Chick, P; Nixon, J
Data were obtained from 1,810 consecutive women who attended a central metropolitan (Brisbane) Family Planning Clinic during a 5 week period in 1982. Young women in particular formed the major client group with 32% being under 20 years of age. The client population was skewed towards women of upper socioeconomic status (SES). There was no SES disproportion in the use of oral contraceptives or IUD's. However, diaphragm use occurred disproportionately in women of upper SES groups; postcoital contraception was sought by and limited to, women of SES classes A and B only. The clinic satisfied a need for women with a history of failed or absent contraception and 15% had already had a termination of pregnancy by the time they first presented at the clinic. PMID:6596088
Swenson, Ingrid Elizabeth
Reviewed records of 183 adolescents attending family planning clinic. Forty-one percent had first sexual experience between ages 12 and 13. Over 7 percent admitted having been sexually abused or raped; additional 19 percent described situations in home or exhibited symptoms associated with history of sexual abuse. Found evidence of family…
Goldacre, M J; Loudon, N; Watt, B; Grant, G; Loudon, J D; McPherson, K; Vessey, M P
Women attending a family planning clinic were studied to determine the relation between cervical erosion and clinical and social characteristics. The appearance of the cervix was recorded without knowledge of the women's symptoms. The prevalence of erosion increased with parity but, when the effects of other factors were controlled, decreased in women aged 35 and over. Erosion was significantly more common in women taking the "pill" and less common in women using barrier methods of contraception than in others. There was considerable variation between doctors in the reporting of erosion. No association was found between erosion and postcoital bleeding, dyspareunia, backache, or dysuria. There was a significant but modest association between erosion and vaginal discharge and a suggestion that erosion may sometimes be associated with nocturia and frequency of micturition. Vaginal flora was similar in women with and without erosion. Cervical erosion should not be regarded as pathological in asymptomatic women, nor should it be assumed necessarily to be the cause of symptoms in women with genitourinary complaints. PMID:630328
Costa, Eleonora C V; Oliveira, Rosa; Ferreira, Domingos; Pereira, M Graça
Women account for 30% of all AIDS cases reported to the Health Ministry in Portugal and most infections are acquired through unprotected heterosexual sex with infected partners. This study analyzed socio-demographic and psychosocial predictors of consistent condom use and the role of education as a moderator variable among Portuguese women attending family planning clinics. A cross-sectional study using interviewer-administered fully structured questionnaires was conducted among 767 sexually active women (ages 18-65). Logistic regression analyses were used to explore the association between consistent condom use and the predictor variables. Overall, 78.7% of the women were inconsistent condom users. The results showed that consistent condom use was predicted by marital status (being not married), having greater perceptions of condom negotiation self-efficacy, having preparatory safer sexual behaviors, and not using condoms only when practicing abstinence. Living with a partner and having lack of risk perception significantly predicted inconsistent condom use. Less educated women were less likely to use condoms even when they perceive being at risk. The full model explained 53% of the variance in consistent condom use. This study emphasizes the need for implementing effective prevention interventions in this population showing the importance of taking education into consideration. PMID:26277905
Besera, Ghenet; Moskosky, Susan; Pazol, Karen; Fowler, Christina; Warner, Lee; Johnson, David M; Barfield, Wanda D
Although both men and women have reproductive health care needs, family planning providers traditionally focus services toward women (1,2). Challenges in providing family planning services to men, including preconception health, infertility, contraceptive, and sexually transmitted disease (STD) care (3,4), include their infrequent use of preventive health services, a perceived lack of need for these services (1,5), and the lack of provider guidance regarding men's reproductive health care needs (4). Since 1970, the National Title X Family Planning Program has provided cost-effective and confidential family planning and related preventive health services with priority for services to low-income women and men. To examine men's use of services at Title X service sites, CDC and the U.S. Department of Health and Human Services' Office of Population Affairs (OPA) analyzed data from the 2003-2014 Family Planning Annual Reports (FPAR), annual data that are required of all Title X-funded agencies. During 2003-2014, 3.8 million males visited Title X service sites in the United States and the percentage of family planning users who were male nearly doubled from 4.5% (221,425 males) in 2003 to 8.8% (362,531 males) in 2014. In 2014, the percentage of family planning users who were male varied widely by state, ranging from ≤1% in Mississippi, Tennessee, and Alabama to 27.2% in the District of Columbia (DC). Title X service sites are increasingly providing services for males. Health care settings might want to adopt the framework employed by Title X clinics to better provide family planning and related preventative services to men (3). PMID:27309884
Decker, Michele R.; Miller, Elizabeth; McCauley, Heather L.; Tancredi, Daniel J.; Levenson, Rebecca R.; Waldman, Jeffrey; Schoenwald, Phyllis; Silverman, Jay G.
Objective To describe the prevalence and nature of sex trade in a clinic-based sample of young women and to evaluate associations with sexual and reproductive health. Methods A cross-sectional survey was conducted with women aged 16–29 years (n=1277) presenting to family-planning clinics in Northern California, USA. Results Overall, 8.1% of respondents indicated a lifetime history of trading sex for money or other resources. Sex trade was associated with unintended pregnancy (adjusted risk ratio [ARR] 1.27; 95% confidence interval [CI], 1.09–1.48), multiple abortions (ARR 1.63; 95% CI, 1.19–2.23), STI diagnosis (ARR 1.46; 95% CI, 1.27–1.68), and unwanted sex (vaginal ARR 3.64; 95% CI, 2.39–5.56; anal ARR 4.99; 95% CI, 2.17–11.50). Of the women ever involved in sex trade, 12 (37.3%) reported that their first such experience was before they were 18 years of age. Conclusion Approximately 1 in 12 participants had been involved in sex trade, illustrating the presence of patients with this history within the family-planning clinical setting. Sex trade was associated with multiple indicators of poor sexual and reproductive health. Family-planning clinics may represent an underused mechanism for engaging this high-risk population. PMID:22356762
Background Complementary medicines (CMs) are widely used by women. Although, women in Australia are frequent users of CM, few studies have examined their utilisation by women attending a family planning service. The aim of this study was to examine (i) the extent of and type of CM, (ii) women’s views about safety and efficacy, and (iii) the factors influencing women’s decision-making. Methods A cross-sectional survey using a convenience sample of 221women aged greater than 18 years attending a family planning (FP) service was undertaken over a two week period in Sydney, Australia. An anonymous self-administered questionnaire was designed to examine women’s current and previous use of CMs, their attitudes towards safety and effectiveness, the factors influencing their decision-making, and their disclosure of CM use to a FP health professional. Demographic questions were designed to describe the diversity of the participants. Logistic regression was used to examine the association between CM use and demographics. Results Sixty-seven percent of women surveyed were currently using CMs, and 83% reported use during the previous 12 months. Most respondents utilised CMs to maintain their general health or for prevention of ill health. Over 30% of women lacked information to make an informed response to questions examining their views about the safety of CMs. Forty-four percent of participants stated they discussed their use of CMs with their FP providers. The main reason why women did not mention CMs was they did not see the relevance to their consultation (43%). Lower rates of CM use were found for younger women (OR 0.24, 95% CI 0.09-0.61), and those not completing high school (OR 0.44, 95% 0.20-1.00). Conclusion The use of CM is very common among women attending an Australian FP clinic, however our findings may not be generalisable to all women. We identified a notable gap in women’s awareness of the potential for interactions between CM and prescribed
Park, Sueuk; Pascarella, Ernest T.
Using data from the National Education Longitudinal Study, 1988 (NELS: 88), this paper documents differences in the socioeconomic plans of students in two-year and four-year colleges. We found attendance at a two-year college led to a modest but statistically significant disadvantage in socioeconomic plans. However, the impact of attending a…
Since the initial voluntary efforts of the Singapore Family Planning Association in 1949, family planning in Singapore has made important progress. This effort extended over the years until the end of 1965 when the government accepted full responsibility for family planning on a national scale. In September 1965, the government announced a 5-year National Family Planning Program with the goal of reducing the birthrate from 32/1000 in 1964 to below 20/1000 by 1970. This would result in a growth rate of not more than 1.5%. The government program aims at reaching 60% of married women in the reproductive age range of 15-45. It is estimated that out of 450,000 in this age range, some 300,000 are married. The target is 180,000 in 5 years. The Singapore Family Planning & Population Board was established by an Act of Parliament and charged with responsibility for the implementation of the 5-year plan. The national program offers a menu card of all family planning methods except abortion. Initial focus was on the IUD as the method of choice for 80%. Oral contraception (OC) was the preferred alternative for the remaining 20%. Other conventonal methods also were available. A few months after the plan began in 1966, the IUD became unacceptable to Singapore women. Its side effects of bleeding, cramps, perforation, and pregnancy were exaggerated by rumors. By the middle of 1966, attendance and acceptors in the national program had declined. Emphasis in the national program was changed to OCs, which now are the mainstay of family planning. Currently, nearly 65% of the acceptors use OCs. The program also demonstrates the importance, especially in urban areas, of the tremendous impact of a postpartum family planning service. Over 70% of the births in Singapore take place at the Kandang Kerbau Maternity Hospitals. Government midwives deliver another 5%. All these women are contacted by a team of family planning workers in the postpartum period and are offered family planning. Nearly
World Health Organization, Copenhagen (Denmark). Regional Office for Europe.
This document is made up of a selection of some of the papers distributed to participants in courses on "Family Health and Family Planning" which have been organized each year since 1973 by the International Children's Center and the World Health Organization Regional Office for Europe. Six courses, held between 1973 and 1978, brought together a…
Doherty, William J.; Burge, Sandra K.
Argues that family therapy is failing to attend to the contexts in which family mental health services are provided. Presents a model for describing the institutional contexts of family mental health treatment in North America, and explores how these contexts influence family treatment, using 3 levels: primary, secondary, and tertiary care.…
Morrissey, Taryn W.; Hutchison, Lindsey; Winsler, Adam
Low family income is associated with poor academic achievement among children. Higher rates of school absence and tardiness may be one mechanism through which low family income impacts children's academic success. This study examines relations between family income, as measured by receipt of free or reduced-price lunch, school attendance, and…
Government sponsored family planning programs have had major success in declining birth rates in Barbados, China, Cuba, Hong Kong, Indonesia, Korea, Mexico, Singapore, Sri Lanka, Taiwan, and Thailand. Non- government programs have had similar success in Brazil and Colombia. These programs have been estimated as preventing over 100 million births in China and 80 million in India. Research indicates that family planning programs can produce a 30-50% drop in fertility. Family planning information and some contraceptives can be best distributed through community organizations. Research also indicates male opposition has been a major factor in wider acceptance of family planning. Surveys indicate that 50% of the woman who want no additional children are not using any birth control. Many governments do not have the resource and money to implement programs. In the developing countries if those who were able to prevent the unwanted births had birth control, the population increases in those countries would have been 1.3% versus 2.2%. In earlier family planning programs foreign assistance paid over 80% of the cost, and national governments 20%; today this is reversed. The World Bank estimates that for major improvements in population growth and women's health, $7 billion will be needed yearly by the year 2000. The countries that have had the similar goals in development of human resources, social services, health, and education. They have attended to the status of women, female employment, and maternal and child health. Estimates are that 1.3 billion couples and individuals will need family planning services by the year 2000, and this will be a formidable task. This key elements of successful family planning programs are community participation, decentralization, and training. PMID:12316737
Heil, Sarah H.; Gaalema, Diann E.; Herrmann, Evan S.
Objective Over the past 60 years, population control has become an increasingly urgent issue worldwide as a growing population strains already limited resources. The use of financial incentives to promote family planning is an innovative approach that has potential to make a contribution to efforts to better manage population growth. This report reviews eight studies that examined the effect of incentives on family planning. Method Published studies that tested the impact of incentives to promote some aspect of family planning and included an appropriate control or comparison condition were reviewed. Results Incentives have been used to promote attendance at contraceptive education sessions, adoption and continuation of contraceptive methods, sterilization, and to limit family size. All but one of the eight studies reviewed reported positive outcomes, but weaknesses in study design and execution limit the strength of the conclusions that can be drawn. Conclusion Review of this literature suggests that family planning behaviors, like other behaviors, are sensitive to incentives. Given the tremendous need for efficacious interventions in global efforts to manage population growth, further research on this topic using more rigorous experimental methods is warranted. PMID:22743293
Decker, Michele R.; Miller, Elizabeth; McCauley, Heather L.; Tancredi, Daniel J.; Anderson, Heather; Levenson, Rebecca R.; Silverman, Jay G.
