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Full-Text Articles in Demography, Population, and Ecology

Rapport Du Seminaire National [Au Mali] Pour La Definition D'Une Strategie D'Eradication De L'Excision, Population Council Jan 1998

Rapport Du Seminaire National [Au Mali] Pour La Definition D'Une Strategie D'Eradication De L'Excision, Population Council

Reproductive Health

This is a report on a workshop for the eradication of female genital mutilation (FGM) held in Bamako, Mali. The workshop presented the results of a literature review on FGM and the actions taken to counter the practice in Mali; provided updates on the activities of six national NGOs working on issues surrounding FGM; and developed a Plan of Action for activities aimed at reducing the practice. The workshop brought together 85 participants, including policy- and decisionmakers from the government, NGOs, and religious groups. The workshop led to the finalization of a national Plan of Action to the Year 2000 …


A Study Of Women's Preferences Regarding The Formulation Of Over-The-Counter Vaginal Spermicides, Christiana Coggins, Christopher J. Elias, Ronachai Atisook, Mary T. Bassett, Virginie Ettiegne-Traore, Peter D. Ghys, Laura Jenkins-Woelk, Earmporn Thongkrajai, Nancy L. Vandevanter Jan 1998

A Study Of Women's Preferences Regarding The Formulation Of Over-The-Counter Vaginal Spermicides, Christiana Coggins, Christopher J. Elias, Ronachai Atisook, Mary T. Bassett, Virginie Ettiegne-Traore, Peter D. Ghys, Laura Jenkins-Woelk, Earmporn Thongkrajai, Nancy L. Vandevanter

Reproductive Health

There is an urgent need for safe, effective, and acceptable vaginal barrier methods for the prevention of sexually transmitted diseases (STDs), including HIV, and a variety of existing spermicides have the potential to be used for both prevention of STDs and unwanted pregnancy. Unfortunately, very little is known about formulation preferences and the desirable characteristics of vaginal preparations among the diverse populations of women who would potentially use these products. In this study, we explored vaginal spermicidal preparations containing nonoxynol-9 and the characteristics that influence user preferences for three formulations, as well as the risk of vaginal and cervical irritation …


Follow-Up Household Survey In Agra District, Jayanti Tuladhar, R.B. Gupta, V.S. Sridhar, Tilak Mukherjee Jan 1998

Follow-Up Household Survey In Agra District, Jayanti Tuladhar, R.B. Gupta, V.S. Sridhar, Tilak Mukherjee

Reproductive Health

This follow-up household survey in Agra District, India, was conducted with funding from USAID under the Population Council’s Asia and Near East Operations Research and Technical Assistance (ANE OR/TA) Project. The main objective of this study, as noted in this report, is to assess changes in the program indicators of family welfare activities, including some of the selected reproductive health indicators, from 1995 (before method-specific targets were withdrawn) and 1997 (30 months after targets were withdrawn). The study’s objectives are to detect changes in FP knowledge and use among currently married women in rural areas; detect changes in level of …


Follow-Up Household Survey In Sitapur District, Jayanti Tuladhar, R.B. Gupta, B.P. Thiagrajan, Tausif Alam Khan, Hemlata Sadhwani Jan 1998

Follow-Up Household Survey In Sitapur District, Jayanti Tuladhar, R.B. Gupta, B.P. Thiagrajan, Tausif Alam Khan, Hemlata Sadhwani

Reproductive Health

This follow-up household survey in Sitapur, India, was conducted with funding from USAID under the Population Council's Asia and Near East Operations Research and Technical Assistance (ANE OR/TA) Project. The main objective of the study, as noted in this report, is to assess changes in the program indicators of family welfare activities, including some of the selected reproductive health indicators, from 1994–95 (before the method-specific targets were withdrawn) and 1997 (30 months after the targets were withdrawn). The study has the following immediate objectives: detect changes in family planning (FP) knowledge and use among currently married women in rural areas; …


Observations From A Study Tour Of Bangladesh And Indonesia On Their Family Welfare Programme, M.E. Khan, Jayanti Tuladhar, R.B. Gupta, Ubaidur Rob, Meiwita B. Iskandar Jan 1998

Observations From A Study Tour Of Bangladesh And Indonesia On Their Family Welfare Programme, M.E. Khan, Jayanti Tuladhar, R.B. Gupta, Ubaidur Rob, Meiwita B. Iskandar

Reproductive Health

Bangladesh has a successful family planning (FP) program and has succeeded in bringing about a demographic transition at a much faster rate than many of its neighboring countries. The contraceptive prevalence rate in Bangladesh increased from 3 percent in 1971 to 45 percent in 1993, and the fertility rate decreased from 7.0 to 3.4 births per woman during the same period. This reflects the effort that the Government of Bangladesh, with the help of international agencies, has made to educate couples about FP and increase access and choice of contraceptive methods, even in remote areas. Another predominantly Muslim country that …


Adolescent Reproductive Health: Booklet For Parents, Rieny H. Hardjono, Rashmi Pachauri Rajan Jan 1998

