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Full-Text Articles in Demography, Population, and Ecology

Dmpa Monitoring Study: Findings On Use And Continuation Rates, Population Council Jan 1995

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 …

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Improving The Counseling And Medical Care Of Postabortion Patients In Egypt, Population Council, Egyptian Fertility Care Society Jan 1995

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 …

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An Exploratory Study Of The Psycho-Social Stress Associated With Abortions In Egypt, Dale Huntington, Laila Nawar, Dalia Abdel Hady Jan 1995

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 …

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Improving Community Based Family Planning Services And The Potential For Increasing Contraceptive Prevalence In Bangladesh, Amy Gale Dunston, Peter C. Miller Jan 1995

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 …

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Support For Research, Dissemination, Utilization, And Policy In Bangladesh, Ubaidur Rob, Donna Nager Jan 1995

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 …

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A Study Of User Perspectives On The Diaphragm In An Urban Indian Setting, T.K. Sundari Ravindran Jan 1995

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 …

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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 Jan 1995

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 …

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Knowledge, Attitudes And Practice Of The Dmpa Injectable Contraceptive: Data From Focus Group Discussions, Maria Carmela Patron, Marilou P. Costello Jan 1995

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 …

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Current Experiences With Community-Based Distribution Of Family Planning In Kenya: A Review Prepared For Usaid/Kenya, Population Council Jan 1995

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 …

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Quality Of Care In Family Planning Service Delivery In Kenya: Clients' And Providers' Perspectives, Lewis Ndhlovu Jan 1995

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 …

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Day Of Dialogue On Contraceptive Methods For Today And Tomorrow: Developments, Prospects, And Issues, Population Council Jan 1995

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 …

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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 Jan 1995

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 …

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Community-Based Aids Prevention And Care In Africa: Case Studies From Five African Countries, Ann Leonard Jan 1994

Community-Based Aids Prevention And Care In Africa: Case Studies From Five African Countries, Ann Leonard

HIV and AIDS

The Population Council carried out a three-year project entitled “Community-Based AIDS Prevention and Care in Africa: Building on Local Initiatives.” Given the constraints faced by the health care infrastructure in responding to the AIDS crisis and the limitations of traditional educational approaches in motivating people to modify their sexual behavior, in the African context community-based AIDS prevention and care of those affected are the first line of defense against the infection. This project was developed to explore efforts by organizations in Africa dealing directly with the consequences of AIDS, to understand the essential components of effective community-based efforts for AIDS …

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Gender Inequalities And Demographic Behavior: Egypt, Nora Guhl Naguib, Cynthia B. Lloyd, Barbara L. Ibrahim Jan 1994

Gender Inequalities And Demographic Behavior: Egypt, Nora Guhl Naguib, Cynthia B. Lloyd, Barbara L. Ibrahim

Poverty, Gender, and Youth

This is one of three reports on the relationship between gender equity, family structure and dynamics, and the achievement of reproductive choice prepared by the Population Council for the 1994 International Year of the Family and the 1994 International Conference on Population and Development. These reports provide critical reviews of the relationship between gender inequality and demographic behavior in three demographically significant, culturally distinct parts of the developing world: Egypt, India, and Ghana and Kenya. Their purpose is to help governments and international agencies design and implement policies that are affirmative of women, sensitive to the family's central role in …

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Population Policy In Bangladesh: A Review Of Ten Priority Areas, Barkat-E- Khuda, Abul Barkat, Javed Helali, Peter C. Miller, John G. Haaga Jan 1994

Population Policy In Bangladesh: A Review Of Ten Priority Areas, Barkat-E- Khuda, Abul Barkat, Javed Helali, Peter C. Miller, John G. Haaga

Poverty, Gender, and Youth

One of the most important factors contributing to the success of Bangladesh’s FP-MCH Program in recent years has been the strong support provided at the policy level by all the governments of Bangladesh since independence. This has given the government confidence and supported the development of a coherent set of policies at the implementation level. However, the success of policies at one stage in the development of a family planning (FP) program carries with it the need for changes in policy to support the program at the next stage. In Bangladesh, if the nation is to attain the demographic goals …

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Arab Women: A Profile Of Diversity And Change, Nahid Toubia, Amira Bahyeldin, Nadia Hijab, Heba Abdel Latif Jan 1994

Arab Women: A Profile Of Diversity And Change, Nahid Toubia, Amira Bahyeldin, Nadia Hijab, Heba Abdel Latif

Poverty, Gender, and Youth

The status of Arab women is the subject of much speculation, generalization, and stereotyping by those inside and outside the region. The paucity of objective, accessible information makes Arab women one of the least understood social groups. The aim of this book is to help correct misconceptions about Arab women by introducing systematic information for 21 Arab countries. Widely published international statistical data, mostly from the United Nations and the World Bank, were used for the comparisons. These datasets are compiled from country reports, national surveys, and aggregated smaller studies. They are by no means comprehensive or devoid of inaccuracies, …