Background/Objectives Adolescent and young adult women are at high risk for both STI/HIV and intimate partner violence (IPV). We evaluate the prevalence of IPV in the past three months and its associations with STI/HIV risk, STI, and related care-seeking over the same time period. Methods Female family planning clinic patients ages 16–29 (n=3,504) participated in a cross-sectional survey in 2011–2012 as a baseline assessment for an intervention study. We examined associations of recent IPV with sexual and drug-related STI/HIV risk behavior, self-reported STI, and STI-related clinical care seeking via logistic regression. Results Recent physical or sexual IPV (prevalence 11%) was associated with recent sexual and drug-related STI/HIV risk, specifically unprotected vaginal sex (AOR 1.93, 95% CI 1.52, 2.44), unprotected anal sex (AOR 2.22, 95% CI 1.51, 3.27) and injection drug use, both their own (AOR 3.39, 95% CI 1.47, 7.79) and their partner’s (AOR 3.85, 1.91, 7.75). IPV was also linked with coercive sexual risk: involuntary condom non-use (AOR 1.87, 95% CI 1.51, 2.33), and fears of requesting condoms (AOR 4.15, 95% CI 2.73, 6.30) and refusing sex (AOR 11.84, 95% CI 7.59, 18.45). STI-related care-seeking was also more common among those abused (AOR 2.49, 95% CI 1.87, 3.31). Conclusions Recent IPV is concurrent with sexual and drug-related STI/HIV risk, including coercive sexual risk, thus compromising women’s agency in STI/HIV risk reduction. Clinical risk assessments should broaden to include unprotected heterosexual anal sex, coercive sexual risk, and IPV, and should promote safety and harm reduction. PMID:24234072
Morrissey, Taryn W; Hutchison, Lindsey; Winsler, Adam
Low family income is associated with poor academic achievement among children. Higher rates of school absence and tardiness may be one mechanism through which low family income impacts children's academic success. This study examines relations between family income, as measured by receipt of free or reduced-price lunch, school attendance, and academic achievement among a diverse sample of children from kindergarten to 4th grade (N = 35,419) using both random and within-child fixed-effects models. Generally, results suggest that the receipt of free or reduced-price lunch and duration of receipt have small but positive associations with school absences and tardies. Poor attendance patterns predict poorer grades, with absences more associated with grades than tardies. Given the small associations between receipt of free or reduced-price lunch and school attendance, and between the duration of receipt of free or reduced-price lunch and children's grades, results do not provide strong evidence that absences and tardies meaningfully attenuate relations between the duration of low family income and student achievement; poorer attendance and persistent low income independently predict poorer grades. Implications for policy and future research are discussed. PMID:23914750
Rosenfield, A G
Organizational and content features of various national family planning programs are reviewed. The Thai program is cited as an example of a family planning program organized on a massive unipurpose compaign basis. The Korean and Taiwan programs have utilized special field workers while upgrading the general health care network. 3 major problems with family planning programs are: 1) the lack of experience with such programs; 2) lack of commitment at the highest political levels; and 3) medical conservatism. Utilization of all available contraceptive methods instead of reliance on 1 method would improve most programs. Nursing and auxiliary personnel could be trained to take over the work of physicians in family planning programs. This is already being done with IUD insertion and pill prescription in several programs. The postpartum tubal ligation approach has proven effective and should be extended. There is a place in all national programs for both the private and the commercial sectors. Incentives for clinics, personnel, and acceptors might spread family planning more rapidly. PMID:12309877
Clinton, H R
This news brief presents the US President's wife's statement on the association between use of family planning and a decline in abortions worldwide. Hillary Rodham Clinton attended the Sixth Conference of Wives of Heads of State and Government of the Americas held in La Paz, Bolivia. The conference was suitably located in Bolivia, a country with the highest rates of maternal mortality in South America. Bolivia has responded by launching a national family planning campaign coordinated between government, nongovernmental, and medical organizations. Half of Bolivian women experience pregnancy and childbirth without the support of trained medical staff. Mortality from abortion complications account for about half of all maternal deaths in Bolivia. Voluntary family planning workers teach women about the benefits of child spacing, breast feeding, nutrition, prenatal and postpartum care, and safe deliveries. Bolivia has succeeded in increasing its contraceptive use rates and decreasing the number of safe and unsafe abortions. Bolivia's program effort was supported by USAID. USAID provided technical assistance and funds for the establishment of a network of primary health care clinics. Mrs. Clinton visited one such clinic in a poor neighborhood in La Paz, which in its first six months of operation provided 2200 consultations, delivered 200 babies, registered 700 new family planning users, and immunized 2500 children. Clinics such as this one will be affected by the US Congress's harsh cuts in aid, which reduce funding by 35% and delay program funding by 9 months. These US government cuts in foreign aid are expected to result in an additional 1.6 million abortions, over 8000 maternal deaths, and 134,000 infant deaths in developing countries. An investment in population assistance represents a sensible, cost-effective, and long-term strategy for improving women's health, strengthening families, and reducing abortion. PMID:12293000
Wadia, A B
The family planning program in China is integrated into the general political situation and the overall development program. The organization covers workers, peasants, and soldiers. The program is based on the following 3 aspects of Chinese society: 1) the equality of women, 3) late marriage, and 3) free and accessible contraceptive services. No incentives are offered since family planning is considered a national duty. Participation is said to be voluntary but peer opinion exerts its own social pressure. All contraceptive devices used in China are domestically produced. Barefoot doctors have a large role in their distribution. Examples from several localities indicate that the acceptance rate for contraception is high. An official with the Health Ministry is quoted regarding the family planning program. PMID:12277575
In 1991, an HIV prevention program advisor and a research/evaluation specialist for family planning programs discussed problems that affected HIV prevention and family planning services in Haiti before and after the coup of the Aristide government. Population activities began aimlessly in 1974 and HIV prevention efforts only began in 1988. After the coup, Haitians lost their newly found hope for meaningful development. All foreign assistance ended and they did not trust the army. In fact, other than essential child survival activities, no health and family planning services operated for several weeks. The situation grew worse after the economic embargo. 3 months after the coup, the US considered adding family planning assistance. Still little movement of condom, family planning, and health supplies left Port-au-Prince for the provinces which adversely affected all health related efforts. Condoms could no longer be distributed easily either in the socially marketed or US supplied condom distribution programs. Before the coup, HIV prevention and family planning programs depended on peer educators to educate the public (this approach made these programs quite successful), but the 2 experts feared that they would not return to those roles and that these programs would need to completely rebuild. Another concern was the large scale urban-rural migration making it difficult for them to continue care. Early in the AIDS epidemic, the Haitian government was on the defensive because the US considered Haitians as a high risk group so it did little to prevent HIV transmission. After 1988, HIV prevention activities in Haiti centered on raising awareness and personalizing the epidemic. The AIDS specialist noted, however, that a major obstacle to increasing knowledge is that AIDS is just 1 of many fatal diseases in Haiti. Moreover few health professionals in Haiti have ever had public health training. PMID:12159262
The IPPF published in 1976 its first Annual report on the activities of the sector Region del Hemisferio Occidental. The report describes the efforts employed in Latin America toward family planning, and the several programs organized. From it it is possible to appreciate the positive impact of the different services to promote a more adequate family structure. Inside the report a special position is occupied by the activities of the Paraguayan Centre for Studies on Population. PMID:12309621
Family planning in People's Republic of China between 1956 to 1970 has been marked by rapid change and total interrelation with the political and social developments. Since 1949, the Communist government has taken several measures to protect the mother and child. The campaign for family planning was started in 1956 by public meetings, posters, lectures with films, and an extensive distribution of contraceptive means. However, in 1965 there were still 2 trends among women: 1, based on tradition, supported the idea that a large number of children was a source of honor, prosperity and security; the other taking hold among younger women was in favor of family planning. The rural population was the latest to start practicing family planning. In 1963 a movement of socialist education was launched together with the formation of mobile medical teams to inform and educate people all over the country and to make known the various forms available for family planning. The contraceptive methods used included: male and female sterilisation (vasectomy for men and tube ligation for women), IUD, and condom; abortion, legal for women who already had children or if it was necessary for the mother's health; and oral contraceptives, which were produced in China. Medical services were reorganized and teams of "bare-foot doctors" were sent all over China. They lectured on health measures and fertility regulation. Intellectuals were sent to live in villages and exchange their knowledge with that of the peasants and workers. The tendency has been to limit the number of children to 2 or 3. The young people are recommended to postpone their marriage, women till they are 25, men till later. Nationally produced contraceptive means are being experimented with such as herbs, or a new intrauterine plastic device called "flower". The regions with national minorities like Tibet, the Inner Mongolia and Sinkiang had been under underpopulated and therefore population growth has been encouraged mainly
Al-Ateeg, Fahad A
The article focuses on the role of natural family planning NFP as a component of reproductive health. It distinguishes NFP from the concept of fertility awareness method. Furthermore, the effectiveness of NFP as determined by previous studies is presented and the advantages and disadvantages of NFP are highlighted. Additionally, factors that influence the use of NFP methods are examined. Finally, delivery strategies and options for mainstreaming NFP into reproductive health services are identified and discussed. PMID:15048163
Bair, W D
Reasons commonly advanced for providing family planning are the need for it as a health measure, as part of the basic human right of parents to plan their families, and as a measure to slow demographic growth. Provision of access to all couples desiring birth control, not just to the wealthy and educated, is a less frequently discussed reason. All these reasons require broad coverage in order to be effective. The author argues, using data on the relative health risks of contraceptive usage vs. pregnancy, that nonclinic distribution of contraceptives is consistent with responsible health considerations. The argument is buttressed by ethical considerations. The demand for family planning services is next considered, with the author arguing that availability of contraceptives is an important factor in increasing demand for them. The characteristics and users of nonclinic delivery systems are then discussed. Commercial distribution systems may provide services for up to 5% of women of fertile age, thus providing a useful supplement to organized and more highly subsidized programs. Noncommercial distribution -- household or community based systems -- has allowed contraceptive use to expand to levels of 20 or 25% and sometimes as high as 50%, in periods as short as a year and a half, at low cost. Community leaders have often proven to be more effective than clinic personnel in providing instruction and support to contraceptive users. PMID:12309775
Jacobson, J L
India's goal of reducing the national birth rate by 50% by the year 2000 is destined to failure in the absence of attention to poverty, social inequality, and women's subordination--the factors that serve to perpetuate high fertility. There is a need to shift the emphasis of the population control effort from the obligation of individual women to curtail childbearing to the provision of the resources required for poor women to meet their basic needs. Female children are less likely to be educated or taken for medical care than their male counterparts and receive a lower proportion of the family's food supply. This discrimination stems, in large part, from parents' view that daughters will not be able to remunerate their families in later life for such investments. The myth of female nonproductivity that leads to the biased allocation of family resources overlooks the contribution of adult women's unpaid domestic labor and household production. Although government statistics state that women comprise 46% of India's agricultural labor force (and up to 90% of rural women participate in this sector on some basis), women have been excluded systematically from agricultural development schemes such as irrigation projects, credit, and mechanization. In the field of family planning, the Government's virtually exclusive focus on sterilization has excluded younger women who are not ready to terminate childbearing but would like methods such as condoms, diaphragms, IUDs, and oral contraceptives to space births. More general maternal-child health services are out of reach of the majority of poor rural women due to long distances that must be travelled to clinics India's birth rate could be reduced by 25% by 2000 just by filling the demand for quality voluntary family planning services. Without a sustained political commitment to improve the status of women in India, however, such gains will not be sustainable. PMID:12284385
Early birth control methods practiced by Muslims included a version of rhythm called takwim. Instead of using a thermometer to determine the safe period, the woman pressed her navel hard. If she felt magnetic sensations she was not in the safe period. Withdrawal, called piil, was also used. Old folks prepared juices extracted from roots like safran, pitawali, and when drunk they contracted the uterus and prevented pregnancy. New methods and programs have not gained popularity because of traditional medicines. Some early methods are still used today. To some Muslims sex is sacred and should not be talked about in polite conversation. If a Muslim discusses sex in front of others he has no delicadeza. Muslims must voluntarily accept family planning. If they are forced they reject the idea entirely. Extensive radio drama series have been broadcast since the establishment of the Provincial Population Office in Jolo in 1977. Muslims still believe in having many children as security in cases of tribal or interfamily feuds. Family planning workers in Stanvac, Zamboanga use the economic approach for motivating people. The financial burden of raising a big family is emphasized. PMID:12261886
The author participated in the family planning project in Bangladesh from August 1, 1977 to December 31, 1979. The population of Bangladesh was 81 million in 1977 with annual increase of 3%, and the government was aiming at zero population growth. The government guidelines emphasized family planning as an effort integrated with other community programs. The use of adult education classes, mass media, and agricultural field workers and the training of paramedical personnel were proposed. The project members' activities involved motivating the public to delay marriages, to space births and to limit the family size to two children (average family size 6.5 children) as well as distributing contraceptives, promoting IUD and sterilization. Sterilization campaign for women in DNN district, 30 km south of Dacca, was carried out as follows. The women who had signed up in advance arrived at the elementary school classroom, where 2 medical teams performed operations using the teachers' desks and the equipment rented from a hospital in Dacca. The general procedure involved a physical examination by a female doctor, checking blood pressure, changing into a brand new native gown, premedication by injection, total anesthesia and operation itself. The equipment was sterilized by boiling. The patients were carried on the stretchers to the other classroom where they recuperated, staying overnight on the straw mats on the mud floor. They went home on foot the next day. The shortage of food and resources, high unemployment rate and low standard of living are some of the social problems Bangladesh faces along with overpopulation. PMID:6909327
The decision in the Gillick case confirms that oral contraceptives (OCS) may be prescribed for adolescents under age 16 without their parent's knowlege or consent. And it is probable that to convey the information to parents will render the doctor guilty of professional miscnduct. This is true incases where the adolescent has reached the age of 16 and thus attained the age of consent, notwithstanding the decision in the Browne case. In that case, an elderly Birmingham general practitioner, Dr. Robert Browne, was chaged, on the information of a local family planning clinc, with serious professional misconduct when he told the father of a girl who had been his patient since birth that she was taking OCS. The girl had consulted a local family planning clinic, which had put her on OCS and conveyed the information to Dr. Browne in a confidential letter. Dr Browne had decided that her parents were the best people to counsel her, and since the information had been supplied by the clinic, "I could not accept from a third party a unilateral imposition of confidential information." The latter proposition is specious; the former is not a good defense at law. The decision of the General Medical Council's Disciplinary Committee in favor of Dr. Browne rests on tenuous reasoning. It was most likely wrong when it was handed down in 1971 and would almost certainly not be followed today. There is something in the Gillick case to infuriate every family doctor. At 1 level, the decision points the finger at as sensitive area of family medicine most often ignored by medical practitioners -- the provision of timely counseling, particularly in the area of sexual relations. The point has been reached where a family planning clinic's judgment can be lawfully substituted for that of parents on issues involving the moral and emotional development of their children. A doctor's obligation to maintain confidentiality does not come about by default, nor can it gan moral reinforcement as a result
The Family Planning Communication Action Research Projects at the Demographic Training and Research Centre, DTRC, Bombay, and the Planning Research and Action Institute (PRAI) Lucknow, provide guidelines for implementation of a program in which voluntary workers play an important role. DTRC has concentrated on urban areas and PRAI on rural areas. In selecting the volunteers, emphasis is on involving those who are already active in community affairs, or those who wield some degree of influence. In rural areas, the literacy level of the leaders is an important factor, as well as those who have a wide circle of acquaintances. The training programs conducted by the DTRC are for 3-5 days, covering 6-10 hours, and the involvement of some local association is always sought. It is found that an informal, permissive atmosphere, the use of visual aids, the distribution of reference material, and the lecture and group discussion methods are effective in orienting the participants to family planning educational activities. The PRAI trains the workers 1st through individual visits, and then when a good number have participated for 3 or 4 months, a training camp is organized. When high officials attend and address these camps, and when certificates and badges are distributed, it serves to keep up the enthusiasm. The main problem in both urban and rural area are sustaining the interest of the volunteer and involving men as volunteers. Where cash incentives are not feasible, newspaper and radio publicity is effective, and words of recognition and appreciation also help. Where male volunteers are involved, it is found that they can work well in their places of employment rather than in residential communities. In highly cosmopolitan areas, various linquestic groups live side by side, and it is necessary to enroll voluntary workers from the individual groups. PMID:12338667
At the turn of the century, Taiwan's population was increasing slowly, then later grew during a period of high fertility after the end of World War II and the accordance of independence in 1946. This growth in fertility came together with increasing life expectancy and a general desire by couples to have families comprised of 5-6 children. Taiwan was therefore poised to experience a major population explosion. In this context, a family planning program was established in the country which has since evolved into one of the world's most successful such programs. By 1990, the preferred family size was 2-3 children and of couples which already had 2 children, 70% of those without any sons were nonetheless practicing contraception. While in 1965, no married women used contraception until they had some children, by 1990, 27% of married women without children used contraception. Increasing age at marriage has been an important factor in Taiwan's declining fertility, with the average age at marriage increasing from 20 years in the 1950s to approximately 27 in the 1970s. Few mothers, however, want only one child. The fertility trends observed in Taiwan have been made possible through the provision of contraception, which used to be universally free, but which is now provided free to only people of low income or the disabled. Oral contraception, condoms, and IUDs are used, although 30% of couples depend upon sterilization. PMID:9741982
A hilot (birth attendant), Aling Melchora, of Roxas, Oriental Mindora, who does motivation work in family planning is typical of hilots who are found in every barrio throughout the Philippines. She is 58 years old and has been a hilot for more than 30 years. She learned birth attendance in a training course at the Pandacan Puericulture Center in 1940. She averages 3 deliveries a month and 8 IUD acceptances a month. The hilots are a possible strong force in family planning motivation because of their influence and the respect with which people in the community regard them. They are older, experienced, always available, and charge very reasonable rates for services highly trained clinic staff would balk at doing. The Institute of Maternal and Child Health (IMCH) has trained 400 such hilots to do motivation work in family planning. It is noted that in the Philippines, the hilot may yet provide the key to reach the people in the barrios, which is the most important and challenging task for the national program on family planning. PMID:12306912
Kleinman, Ronald L., Ed.
The International Planned Parenthood Federation (IPPF) believes that all people have the right to family planning information, including premarital and marital counseling, contraception information, and sex education. This physician's handbook is designed to provide all doctors with the necessary instructions on the latest family planning methods…
After the revolution, the Islamic Republic of Iran instituted pronatalist policies which included lowering the minimum marriage age for girls to 9 years, abolishing some laws securing women's rights, and limiting availability of family planning (FP) services. By 1983, Iran's population growth rate was 3.9% which was among the highest worldwide. Before the revolution, Iran had 37 million people. About 2 million more people were added each year, resulting in a population size of 60 million by 1992. By the mid-1980s, economic development stood idle, there were not enough houses, children attended schools on 3 shifts, and malnutrition was spreading. In 1989, the government formed a population council and reestablished FP services. It also increased the minimum age of marriage for girls to 13 years, slightly improved women status, and eliminated fertility incentives for couples with at least 4 children. It also significantly increased funding for FP (from 560 million to 13 billion rials between 1990 and 1992). Government spending for FP will likely increase 2% annually until 2011. The government initiated a promotion of FP mass media campaign, emphasizing a 2-child family. Some posters showed a family with 2 girls. The mass media campaign promoted specific contraceptive methods (even tubal occlusion and vasectomy), a practice other Middle Eastern countries not do. 80% of sterilization acceptors claimed to learn about sterilization from the radio or newspapers. The Ministry of Health has invited the Association for Voluntary Surgical Contraception (AVSC) to help with its campaign to update sterilization techniques, including the non scalpel vasectomy technique. AVSC hopes to become even more involved in helping Iran update its national FP program. PMID:12318289
Doberenz, Alexander R., Ed.; Taylor, N. Burwell G., Ed.
