Care Services In Kenya: Baseline Findings Of An Operations Research Study, Julie Solo, Deborah L. Billings Jan 1997

Postabortion Care Services In Kenya: Baseline Findings Of An Operations Research Study, Julie Solo, Deborah L. Billings

Reproductive Health

In Kenya, as throughout the world, the health consequences of unsafe abortion for women of reproductive age are significant. Hospital-based studies in Nairobi have shown that unsafely induced abortion accounts for as much as 35 percent of pregnancy-related mortality and at least 50 percent of hospitals’ gynecological admissions. The concept of postabortion care (emergency treatment, postabortion family planning counseling and services, links between emergency abortion treatment services and comprehensive reproductive health care) has gained wide acceptance as one model of providing comprehensive care to women suffering from abortion complications. Integration of these three components is rarely found in public health …


Dmpa Provision In Pss Clinics In Uttar Pradesh: Costs And Prices, Saumya Ramarao, John Townsend, Leila Caleb-Varkey, Sudha Tiwari, Sneh Vishwanath, Harbans Singh Jan 1997

Dmpa Provision In Pss Clinics In Uttar Pradesh: Costs And Prices, Saumya Ramarao, John Townsend, Leila Caleb-Varkey, Sudha Tiwari, Sneh Vishwanath, Harbans Singh

Reproductive Health

The injectable contraceptive DMPA was introduced in the private sector in India in 1993, contingent on completion of a post-marketing surveillance study of users. The commercial price of a dose of DMPA is about Rs. 150-180, exclusive of the fees of the medical provider. This price puts it beyond the reach of most Parivar Seva Sanstha (PSS) clients in need of safe and effective family planning (FP) services in Uttar Pradesh. Since April 1996, an experiment has been underway with three PSS clinics in Uttar Pradesh to study the effect of price on demand for DMPA. The study seeks to …


Youth Centres In Kenya: Evaluation Of The Family Planning Association Of Kenya Programme, Annabel Erulkar, Barbara Mensch Jan 1997

Youth Centres In Kenya: Evaluation Of The Family Planning Association Of Kenya Programme, Annabel Erulkar, Barbara Mensch

Reproductive Health

Since 1987, the Family Planning Association of Kenya (FPAK) has operated two youth centers, one in Nairobi and the other in Mombasa. The centers target unmarried youth aged 10–24 and their primary objective is reduction in incidence of sexual and reproductive-health-related problems. These centers offer recreational and sports facilities, counseling services, including reproductive health (RH) information, limited RH services, and referrals. In 1996, FPAK undertook a systematic evaluation of its youth-center program including a situation analysis of the centers, a survey in their catchment areas, and an analysis of program costs. The main strength of the program was found to …


Gender Differences In The Schooling Experiences Of Adolescents In Low-Income Countries: The Case Of Kenya, Barbara Mensch, Cynthia B. Lloyd Jan 1997

Gender Differences In The Schooling Experiences Of Adolescents In Low-Income Countries: The Case Of Kenya, Barbara Mensch, Cynthia B. Lloyd

Poverty, Gender, and Youth

Little research on education in developing countries has focused on adolescent issues at the same time, despite the fact that a growing proportion of young people are spending some time in school during the phase of their lives between puberty and marriage, there is little research on schooling as a key dimension of the adolescent experience. This paper examines the school environment in Kenya and the potential ways it can help or hinder adolescents. We focus on gender differences with a view toward illuminating some of the factors that may present particular obstacles or opportunities for girls. The paper begins …


Urbanization, Unemployment And Migration In Africa: Theory And Policy, Michael P. Todaro Jan 1997

Urbanization, Unemployment And Migration In Africa: Theory And Policy, Michael P. Todaro

Poverty, Gender, and Youth

During the past three decades, the cities of the developing world in general, and of Africa in particular, have witnessed a remarkable and in many ways unprecedented demographic growth spurt. Despite some slowdown in rates of increase in the past few years as a result of falling wages, contracting social services, and changing demographic trends, contemporary urban areas remain the growth poles of economic progress and the lightning rods of political and social unrest. Nowhere is this dilemma more visible nor the resulting problems more intractable than in the crowded cities of sub-Saharan Africa, where projections of urban population growth …