Adolescent Reproductive Health: Booklet For Parents, Rieny H. Hardjono, Rashmi Pachauri Rajan

Reproductive Health

In Indonesia, collaboration between the Center for Health Research, University of Indonesia, National Family Planning Coordinating Board (BKKBN), UNFPA Jakarta, and the Population Council resulted in production and distribution of two prototype modules as basic materials on reproductive health for families with school-age children and adolescents. An updated version for both parents and adolescents was published by BKKBN. The Population Council believed that international versions (in English) would be of value, as the gaps in information are similar worldwide with respect to topics covered by these modules. Youth are constantly thirsty for knowledge pertaining to their health, particularly their reproductive …


Country Profile Of Women's Health And Development In Indonesia, Population Council Jan 1998

Country Profile Of Women's Health And Development In Indonesia, Population Council

Reproductive Health

The “Country Profile of Women’s Health and Development in Indonesia” contains a thorough review of the following: Geographical, Political, Socio-Demographic, and Economic Profile of Indonesia; Status of Women; and Women’s Health Status. In view of the complexity of the problems facing women, the document concludes that Indonesia needs a plan for the future with a gender perspective that prioritizes increased life expectancy, legal protection, and empowerment for women. To reach this goal, Indonesia started by ratifying the Convention on the Elimination of All forms of Discrimination Against Women (CEDAW) and set it into law in 1984. This convention, together with …


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 …


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 …


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 …


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 …


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 …


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 …


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 …


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 …


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. …


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 …


Clinic-Based Investigation Of The Typology And Self-Reporting Of Fgm In Egypt, Population Council Jan 1996

Clinic-Based Investigation Of The Typology And Self-Reporting Of Fgm In Egypt, Population Council

Reproductive Health

This clinic-based study of female genital mutilation (FGM) was designed and carried out by the Egypt Fertility Care Society to gather detailed information on the types of FGM practiced in Egypt. The study involved interviews with clinic clients to elicit information about their experience and attitudes concerning FGM, and gynecological examinations by specially trained OB/GYN physicians. In all, 93% of the women in this study were found to have some type of FGM. The study's findings were incorporated in the final report of the 1995 Egyptian Demographic and Health Survey, with the aim of contributing to the scientific understanding of …


Reproductive Tract Infection—Lessons Learned From The Field: Where Do We Go From Here?, Jennifer Grant, Diana Measham Jan 1996

Reproductive Tract Infection—Lessons Learned From The Field: Where Do We Go From Here?, Jennifer Grant, Diana Measham

Reproductive Health

The Population Council convened a meeting about reproductive tract infections (RTIs) to examine how best to use available tools and information, learn about potential service delivery approaches, and examine the direction of research. The meeting began with an examination of what is known about the prevalence, distribution, determinants, characteristics, and consequences of RTIs, as well as the common elements of an intervention framework. General obstacles related to work in the area of RTIs include lack of awareness of the problem and the limited power of women in society. Priorities for future research and programming include: further research on the scope …


Sources Of Future Population Growth In The Philippines And Implications For Public Policy, Alejandro N. Herrin, Marilou P. Costello Jan 1996

Sources Of Future Population Growth In The Philippines And Implications For Public Policy, Alejandro N. Herrin, Marilou P. Costello

Poverty, Gender, and Youth

Rapid population growth, poor and uneven economic performance, and slow progress in health and education are interrelated phenomena. However, while there is strong support for public policies aimed at economic recovery and human resource development in the Philippines, there is still a lack of consensus on the need for public policy to moderate population growth and on the role of a government-sponsored family planning program in overall population and development activities. This paper examines alternative population projections and analyzes the contribution to future population growth of unwanted fertility, high desired family size, and population momentum. The aims are to highlight …


A Model Of Costs Of Rti Case Management Services In Uttar Pradesh, Saumya Ramarao, John Townsend, M.E. Khan Jan 1996

A Model Of Costs Of Rti Case Management Services In Uttar Pradesh, Saumya Ramarao, John Townsend, M.E. Khan

Reproductive Health

The Government of India has adopted a Reproductive and Child Health (RCH) approach as the basis of its new family welfare policy. One component of RCH is management of reproductive tract infections (RTIs). The Population Council's Asia and the Near East Operations Research and Technical Assistance (ANE OR/TA) Project, in collaboration with the State of Uttar Pradesh, Ministry of Health and Family Welfare, is conducting a study on the feasibility and cost of providing RTI case management at the primary-care level. The estimated annual cost of RTI case management at the district level would be about US$64,000. From the analysis, …


Women's Experiences Of Unwanted Pregnancy And Induced Abortion In Nigeria, Friday E. Okonofua, Clifford Odimegwu, Bisi Aina, Patrick H. Daru, Agnes Johnson Jan 1996

Women's Experiences Of Unwanted Pregnancy And Induced Abortion In Nigeria, Friday E. Okonofua, Clifford Odimegwu, Bisi Aina, Patrick H. Daru, Agnes Johnson