These proceedings of the second annual symposium on population growth bring together speeches and panel discussions on family planning programs. Titles of speeches delivered are: Communicating Family Planning (Mrs. Jean Hutchinson); Effects of New York's Abortion Law Change (Dr. Walter Rogers); The Law and Birth Control, Sterilization and Abortion…
In the city of Tebicuary, Paraguay, the main local private industry, a sugar refinery, has organized for its workers and their families a consultory for family planning and for materno-infant services. The consultory not only offers advice and services on prenatal diagnosis, medical assistance to infants and children and maternal health, but it sponsors lectures and distributes literature related to family planning problems. PMID:12309620
Seifer, David B; Minkoff, Howard; Merhi, Zaher
Family planning visits are designed to help women build families in a manner most compatible with their life goals. Women's knowledge regarding age-related fertility is suboptimal, and first wanted pregnancies are now occurring at older ages. Here we review the issue of diminishing chances of a pregnancy occurring in women over 30 years of age. A debate arises over whether to perform a standard fertility assessment at an age when, for example, oocyte freezing is still practical and feasible, knowing that the proven predictors in subfertile couples may be less informative, or even inappropriate, in women without complaints about fertility. Studies have demonstrated that if women knew that their fertility was diminishing, they might alter life plans, including having children sooner or considering oocyte preservation. Therefore, we argue that physicians need to make an effort to evaluate a woman's childbearing priorities, though not necessarily their fertility, during the initial family planning visit. PMID:25406182
Cleland, John; Bernstein, Stan; Ezeh, Alex; Faundes, Anibal; Glasier, Anna; Innis, Jolene
Promotion of family planning in countries with high birth rates has the potential to reduce poverty and hunger and avert 32% of all maternal deaths and nearly 10% of childhood deaths. It would also contribute substantially to women's empowerment, achievement of universal primary schooling, and long-term environmental sustainability. In the past 40 years, family-planning programmes have played a major part in raising the prevalence of contraceptive practice from less than 10% to 60% and reducing fertility in developing countries from six to about three births per woman. However, in half the 75 larger low-income and lower-middle income countries (mainly in Africa), contraceptive practice remains low and fertility, population growth, and unmet need for family planning are high. The cross-cutting contribution to the achievement of the Millennium Development Goals makes greater investment in family planning in these countries compelling. Despite the size of this unfinished agenda, international funding and promotion of family planning has waned in the past decade. A revitalisation of the agenda is urgently needed. Historically, the USA has taken the lead but other governments or agencies are now needed as champions. Based on the sizeable experience of past decades, the key features of effective programmes are clearly established. Most governments of poor countries already have appropriate population and family-planning policies but are receiving too little international encouragement and funding to implement them with vigour. What is currently missing is political willingness to incorporate family planning into the development arena. PMID:17113431
Natural family planning (NFP) is based on the knowledge *largely nonexistent) of a women as to whether she is in her fertile period or not. In contrast to the calendar method, the Billings method consists of observing bodily functions, whereby women learn about the fertile and infertile period during the menstrual cycle. This method is very safe as long as the woman has been instructed thoroughly. The Pearl index (the number of pregnancies/100 woman years) can be 1. In a Swedish province, 7/1000 population used this method and had an abortion rate of .5/1000, a fact contradicting the allegation of mass abortion as a result of the method. Only well-trained NFP instructors can teach women, and at the University of Umea such training has been available for some years. The biological basis of the Billings method rests on the fact that every release of an egg is preceded by a ripening process of a follicle in the ovary. This follicle secretes increasing amounts of estrogen which stimulates the cervix to produce secretions for the sperm. Right before ovulation, the follicle reduces estrogen production and noradrenaline takes over, stimulating the peak-day secretion (P-secretion) for further selection of sperm. Ovulation usually occurs on the peak day, which is the day of maximum fertility and the last day of mucous symptoms. For 3 days after peak day until menstruation, the risk of becoming pregnant diminishes successively until it is as low as after sterilization. The instructor is trained to recognize and overcome certain factors that make it more difficult to identify the mucous symptoms, such as the previous use of oral contraceptives, certain illnesses, drugs, and life styles. NFP can also be used for attaining pregnancy by identifying the peak day; women with premenstrual syndrome can calculate when their symptoms start, and sportswomen can predict the time of their menstruation. NFP is fascinating when it is compared to other methods because of its human dimension
Ray, Dee; Bratton, Sue C.; Brandt, Marielle A.
States that many single parents are attending institutions of higher education to qualify for employment that will ensure the economic security of their families. Focuses on the use of filial/family play therapy with single parents attending community colleges as an effective intervention for improving the present and future welfare of these…
Abraham De D'ornellas, R
The treatment in the press of family planning hinges on two fundamental factors: the taboo of the leftist groups and the taboo of the Catholic Church, whose head is against abortion under any circumstances. Leftist views insinuate that family planning is the genocidal plan of North American imperialists against the Third World and, in particular, against Latin America. This genocidal plan is supposed to subject poor populations to international schemes. In the press family planning is often treated in a sanctimonious fashion, lumping it together with topics like pornography, sex, and violence. In 1983 the daily newspaper Expreso published a supplement running every week for almost three months about the issue of population, which dealt fairly extensively with such topics as population and housing, education, employment, and urban proliferation, as well as responsible parenthood and child survival. In addition, there was a detailed description of contraceptive methods. In October 1986 another surprising thing happened: the President of Peru talked about the topic of family planning, which at the time was an act of courage. Since then much has changed; the whole world is interested in family planning and certain aspects of population. Since October 1986 more has been published in this domain than during the preceding 20 years. In contrast, the Church reacted differently to this issue: after some initial caution, the conference of Peruvian bishops attacked all methods of modern contraceptives and private institutions of family planning. The information boom in family planning will certainly continue. At the moment this flood of articles and editorials about the issue is an expression of the anxiety of families related to uncontrolled reproduction and the fear of overpopulation in large cities devoid of minimal services. PMID:12281466
Halawa, M.; And Others
Describes a study of the impact of a nurse training program for family planning that stresses the development of nurses' counseling skills. Found an association between improved family planning training for nurses and positive changes in family planning knowledge, attitudes, and behavior among women attending Egyptian Ministry of Health clinics.…
... to have children in the future. They include vasectomy and tubal ligation. These procedures can sometimes be reversed if a ... 26. Jensen JT, Mishell DR. Family planning: contraception, sterilization, and pregnancy termination. In: Lentz GM, Lobo RA, ...
... attend the meeting of the Southwest Power Pool, Inc. (SPP) Strategic Planning Committee (SPC), as noted below. Their attendance is part of the Commission's ongoing outreach efforts. SPP SPC March 28, 2011...
Presented in this report are the recommendations of two expert groups, the Technical Guidance/Competence Working Group of the US Agency for International Development's Maximizing Access and Quality Initiative and the World Health Organization's Family Planning and Population Unit, regarding currently available family planning methods. The former group addressed key biomedical questions and formulated recommendations about 11 groups of family planning methods: combined oral contraceptives, progestin-only pills during breast feeding, progestin-only injectables, combined injectable contraceptives, Norplant implants, copper-bearing IUDs, tubal occlusion, vasectomy, lactational amenorrhea method, natural family planning, and barrier methods. A table presents the relative importance, by method, of procedures such as pelvic exam, blood pressure reading, breast exam, and screening for sexually transmitted diseases and cervical cancer. The medical eligibility recommendations for each method are also presented in tabular form, with four categories for temporary methods: 1) no restrictions on use, 2) advantages generally outweigh theoretical or proven risks, 3) theoretical or proven risks usually outweigh the advantages, and 4) unacceptable health risks. Included among the 41 conditions for which eligibility criteria are specified are age, smoking, thromboembolic disorder, headaches, irregular vaginal bleeding, family history of breast cancer, obesity, drug interactions, parity, breast feeding, postpartum, and postabortion. The new guidance presented in this report enables providers to give family planning clients expanded contraceptive choices while ensuring method safety and effectiveness. PMID:9342775
Population is a subject that touches issues central to the human condition, including personal freedom and the very definition of economic and social progress. Hence it is understandable that people and their governments may have a wide range of views on this and related subjects. Some researchers admit that rapid population growth is more likely to impede progress than to promote it and conclude that, even if the economic grounds for family planning are not as compelling as some maintain, it is amply justified on the basis of individual family health and welfare. It would be naive to think that family planning alone can solve the problems of developing countries. But it would seem to be equally naive to believe that these problems can be solved without some family planning. It cannot be overemphasized that the impact of family planning goes far beyond the issues of population growth and economic development; it is an important tool to improve the health status of populations, especially in developing countries. The logical conclusion seems to be that there is a need for a much wider variety of safe and effective methods of fertility regulation that will suit the individual situation, the socioeconomic condition and the cultural and religious values of different couples. To develop new and safe methods and to provide answers to the questions posed, research is needed. There are 7 cardinal elements negatively affecting greatly needed research and development efforts at present: insufficient funding, hostile philosophies, liability issues, the drug regulatory climate, shortage in manpower, relative paucity of new ideas, and gaps in communication. What is needed now is that mankind shows a little more generosity towards itself and invests a bit more into research in family planning. Experience and history also indicate that research is a cost-effective investment in many areas. To invest in research in family planning means to invest in a brighter future. PMID:3568655
The switch in emphasis in population policies from family planning to the development of socioeconomic policies that would encourage smaller families--summed up in the word "developmentalism"--is charted from a 1967 paper by Kinsley Davis to its culmination at the 1974 World Population Conference, when even as staunch a supporter of family planning as John D. Rockefeller came out in support of placing population policy in the context of economic and social development. The real question is, however: To what extent does developmentalism represent a true shift in policy and how much is simply a more sophisticated rhetoric designed to deflect the growing opposition to population control? On the one hand, the endorsement by a man of Rockefeller's stature indicates a significant change. On the other, the changes which the implementation of developmentalism would entail seem irreconcilable with the present political and economic structures of underdeveloped nations and of relations between them and the more developed countries. Further, developmentalism is neither as progressive as its advocates suggest, nor as threatening as its opponents cry. It is, in fact, a prescription for enhancing the effectiveness of family planning through a form of social engineering from the top; its details--more aid, investment, and trade--would involve an expanded Western role in the Third World. It is even suggested that developmentalism might be a cover for the creation of a more stratified society, where marginal members are restricted to their own quarters in an effort to secure political stability and economic growth. In the end, developmentalism might be shortlived, as pressure to step up birth control programs is felt from many quarters. PMID:12307032
Longyan Prefecture in West Fujian has a long and noble tradition of folk painting. The local authorities have made use of all forms of art, including folk painting, to promote the implementation of the family planning program. Folk painters in Longyan Prefecture have fully displayed their talent in producing numerous paintings to increase the population awareness of the public, depict people's keenness to respond to calls by the government for practicing family planning, and show the progress they have made in integrating family planning with economic development in rural areas. Most painters are farmers, while some are grassroots government officials working in towns and townships. They applied this ancient form of art to serving the great cause of controlling population growth and improving the quality of life in the country. Selected paintings were exhibited first in Fujian Province and then in Beijing, and have won several awards. Some of them were shown in Britain, America, Denmark, and the Philippines. PMID:12291692
Buehler, Cheryl; Hogan, M. Janice
Although family management scholars have identified family life cycle stages and educational and occupational status as factors that may influence planning in families, the influence of the family's life cycle stage and socioeconomic status on the planning process has not been empirically tested. Planning styles, family characteristics, and…
Using data from the 2004 China College Student Survey, conducted by the author, this paper finds that long-term factors such as scholastic ability and parental education are significantly correlated with higher education attendance. By contrast, short-term financial constraints are also significantly associated with higher education access, but to…
Several studies on demography define birth control as the intervention of the State into the private life of the couple with the purpose to influence attitudes toward family planning, and to obtain, as a final goal, a decrease in national fertility rate. In fact this intervention means protection of the family to promote its welfare, the formation and education of children, the betterment of living conditions, and to foster more job opportunities, and economic development. PMID:12309625
Labour Education Special Issue, 1971
The article presents the open-end discussion method as the best means for teaching family planning. People do not want an outsider lecturing them on questions of morality and religion, but an outsider, by skillfully formulating questions can direct group discussions toward a pre-determined conclusion. (AS)
The countries discussed in this paper are the francophone countries of West Africa and the Republic of Congo, with comparative references made to North Africa (mainly Morocco, Algeria, and Tunisia). Obstacles to the adoption of family planning in the countries of tropical Africa are a very high mortality rate among children; a socioeconomic…
More than 600 events, including disco dances, seminars, and training courses for health professionals, took place during National Family Planning Week, held throughout Ukraine this year from May 26 to June 1. The events were announced on the radio, television, and in newspapers in every region of the country. The following are among the events which took place during the week: physicians gave presents and contraceptives to mothers of newborn infants in maternity hospitals in Dnipropetrovsk; loudspeakers blared messages about family planning in the most crowded streets of Sevastopol, Crimea; family planning rooms and centers opened in 8 districts of Rivninska; and every region of the country held an official opening ceremony. Many of the events had a special focus upon youth, with more than 200 events for adolescents. For more than 6 months, a special multi-ministry coordinating committee worked closely with AVSC to make this first-time event a reality. Public awareness of family planning increased as a result of the Week. Ukraine's Ministry of Health is looking forward to holding the event again next year with or without the support of outside agencies. PMID:12349011
Ekerdt, David J.; Sergeant, Julie F.
