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District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Jaunpur, P.N. Kapoor, P.K. Chopra, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

Uttar Pradesh (UP) is the most populous state in India, with a population of 139 million, as of the 1991 census. The socioeconomic profile is characterized by relatively low levels of per capita income and literacy. Further, assessment of the family planning program and the demographic status as measured by Couple Protection Rate (CPR) and Mortality/Fertility rates mark UP as one of the country’s more demographically disadvantaged states. UP has a relatively higher Infant Mortality Rate, crude death rate, birth rate, and total fertility rate than the country as a whole, whereas CPR is much too low. The district of …

District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Meerut, P.K. Jain, Ramal Pasricha, Hanimi Reddy Modugu, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

The Government of India and USAID began the Innovations in Family Planning Services Project (IFPS) in Uttar Pradesh under the State Innovations in Family Planning Services Agency (SIFPSA). The goal was to reduce the fertility rate in India’s most populous State of Uttar Pradesh by accelerating family planning (FP) services at the district level through innovative approaches. IFPS’s main objectives were to increase access to FP services, improve quality of FP services, and promote contraceptive use. Initially 15 districts were selected for the Baseline Surveys in Uttar Pradesh (BSUP). The baseline information collected will be used to plan FP interventions …

District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Lalitpur, G. Narayana, N. Prem Kumar, Hanimi Reddy Modugu, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

Baseline surveys in 15 districts of Uttar Pradesh were conducted as part of the USAID-assisted State lnnovations in Family Planning Services project. This effort helps create databases at the district level, an essential prerequisite for decentralized planning and strategy development. The Baseline Surveys in Uttar Pradesh (BSUP) were undertaken as part of the innovations in Family Planning Services Project, which aimed to reduce the fertility rate in Uttar Pradesh. The specific objectives of the project were to increase access to family planning (FP) services, improve quality of FP services, and promote contraceptive use. The Population Council has been designated as …

District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Nainital, K. Satyanarayan, G. Giridhar, K.K. Gaur, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

In 1992, the Ministry of Health and Family Welfare and the United States Agency for International Development, New Delhi, began the Innovations in Family Planning Services Project (IFPS) under the management of the State Innovation in Family Planning Services Agency (SIFPSA), Lucknow. The goal was to reduce the fertility rate in Uttar Pradesh by expanding and improving family planning (FP) services. To achieve this, the IFPS project will support service innovations in the public and nongovernmental sectors and through contraceptive social marketing mechanisms. The Baseline Survey in Uttar Pradesh (BSUP) is being undertaken as one important component of the IFPS …

District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Sitapur, P.K. Jain, Ramal Pasricha, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

The Government of India and the United States Agency for International Development began the Innovations in Family Planning Services Projects (IFPS) in Uttar Pradesh under the management of the State Innovations in Family Planning Services Agency (SIFPSA). IFPS’s objectives are to increase access to family planning (FP) services, improve the quality of health care services, and promote contraceptive use. While achieving these goals, the IFPS project will support service innovations in the public and nongovernmental sectors, and contraceptive social marketing mechanisms. Baseline information being sought includes desired family size and sex preference among mothers, utilization of health services and immunization …

Technical Assistance For Expanding Contraceptive Choice In India, John Townsend

Reproductive Health

One of the roles of the ANE OR/TA Project in India was to participate in policy dialogues with national counterparts, in the public sector and among NGOs, about expanding contraceptive choices, and to provide technical assistance for facilitating changes in service-delivery procedures. The public sector provides five contraceptive methods through its 11,500 hospitals and primary health care facilities. NGOs, private physicians, and pharmacies have access to a broader range of brands. While India is one of the world's leaders in contraceptive research, in recent years products have come to market slowly. New technology is often embraced, however the cost of …

District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Tehri Garhwal, V.S. Sridhar, P. Subramaniyam, K.K. Gaur, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

Uttar Pradesh (UP) is the most populous state in India, with a population of 139 million, as of the 1991 census. The Sample Registration System in 1992 indicated a high population growth rate accompanied by a very high birth rate. The authorities have been taking several measures to contain the growth and bring a rapid decline in fertility rates. It is in this context that the Government of India and the United States Agency for International Development reached an agreement to begin the Innovations in Family Planning Services Project (IFPS) under the management of the State Innovations in Family Planning …