Reproductive Health

A population-based study was conducted to determine the prevalence and pattern of abortion use among women in two communities of Nigeria. The results show a high frequency of reports of unwanted pregnancy and induced abortion among the women. Furthermore they suggest that detailed information can be obtained on abortion in areas with restrictive laws if a sensitive approach to interviewing is adopted. The results presented in this report have implications as the Nigerian government begins designing a set of realistic policies and programs to address the high rate of morbidity and mortality associated with induced abortion in that country. The …


What's Sex Got To Do With It? Challenges For Incorporating Sexuality Into Family Planning Programs, Kirsten Moore, Judith F. Helzner Jan 1996

What's Sex Got To Do With It? Challenges For Incorporating Sexuality Into Family Planning Programs, Kirsten Moore, Judith F. Helzner

Reproductive Health

In February 1996, IPPF/WHR and the Population Council’s Ebert Program on Critical Issues in Reproductive Health jointly hosted a meeting on the challenge of incorporating sexuality into family planning. This report was compiled after organizers concluded that the ideas and strategies presented during the meeting merited wider recognition and debate within the family planning field. The meeting examined five myths that have prevented family planning and reproductive health services from dealing directly with issues of sexuality and gender. The report draws principally on the discussions from the meeting as well as on the perspectives of the organizers. The authors hope …


Issues In Essential Obstetric Care, Diana Measham, Virginia Kallianes Jan 1996

Issues In Essential Obstetric Care, Diana Measham, Virginia Kallianes

Reproductive Health

This report summarizes the proceedings of a meeting on essential obstetric care (EOC) convened by the Population Council on behalf of the Inter-Agency Group for Safe Motherhood (IAG). This technical meeting was held to clarify the definition of EOC, bridge the gap between research and program planning, and stimulate field-level activity. The president of the Population Council closed and summarized the meeting by noting that the IAG is making progress, but that work remains to be done. Progress will begin to occur more rapidly when we are able to prove that lives have been saved and to state definitively that …


Addressing Women's Reproductive Health Needs: Priorities For The Family Welfare Programme, Shireen J. Jejeebhoy Jan 1995

Addressing Women's Reproductive Health Needs: Priorities For The Family Welfare Programme, Shireen J. Jejeebhoy

Reproductive Health

India's national family welfare program has two objectives—to address the needs of families, notably women and children, and to reduce population growth rates. In reality, the program has been disproportionately focused on achieving demographic targets by increasing contraceptive prevalence. In this process, women's needs have been overlooked, in terms of poor reproductive health (RH). There is a need to reorient program priorities to focus more holistically on RH needs and on woman-based services that respond to health needs in ways sensitive to the sociocultural constraints women and adolescent girls face in acquiring services and expressing health needs. This report presents …


Families In Focus: New Perspectives On Mothers, Fathers, And Children, Judith Bruce, Cynthia B. Lloyd, Ann Leonard, Patrice L. Engle, Niev Duffy Jan 1995

Families In Focus: New Perspectives On Mothers, Fathers, And Children, Judith Bruce, Cynthia B. Lloyd, Ann Leonard, Patrice L. Engle, Niev Duffy

Poverty, Gender, and Youth

Despite the rhetoric of recent years lamenting the loss of the "traditional family," families have never fit nicely into any single model. "Family" may refer to people linked by marriage or kinship or to people claiming descent from common ancestors. People may form and extend families by adopting or fostering children, defining nonrelatives as family, or establishing consensual partnerships. Families are as adaptable as they are diverse, reconfiguring themselves over their life cycles and evolving to accommodate the myriad pressures of the external world. This book focuses on families with dependent children specifically—on the roles of mothers, fathers, and children, …


What We Do And Do Not Know About The Menstrual Cycle Or, Questions Scientists Could Be Asking, Sioban D. Harlow, Sara A. Ephross Jan 1995

What We Do And Do Not Know About The Menstrual Cycle Or, Questions Scientists Could Be Asking, Sioban D. Harlow, Sara A. Ephross

Reproductive Health

The objective of this paper is to consider from a public health perspective the types of questions researchers might be asking about the relationship between menstrual function and women’s health, and to evaluate to the extent to which these questions have or have not been addressed by the scientific community. Based on the findings in this report, it is obvious that a comprehensive program of research is needed in order to begin filling the myriad gaps in scientific knowledge about the menstrual cycle. Given the lack of knowledge about many fundamental aspects of menstrual function and about linkages between the …


Sexual Coercion And Reproductive Health: A Focus On Research, Lori L. Heise, Kirsten Moore, Nahid Toubia Jan 1995

Sexual Coercion And Reproductive Health: A Focus On Research, Lori L. Heise, Kirsten Moore, Nahid Toubia

Reproductive Health

Gender-based violence is ignored or denied in most societies and neglected by health professionals and researchers, yet it persists in almost all societies, and, in some, it is on the increase. This report is aimed at those in the family planning/reproductive health field who desire to conduct research or implement programs to address sexual violence and its impact on women's reproductive health. Furthermore, it contributes to a better understanding of the context of sexual coercion as well as its causes and consequences. The ideas presented herein are derived largely from a two-day meeting jointly organized by the Ebert Program in …