When adults move to smaller quarters in later life, family members become involved in the management and disposal of possessions—some cherished, some mundane. Interviews were conducted with 14 family members who had participated in a household disbandment by elders. This qualitative analysis describes the various tasks that were undertaken by family members; how family members asserted themselves in the process; how they were an outlet for possessions; the way that some possessions are shared; and implications for family’s story about itself. Household disbandment is a field for all sorts of family practices that can be summarized along three continua that characterize (1) the receiving of goods, (2) the location of agency between elder and family members, and (3) family’s self-understanding. PMID:17047729
The report of the mission sponsored by UNDP, IBRD and WHO in 1970 to develop a comprehensive family planning program for Indonesia omits the important role that commercial distribution of contraceptives can and must play if the desired effect is to be achieved. The government should provide contraceptives to interested traders at low wholesale prices. Every encouragement should be extended to heighten competition in the commercial sector. These initiatives would serve 2 purposes: 1) bring down the current erratic and unreasonable cost of commercially distributed contraceptives and 2) have the benefit of spreading the family planning message by means of traders' competitive promotion. Until this plan can be implemented, import duties on commercial importation of contraceptives should be lifted. In addition, free distribution of contraceptives in government clinics should be introduce d. PMID:12255554
Haddock, S A; Zimmerman, T S; MacPhee, D
In the past two decades, feminist scholars have challenged the field of family therapy to incorporate the organizing principle of gender in its theory, practice, and training. In this paper, we introduce a training, research, and therapeutic tool that provides guidance for addressing or observing gender and power differentials in the practice of family therapy. As a training tool, the Power Equity Guide helps trainees to translate their theoretical understanding of feminist principles into specific behaviors in therapy. Researchers and supervisors can use the Power Equity Guide to evaluate the practice of gender-informed family therapy. We also provide specific suggestions for its use by trainers, supervisors, therapists, and researchers. PMID:10776603
Ansari, Arya; Winsler, Adam
Latino children often struggle in school. Early childhood education programmes are seen as critical for fostering children's school readiness. Latino families often choose family childcare (FCC) over centre-based childcare (CBC), yet little is known about the school readiness of Latino children attending FCC. We compared school readiness over the…
Wildeman, Christopher; Percheski, Christine
This article considers associations among childhood family structure, childhood religious service attendance, and the probability of having a nonmarital first birth before age 30 for non-Hispanic White women born 1944 to 1964 using data from the 1988 and 1995 waves of the National Survey of Family Growth (N = 5,995). We found that attending…
A diversified pattern of family planning service delivery currently exists, one that is considerably extended through the development of a wide range of supply and distribution channels. In most areas, nongovernmental organizations have played a crucial role in the development of innovative approaches to making contraceptives widely available. In many nations the provision of contraceptives through the national health system continues to be the backbone of the family planning program. Changes in the approach to health care have helped increase the acccessibility and acceptability of family planning services. 2 factors necessitate a close link between contraceptive and health services: the need for medical skills and facilities in the provision of surgical contraceptive methods, and the importance of medical supervision in the continuing use of other methods. A widely used approach integrates contraceptive delivery with other development programs, community-based distribution (CBD) of contraceptives, and commercial retail sales. The cornerstone of CBD is extensive use of community networks and of trained community residents. An effective project requires efficient resupply and distribution mechanisms, carefully designed supervision systems, and medical back-up facilities. CBD has spread to over 40 countries, most of them in Asia and Latin America. Wider use of existing commercial retail outlets is being followed in more than 30 countries. Self-sufficiency of these projects has not been realized, and considerable subsidization continues to be required to maintain their efficiency. Efforts to increase the availability of contraceptives have been facilitated by the widening range of service providers. Nurses, midwives, traditional birth attendants, and members of the community are being trained to perform many family planning tasks in clinical and nonclinical settings. Many of these advances have been made possible by the liberalization of laws and regulations
Choosing a contraceptive forces clients to reflect on their way of viewing sexual relations and to confront norms and taboos they have internalized. This situation is charged with emotion which largely goes beyond technical and medical aspects. The Interregional Center of Family Planning in Monthey in the Chablais region of Switzerland has developed a framework to manage implicit demands from family planning clients. This framework permits counselors to hear the here-and-now of the client and her request and to link the request with the before-and-after. After learning the most pressing reason for visiting the clinic, the counselor begins prevention work: to expose the wishes of the client and to encourage self-confidence to dare to say no. The framework to use in a session with an adolescent guides the counselor to consider the following: the relationship with her parents; loyalty towards the original culture of her parents; success or failure at school or at her apprenticeship; her relationship with the person with whom she had sex; body image; experience of the first in-love emotions or first sexual intercourse; sense of control at the gynecologist office; and, for older teens (18-20 years), her professional life plan and becoming self-reliant. The framework to use in a session with a postpartum woman guides the counselor to consider the following: childbirth experience; relationship with the baby and evolution of the mother-baby bond; capacity of the couple to adapt to changes; return to home; role of the family and family-in-law; and how everyone envisions his/her role and place. The framework to use in a session with a woman who has undergone induced abortion guides the counselor to consider the following: eventual prejudices linked to the contraceptive (e.g., fear of cancer); her feelings about failure of that contraceptive; self-image as a woman; relationship with her partner; desire for children; and couple's plan. PMID:7847923
Karout, N; Altuwaijri, S
To determine the knowledge, attitude and practices concerning family planning of students attending religious schools in Lebanon, we conducted a cross-sectional study of 450 male and female students. A validated structured questionnaire was completed by the students. The majority of the students (65%) had a moderate level of knowledge, males more than females, but females had more positive beliefs and attitudes. More females agreed with family planning programmes and methods than males, but 35% had a negative attitude to family planning; a significant percentage had negative attitudes to contraceptive methods based on their view that they are not allowed (haram) in Islam. Among the married students, less than 40% used a family planning method; of those, the majority used a female method. Religion plays an important role in the health behaviour of religious students. Religious leaders can therefore inhibit or promote family planning, which will affect the success of family planning programmes. Thus, they should be included in the development and promotion of family planning programmes. PMID:22891526
Noor Laily Abu Bakar; Tan, B A; Tey, N P; Yusuf, Y
The aim of the present study is to evaluate the degree of exposure to to Information, Education, and Communication (I.E.C.) publications such as pamphlets and booklets on contraceptive methods among those who have attended the dialog sessions; and to investigate the effects of such exposure on contraceptive use as well as the ppropensity to talk about family planning. The survey, conducted by the National Family Planning Board and assisted by the Sciences University of Malaysia in 1978/79, covers 6 states. A total of 1190 respondents were selected from those who attended dialog sessions during that period. Of the total sample, 723 respondents (60.8%) were contacted and interviewed. The I.E.C. publications evaluated in this survey include booklets on methods of contraception; pamphlets on the pill, IUD, condom, rhythm method, tubal ligation, vasectomy; booklets on responsible parenthood, flip charts and posters. 61% of the respondents have been exposed to at least 1 form of the I.E.C. materials. About 17 to 18% of currently married respondents have been exposed to pamphlets on tubal ligation, rhythm methods, IUD and condom; 22% have been exposed to pamphlets on the pill and 43% to booklets on contraceptive methods. In gerneral, those who have been exposed to pamphlets on a particular method were more likely to use that method. Among those who have been exposed to pamphlets on the pill 26.4% were using the pill compared to 16.2% who have not been exposed. The proportion of condom users were 3 times more after exposure to pamphlets on the condom: 16% vs. 4.7%. About 50% of currently married respondents were using a contraceptive method at the time of the survey. Of those who have not been exposed to I.E.C. materials, only 34.4% were using a method, compared to 53-60% of those who had been exposed. Exposure to I.E.C. materials and its interaction with ethnicity act as the most important factor in accounting for the differntials in contraceptive use, both in the
This monograph focuses on men's potentially positive role in family planning. In addition, it identifies reasons why so few organized family planning programs have targeted men as clients and why men have so often played a peripheral or negative role in family planning. The document is presented in seven chapters. Chapter I introduces the topic…
In July 1972, DANIDA and the Danish Family Planning Association provided delegations from selected countries the opportunity to devise teaching programs on population and family planning topics for 9-to 11-year-olds. Participants from the Arab Republic of Egypt, Indonesia, Korea, Malaysia, and the Philippines attended the meeting with Danish…
Four participants of the second Regional Technical Committee Meeting on Sustainable Community-Based FP/MCH Project with Special Focus on Women comment on the situation of health and women in their countries. Daisy Faller, Provincial Family Planning Coordinator in Batangas Province, Philippines, mentioned the existence of a pre-implementation phase project to enlighten women in her country of 85% Roman Catholics. Shamina Hasan, Deputy Director of the Family Planning Association of Bangladesh heralded an integrated approach to healthcare in which steering committees of fifteen volunteer women each involve communities and use local resources, people, and facilities to disseminate information. Dr. Do Trong Hien, Director of the Department of MCH/FP, Ministry of Health, Vietnam, notes an acute problem of lower reproductive tract infections in rural areas, widespread female unmet demand for contraception, and a desire among females to delay marriage. Research and follow-up monitoring and supervision are needed to complement family planning program efforts targeted mainly to women, but funds are limited. Dr. Phonethep Pholsena, Director of the Birth Spacing Project and Director of the Institute of Mother and Child Health in Laos describes a 123/1000 live birth rate of infant mortality, maternal mortality rate at 653/100,000 live births, and TFR at 6.9. The birth spacing project focusing upon one municipality of Vientiane seeks to reduce TFR to 4.0, space pregnancies by at least two years, promote later marriage up to 18 years for women, and discourage pregnancy after age 35. The project is in an area where 86% of married women of reproductive age have unmet needs and poor knowledge of contraceptives and female genital function. PMID:12287757
Covington, D L; Otolorin, E O; Janowitz, B; Gates, D S; Lamptey, P; Ladipo, O A
This study examines family planning attitudes and practices of 681 Nigerian physicians selected from cities in which large university teaching hospitals are located. About half of the physicians were practicing family planning; the method of choice was the IUD. Obstetrician/gynecologists and general practitioners were more likely to provide methods to their patients than were other types of physicians. The physicians were concerned about population growth and favored family planning, yet a substantial minority believed that family planning is foreign to the culture and that it promotes promiscuity. Physicians were reluctant to promote family planning on a wide scale; many disapproved of non-physicians providing oral contraceptives or IUDs. PMID:3750358
Brown, J. B.; Dickie, I.; Brown, L.; Biehn, J.
OBJECTIVE: To identify the factors that contribute to patients' long-term attendance at a family practice teaching unit. DESIGN: Qualitative method of focus groups. SETTING: A community-based family practice teaching unit in southwestern Ontario. PARTICIPANTS: Patients who had been coming to St Joseph's Family Medical Centre for more than 15 years were purposefully selected to participate. METHOD: Five focus groups composed of patients who had been affiliated with one of the three practices at the Centre for more than 15 years explored factors contributing to long-term attendance. MAIN FINDINGS: Four key themes were identified as the primary factors contributing to long-term attendance: the relationship context, the team concept, professional responsibility and attitudes, and comprehensive and convenient care. CONCLUSION: The resource-rich era of medical care, during which participants formulated their views and opinions about the factors contributing to their long-term attendance at a family practice teaching unit, has come to a close. The findings of this study provide important information that could help maintain one of the basic tenets of family medicine-continuity of care. PMID:9154362
This article presents the result of a study conducted by Miriam N. Jato on the impact of multimedia family planning communication campaigns on contraceptive use. The study was conducted in Tanzania, where a government program integrated family planning into maternal and child health care services in 1988, while in 1992 a private-sector condom-marketing program begun and a national population policy for wider distribution of family planning information was adopted by the government. In less than 3 years, contraceptive use was found to have doubled to a level of 11.3% and the total fertility rate declined from an average of 6.3 to 5.8 live births. The result of the study indicates that exposure to media sources of family planning messages was directly associated with increased contraceptive use. Moreover, the use of modern methods increased among women who were exposed to a greater number of media sources, as did discussion of family planning with spouses and attendance of health facilities. The programmatic implications of the results confirm that utilization of multiple media channels in the promotion of family planning and other reproductive issues must be continued, with emphasis on media sources that reach large audiences. PMID:12349449
Arokiasamy, J T
A study was conducted at the Army Garrison Hospital at Port Dickson in Peninsular Malaysia to determine the attitudes of 110 married men towards family planning. The sample included 80 Malays and 30 Indians who are army personnel attending the hospital either for medical treatment or a check-up. The study instrument was a pre-tested questionnarie administered by 2 male nurses during the November-December 1975 period. 76 of the respondents were between the ages of 20-34 years. 81 of the respondents had been married for a duration of up to 11 years. A breakdown by religion showed that 80 were Muslims, 25 were Hindus, and 5 were Christians, the latter being all Roman Catholics. All of the respondents were able to read and write in at least 1 language, 36 had had schooling varying from standard 1-6, 40 had had schooling varying between Form 1-Form 3, and 34 had had schooling varying from Form 4-to either Malaysian Certificate of Education Level or Higher School Certificate Level. 103 of the respondents approved of family planning, and of these 63 had always felt this way in the past. 6 respondents indicated that they had not thought about family planning in the past. 87 respondents did not approve of the practice of family planning before having the 1st child. Only 7 of 80 Malays in contrast to 16 of 30 Indian respondents -- a significant difference -- approved of family planning before the 1st child. 89 of the 110 respondents had discussed family planning with their wives; 21 respondents had not. 93 respondents disapproved of induced abortion; 17 approved of it. Only 3 of 80 Malay respondents approved induced abortion, but 14 of 30 Indian respondents indicated approval. 98 of the respondents indicated that they were interested in learning more about family planning, and 96 approved of their wife practicing family planning. 56 respondents were practicing family planning, and 20 indicated that they would do so in the future. 6 said they would not practice family
In Benin, family planning began in the late 1960s, but its activities were not clear or specific. It made small strides in private clinics until a family planning association was formed, later named the Beninese Association to Promote the Family (ABPF). Family planning promoters maintain that reduction in births per couple is necessary for economic development in Africa. Family planning detractors think that a child is a fruit of God and that family planning impedes his or her coming to the world. ABPF has worked much to promote Beninese families, but it is still not well known. Despite the associations efforts and those of many other institutions, contraceptive prevalence is low and the abortion rate and its risks remain high, namely, death, infertility, and contraction of various diseases. Thus, it is important to rethink family planning strategies. All intervening parties should coordinate activities to better reach urban and rural populations. Many rural inhabitants go to cities to escape poverty and the misery evoked by their family size and meager earnings only to find unemployment in the cities. In order for family planning to have an effect in Benin, it is important to begin working with youth. Any family planning strategy must consider their aspirations. The youth are inclined to be more receptive to family planning than the adults who do not want to give up old habits. Yet, contraceptive use in 14-20 year olds is low even though sexual activity is high. Since the youth want a small family size, a small plot of land, a care, and a successful life, it is important to give priority to jobs. We need to educate the youth so they can freely decide their family size. Socioeconomic reasons are the primary factor pushing people to accept family planning, followed by health reasons. Research is needed to learn why contraceptive prevalence is still low. PMID:12318558
In February 1990, the Mexican award winning director and animator, Carlos Carrera, went to Tokyo to oversee the photographing of the color frames (brought from Mexico) of the sex education animated film "Music for Two". The film begins with a warning that it should be shown as part of a sex education program. Further, a trained advisor guides the audience during the recommended discussion following the film. "Music for Two" is set in a large city and features a young female teen who daydreams about imaginary lovers. She soon discovers that her young male next door neighbor is interested in her. The moral of the story is that, once a woman is an adolescent, she must consider her future and have lifelong goals. In order for her to do so, however, she must know her mind and body, appreciate them, and not renounce them. This animated short feature includes both English and Spanish versions targeted to adolescents in their mid to late teens, especially females, in Latin America and the Caribbean. Mr. Carrera predicted that conservative older individuals will most likely not approve of "Music for Two". The Japanese Organization for International Cooperation in Family Planning (JOICFP) and the UNFPA sponsored this animated film and the Mexican Family Planning Foundation (MEXFAM) participated in its production. The Sakura Motion Picture Company in Japan and Kinam SCL International in Mexico coproduced it. The Japanese Ministry of Foreign Affairs underwrote the English version and the UNFPA and IPPF underwrote the Spanish version. Further, in 1989, Mr. Carrera played a major role in a successful sex education animated feature titled "Blue Pigeon". This film was geared to youth in their early to mid teens, however. PMID:12283080
The Philippine Federation for Natural Family Planning (PFNFP) teaches men and women about their fertility, emphasizing the notion that women can control their own fertility. Women should know the normal physiological processes of their reproductive system such as the appearance of cervical mucus or other fertility indicators, the menstrual cycle, and others. To that end, PFNFP provides NFP services through its 50 "people's organizations" throughout the Philippines. PFNFP's approach is pragmatic, family-centered, and community-based, allowing local culture and tradition to integrate themselves into the organizational system. PFNFP is also networking with interested nongovernmental organizations (NGOs) and has recently received a partnership contract with the Department of Health (DOH) to train the local service providers and barangay health workers of 18 local government units in the delivery of NFP services. The contract also covers the installation and testing of the DOH NFP training design and self-instruction manuals. The author describes the contents of the PFNFP's Fertility Orientation Session, an initial fertility awareness approach. Most NFP acceptors are using the ovulation or sympto-thermal methods, methods which can also help women screen themselves for reproductive tract infections and sexually transmitted diseases. PFNFP's future goals are described. PMID:12294066
Rogers, E M; Solomon, D S
The objectives of this article are (1) review the contribution of traditional midwives to family planning communication in several Asian countries; (2) organize knowledge gathered from various studies into general guidelines for the most effective use of traditional midwives in family planning programs; and (3) present hypotheses for future research. In certain countries where pilot projects have tested the potential performance of traditional midwives in family planning programs, results have been encouraging. In other nations, more research is needed to determine the contribution traditional midwives can make to the family planning program. PMID:1145693
The Humanae Vitae posits that periodic abstinence from sexual intercourse enriches one with spiritual values. The discipline required in natural family planning brings peace and serenity to the family, helps solve other problems, helps both spouses to be less selfish, and deepens one's sense of responsibility. Parents acquire the capacity to have a deeper influence in the education of their children, and the children grow up with a sound appraisal of human values. The case study of a married couple, however, suggests that only frustration and resentment will result from periodic abstinence. The couple was advised by their physician to use the basal temperature method combined with the calendar method. Repeated pregnancies and births ensued. The couple eventually had to resort to three-week periods of abstinence from sexual intercourse. While pregnancy has been avoided for three years, the practice of periodic abstinence from sexual intercourse for such long periods is very difficult for both the husband and wife. The relationship has become tense and mutually damaging. The husband argues that the rhythm method transforms sexual intercourse from a spontaneous expression of spiritual and physical love into a simple release of bodily energy. He is obsessed with sex throughout the long period of abstinence, his marital fidelity is at risk, his disposition toward his wife and children is adversely affected, and he must avoid all affection toward his wife for three weeks at a time. The husband sees periodic abstinence as a diabolical, immoral, and deeply unnatural method of fertility control. The wife is sullen and resentful toward her husband when the time for sexual relations finally arrives. She finds it difficult to respond to her husband's advances after the three-week periods during which he reserves his affection. The wife's dreams and unguarded thoughts are invariably sexual. Periodic abstinence and the Roman Catholic Church are discussed. PMID:12178862
This Hubei, China, Circular, issued near the end of 1988, provides the following: "The population growth situation in our country is grim. Since 1986, the natural population growth rate has risen continuously. To draw the prompt attention of the whole party and the entire people to the issue of our population, all localities must seriously unfold the activities of publicizing family planning (FP) this winter and next spring, in coordination with education in current affairs. It is necessary to publicize FP in an all-around way and with accuracy, and the activities of publicizing must be carried out effectively in a solid and deep-going way. In the rural areas, stress must be placed on areas where FP work is not carried out well and where there is a prevailing tendency toward early marriage, early child-bearing, and extra-budgetary births. In cities, publicity and education must be conducted especially among the transient population, individual households, and jobless households. During the period of publicity, large-scale street-corner publicity activities must be carried out in cities and towns so as to create strong public opinion and to combine the endeavor to publicize current affairs and policies with the effort to popularize knowledge about contraception and birth-control, to execute measures of contraception and birth control, and to establish FP associations in the countryside." PMID:12289626
Sun, Yan; Heng, Bee Hoon; Seow, Yian Tay; Seow, Eillyne
Background Accurate forecasting of emergency department (ED) attendances can be a valuable tool for micro and macro level planning. Methods Data for analysis was the counts of daily patient attendances at the ED of an acute care regional general hospital from July 2005 to Mar 2008. Patients were stratified into three acuity categories; i.e. P1, P2 and P3, with P1 being the most acute and P3 being the least acute. The autoregressive integrated moving average (ARIMA) method was separately applied to each of the three acuity categories and total patient attendances. Independent variables included in the model were public holiday (yes or no), ambient air quality measured by pollution standard index (PSI), daily ambient average temperature and daily relative humidity. The seasonal components of weekly and yearly periodicities in the time series of daily attendances were also studied. Univariate analysis by t-tests and multivariate time series analysis were carried out in SPSS version 15. Results By time series analyses, P1 attendances did not show any weekly or yearly periodicity and was only predicted by ambient air quality of PSI > 50. P2 and total attendances showed weekly periodicities, and were also significantly predicted by public holiday. P3 attendances were significantly correlated with day of the week, month of the year, public holiday, and ambient air quality of PSI > 50. After applying the developed models to validate the forecast, the MAPE of prediction by the models were 16.8%, 6.7%, 8.6% and 4.8% for P1, P2, P3 and total attendances, respectively. The models were able to account for most of the significant autocorrelations present in the data. Conclusion Time series analysis has been shown to provide a useful, readily available tool for predicting emergency department workload that can be used to plan staff roster and resource planning. PMID:19178716
Rogers, Everett M.