Population And Poverty: A Review And Restatement, Geoffrey Mcnicoll Jan 1997

Population And Poverty: A Review And Restatement, Geoffrey Mcnicoll

Poverty, Gender, and Youth

Worldwide in the 1990s over one billion persons are estimated to have a purchasing power of below a dollar per day, the conventional demarcation of “absolute poverty.” Other dimensions of poverty, extending beyond income measures to encompass a person’s broader capabilities and social functioning, are less empirically accessible. Poverty is commonly thought to be associated with high fertility and rapid population growth (regionally, South Asia and Africa have the highest poverty rates), but that view finds little support in the extensive statistical research literature on population and poverty. However, a clear-cut depiction of such an institutionally contingent relationship is not …


Counseling The Husbands Of Postabortion Patients In Egypt: Effects On Husband Involvement, Patient Recovery And Contraceptive Use, Nahla G. Abdel-Tawab, Dale Huntington, Ezzeldin Osman Hassan, Hala Youssef, Laila Nawar Jan 1997

Counseling The Husbands Of Postabortion Patients In Egypt: Effects On Husband Involvement, Patient Recovery And Contraceptive Use, Nahla G. Abdel-Tawab, Dale Huntington, Ezzeldin Osman Hassan, Hala Youssef, Laila Nawar

Reproductive Health

An ANE OR/TA Project qualitative study conducted in 1995 probed into women’s perceptions of abortion in Egypt, and the stress that postabortion patients experience during recovery. That study drew attention to the important role husbands can play in their wives’ recovery and subsequent use of contraception. This study was designed to test the effects of involving husbands in the postabortion medical-care process. Overall, the study indicates that providing counseling to husbands of postabortion patients is feasible, as the majority of husbands either accompanied their wife on admission or at discharge from the hospital. However, administrative changes are needed to enhance …


Sexual Violence Within Marriage: A Case Study Of Rural Uttar Pradesh, M.E. Khan, John Townsend, Ranjana Sinha, Seema Lakhanpal Jan 1997

Sexual Violence Within Marriage: A Case Study Of Rural Uttar Pradesh, M.E. Khan, John Townsend, Ranjana Sinha, Seema Lakhanpal

Reproductive Health

Until recently the study of sexual behavior, despite being a very important area of human behavior, has remained an untouchable subject. The sensitivity of the subject and difficulties collecting required information discouraged social scientists from venturing into this area of human behavior. However, the advent of AIDS and its rapid spread in India has changed the scenario. Today the study of sexual behavior is an important subject and both national and international agencies, as part of the AIDS control program, are encouraging research on the subject. This paper addresses a totally neglected area, which is sexual coercion within marriage. The …


The Situation Analysis Approach To Assessing Family Planning And Reproductive Health Services: A Handbook, Robert A. Miller, Andrew A. Fisher, Kate Miller, Lewis Ndhlovu, Baker Ndugga Maggwa, Ian Askew, Diouratie Sanogo, Placide Tapsoba Jan 1997

The Situation Analysis Approach To Assessing Family Planning And Reproductive Health Services: A Handbook, Robert A. Miller, Andrew A. Fisher, Kate Miller, Lewis Ndhlovu, Baker Ndugga Maggwa, Ian Askew, Diouratie Sanogo, Placide Tapsoba

Reproductive Health

Good family planning service delivery emphasizing both access and quality is key to the related goals of satisfying individual needs and achieving programmatic success. Situation Analysis (SA) provides a needed link between the manager and the client he or she is trying to serve. The data marshaled for SA offer a representative picture of how subsystems are working and provide a way to “see” the client’s experience. Situation Analyses assist managers in achieving the broadest management goal—that of efficient administration of a vital health care service while keeping in view the ultimate goal—providing good care for those who seek it. …


Study Of Adolescents: Dynamics Of Perception, Attitude, Knowledge And Use Of Reproductive Health Care, Syed Jahangeer Haider, Shamsun Nehar Saleh, Nahid Kamal, Alan Gray Jan 1997

Study Of Adolescents: Dynamics Of Perception, Attitude, Knowledge And Use Of Reproductive Health Care, Syed Jahangeer Haider, Shamsun Nehar Saleh, Nahid Kamal, Alan Gray

Poverty, Gender, and Youth

Knowledge, perceptions, and behavior related to reproductive health (RH) and sexual matters underlie all the conditions that family planning/maternal and child health (FP/MCH) programs address, thus these are important issues for FP researchers, population policymakers, and service providers. To achieve significant levels of fertility or mortality declines, participation of adolescents in reproductive health programs, including FP/MCH, is essential. Studies focusing on sexuality and attitudes of adolescents on RH, and the interacting influences of family, community, and the social sector developmental programs (health, FP/MCH, education, women’s development) would give useful revelations. This report presents findings from a study that was designed …