District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Shahjahanpur, S.K.G. Dastidar, Tausif Alam Khan, B.P. Thiagrajan, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

The Government of India and the United States Agency for International Development began the Innovations in Family Planning Services Projects (IFPS) in Uttar Pradesh under the management of the State Innovations in Family Planning Services Agency (SIFPSA). IFPS’s objectives are to increase access to family planning (FP) services, improve the quality of health care services, and promote contraceptive use. While achieving these goals, the IFPS project will support service innovations in the public and nongovernmental sectors, and contraceptive social marketing mechanisms. Baseline information being sought includes desired family size and sex preference among mothers, utilization of health services and immunization …

A Qualitative Study Of Quality Of Care In Rural Karnataka, P.H. Reddy

Reproductive Health

The Third Five-Year Plan (1961–66) aimed at reducing the crude birth rate in India to 25 per 1,000 population by 1973, however this goal has not been achieved. Several other demographic goals were set later, to be achieved by specified years, but they were deferred or revised. One major reason for the failure to achieve these goals was thought to be the lack of adequate infrastructural facilities for the family welfare program, thus it was decided to improve the institution–population ratio. The primary objective of this study is to assess the quality of interaction between clients and providers, and the …

Lessons Learned From A Community-Based Distribution Programme In Rural Bihar, S. Parveen, M.E. Khan, John Townsend, Bella C. Patel

Reproductive Health

The state of Bihar in North India ranks near the bottom of the Indian states in terms of its demographic situation. The infant mortality rate as of 1991 was 69 per 1,000, and the contraceptive prevalence rate as of 1990 was 26 percent. Bihar ranks near the bottom among other states of India in almost all indicators of social and economic development. One reason for its low performance is weak management. Besides poverty, a poor communications network and lack of proper infrastructure further make the implementation of programs difficult. Workers have misconceptions about FP methods, and educational activities are poorly …

Improvements In Knowledge Of Norplant® Implants Acceptors: An Intervention Study In West Sumatra And West Java, Anthony Tan, Eman Mahdar, Faisal R. Djamal, Hafni Bachtiar, Jayanti Tuladhar, R. Hasan, R. Hasan, M. Hoesni

Reproductive Health

Previous studies on Norplant® implants in Indonesia have shown that there are a substantial number of implant acceptors, providers, fieldworkers, and volunteers who are unaware of the basic facts about Norplant. In addition, information, education, and communication materials are lacking for providers, fieldworkers, volunteers, and clients. With these issues in mind, the Training and Development Center for Biomedical and Human Reproduction Studies of the National Family Planning Coordinating Board launched an Operations Research intervention study with Study Groups on Human Reproduction from Andalas University, Padang, West Sumatra, and Padjajaran University, Bandung, West Java, with support from the Population Council. The …

Experience With The Dmpa Injectable Contraceptive: Findings From A Survey Of Dmpa Acceptors, Maria Carmela Patron, Marilou P. Costello

Reproductive Health

This report presents the results of a survey of 899 DMPA acceptors who availed of injectable contraceptive services from public health facilities under the Philippine Department of Health's (DOH) DMPA Reintroduction Program. The survey is part of the DMPA Monitoring and Follow-up Studies sponsored by the Population Council’s Manila office in response to a request by the DOH to provide operations research support to the program. Depot-medroxyprogesterone acetate (DMPA), commonly known as Depo-Provera, is a three-month injectable contraceptive. It was recently officially endorsed as a family planning (FP) program method by the DOH, following its approval by the Philippine Bureau …

Report On Norplant® Implants In Indonesia, Andrew A. Fisher, Soledad Diaz, Alejandro N. Herrin, Joedo Prihartono