A review of four quasi-experiments on family planning incentives in three Asian nations is presented, and a multi-national comparative field experiment on family planning incentives is proposed. Experiments include: (1) The Ernakulam vasectomy campaigns, (2) Indian Tea Estates retirement bond incentive program, (3) Taiwan educational bond…
Anoka County Community Health and Environmental Services, Coon Rapids, MN.
This guide provides information in English, Bosnian, Russian, Spanish, and Nuer on family planning. Topics covered include a variety of birth control methods: abstinence, condoms, contraceptive foam, birth control pills, the Depo-Provera shot, the Norplant implant, diaphragms, intrauterine devices, natural family planning, sterilization, and the…
Planned Parenthood--World Population, New York, NY. Katherine Dexter McCormick Library.
This edition combines two previous publications of the Katharine Dexter McCormick Library into one volume: the Family Planning Library Manual, a guide for starting a family planning and population library or information center, and the Family Planning Classification, a coding system for organizing book and non-book materials so that they can be…
On 1 January 1987 the Gansu provincial party committee and government issued a Decision on family planning: "The Decision demands that the party committees and government at all levels assign family planning work an important place on their agenda and get a good and tight grasp of it. They must step up family planning propaganda. Beginning this year, the planning commissions and finance departments at all levels must list the task of capital construction for the family planning departments, and assign it a certain amount of investment. It is necessary to establish family planning committee organs, put them on a sound basis, and assign them good leadership groups, to ensure that all family planning work is carried out well. The decision demands that the public health, civil affair, pharmaceutical, and industry and commerce departments regard making a success of family planning work as their own important task and grasp it for a long time to come to ensure that Gansu's population will register proportional and planned growth." PMID:12346592
Garcia-Huidobro, Diego; Allen, Michele; Rosas-Lee, Maira; Maldonado, Francisco; Gutierrez, Lois; Svetaz, Maria Veronica; Wieling, Elizabeth
Community-based participatory research (CBPR) can help increase the attendance in community programs. Padres Informados, Jovenes Preparados (PIJP) is a program that aims to prevent tobacco and other substance use among Latino youth by promoting positive parenting. Although the trial used CBPR approaches, attendance was inconsistent. In the present study, factors associated with attendance and nonattendance and recommendations to maximize participation were explored in 12 brief feedback discussions (BFDs) with participants and in 10 in-depth interviews (IDIs) with facilitators who delivered PIJP. Content analysis guided two pairs of researchers, who independently coded emerging themes and categories (κ = .86 for BFDs and .73 for IDIs). Data from BFDs and IDIs were merged and interpreted together. We grouped factors that positively affected participation into three categories: individual and family (e.g., motivation), program (e.g., offering food and childcare and having facilitators who are trusted), and research (e.g., having incentives). Barriers to participation were grouped into four categories: individual and family (e.g., family conflicts), sociocultural (e.g., community and cultural beliefs), program (e.g., fixed schedules), and research (e.g., recruitment procedures). Participants provided recommendations to address all types of barriers. Although PIJP used CBPR, complete satisfaction of community needs is difficult. Effective community programs must address participants' needs and preferences. PMID:25869496
Blake, Robert R., Ed.; Wolfe, Suzanne, R., Ed.
This report presents some of the proceedings of a workshop on communications in family planning programs held in Teheran, Iran. A total of 82 participants from 15 Mid-Eastern and African countries attended. The purpose of the workshop was to assist each country to prepare a work plan for information and education activities related to population…
Yin, G; Cao, J; Yin, W
Family planning is a very important part of the Socialist cultural civilization, and it has a great impact on the ideology, ethics, and change of moral concepts. The old concept of having a large family and favoring boys over girls has been changed because of the popularization of family planning, and the overall quality of China's population can thus be improved. In the practical work of family planning, construction of the Socialist cultural civilization should be handled well. Science should be developed and taught to the general public, and the traditional ideology concerning birth and population should be gradually changed and eliminated. In this way, people will become more conscious of the need for family planning. In the meantime, efforts should be made to promote social welfare, such as the establishment of more and better daycare centers and nursing homes so that the common worries about family planning can be removed. The people should gradually learn about their rights and responsibilities as citizens and understand that family planning is in the best interest of the whole country as well as for the good fortune of later generations. With close cooperation between the people and the government and with reasonable management of family planning, China will be built into a strong nation with an adavnced Socialist cultural civilization. PMID:12159381
Hardy, James M.
A document intended to provide program planning guidelines for Young Men's Christian Associations (YMCAs) desirous of working with families, recommends adherence to eight principles and following of five steps. The principles involve planning before action, fact finding and analysis, clear delineation of operational objectives, planning at all…
Carpenter, Peter G; Fleishman, John A.
Examines factors that influence Australian high school seniors' plans to attend college and their actual entry into college. Uses the Fishbein-Ajzen model of attitude-behavior relations to link intentions to continue school with the realization of those intentions. (RB)
Alberto, C S; Villanueva, C L
Results of 2 workshops on the improvement of communication and motivational skills of outreach workers using research results and field experiences are presented. General strategies, illustrative cases, and specific IEC strategies geared to the solution of common problems are suggested. General strategies for identifying opportunities for introduction of population and family planning in the community include use of felt needs and problems of the community as vehicles for introduction, coordination with other agencies operating in the community, winning the support of influential and accepted leaders in the community, and establishing credibility with the people before launching population projects. Strategies for breaking through traditional values and beliefs include emphasizing aspects of the population program that do not run counter to religious beliefs, using messages which emphasize qualities highly valued by the people, being careful to respect persons the community looks up to regardless of their opposition, considering the cultural background and preparation of the audience before introducing sensitive subjects, and appealing to people's needs and interests to elicit participation. Rumors and misconceptions on family planning may be counteracted by directing motivational and informational efforts at persons likely to influence potential acceptors as well as the potential acceptors themselves, avoiding antagonizing religious leaders who preach against family planning, presenting only accurate family planning information, and establishing the source of rumors about side effects. Complaints about side effects should be attended promptly, clear and specific instructions on method use should be given, and the worker should present herself as a satisfied user. PMID:12233386
This article summarizes findings from a summary report produced by a six-member team sent by the China Population Information and Research Center to Tibet Autonomous Region. The study project aimed to develop a five-year population plan for 1996-2000. Project members toured eight counties and cities in Shannan, Lhasa, Hyingchi, and Xigaze prefectures in 1995. Tibet's total population was an estimated 2.43 million in 1995. 1990 Census findings indicate that 95.5% were Tibetans, 3.7% were Han, and 0.8% were other ethnic groups. The total fertility rate (TFR) in 1989 was 4.2 children/woman. TFR is expected to decline to 3.0 in the year 2000. It is generally accepted that Tibet should maintain a growth rate of around 16.7/1000. Tibet's family planning program began in 1980 with the promotion of the one-child family norm among officials, workers, and urban residents of Han nationality living in Tibet. Urban Tibetans were allowed to have two children with a birth interval of 3 years and a third birth with government approval. Family planning was also promoted among farmers and herdsmen (88% of the total population). Family planning, at present, is practiced predominantly by urban residents (12% of the total population). A study of family planning in Dixin Township revealed that 44% of married reproductive-age women practice family planning. Family planning is under the authority of the Regional Family Planning Office and is affiliated with the Bureau of Public Health. There are 43 full-time family planning officials in all 7 prefectures and 74 counties. Most family planning services are handled by part-time medical and health staff in the public health system. The family planning program has resulted in 150,000 averted births. TFR declined from 5.8 children/woman in 1980 to 3.5 at present. This decline is attributed to women's desire for family planning and the fertility policy. The preferred methods include the IUD and Norplant. Unmet need is great. PMID:12347499
Palamaro Munsell, Eylin; Cook, James R.; Kilmer, Ryan P.; Vishnevsky, Tanya; Strompolis, Melissa
Although a growing body of literature has examined wraparound implementation and fidelity, child and family team (CFT) members' levels of participation and the consistency of their attendance have not been systematically examined. This study explored the relationship between CFT member attendance consistency and the fidelity of wraparound team…
Rodriguez, Erin M.; Donenberg, Geri R.; Emerson, Erin; Wilson, Helen W.; Brown, Larry K.; Houck, Christopher
OBJECTIVE This study examined associations among family environment, coping, and emotional and conduct problems in adolescents attending therapeutic day schools due to mental health problems. METHODS Adolescents (N=417; 30.2% female) ages 13–20 (M=15.25) reported on their family environment (affective involvement and functioning), coping (emotion-focused support-seeking, cognitive restructuring, avoidant actions), and emotional and conduct problems. RESULTS Poorer family environment was associated with less emotion-focused support-seeking and cognitive restructuring, and more emotional and conduct problems. Emotional problems were negatively associated with cognitive restructuring, and conduct problems were negatively associated with all coping strategies. Cognitive restructuring accounted for the relationship between family environment and emotional problems. Cognitive restructuring and emotion-focused support-seeking each partially accounted for the relationship between family functioning and conduct problems, but not the relationship between family affective involvement and conduct problems. CONCLUSIONS Findings implicate the role of coping in the relationship between family environment and adolescent mental health. PMID:25151645
Kulig, J C
An ethnographic study was conducted within a Cambodian refugee community to discover information about Cambodian women's and men's knowledge and use of family planning methods. This 18-month study included participant observation at community and calendrical events, and within families' homes. Open-ended interviews were conducted with 53 informants from a variety of educational and socio-economic backgrounds. Both women and men were interviewed through a female bilingual interpreter when the informant lacked proficiency in speaking English. Major findings include a lack of knowledge among the sample about how the family planning methods work in the woman's body, and concerns about side-effects. Implications include the need to include Cambodian women and men in the planning and implementation of family planning programmes. PMID:7560523
Any successful development program that combines family planning, nutrition, and parasite control such as the integrated project, must include effective information, education, and communication (IEC) components. The Population an Community Development Association (PDA), the largest nonprofit organization in Thailand provides a network of family planning service delivery composed of volunteer distributors including midwives, school techers and shopkeepers. Reliability and accessibility are the 2 important elements. A concerted media campaign which exposes people to condoms and other contraceptives helps desensitize an otherwise "too personal" issue. The problem which confronts family planning communication is how to counteract the sensuous messages form advetisers while focusing on mundane topics such as maternal and child health, responsible parenthood, and family budgets. The PDA has tried to use the same attractions to promote family planning. It distributes promotional items such as T-shirts, pens towels and cigarette lighters bearing family planning messages. In addition to the use of television and radio, PDA also utilizes every possible channel of communication. Approaches include: the Youth-to-Youth Program; informational exhibits; video-mobile vans which visit schools and factories; and the holding of PDA's vasectomy festivals. Informational exhibits on family planning and health care use a variety of audio-visual methods. Video is an effective communication medium. The PDA video material ordinarily consists of family dramas illustrating good and bad family planning practices. By holding vasectomy festivals, PDA provides a media-attracting forum to educate the public and promote vasectomey as the most effective birth control method. Mass media campaigns must be linked with fieldwork outreach. PMID:12314464
Finger, W R
Recent reviews suggest that the addition of programs aimed at preventing and controlling sexually transmitted diseases (STDs), specifically human immunodeficiency virus (HIV), to existing family planning programs does not necessarily dilute overall program effectiveness. In Colombia, Mexico, and Jamaica, where condom distribution and/or information to prevent HIV transmission was integrated into the activities of family planning field workers, no negative effect on the image of condoms as a pregnancy prevention method was observed and there was a great demand on the part of family planning clients for information about acquired immunodeficiency syndrome (AIDS). In Brazil, family planning staff are receiving training in HIV risk assessment and the counseling of women in partner negotiation skills. However, steps must be taken to reach men since it is their high-risk behavior that puts most women at risk of HIV. Both separate STD clinics for men and condom social marketing projects have yielded promising results. Obstacles to the addition of STD services to family planning programs include the need to treat male partners as well as female clients, a shortage of diagnostic tools and antibiotics for treatment, and the fact that the majority of women with STDs are asymptomatic. Indicative of the increased attention being given this approach, however, is the recent release of guidelines by the US Agency for International Development Office of Population on how family planning programs should approach integration. Suggested activities include condom promotion, behavior change, counseling, information, contraceptive development, and selected efforts at STD treatment. PMID:12287744
Planned Parenthood Federation of America, Inc., New York, NY.