Introducing Sexuality Within Family Planning: The Experience Of Three Hiv/Std Prevention Projects From Latin America And The Caribbean, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla Jan 1997

Introducing Sexuality Within Family Planning: The Experience Of Three Hiv/Std Prevention Projects From Latin America And The Caribbean, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla

Poverty, Gender, and Youth

This edition of Quality/Calidad/Qualité relates the experience of three family planning associations affiliated with the International Planned Parenthood Federation/Western Hemisphere Region that have tried to incorporate an HIV/AIDS prevention strategy into their existing family planning programs and services. It examines how BEMFAM/Brazil, ASHONPLAFA/ Honduras, and FAMPLAN/Jamaica have made a transition toward a range of family planning services more focused on the clients themselves and more explicit in the treatment of sexual themes. In each of the three countries, the staff received special training that not only enabled them to provide information on HIV/AIDS, but also helped them adopt a broader …


Reproductive Control In South Africa, Carol E. Kaufman Jan 1997

Reproductive Control In South Africa, Carol E. Kaufman

Poverty, Gender, and Youth

The controversial state-sponsored family planning program officially began in South Africa in 1974. Although the government did not implement the program on a racial basis, the program was widely believed to be linked with white fears of growing black numbers, and was attacked by detractors as a program of social and political control. In spite of the hostile environment, black women’s use of services steadily increased. Using historical and anthropological evidence, this paper delineates the links between the social and political context of racial domination and individual fertility behavior. It argues that the quantitative ‘success’ of the family planning program …


Absent And Problematic Men: Demographic Accounts Of Male Reproductive Roles, Margaret E. Greene, Ann E. Biddlecom Jan 1997

Absent And Problematic Men: Demographic Accounts Of Male Reproductive Roles, Margaret E. Greene, Ann E. Biddlecom

Poverty, Gender, and Youth

Both men and women make important contributions to the production of children, yet demographic studies of fertility and family planning have tended to focus on women alone. This paper traces the development of demography’s emphasis on women and describes how the limitations of its theoretical approaches to reproduction and empirical neglect of men have been mutually reinforcing. The paper is structured around four aims: 1) to describe why men have had a relatively low profile as subjects in demographic research on reproduction; 2) to explain growing interest in studying men’s roles; 3) to evaluate existing research on men in developing …


Urbanization, Unemployment And Migration In Africa: Theory And Policy [Arabic], Michael P. Todaro Jan 1997

Urbanization, Unemployment And Migration In Africa: Theory And Policy [Arabic], Michael P. Todaro

Poverty, Gender, and Youth

During the past three decades, the cities of the developing world in general, and of Africa in particular, have witnessed a remarkable and in many ways unprecedented demographic growth spurt. Despite some slowdown in rates of increase in the past few years as a result of falling wages, contracting social services, and changing demographic trends, contemporary urban areas remain the growth poles of economic progress and the lightning rods of political and social unrest. Nowhere is this dilemma more visible nor the resulting problems more intractable than in the crowded cities of sub-Saharan Africa, where projections of urban population growth …


Empowering The Next Generation: Girls Of The Maqattam Garbage Settlement, Marie Assaad, Judith Bruce Jan 1997

Empowering The Next Generation: Girls Of The Maqattam Garbage Settlement, Marie Assaad, Judith Bruce

Poverty, Gender, and Youth

This edition of SEEDS explores the challenge of extending earning opportunities and access to valued social roles to young women in the garbage settlement of Maqattam, Egypt. This edition furthermore underscores the degree to which livelihood programs must confront the social circumstances—such as health, marriage, and cultural and family traditions—that play a major role in shaping girls' current and future economic prospects.