Reproductive Health

At the request of the Indonesian National Family Planning Coordinating Board, the Population Council’s consultant team reviewed issues related to Norplant® implant service delivery in Indonesia and recommended specific areas for new initiatives, improvements, and further research. The team reviewed secondary sources on the subject and visited Indonesia from April 17–28, 1995. They talked with family planning (FP) officials and observers and made field visits to West Java and Yogyakarta. This report reviews important issues facing the national FP program, particularly regarding Norplant insertions and removals. Program approaches are included, as are an outline for a national assessment study that …

Dmpa Monitoring Study: Findings On Use And Continuation Rates, Population Council

Reproductive Health

This report presents the results of the DMPA Monitoring Study undertaken by Population Council, Manila, as a technical assistance project for the DMPA Reintroduction Program of the Department of Health. The primary objective of the study is to provide data on DMPA (injectable contraceptive) utilization and continuation rates that may be used to project the logistical needs of the program for the next four years (1995–1998). Availability of DMPA supplies, and information, education, and communication (IEC) materials on DMPA in the facilities were also monitored to provide some measure of the effectiveness of the distribution system. The study covers a …

Improving The Counseling And Medical Care Of Postabortion Patients In Egypt, Population Council, Egyptian Fertility Care Society

Reproductive Health

This pilot study conducted in Cairo and Minya examined the effects of improving the medical care and counseling of post-abortion patients in Egypt. A pre-test/post-test, no control group study design was used to measure the effects of an intervention that upgraded physicians' clinical and interpersonal communication skills for the care of post-abortion patients, including counseling and family planning (FP). The study's surveys utilized direct interviews with staff working in the OB/GYN wards, structured observations of treatment procedures and counseling of post-abortion patients, and interviews with patients prior to discharge. Changes in the clinical management of post-abortion patients were introduced through …

An Exploratory Study Of The Psycho-Social Stress Associated With Abortions In Egypt, Dale Huntington, Laila Nawar, Dalia Abdel Hady

Reproductive Health

An operations research study was conducted to investigate the concerns of postabortion patients in Egypt to improve counseling that women receive. A corollary use of the study results is the development of sensitive survey research questions for measuring incidence of induced abortion. This study utilized qualitative research methods by conducting in-depth interviews with postabortion patients in El Galaa and El Menia University Hospitals and focus group discussions with family planning clients and noncontracepting women. For all types of postabortion patients the most salient issue was physical survival of an extremely painful experience. All postabortion patients were acutely concerned about their …

Improving Community Based Family Planning Services And The Potential For Increasing Contraceptive Prevalence In Bangladesh, Amy Gale Dunston, Peter C. Miller

Reproductive Health

This report contains descriptions of 13 family planning (FP) projects recently implemented in Bangladesh. The results in terms of the contraceptive prevalence rate (CPR) are analyzed to investigate the degree to which improved FP service delivery in Bangladesh can increase contraceptive use in the present status of demand, investigate the programmatic factors most associated with increased prevalence, and make these projects more widely known. Criteria for inclusion included coverage of a geographic area where household distribution of contraceptive supplies was available, and where at least one measurement of CPR has been made through credible survey efforts since July 1988. The …

Support For Research, Dissemination, Utilization, And Policy In Bangladesh, Ubaidur Rob, Donna Nager

Reproductive Health

Through the initiative of the Family Planning Fortnight: Meeting the Future Challenges, held in December 1993, the Government of Bangladesh made a policy statement about the critical importance of dealing with the nation's population problem. The Fortnight provided the strategic framework for developing actions to strengthen the National Family Planning Program that would meet the country's population challenges. To initiate rapid action, the Family Planning Fortnight Steering Committee, under the chairmanship of the Secretary, Ministry of Health and Family Welfare, formed a working group to prepare a report that would capitalize on all earlier efforts and lay out a plan …

A Study Of User Perspectives On The Diaphragm In An Urban Indian Setting, T.K. Sundari Ravindran

Reproductive Health

This study attempted to examine user perspectives regarding the desirability of the diaphragm as a contraceptive method when included among other methods distributed freely through a family planning (FP) clinic. It sought to introduce on an experimental basis, the diaphragm into an ongoing and well-established FP clinic to increase contraceptive choice. This was primarily a qualitative study aimed at understanding women's perceptions about the risks and benefits, the reasons for use of the diaphragm, and the practical difficulties of using it effectively. It also studied the influence of service delivery factors in acceptance of this method. The study was part …