This annotated listing of books is intended as a reference for anyone seeking an authoritative introduction to population and family planning information, as a world, family, or individual concern. For each entry, the International Standard Book Number (ISBN) is provided if available. The number preceding each reference represents the…
Eddosary, Melfy; Ko, Yong Jae; Sagas, Michael; Kim, Hee Youn
The purpose of this study was to identify important factors of consumers' intention to attend professional soccer events among Saudi Arabian soccer fans. To explore the decision-making process of this relatively understudied population, the theory of planned behavior was used as theoretical background. Particularly, this study measured the effect of attitude, subjective norm, perceived behavioral control (time and money), and game importance on intention to attend, and examined the moderating role of commitment. Structural equation modeling (SEM) using 231 Saudi university students (M = 21.9 yr., SD = 1.21) indicate that attitude and game importance were significantly related to attendance intention. The effect of subjective norms was significant only for the low commitment group and game importance was more important for the low than the high commitment group. PMID:26241095
Wolinska, W H; Melamed, M R
A search for cytologic evidence of herpes genitalis in women attending centers of Planned Parenthood of New York City was undertaken to determine whether the choice of contraceptives could be playing a meaningful role in the transmission or manifestation of this disease. The study covered 2 1/2 years with correlated clinical data about contraceptives used. Cervical and vagina; cytology specimons were collected routinely at least once yearly. The affected cells are readily recognized in Papanicolaou stained specimens and have a high degree of diagnostic specificity. The disease is transmitted by direct conjugal contact. In some women it its affected by the menstrual cycle suggesting that hormonal factors have an influences. About 67,000 cytology specimens from 43,331 women were studied. Among these were 37 women with cytologic evidence of herpes (.09%). Those who were most likely to have the disease were young, had few or no children and a low family income. Trichomonas vaginalis was also found in 25 of the women with herpes and monilia in 2. The bacterial flora was mixed without Doderlein bacilli in most of the cases of herpes. Almost all the cases of herpes were discovered in the spring or early summer. Little difference was found between the women using different forms of contraceptive. The women using no contraceptives had a much higher rate of herpes (.3%) than any other group. There was no example of herpes in women with cervical cancer or carcinoma in situ. 2 had dysplasia before herpes was found but both had been treated and had no evidence of the previous dysplasia. It seems clear that the use of contraceptives does not add to the risk of herpes genitalis and may in some way lessen the risk. These data are within the range of reported cases from comparable clinics elsewhere. PMID:4327426
The focus of the current Family Welfare Program in India is education and active community involvement rather than coercion and compulsion. The government is totally committed to the program and has indicated that it will spare no efforts to motivate people to voluntarily accept family planning. However, there is a need for family planning efforts to include all aspects of family welfare, particularly those designed to promote the health of mothers and children. All family planning methods will be made available, and the family will be free to choose the method they prefer. As part of the program, employees of the Union government, State governments, autonomous and local bodies are expected to set an example and adopt the small family norm. The policy statement made by Mr. Raj Narain, Minister of Health and Family Welfare, revealed the government's decision not to legislate, either at the national or the State level, for compulsory sterilization. Sterilization services will be available free of charge to those who voluntarily choose this method. A plan for training indigenous midwives will be implemented as part of the program in order that maternity services may be available to all expectant mothers. Additionally, in recognition of the direct correlation between illiteracy and fertility and between infant/maternal mortality and age at marriage, the government will introduce legislation to raise the minimum age at marriage to 18 years for girls and to 21 years for boys. The plan is for trade unions, Chambers of Commerce, cooperative societies, women's organizations, teachers' federation, district councils, and other voluntary institutions to be associated intimately with the educational campaign launching the Family Welfare Program. PMID:12260383
Background In Tanzania, more than 90% of all pregnant women attend antenatal care at least once and approximately 62% four times or more, yet less than five in ten receive skilled delivery care at available health units. We conducted a qualitative study in Ngorongoro district, Northern Tanzania, in order to gain an understanding of the health systems and socio-cultural factors underlying this divergent pattern of high use of antenatal services and low use of skilled delivery care. Specifically, the study examined beliefs and behaviors related to antenatal, labor, delivery and postnatal care among the Maasai and Watemi ethnic groups. The perspectives of health care providers and traditional birth attendants on childbirth and the factors determining where women deliver were also investigated. Methods Twelve key informant interviews and fifteen focus group discussions were held with Maasai and Watemi women, traditional birth attendants, health care providers, and community members. Principles of the grounded theory approach were used to elicit and assess the various perspectives of each group of participants interviewed. Results The Maasai and Watemi women's preferences for a home birth and lack of planning for delivery are reinforced by the failure of health care providers to consistently communicate the importance of skilled delivery and immediate post-partum care for all women during routine antenatal visits. Husbands typically serve as gatekeepers of women's reproductive health in the two groups - including decisions about where they will deliver- yet they are rarely encouraged to attend antenatal sessions. While husbands are encouraged to participate in programs to prevent maternal-to-child transmission of HIV, messages about the importance of skilled delivery care for all women are not given emphasis. Conclusions Increasing coverage of skilled delivery care and achieving the full implementation of Tanzania's Focused Antenatal Care Package in Ngorongoro depends
The integrated approach to MCH/FP service delivery in the India Population Project is based on the assumption that positive results on family planning acceptance depend upon better health of children already born and a decline in the mortality rate. The Auxiliary Nurse and Midwife (ANM) performs all the family planning activities, distributes a nutritional supplement ("Balahar") to pregnant women, lactating mothers, and children between 6 months and 2 years, and keeps a record of births and deaths in order to convince the village population of the advantages of family planning. In 1975 a house to house inquiry was conducted in one of the affected villages to gather demographic and nutritional information. Analysis revealed that 77 of 82 eligible children were receiving "Balahar". The village birth rate was calculated at 50.3 per thousand and the death rate at 18.5 per thousand. Only 4 out of 233 family planning target couples were current users, and only 11 target couples were favorably disposed to family planning, while 94 were neutral and 128 were hostile. None of the 3 eligible women were receiving prenatal care, and only 1 of the 20 eligible women was receiving postnatal care. PMID:12261422
The anti-family planning stance of the president of the Philippines has received support from conservative Roman Catholic church-backed groups, but the Secretary of the Department of Health (DOH) has reiterated the obligation of the DOH to make all methods of contraception available and has noted that people can freely decide whether or not to use contraception. A newspaper columnist editorialized that the president's views were not as important as the family planning decisions made by men and women of reproductive age and that a 1998 survey indicated that 81% of married women want to space their next birth or limit childbearing. The columnist also stressed that family planning programs are important because they also deliver other forms of reproductive health care and allow people to exercise their reproductive rights. PMID:12348872
... 42 Public Health 4 2012-10-01 2012-10-01 false Family planning services. 441.20 Section 441.20... General Provisions § 441.20 Family planning services. For beneficiaries eligible under the plan for family... free to choose the method of family planning to be used....
... 42 Public Health 4 2010-10-01 2010-10-01 false Family planning services. 441.20 Section 441.20... General Provisions § 441.20 Family planning services. For recipients eligible under the plan for family... free to choose the method of family planning to be used....
... 42 Public Health 4 2014-10-01 2014-10-01 false Family planning services. 441.20 Section 441.20... General Provisions § 441.20 Family planning services. For beneficiaries eligible under the plan for family... free to choose the method of family planning to be used....
... 42 Public Health 4 2011-10-01 2011-10-01 false Family planning services. 441.20 Section 441.20... General Provisions § 441.20 Family planning services. For recipients eligible under the plan for family... free to choose the method of family planning to be used....
... 42 Public Health 4 2013-10-01 2013-10-01 false Family planning services. 441.20 Section 441.20... General Provisions § 441.20 Family planning services. For beneficiaries eligible under the plan for family... free to choose the method of family planning to be used....
Ashford, L S; Haws, J M
This argument in favor of moving toward self-sufficiency in family planning suggests that programs can achieve by improving efficiency, generating income, and providing quality services. Philip Harvey in a 1991 article, offered persuasive arguments against moving toward self-sufficiency in family planning. He contends that self-sufficiency emphasizes income generation to the detriment of social objectives and reverses priorities to first serve those consumers within easy reach. Harvey's contention is countered by the following: 1) already favoring the well-off, policies of most developing countries rarely provide services to the poor. A self-sufficient program can cross-subsidize services for the poor. 2) studies have shown that even the poorest citizens are willing to pay for services they value. And 3) cost-benefit analysis has shown that family planning can have substantial economic benefits, and institutions that come to recognize these benefits will find it in their interest to pay for services. 2 issues involved in the move toward self-sufficiency are discussed: supply of funds and demand for services. As foreign assistance declines, family planning organizations will need to look to other sources for money. Money-raising strategies include persuading government and private institutions to pay for family planning services, and providing services such as sexually transmitted disease and infertility treatment for which clients are willing to pay. Grant reduction will make family planning organizations more conscious of cost-effectiveness and will increase efficiency. The importance of quality services is stressed: improved quality will attract more paying clients. PMID:1557796
Talpallikar, M B
The apathy of Indians regarding family planning acceptance is compared with that displayed with respect to other programs designed to induce changes in behavior to achieve socioeconomic development. It is felt that understanding motivation would provide the key to making any such venture a success. Motivation is defined and discussed in detail, including its relationship to the success of educational activities. In that context, learning theories and their relationship to family planning behavior are discussed. The need for a high degree of insight into human behavior and a high level of skill in interpreting it on the part of the effective educator or agent of change is noted. PMID:12259435
Alvarenga, Márcia Regina Martins; Oliveira, Maria Amélia de Campos; Domingues, Marisa Accioly Rodrigues; Amendola, Fernanda; Faccenda, Odival
The aging process has specific aspects marked by the class of individuals and social groups as well as cultural, political, socio-economic and sanitary conditions of the collective groups. Social support systems are essential for meeting the specific needs of the elderly. The aim of this paper is to describe the socio-demographic profile and the social support networks of elderly patients served by the Family Health Strategy. It's a cross-sectional study with elderly patients living in Dourados, in the state of Mato Grosso do Sul (Brazil). Data were collected using a socio-demographic questionnaire and a Minimum Relationships Map for the Elderly (MMRI). Of the 503 elderly patients interviewed, 69% were female, 53.1% were illiterate, 58.3% earned less than one minimum salary and 82.9% lived with others. The MMRI showed that the family was the most important provider of care in all the dimensions assessed, but the elderly have their own small social networks. Elderly patients attended by the Family Health teams have low incomes and little formal education, and social support networks that are too small to meet their needs. PMID:21655734
Wallbank, Sonya; Meeusen, Mirjam; Jones, Louise
This paper offers a framework of knowledge, skills and competencies required for professionals working with vulnerable families at risk from not attending their appointment (DNA). It also offers a gap analysis of Higher Education Health Professional courses which identifies where professionals skills need to be further developed. The gap analysis demonstrates that courses appear to teach professionals how to identify and communicate with families; however, not specifically in relation to families who DNA. One of the key factors which appears to be missing from courses is how to identify when vulnerability is increasing with a family. This may mean that families who initially present as stable may fail to be identified when their circumstances are changing and increasing their vulnerability. The gap analysis also shows that professionals are not routinely given the tools needed to creatively engage with families who do not attend. It appears important that professionals are taught why families may not attend appointments, so increasing their desire to engage with families and decrease stigmatising attitudes to families who find compliance with healthcare appointments difficult. PMID:23427709
The general situation of family planning in Papua New Guinea, several of the relevant traditional beliefs, and a pilot project of community based distribution and family planning education in a rural market town. There is no government policy on population, although community based distribution programs have been active in some areas for 10 years. Papua New Guinea has a crude birth rate of 44/1000, an average of 6 children per family, but has only begun to introduce primary health care. Consequently, the population is expected to double by 2015. The pilot program, in a market town called Maprik in East Sepik Province, targets 44,378 women from surrounding villages, of whom about 800 may be using contraception. A family planning nurse is training 20 members of a Women's Council. In a 4-day course, held in the Council House, community distribution workers discussed family planning, responsible parenthood, sex education, nutrition, environmental and population issues. Ancient taboos and social controls that used to space births are breaking down under the pressure of missionization and westernization. Intercourse is still prohibited during menstruation and breastfeeding. There are specific magic spells and rituals used to insure fertility or abortion: these examples were used to help women understand the concepts of modern family planning methods. The nurse encouraged feedback from the women, and only held one formal teaching session, on record-keeping. For the success of the program, field workers should work from within, and supervise adequately. This will be done with quarterly refresher courses and monthly follow-up in each village. PMID:3467242
Sow, E B
In April 1990, 60 members of the Association of African Communication Professionals (APAC) from 17 African countries attended a seminar-workshop in Ouagadougou, Burkina Faso, entitled "Family Planning: What Role for African Female Communicators?" The countries included Algeria, Benin, Burkina Faso, Cameroon, the Central African Republic, Ivory Coast, Congo, Gabon, Guinea, Kenya, Mali, Morocco, Niger, Senegal, Tunisia, Togo, and Zaire. The participants considered population growth to be the major challenge that Africa faces today. Population growth brings problems of urbanization, housing, health, education, and food security. Family planning appears to be a remedy for these ills. Family planning oriented-IEC (information, education, and communication) can help overcome the resistance of the cultural, social, and religious order and foster new behavior. The goal of the seminar-workshop was precisely to give participants conceptual and methodological tools that will allow them to effectively use IEC in the area of family planning. The Minister of Information and Culture for Burkina Faso, who is also APAC's president, emphasized the APAC seminar-workshop goal during the opening ceremonies. Other notables at the opening ceremonies were the Minister of Health and Social Work, APAC's Executive Secretary, the wife of the Chief of State, and various government officials. The participants' recommendations cross-supported APAC's concern and turned toward the need for the training of professional female communicators, for international organizations to put at their disposal relevant documents, and for re-expansion of APAC branches. This requires governments to make flexible judicial and administrative resolutions in order to favor the creation of new APAC branches. The Center of Population for Development Studies and Research addressed the seminar-workshop. In 1988, it created a network of journalists to assure extensive information for decision-makers, researchers, and the
Wunderink, S R
This study examines economic models of household choice and the role of economic factors in determining the timing of births. A static economic model is presented and tested with data from the Netherlands. After the availability of contraceptives, the family size variable shifted from being an exogenous to an endogenous one, because births could be regulated. Costs of childbearing were construed to have maintenance costs for parents and society, attendance costs of care, and intangible costs such as anxiety or personal freedom. Benefits were intangible ones, such as joy and happiness; income; public benefits; and attendance benefits. Intangible benefits enlarged the utility of children, but maintenance costs diminished resources available for consumption. Child quality was a product of market goods purchased by parents and others and household labor. Household time allocation varied with child's age. Private responsibility for children varied by country. Quality of child care varied between countries and over time. Quality was dependent upon economies of scale, variable costs by the age of the child, variable time commitments by age of the child, and market substitutes for private child care. Higher income families spent more money but less time on children. It is pointed out that Becker's model explained number of children, but not timing of births. Postponement of birth was unlikely for those with a limited education, an unpleasant job, and low wages. When the advantages and disadvantages of having a baby were positive, spouses or single women with a high subjective preference were expected to bear a child as soon as possible. Government policy can affect the average family size by increasing or decreasing the financial and/or time burden of children. Postponement may be chosen based on long term analysis of a couple's future, the formation and use of capital, and/or high subjective time preference. Before and after first birth are different frames of reference
Temmerman, M; Van Braeckel, D; Degomme, O
In 1994, the International Conference on Population and Development (ICPD) held in Cairo, Egypt, laid out in its Programme of Action an impressive and ambitious set of goals for improving sexual and reproductive health and rights (SRHR) all over the world, by the target date of 2015 (International Conference on Population and Development 1994). One of these goals was the provision of universal access to a full range of safe and reliable family-planning methods. However, notwithstanding increases in budgets for family planning during the years following the ICPD (Organisation for Economic Co-operation and Development), there has been an alarming neglect from the international community for the topic since the year 2000. As a result, the progress made during the second half of the nineties slowed down considerably between 2000 and 2010; in a sense, one could say that ten years were almost wasted! This is astonishing, the more since meeting the need for family planning would have beneficial impacts on public health, environmental sustainability and social and economic development. In this paper, we explore these impacts and urge for a strong renewed commitment of the global community in the form of a global family planning decade. PMID:24753885
A description is provided of "Principles of Family Planning," a course designed for graduate nursing students or practicing nurses seeking continuing education credit. The first sections of the course description provide a rationale for the course, information on its curricular placement, scheduling information, and statements of long-range and…
Temmerman, M.; Van Braeckel, D.; Degomme, O.