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Arab Women: A Profile Of Diversity And Change [Arabic], Nahid Toubia, Amira Bahyeldin, Nadia Hijab, Heba Abdel Latif Jan 1994

Arab Women: A Profile Of Diversity And Change [Arabic], Nahid Toubia, Amira Bahyeldin, Nadia Hijab, Heba Abdel Latif

Poverty, Gender, and Youth

The status of Arab women is the subject of much speculation, generalization, and stereotyping by those inside and outside the region. The scarcity of objective, accessible information makes Arab women one of the least understood social groups. The aim of this book is to help correct misconceptions about Arab women by introducing systematic information for 21 Arab countries. Widely published international statistical data, mostly from the United Nations and the World Bank, were used for the comparisons. These datasets are compiled from country reports, national surveys, and aggregated smaller studies. They are by no means comprehensive or devoid of inaccuracies, …

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Partnership For Prevention: A Report Of A Meeting Between Women's Health Advocates, Program Planners, And Scientists, Population Council Jan 1994

Partnership For Prevention: A Report Of A Meeting Between Women's Health Advocates, Program Planners, And Scientists, Population Council

Reproductive Health

In May 1994, the Population Council, in conjunction with the Pacific Institute for Women's Health and the International Women's Health Coalition, hosted a meeting for women's health advocates from around the world to discuss the development of microbicides. This process was the first step in building greater understanding and mutual respect among women's health advocates and Population Council staff and scientists with regard to the technology of microbicides. Participants hoped that the recommendations resulting from this initiative would have a positive influence not only on the development of microbicides, but on all reproductive health technologies. This report aims to reproduce …

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Reproductive Health Approach To Family Planning, Population Council Jan 1994

Reproductive Health Approach To Family Planning, Population Council

Reproductive Health

This report collects presentations from a panel held on Professional Development Day at the USAID Cooperating Agencies meeting in November 1994. The panel was designed to review key reproductive health elements that relate to family planning, including: reproductive tract and sexually transmitted infections, including AIDS; the prevention and treatment of unsafe abortion; pregnancy, labor, and delivery care; and postpartum care. While there is increasing international consensus that family planning should be broadened to include reproductive health care, it is far from clear as to how this should be done, and which elements should be incorporated. This panel explored some of …

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Family Planning And Population: A Compendium Of International Statistics, John A. Ross, W. Parker Mauldin, Vincent C. Miller Jan 1993

Family Planning And Population: A Compendium Of International Statistics, John A. Ross, W. Parker Mauldin, Vincent C. Miller

Poverty, Gender, and Youth

This volume provides statistics on all large-scale family planning (FP) programs in the developing world, together with selected demographic and socioeconomic statistics. Time trends are given for some indicators, and data are arranged for comparative analysis across countries. Where available, time trends go back to the mid-1980s. This volume’s predecessor, published in 1992, should be consulted for earlier demographic and socioeconomic data, and for tables on maternal and child health indicators that are not repeated here. The data on FP programs come from a series of three questionnaires sent since 1987 to 100 developing countries, which have generally been kept …

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Fertility, Family Size, And Structure: Consequences For Families And Children, Cynthia B. Lloyd Jan 1993

Fertility, Family Size, And Structure: Consequences For Families And Children, Cynthia B. Lloyd

Poverty, Gender, and Youth

In 1989 the Population Council began a research project on the consequences of high fertility at the family level and its implications for the next generation. Since its inception, the project has been supported by Swedish SIDA and has involved the collaboration of researchers from selected developing countries. In countries where there has been limited research on this topic, such as India, Mali, Nigeria, Pakistan, and Senegal, the Population Council provided funding for new studies or for analysis of existing data with the potential for producing insights on this topic. In instances where relevant research was already underway, the Council …

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Family Planning And Child Survival Programs As Assessed In 1991, John A. Ross, W. Parker Mauldin, Steven R. Green, E. Romana Cooke Jan 1992

Family Planning And Child Survival Programs As Assessed In 1991, John A. Ross, W. Parker Mauldin, Steven R. Green, E. Romana Cooke

Poverty, Gender, and Youth

This volume continues a tradition initiated at the Population Council nearly 25 years ago when the first edition of “Population and Family Planning Programs” was issued. That factbook began a series of 12 editions produced through 1993. The data in that series were consolidated and updated in another publication, and the present volume is now issued, based partly upon a 1989 questionnaire inquiry to over 100 developing countries. A range of maternal and child survival data were added to the family planning information. The relationships among fertility behavior, infant and child mortality, and maternal health are closely interwoven; moreover, many …

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Manual Para El Diseño De Investigación Operativa En Planificación Familiar, Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend Jan 1991

Manual Para El Diseño De Investigación Operativa En Planificación Familiar, Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend

Reproductive Health

El Manual para el diseño de investigación operativa en planificación familiar, publicado por primera vez en inglés por el Population Council en 1983, se basó en las experiencias de los autores en investigaciones operativas en Asia. Esta segunda edición contiene secciones revisadas y aumentadas. En su caso, se han agregado ejemplos de América Latina y África. En la Introducción se hace una revisión completa y actualizada del desarrollo de la investigación operativa (IO) en salud y planificación familiar. Se han agregado nuevos capítulos sobre la selección de la intervención a ser probada en un investigación operativa sobre la descripción de …

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Prevention Of Morbidity And Mortality From Induced And Unsafe Abortion In Nigeria, Friday E. Okonofua, Toun Ilumoka Jan 1991

Prevention Of Morbidity And Mortality From Induced And Unsafe Abortion In Nigeria, Friday E. Okonofua, Toun Ilumoka

Reproductive Health

These proceedings are from a seminar organized by the Department of Obstetrics, Gynaecology, and Perinatology, Obafemi Awolowo University, Ile-Ife (Nigeria) in collaboration with the Population Council. The primary purpose of the multidisciplinary seminar was to identify the determinants of the high rate of mortality and morbidity from unsafe abortion in Nigeria. The specific objectives were: 1) to identify measures that could be undertaken on a short- and long-term basis to reduce the rate of abortion-related mortality, and 2) to set an agenda for research into abortion in Nigeria. The seminar consisted of oral presentations on related topics by researchers and …

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Handbook For Family Planning Operations Research Design, Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend Jan 1991

Handbook For Family Planning Operations Research Design, Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend

Reproductive Health

The Handbook for Family Planning Operations Research Design, first published in English by the Population Council in 1983, was based on field research studies in Asia. This second edition contains revised and expanded sections. Where appropriate, examples from Latin America and Africa have been added. The introductory section contains a current statement on the process of health and family planning operations research (OR). New chapters have been included on selecting an appropriate intervention to test in an OR study, and on describing the main elements of the study intervention. The chapter on information dissemination has been expanded and a new …

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Handbook For Family Planning Operations Research Design [Arabic], Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend Jan 1991

Handbook For Family Planning Operations Research Design [Arabic], Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend

Reproductive Health

"The Handbook for Family Planning Operations Research Design," first published in English by the Population Council in 1983, was based on field research studies in Asia. This second edition contains revised and expanded sections. Where appropriate, examples from Latin America and Africa have been added. The introductory section contains a current statement on the process of health and family planning operations research (OR). New chapters have been included on selecting an appropriate intervention to test in an OR study, and on describing the main elements of the study intervention. The chapter on information dissemination has been expanded and a new …

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Maternal Risk, Beverly Winikoff Jan 1991

Maternal Risk, Beverly Winikoff

Reproductive Health

This presentation to the 1991 Berzelius Symposium, Stockholm, Sweden, explores the issue of maternal risk—the probability or chance of dying or being seriously injured in pregnancy—as it is used in maternal health care. This concept of risk has been a useful tool for research and medical and epidemiological education, but its use as a tool for service delivery design has been more problematic. In order to construct a risk system, one has to have reliable data on the relationships between individual characteristics and the outcome being studied—something that is difficult to develop with regard to maternal health. Furthermore the system …

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Limitations Of Maternal Care To Improve Maternal Health, Beverly Winikoff Jan 1991

Limitations Of Maternal Care To Improve Maternal Health, Beverly Winikoff

Reproductive Health

In a presentation at the 1991 Berzelius Symposium in Sweden, a Population Council researcher described the limitations of healthcare systems, specifically during pregnancy, in terms of their effect on maternal health status. These limitations stem from an inability to improve health because of social conditions—poverty and illiteracy, overwork, inequality in sexual relationships—that cannot be solved by medical interventions. Maternal ill health originates before pregnancy and endures beyond it, whereas the window of contact with women during pregnancy is small. Nevertheless, recent evaluations suggest that the impact of prenatal care is in the caring process more than any specific aspect of …

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The Muek-Lek Women's Dairy Project In Thailand, Aruna Rao Jan 1990

The Muek-Lek Women's Dairy Project In Thailand, Aruna Rao

Poverty, Gender, and Youth

This issue of SEEDS describes a project that was started in 1985 to encourage the growth of a new agricultural sector, dairy farming, in Thailand. While the major aim of the project was to increase incomes of rural families in the Muek-Lek Land Reform Area in Saraburi Province, Central Thailand, it also sought to integrate women into dairying activities, and offer these women, whether married or single, access to credit. The Muek-Lek Dairy Project is unique in that it channeled government resources and secured commercial bank financing to make women the key participants in a relatively new and growing agricultural …

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A Commentary On The Social Class And Mental Illness Correlation: Implications Of The Research For Policy And Practice, Julius A. Roth Mar 1988

A Commentary On The Social Class And Mental Illness Correlation: Implications Of The Research For Policy And Practice, Julius A. Roth

The Journal of Sociology & Social Welfare

This paper represents an extraordinary review of literature on the association between SES and mental illness. I think most social scientists would find it impressive. It also conveys some cogent reasoning about the relevance of these findings for social policy. I think most social workers would find it impressive.

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