Follow-Up Study Among Iud Acceptors Of Java, R. Hasan M. Hoesni, M. Hasan, Anthony Tan, Jayanti Tuladhar, Jusuf S. Effendi, Bantuk Hadijanto, Pudjo Hartono

Reproductive Health

As of April 1993, an estimated 5.3 million women in Indonesia were using IUDs. In 1991, the IUD was the second most commonly used family planning method in Indonesia (13.4 percent). According to the Indonesia Demographic and Health Survey, in 1994 it became the third most commonly used method among currently married women (10.3 percent), primarily on the islands of Java and Bali. The National Family Planning Coordinating Board (BKKBN), in collaboration with the Faculties of Medicine, Diponegoro University in Semarang, Airlangga University in Surabaya, and BKS-Penfin in Bandung, conducted a "Follow-up Study Among IUD Acceptors of Java,” from November …

Knowledge, Attitudes And Practice Of The Dmpa Injectable Contraceptive: Data From Focus Group Discussions, Maria Carmela Patron, Marilou P. Costello

Reproductive Health

This report is based on data from 12 focus group discussions conducted throughout the Philippines as part of the DMPA Monitoring and Follow-up Studies. The DMPA Monitoring and Follow-up Studies are part of a technical assistance project undertaken by the Population Council in support of the Department of Health’s DMPA Reintroduction Program. The project provides data on DMPA (depot-medroxyprogesterone acetate) acceptance and continuation rates as well profiles of DMPA users and dropouts to serve as bases for decisions and policies that will ensure quality services. The project draws information from several sources including a 15-month monitoring of DMPA acceptors; surveys …

Current Experiences With Community-Based Distribution Of Family Planning In Kenya: A Review Prepared For Usaid/Kenya, Population Council

Reproductive Health

Kenya has been one of the leading countries worldwide in developing and implementing community-based distribution (CBD) programs as part of the national family planning (FP) program. CBD activities in Kenya are coordinated by the National Council for Population and Development, with support from USAID and other donor agencies. Kenya’s CBD program has been widely publicized because of its success in improving access to FP information and services, and its diversity of organizational structures. USAID would like to review the current situation and possible future directions before designing its CBD strategy for the next five-year bilateral project. The Africa OR/TA II …

Quality Of Care In Family Planning Service Delivery In Kenya: Clients' And Providers' Perspectives, Lewis Ndhlovu

Reproductive Health

In recent years, the increasing number of organizations that have studied quality of care in international family planning (FP) programs demonstrates the importance the topic has acquired. To define quality of care in FP, the Bruce–Jain framework of six elements of care (choice of methods, information given to clients, technical competence, interpersonal relations, continuity and follow up, and appropriate constellation of services) have been used as the standard. However, what has been overlooked in this approach is the clients' perspectives of service quality. This study sought to narrow the gap in knowledge about the comparability and consistency in views between …

Day Of Dialogue On Contraceptive Methods For Today And Tomorrow: Developments, Prospects, And Issues, Population Council

Reproductive Health

This “aide-memoire” records the substance of the presentations and discussions of a Day of Dialogue—spanning two half-days on June 20–21, 1994—among representatives of the European donor community and the Population Council on “Contraceptive Methods for Today and Tomorrow: Developments, Prospects, and Issues.” The discussion covered how contraceptives are developed, prospects for new technology, areas of controversy surrounding current and potential methods, and ways to improve the process. This is the third Day of Dialogue the Population Council has been instrumental in organizing. The format for these meetings is simple and informal: Population Council staff and invited experts from other organizations …

District Level Baseline Survey Of Family Planning Program In Uttar Pradesh: Rampur, S.K.G. Dastidar, Tausif Alam Khan, B.P. Thiagrajan, R.B. Gupta, Bella C. Patel, M.E. Khan, John Townsend