In 1994, the International Conference on Population and Development (ICPD) held in Cairo, Egypt, laid out in its Programme of Action an impressive and ambitious set of goals for improving sexual and reproductive health and rights (SRHR) all over the world, by the target date of 2015 (International Conference on Population and Development 1994). One of these goals was the provision of universal access to a full range of safe and reliable family-planning methods. However, notwithstanding increases in budgets for family planning during the years following the ICPD (Organisation for Economic Co-operation and Development), there has been an alarming neglect from the international community for the topic since the year 2000. As a result, the progress made during the second half of the nineties slowed down considerably between 2000 and 2010; in a sense, one could say that ten years were almost wasted! This is astonishing, the more since meeting the need for family planning would have beneficial impacts on public health, environmental sustainability and social and economic development. In this paper, we explore these impacts and urge for a strong renewed commitment of the global community in the form of a global family planning decade. PMID:24753885
Planned Parenthood--World Population, New York, NY. Katherine Dexter McCormick Library.
As a monthly classified review of literature, this annotated bibliography offers a selection of books and articles recently received by the Katharine Dexter McCormick Library relative to family planning in the United States. Divided into two parts, the first contains book reviews from a variety of sources. They cover the subjects fund raising,…
Goff, Susan B.
Factors which mediate the life decisions of college men and women were examined. Undergraduates (N=107) completed questionnaires about career and family plans, notions of success and failure, integration of two potentially conflicting roles, and the relationship between personal values, life goals, and choices. Results indicated that: (1) women…
Alarcon, F; Mojarro, O
Mexican family planning officials used date from the 1990 population census to revise population growth estimates and determine program needs for different family planning institutions during 1990-94. Total fertility rates were used to estimate fertility, using information from sociodemographic surveys taken over the past 10 years. Total fertility rates were estimated at 3.29 in 1987, 2.8 in 1990, and projected at 2.5 in 1994. These rates correspond to a crude birth rate of 24-25/1000 in 1990 and 22-23 in 1994 and natural increase rates of 1.87% and 1.67%. In obtaining these estimates, the structure of fertility of the 1987 National Survey of Fertility and Health and the program projections of women by ages of the National Population Council and the National Institute of Statistics, Geography, and were considered. The TARGET model was used to estimate the numbers of women in union using different modern methods who would need to be served by family planning programs in order to meet the proposed total fertility rates. The prevalence of sterilization, IUDS, and oral contraceptives (OCs) in women in union would be 59% in 1990 and 62% in 1994, or in absolute terms 7.8 million women in 1990 and 9.3 million in 1994. The public sector has replaced the private as the major source of family planning services. The Mexican Institute of Social Security (IMSS) share is expected to increase from 48.3% of users in 1990 to 56.5% in 1994. The other 3 public sector institutions will maintain their current level of coverage. The private sector has played a smaller role in family planning in Mexico than in many other countries, and the state will thus have the major responsibility for service provision, including family planning education, promotion, and counseling of prospective clients. Existing services should be made more accessible as far as physical access and hours of operation, and the methods available should be increased beyond OCs and condoms. Traditional midwives in rural
Projects supported by the Directorate for Population (S&T/POP) of the U.S. Agency for International Development and aimed at increasing for-profit private sector involvement in providing family planning services and products are described. Making products commercially available through social-marketing partnerships with the commercial sector, USAID has saved $1.1 million in commodity costs from Brazil, Dominican Republic, Ecuador, Indonesia, and Peru. Active private sector involvement benefits companies, consumers, and donors through increased corporate profits, healthier employees, improved consumer access at lower cost, and the possibility of sustained family planning programs. Moreover, private, for-profit companies will be able to meet service demands over the next 20 years where traditional government and donor agency sources would fail. Using employee surveys and cost-benefit analyses to demonstrate expected financial and health benefits for businesses and work forces, S&T/POP's Technical Information on Population for the Private Sector (TIPPS) project encourages private companies in developing countries to invest in family planning and maternal/child health care for their employees. 36 companies in 9 countries have responded thus far, which examples provided from Peru and Zimbabwe. The Enterprise program's objectives are also to increase the involvement of for-profit companies in delivering family planning services, and to improve the efficiency and effectiveness of private volunteer organizations in providing services. Projects have been started with mines, factories, banks, insurance companies, and parastatals in 27 countries, with examples cited from Ghana and Indonesia. Finally, the Social Marketing for Change project (SOMARC) builds demand and distributes low-cost contraceptives through commercial channels especially to low-income audiences. Partnerships have been initiated with the private sector in 17 developing countries, with examples provided from
Audétat, Marie-Claude; Voirol, Christian; Béland, Normand; Fernandez, Nicolas; Sanche, Gilbert
Abstract Objective To assess use of the remediation instrument that has been implemented in training sites at the University of Montreal in Quebec to support faculty in diagnosing and remediating resident academic difficulties, to examine whether and how this particular remediation instrument improves the remediation process, and to determine its effects on the residents’ subsequent rotation assessments. Design A multimethods approach in which data were collected from different sources: remediation plans developed by faculty, program statistics for the corresponding academic years, and students’ academic records and rotation assessment results. Setting Family medicine residency program at the University of Montreal. Participants Family medicine residents in academic difficulty. Main outcome measures Assessment of the content, process, and quality of remediation plans, and students’ academic and rotation assessment results (successful, below expectations, or failure) both before and after the remediation period. Results The framework that was developed for assessing remediation plans was used to analyze 23 plans produced by 10 teaching sites for 21 residents. All plans documented cognitive problems and implemented numerous remediation measures. Although only 48% of the plans were of good quality, implementation of a remediation plan was positively associated with the resident’s success in rotations following the remediation period. Conclusion The use of remediation plans is well embedded in training sites at the University of Montreal. The residents’ difficulties were mainly cognitive in nature, but this generally related to deficits in clinical reasoning rather than knowledge gaps. The reflection and analysis required to produce a remediation plan helps to correct many academic difficulties and normalize the academic career of most residents in difficulty. Further effort is still needed to improve the quality of plans and to support teachers.
Barnett, Rosalind Chait; Gareis, Karen C.; James, Jacquelyn Boone; Steele, Jennifer
Recent research suggests that working men experience as much work-family conflict as women do. More men are doing housework and childcare, and feel that family is as important as their work. An attempt was made to determine how college seniors view their potential for managing work-family conflict. College students (N=324) attending a private…
Kee, W F; Lee, A S
Family planning progress in Singapore during 1972 is reviewed. The Singapore Family Planning and Population Board launched its most intensive family planning campaign in July 1972. A primary objective of the campaign was to promote both male and female sterilizations. Stronger social disincentives to discourage large family size (higher delivery fees, reduction of income tax deductions, reduction of allowable maternity leaves, and housing priority for small families) have been read in Parliament and will take effect August 1, 1973. The 1972 crude birth rate was estimated at 22.6 per 1000, compared with 22.3 in 1971. The crude death rate remains constant at an estimated 5.4 per 1000. The rate of natural increase has risen to an estimated 17.2 per 1000, compared with 16.9 in 1971. The Second Five-Year Plan (1971-1975) sets a target of 80,000 new acceptors to be recruited evenly throughout the period. In 1972, the Board recruited 17,666 new acceptors. The main method used continued to be the pill, but the number of new pill users dropped from 19,000 in 1968 to 10,000 in 1971 and 1972. The number of condom acceptors dropped from 10,076 in 1968 to 7343 in 1972. IUD insertions were 3703 in 1968, and in 1972 there were only 177 IUDs inserted. Female sterilizations rose from 477 in 1966 to 3848 in 1971 to over 5700 in 1972. Abortions rose from 2929 in 1969 to 5943 in 1972. The Board approved the establishment of a Research and Evaluation Committee at the close of 1972. An Information, Education, and Communication Unit and a Training Center financed by the United Nations Fund for Population Activities (UNFPA) were established in 1972. The Family Planning Campaign is being evaluated by pre- and postcampaign KAP-type surveys. During 1972, clinical trials were initiated on the Dalkon Shield and the Copper 7 with encouraging preliminary results. The average desired family size among Singapore families is 3.6, and there are problems in trying to reduce this figure. The
Cook, R J; Maine, D
In many countries a spouse, usually the husband, can veto a partner's use of family planning services. Where spousal veto acts as a barrier to family planning services it represents a serious threat to the lives and health of women and children. Removal of spousal authorization requirements has been shown to increase the use of family planning services. The Family Guidance Association of Ethiopia, for example, removed their requirement in 1982 and clinic utilization increased by 26 per cent within a few months. Courts of several countries have held that spousal veto practices violate principles of personal privacy and autonomy and the right to health care. The effect of such judgements has been to reinforce rights to sexual nondiscrimination found, for example, in national constitutions and the Convention on the Elimination of All Forms of Discrimination against Women. This article discusses the nature and application of spousal veto practices, explains how such requirements can violate certain human rights, and explores possible remedies to this problem, including ministerial, legislative, and judicial initiatives. PMID:3812842
Apte, J S
The article begins with a brief history of family planning in India and points out that from 1951 to 1963, the program was clinic centered. This approach could reach only a small fraction of the population. The 1962-63 Report recommended extension education with the objectives of group acceptance of the small family norm, knowledge about family planning, and easy availability of contraceptives and adequate service facilities. The Family Planning Program is being implemented at 3 levels, governmental, voluntary agencies, and local self-government bodies. Creating an awareness of the urgency of the program, disseminating knowledge and information about methods, and motivating and educating local leaders and lay workers or volunteers for accepting some responsibility in the implementation of the program are all phases of citizen participation if the program. The author provides a list of agencies and organizations from which voluntary services may be drawn, and also enumerates the personal qualities desired in volunteers. There are recommendations as to the training of volunteers, and the specific tasks which they may be assigned. PMID:12338668
... 34 Education 2 2013-07-01 2013-07-01 false Individualized family service plan. 303.20 Section 303... TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.20 Individualized family service plan. Individualized family service plan or IFSP means a written plan for providing early...
... 34 Education 2 2014-07-01 2013-07-01 true Individualized family service plan. 303.20 Section 303... TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.20 Individualized family service plan. Individualized family service plan or IFSP means a written plan for providing early...
... 34 Education 2 2012-07-01 2012-07-01 false Individualized family service plan. 303.20 Section 303... TODDLERS WITH DISABILITIES General Definitions Used in This Part § 303.20 Individualized family service plan. Individualized family service plan or IFSP means a written plan for providing early...
Russell, Keith P.; Meier, Gitta
Although the availability of oral contraceptives and the development of improved intrauterine contraceptive devices have greatly increased the general utilization of family planning services, there are still great segments of our population which are not yet reached, especially in the economically deprived areas. Since over 98 percent of all obstetrical deliveries now occur in hospitals, it seems logical that it is on hospital maternity services that these deficiencies might often be best overcome. Although this is primarily a medical problem, the use of paramedical personnel can greatly augment the physician's practice in these areas. Family planning services should be an integral part of comprehensive maternity care, not alone in the physician's office but also in the hospital setting. PMID:5784113
Allman, J; Vu, Q N; Nguyen, M T; Pham, B S; Vu, D M
This report provides the first reliable statistical data on fertility patterns and the family planning program in the Socialist Republic of Vietnam. Findings are from the 1988 Demographic and Health Survey of Vietnam and the 1989 census survey. The data show that the total fertility rate has declined from over 6 children per woman in the early 1970s to under 4 in the later 1980s. Contraceptive prevalence for modern methods is estimated at 37 percent among married women of reproductive age in 1988. The average duration of breastfeeding is over 14 months; marriage is relatively late. The IUD is the most common contraceptive method and abortion is widespread. The major factors likely to influence fertility and family planning in the future are the government's population policy, improved access to modern methods of contraception, and the institution of new economic policies that are currently under way in Vietnam. PMID:1759276
Nguyen Thi Hue
The Vietnam Peasant Union encourages peasants to comply with the following criteria for the modern family: not having too many children, not being poor and starving, not having malnourished children and diseased women due to the bearing of too many children, being literate, not being superstitious, and not violating the law and State policy. 30% of the union's 7.5 million members have registered to abide by these rules. Peasants comprise almost 80% of Vietnam's total population. Although poor, peasant family incomes are increasing along with living conditions. Fertility remains too high. The Peasant Union has therefore been carrying out information, education, and communication and motivational activities among peasants so that peasants in general, and middle-aged heads of households in particular, will accept and practice family planning. For each province, the union produces teaching materials such as training packages for officers at provincial, district, and community levels, as well as a manual for field workers. The manual has two columns for respective topics: one explains a population and family planning item, while the other depicts a related agricultural activity. PMID:12320325
The medical profession has played an important role in family planning. The program includes education for family life, marriage-guidance, marriage counseling, treatment of sterility, and control of fertility. A happy family needs children, but an excess of them causes many problems and collectively becomes a national problem. In socialist countries, where abortions have been permitted more liberally, a large number of women have sought aid from doctors who have actively participated in the programs. These doctors have developed better techniques. In developed countries, churches and governments have been forced to fall in line with the prevailing trend of thought even against the Papal edict in Catholic countries and among Catholic people elsewhere. In the still underdeveloped countries, only methods that do not require repetitive and sustained motivation can achieve the desired result in fertility reduction. The Government of India was the 1st to launch a nationwide family planning program. A major handicap to the central Government has been its inability to utilize general practitioners for this purpose. However, they need to be trained in the techniques. The government should enlist their services and keep them informed of developments in this field. The whole medical profession must be included. PMID:12254323
Clarke, Angela T; Marshall, Stephen A; Mautone, Jennifer A; Soffer, Stephen L; Jones, Heather A; Costigan, Tracy E; Patterson, Anwar; Jawad, Abbas F; Power, Thomas J
This study examined the relative contribution of two dimensions of parent engagement, attendance and homework adherence, to parent and child treatment response and explored whether early engagement was a stronger predictor of outcomes than later engagement. The sample consisted of parents of participants (n = 92; M age = 9.4 years, SD = 1.27; 67% male, 69% White) in a 12-session evidence-based family-school intervention for children with attention-deficit/hyperactivity disorder. Attendance was assessed using clinician records, and homework adherence was measured by rating permanent products. Outcomes included parent and teacher ratings of family involvement in education, parenting practices, and child functioning. Accounting for the contributions of baseline scores and attendance, homework adherence was a significant predictor of parental self-efficacy, the parent-teacher relationship, parenting through positive involvement, and the child's inattention to homework and homework productivity. Accounting for the contribution of baseline scores and homework adherence, attendance was a significant predictor of one outcome, the child's academic productivity. Early homework adherence appeared to be more predictive of outcomes than later adherence, whereas attendance did not predict outcomes during either half of treatment. These results indicate that, even in the context of evidence-based practice, it is the extent to which parents actively engage with treatment, rather than the number of sessions they attend, that is most important in predicting intervention response. Because attendance is limited as an index of engagement and a predictor of outcomes, increased efforts to develop interventions to promote parent adherence to behavioral interventions for children are warranted. PMID:23688140
Hull, T H; Hull, V J; Singarimbun, M
A historical overview and descriptions of family planning programs in Indonesia are presented. 85 million of the 135 million inhabitants of the Indonesian archipelago are concentrated on the island of Java, which comprises about 7% of the Indonesian land mass. The Dutch colonial government preferred a policy ("transmigration") which advocated the redistribution of population from Java to the other islands to relieve overpopulation. This policy was also advocated by President Sukarno after the Indonesian Revolution of 1940. The need for family planning was recognized by small groups, and official policy supported national family planning programs to replace transmigration programs only after Sukarno became president in 1966. The focus of the program was on Java and Bali, the 2 most populous islands. Local clinics became the locus for birth control efforts. Fieldworkers affiliated with the clinics were given the job of advocating birth control use door-to-door. Fieldworkers "incentive programs," area "target" (quota) programs, and "special drives" were organized to create new contraceptive "acceptors." A data reporting system and a research program increase the effectiveness of the family planning drive by ascertaining trends in contraceptive use which can determine where and how money and effort can best be applied. "Village Contraception Distribution Centers" bring the contraceptive means closer to the people than do the clinics. Figures from the years 1969-1977 show the great increase in acceptance of contraceptives by the inhabitants of the Java-Bali area. Steps are now being taken to alleviate the large monthly variations in the number of (often temporary) acceptors caused by the "target programs" and "special drives." The average acceptor is 27-years-old, has 2.6 children, has not finished primary school, and has a husband of low social status. Bali has shown the greatest success in family planning. It is a small island with a highly developed system of local
Watson, W B; Lapham, R J
The 1974 Population Conference at Bucharest was marked with controversy between developed and developing countries, with the latter strongly critical of aid for population control but less for social and economic development. The Plan of Action which was finally approved emphasized the importance of social and economic factors in relation to population growth while recommending that couples in all nations should have access to family planning information. Different regions of the world, however, have widely divergent population policies and goals. The Asia-Pacific region of the developing world, which has 3/4 of the population of the developing world, has articulated a strong stance in favor of reducing birth rates at Post-Bucharest Consultation. Government-supported family planning programs are seen as a high priority item to reduce rapid population growth. Rapid population growth is not seen as a high-priority problem in most African, Arab, and Latin American countries. Population problems will be solved with economic and social advancement. There is more concern in Latin America for family planning as a "human right" issue than to promote demographic goals. Latin America was also concerned with migration/urbanization issues. All of the Regional Consultations after Bucharest favored a greater emphasis on population in development planning, concern for the problems caused by migration and urbanization, improvement in the status of women, and support for the reduction of mortality levels. Some 74 countries containing 93% of the population of the developing world, supported family planning, with only 4 populous countries -- Burma, Ethiopia, Peru, and North Korea not in support. More than 98% of the population of Asia lives in countries which support family planning; the figures are 94% for Latin America, 90% for the Middle East and North Africa and 64% for Sub-Saharan Africa. The governments of 39 countries with a combined population of 2.3 billion have stated that
... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Notice of FERC Staff Attendance at the Entergy ICT Transmission Planning... Commission's ongoing outreach efforts. Entergy ICT Transmission Planning Summit August 23, 2011 (8 a.m.-5...