Integrando La Sexualidad En La Planificación Familiar: La Experiencia De Tres Proyectos De Vih/Ets En América Latina Y El Caribe, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla Jan 1997

Integrando La Sexualidad En La Planificación Familiar: La Experiencia De Tres Proyectos De Vih/Ets En América Latina Y El Caribe, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla

Poverty, Gender, and Youth

Esta edición de Quality/Calidad/Qualité relata la experiencia de tres asociaciones de planificación familiar afiliadas con la International Planned Parenthood Federation/Western Hemisphere Region que han tratado de incorporar una estrategia de prevención del VIH/SIDA en su esquema de trabajo cotidiano. Se examina cómo BEMFAM/Brasil, ASHONPLAFA/Honduras, y FAMPLAN/Jamaica han logrado una transición hacia una oferta de servicios de planificación familiar más enfocada en los clientes mismos y más explícita en el tratamiento de temas sexuales. En cada uno de los tres países, el personal recibió capacitación especial que no sólo los habilitó para proveer información sobre el VIH/SIDA, sino que también les …


Transition To Adulthood Of Female Factory Workers: Some Evidence From Bangladesh, Sajeda Amin, Ian Diamond, Ruchira Tabassum Naved, Margaret Newby Jan 1997

Transition To Adulthood Of Female Factory Workers: Some Evidence From Bangladesh, Sajeda Amin, Ian Diamond, Ruchira Tabassum Naved, Margaret Newby

Poverty, Gender, and Youth

The rapidly expanding sector of garment manufacturing for export is unusual for Bangladesh in that it employs young, unmarried women in large numbers. This paper examines data from a study on garment workers in Bangladesh to explore the implications of work for the early socialization of young women. For the first time young women are given an alternative to lives where they move directly from childhood into adulthood through early marriage and childbearing. Work creates a period of transition as contrasted with the abrupt assumption of adult roles at very young ages that marriage and childbearing mandate. It is argued …


Scaling-Up Improved Postabortion Care In Egypt: Introduction To University And Ministry Of Health And Population Hospitals, Laila Nawar, Dale Huntington, Ezzeldin Osman Hassan, Hala Youssef, Nahla G. Abdel-Tawab Jan 1997

Scaling-Up Improved Postabortion Care In Egypt: Introduction To University And Ministry Of Health And Population Hospitals, Laila Nawar, Dale Huntington, Ezzeldin Osman Hassan, Hala Youssef, Nahla G. Abdel-Tawab

Reproductive Health

In Egypt, the legal, religious, and societal restrictions on abortion have constrained the provision of high-quality emergency health care services provided to postabortion patients, including links with family planning (FP) services. In 1994, a small-scale pilot study was conducted by the Egyptian Fertility Care Society and the Population Council's ANE OR/TA Project (1995) to improve postabortion care in Egypt. The study intervention included an intensive training program for physicians on the use of Manual Vacuum Aspiration instruments under local anesthesia. Physicians were also instructed in infection-control practices and counseling postabortion patients about their medical condition and FP. The study findings …


Male Involvement In Family Planning: A Kabp Study Of Agra District, Uttar Pradesh, M.E. Khan, Bella C. Patel Jan 1997

Male Involvement In Family Planning: A Kabp Study Of Agra District, Uttar Pradesh, M.E. Khan, Bella C. Patel

Reproductive Health

Although lack of male involvement in family planning has been a topic of research and discussion since the early 1980s, during the last five years it has become an important issue for women advocates, researchers, and many international agencies that are committed to reproductive health and gender equality. The large number of articles on this subject and growing number of conferences, research projects, and debates are testimonies to the importance of the issue, both from the programmatic point of view and as a process for bringing about a gender balance in men's and women's reproductive rights and responsibility. This paper …


Utilization Of Operations Research In Egypt, Sahar Hegazi Jan 1997

Utilization Of Operations Research In Egypt, Sahar Hegazi

Reproductive Health

This study aims to maximize the utilization of operations research (OR) findings in Egypt to strengthen research efforts contributing to the improvement of the family planning (FP) and reproductive health (RH) care program. To date, the field of OR in Egypt has not conducted a systematic review of the utilization of the OR studies completed over the last decade. The long-term objective of this study, as noted in this report, was to maximize the utilization of OR and strengthen future efforts contributing to the improvement of the FP and RH care program in Egypt. The study’s sample included selected studies …


Empowering The Next Generation: Girls Of The Maqattam Garbage Settlement [Arabic], Marie Assaad, Judith Bruce Jan 1997

Empowering The Next Generation: Girls Of The Maqattam Garbage Settlement [Arabic], Marie Assaad, Judith Bruce

Poverty, Gender, and Youth

This edition of SEEDS explores the challenge of extending earning opportunities and access to valued social roles to young women in the garbage settlement of Maqattam, Egypt. This edition furthermore underscores the degree to which livelihood programs must confront the social circumstances—such as health, marriage, and cultural and family traditions—that play a major role in shaping girls' current and future economic prospects.