Reproductive Health

The Government of India and the United States Agency for International Development began the Innovations in Family Planning Services Project (IFPS) in Uttar Pradesh under the management of the State Innovations in Family Planning Services Agency (SIFPSA). The goal was to reduce the fertility rate in Uttar Pradesh by accelerating family planning (FP) services at the district level through innovative approaches. IFPS’s main objectives were to increase access to FP services, improve the quality of FP services, and promote contraceptive use. Initially 15 districts were selected for the Baseline Survey in Uttar Pradesh (BSUP). The baseline information collected will be …

A Naturalistic Study Of The Relationship Between The Process Of Empowerment And Mental Health During Adolescence, Michael Terrence Ungar

Theses and Dissertations (Comprehensive)

A qualitative study of 21 at-risk adolescents led to the development of a grounded theory which shows that mental health and resilience depends on the acceptance of teenagers experiences for their self-definitions and the power they exercise in the social discourse which constructs these defining labels. Using the metaphor of drift, this paper explores how teens seek acceptance for the most powerful personal labels accessible to them. The process of empowerment is conceptualized as a protective mechanism giving a young person power in the social construction of his or her identity. The young people in this study explained that participation …

Concerns/Needs Experienced By Low-Income Mothers Following A Postpartum Hospital Stay Of Less Than Forty-Eight Hours, Karen S. Kujala

Masters Theses

The purpose of this study was to describe the needs and concerns that low income women experience during the first seven days at home following discharge from a postpartum hospital stay of less than forty-eight hours. Dorothea Orem's theory of self-care was the conceptual framework.; The sample (n = 50) consisted of Medicaid eligible postpartum mothers, 18 years of age or older, who were discharged with their infants in less than 48 hours after delivery. The mothers were contacted by telephone seven days after discharge to complete an interview regarding concerns they might have experienced.; Data were analyzed descriptively. The …

The Impact Of Social Support On Long Term Adult Psychological Functioning: Study Of The Role Of A Confidant In Adult Survivors Of Childhood Sexual Abuse, Danny Ray Russell

Graduate Theses

This project examined the effects a confidant had on adult survivors of childhood sexual abuse. The subjects were volunteer adult survivors of childhood sexual abuse solicited from undergraduate and graduate psychology classes at the University of Texas of the Permian Basin. Volunteers completed a childhood sexual abuse questionnaire, a confidant questionnaire, the Jaloweic Coping Scale and the Brief Symptom Inventory in a structured interview. The Jaloweic Coping Scale determined the coping styles and the Brief Symptom Inventory determined the symptom level. Those subjects that had a confidant were expected to have more successful coping styles and fewer symptoms as adults. …

Correlates And Consequences Of Early Initiation Of Sexual Intercourse, Ann L. Coker, Donna L. Richter, Robert F. Valois, Robert E. Mckeown, Carol Z. Garrison, Murray L. Vincent

CRVAW Faculty Journal Articles

This cross-sectional analysis of the 1991 CDC Youth Risk Behavior Survey explored factors associated with an early age at first sexual intercourse. Almost 18% of White males, 49% of Black males, 5% of White females and 12% of Black females were sexually active before age 13. Carrying a weapon to school, fighting, and early (< age 13) experimentation with cigarettes and alcohol were associated with early initiation of sexual activity for all four race and gender groupings. Those initiating sexual activity early had greater numbers of partners but were 50% less likely to use condoms regularly and were two-seven times more likely to have been pregnant or caused a pregnancy. Females who initiated sexual activity early were more likely to have had a sexually transmitted disease (STD). Interventions to postpone sexual activity need to be tailored to the ethnic and gender differences observed in these analyses. Interventions must begin before age 13 and should be comprehensive school-based efforts.

Ua12/2/1 Phases - Sex, Wku Student Affairs

WKU Administration Documents

Special magazine edition of the College Heights Herald:

• Williams, Stacy. The First Date: I’m Taking A Stand
• Gagliardi, Melissa. Sex: We’re In College. It’s Going to Happen
• What They Had to Say – National Health & Social Life Survey
• Quarles, Mitchell. There’s More to Worry About These Days
• Grundy, Julie. Abstinence Isn’t All That Bad, Really
• Rose, Alex. Shack Etiquette: Who Gets the Covers?