Schneiderman, Gerald; And Others
Based on interviews with 24 families, the article discusses family planning and the choices available to those families in which a child has previously died from Tay-Sachs or related lipid storage diseases. (IM)
... 34 Education 2 2011-07-01 2010-07-01 true Individualized family service plan. 300.24 Section 300... CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.24 Individualized family service plan. Individualized family service plan or IFSP has the meaning given the term in section 636 of...
... 34 Education 2 2013-07-01 2013-07-01 false Individualized family service plan. 300.24 Section 300... CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.24 Individualized family service plan. Individualized family service plan or IFSP has the meaning given the term in section 636 of...
... 34 Education 2 2010-07-01 2010-07-01 false Individualized family service plan. 300.24 Section 300... CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.24 Individualized family service plan. Individualized family service plan or IFSP has the meaning given the term in section 636 of...
... 34 Education 2 2012-07-01 2012-07-01 false Individualized family service plan. 300.24 Section 300... CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.24 Individualized family service plan. Individualized family service plan or IFSP has the meaning given the term in section 636 of...
... 34 Education 2 2014-07-01 2013-07-01 true Individualized family service plan. 300.24 Section 300... CHILDREN WITH DISABILITIES General Definitions Used in This Part § 300.24 Individualized family service plan. Individualized family service plan or IFSP has the meaning given the term in section 636 of...
Childre, Amy; Chambers, Cynthia R.
Given the documented benefits of family involvement in educational planning, engaging families throughout the school years is strongly advocated. However, barriers continue to impede families from collaborative partnering in educational planning. In this qualitative study the perceptions of six families were examined prior to and after the…
World Health Organization, Copenhagen (Denmark). Regional Office for Europe.
This report summarizes the meetings of the World Health Organization (WHO) Working Group on Family Planning and Sex Education of Young People, which was attended by advisors representing education, sociology, psychology, pediatrics, demography, obstetrics and gynocology, family planning, and psychological medicine. The advisors were from eight…
40 experts representing Nepal, Malaysia, Thailand, Singapore, Korea, and the Philippines participated in a 3-day workshop in Manila in March 1976 for the purpose of discussing and proposing ways of dealing with the financial problems confronting the population programs of the individual countries. The Inter-Governmental Coordinating Committee for Southeast Asia Family/Population Planning sponsored the workshop. The recommendations made at the meeting were: 1) standardization of financing reporting procedures by the region's country programs on family planning; 2) closer coordination between donor agencies and policy-making bodies of country programs in the disbursement of funds; 3) frequent exchanges of experiences, ideas, technicaL knowledge, and other matters pertaining to the financial management of such programs; and 4) inclusion of applicable financial management topics in the training of clinical staffs and those involved in follow-up operations. Additionally, a proposal was made that national population organizations or committees develop research and evaluation units. Workshop discussion sessions focused on financial planning and management, accounting and disbursement of funds, use and control of foreign aid, cost of effectiveness and benefit analysis, and financial reporting. PMID:12309355
Haghenbeck-Altamirano, Francisco Javier; Ayala-Yáñez, Rodrigo; Herrera-Meillón, Héctor
The desire to limit fertility is recognized both by individuals and by nations. The concept of family planning is based on the right of individuals and couples to regulate their fertility and is based in the area of health, human rights and population. Despite the changes in policies and family planning programs worldwide, there are large geographic areas that have not yet met the minimum requirements in this regard, the reasons are multiple, including economic reasons but also ideological or religious. Knowledge on the physiology of the menstrual cycle, specifically ovulation process has been further enhanced due to the advances in reproductive medicine research. The series of events around ovulation are used to detect the "fertile window", this way women will look for the possibility of postponing their pregnancy or actually start looking for it. The aim of this article is to review the current methods of family planning based on fertility awareness, from the historical methods like the core temperature determination and rhythm, to the most popular ones like the Billings ovulation method, the Sympto-thermal method and current methods like the two days, and the standard days method. There are also mentioned methods that require electronic devices or specifically computer designed ones to detect this "window of fertility". The spread and popularity of these methods is low and their knowledge among physicians, including gynecologists, is also quite scarce. The effectiveness of these methods has been difficult to quantify due to the lack of well designed, randomized studies which are affected by small populations of patients using these methods. The publications mention high effectiveness with their proper use, but not with typical use, what indicates the need for increased awareness among medical practitioners and trainers, obtaining a better use and understanding of methods and reducing these discrepancies. PMID:22808858
Lederer, Wolfgang; Graube, Stefanie; Feichtner, Angelika; Medicus, Elisabeth
Acute vital crisis in end-of-life situations may result in hospitalization and intensive care without recognizable benefit in many cases. Advance directives regarding indications for resuscitation, hospitalization, and symptomatic treatment help ensure that acute complications can be managed quickly and satisfactorily in the patient’s customary surroundings. A plan was designed and implemented in Austrian nursing homes to provide emergency physicians with rapidly obtainable information on the patient’s current situation, and whether resuscitation attempts and hospitalization are advised or not. This palliative treatment plan is arranged by a physician together with caregivers, close relatives, and the patient or his court-appointed health care guardian or holder of power of attorney. Four years after implementation of the plan, a user satisfaction survey was carried out. The majority of participating nurses, emergency physicians and family doctors judged application and design of the palliative treatment plan positively. However, the low response rate of family doctors indicates nonconformity. In particular, the delegation of symptomatic treatment to nurses proved to be controversial. There is still a need to provide up-to-date information and training for health professionals in order for them to understand advance directives as extended autonomy for patients who have lost their ability to make their own decisions.
Strategies to accelerate progress of India's family planning programme are discussed and the importance of improving the quality and reach of services to address unmet contraceptive need by providing method choice is emphasized. Although there is a growing demand for both limiting and spacing births, female sterilisation, is the dominant method in the national programme and use of spacing methods remains very limited. Fertility decline has been slower in the empowered action group (EAG) States which contribute about 40 per cent of population growth to the country and also depict gloomy statistics for other socio-development indicators. It is, therefore, important to intensify efforts to reduce both fertility and mortality in these States. A rationale has been provided for implementing integrated programmes using a gender lens because the lack of women's autonomy in reproductive decision-making, compounded by poor male involvement in sexual and reproductive health matters, is a fundamental issue yet to be addressed. The need for collaboration between scientists developing contraceptive technologies and those implementing family planning services is underscored. If contraceptive technologies are developed with an understanding of the contexts in which they will be delivered and an appreciation of end-users’ needs and perspectives, they are more likely to be accepted by service providers and used by clients. PMID:25673535
Davaasuren, L; Naranchimeg, J
In 1995, Mr. Bolooj organized a branch of the Mongolian Family Welfare Association (MFWA), an affiliate of the International Planned Parenthood Federation (IPPF), in the smallest administrative district in western Mongolia. Most of the people are nomadic shepherds, and there are 10 times as many domestic animals as humans in the sparsely population country. In rural areas, the idea of family planning is alien, and Mongolia's mass media also has a difficult time understanding population concerns. Mr. Bolooj began by using the media to explain the goals of the IPPF and the MFWA. He then recruited and trained volunteer medical workers to provide reproductive health services. In its first six months of operation, the MFWA branch created 38 hours of reproductive health lessons for use in local schools. These lessons included information on the importance of good hygiene despite the scarcity of water for bathing. The population is so scattered, however, that it is very expensive to reach individual households. Since the dissolution of the Soviet Union, maternal health services have deteriorated, and maternal mortality has increased. The new National Reproductive Health Program seeks to provide delivery rooms in remote areas. The MFWA branch is also working to help women who are heading households. A course on contraceptive choices organized for 50 women of childbearing age resulted in 12 acceptors of the IUD, 15 of oral contraceptives, and six of injectables. PMID:12293466
USAID, through the matching grant project, provided International Planned Parenthood Federation's Western Hemisphere Region (IPPF/WHR) funds to increase and strengthen family planning (FP) services in Latin America. Family planning associations (FPAs) were to match any USAID-awarded funds with other funds, supporting efforts to promote sustainability of service delivery. The matching grant was an extremely effective and efficient means to expand access to good quality, voluntary FP services to low income, underserved people. Local income funded about 33% of Matching Grant FPA budgets. USAID and IPPF or other donors shared the other 66%. The Matching Grant FPAs reached the original target of 2.8 million new acceptors. The project was so successful that USAID awarded IPPF/WHR a new 5-year (1992-97) Transition Project. In Latin America and the Caribbean, its goals are to increase people's freedom to choose the number and spacing of their children and to promote a population growth rate appropriate to each country's socioeconomic development goals by helping some FPAs to become sustainable without USAID funding. Strengthening the institutional capacity of FP programs and evaluation of their performance and impact are 2 ways to achieve these goals. BEMFAM/Brazil, PROFAMILIA/Colombia, MEXFAM/Mexico, INPPARES/Peru, APROFA/Chile, CEPEP/Paraguay, AUPFIRH/Uruguay, FPATT/Trinidad and Tobago, PLAFAM/Venezuela, and BFLA/Belize have received matching subcontracts for FP service delivery and sustainability. IPPF/WHR considers Brazil, Colombia, Peru, and Mexico to be high-priority countries, largely because they have more than 60% of the population of Latin America. About 81% of Transition Project funds will go to in-country sub-grants and on regional activities, matched on a 1-to-1 basis. 86% of subcontracts will go to Colombia, Mexico, and Peru. Technical assistance and funding are also targeted to HIV/AIDS and sexually transmitted disease prevention. PMID:12179841
Pilgrim, Nanlesta A.; Ahmed, Saifuddin; Gray, Ronald H.; Sekasanvu, Joseph; Lutalo, Tom; Nalugoda, Fred; Serwadda, David; Wawer, Maria J.
Background A better understanding is needed of the contextual factors that influence HIV risk behaviors among female adolescents in sub-Saharan Africa. The objectives of this study were to assess the influence of family structure on lifetime sexual partners and on the number of sexual partners in the last year among female adolescents in rural Rakai, Uganda; and to determine if the influence of family structure on these outcomes differed by adolescents’ school attendance status. Methods The sample consisted of 2,337 unmarried adolescent girls, aged 15-19, enrolled in the Rakai Community Cohort Study. The last survey interview within the time period 2001-2008 available for each girl was used. Analyses were stratified by age (15-17 year olds and 18-19 year olds) and school status. Multinomial logistic regression was used. Results Living in a household with a biological father was protective against both outcomes. Family structure was not associated with the outcomes among in-school adolescents but was significantly associated with outcomes among out-of-school adolescents. Conclusions Findings suggest that understanding the familial context in which female adolescents develop, as well as its interaction with school attendance, is important for HIV prevention efforts. Both research and programmatic initiatives must consider the interplay between the family and school domains when considering ways to reduce HIV acquisition among adolescent women. PMID:25415632
Bertrand, J T; Proffitt, B J; Bartlett, T L
The health care profession is witnessing a shift in focus from the interests and needs of the service provider to those of the potential consumer in an effort to attract and maintain clients. This study illustrates the role that marketing research can play in the development of program strategies, even for relatively small organizations. The study was conducted for Planned Parenthood of Louisiana, a recently organized affiliate that began offering clinical services in May 1984, to provide information on the four Ps of marketing: product, price, place, and promotion. Data from telephone interviews among a random sample of 1,000 women 15-35 years old in New Orleans before the clinic opened confirmed that the need for family planning services was not entirely satisfied by existing service providers. Moreover, it indicated that clinic hours and the cost of services were in line with client interests. The most useful findings for developing the promotional strategy were the relatively low name recognition of Planned Parenthood and a higher-than-expected level of interest that young, low income blacks expressed in using the service. PMID:3112854
Linzell, Dinah, Comp.
Compiled from the world's research literature, this bi-monthly classified list of references on population and family planning emphasizes recently published material, primarily journal literature. Topics covered include: population and fertility; reproductive behaviour; the family; education in population, family planning, and sex; family…
... 34 Education 2 2014-07-01 2013-07-01 true Individualized family service plan (IFSP). 303.114... System Minimum Components of A Statewide System § 303.114 Individualized family service plan (IFSP). Each system must ensure, for each infant or toddler with a disability and his or her family in the State,...
... 34 Education 2 2012-07-01 2012-07-01 false Individualized family service plan (IFSP). 303.114... System Minimum Components of A Statewide System § 303.114 Individualized family service plan (IFSP). Each system must ensure, for each infant or toddler with a disability and his or her family in the State,...
... 34 Education 2 2011-07-01 2010-07-01 true Individualized family service plans. 303.167 Section 303... Requirements § 303.167 Individualized family service plans. Each application must include— (a) An assurance that a current IFSP is in effect and implemented for each eligible child and the child's family;...
... 34 Education 2 2013-07-01 2013-07-01 false Individualized family service plan (IFSP). 303.114... System Minimum Components of A Statewide System § 303.114 Individualized family service plan (IFSP). Each system must ensure, for each infant or toddler with a disability and his or her family in the State,...
This document assesses the current status of population and family planning assistance throughout the world and provides brief sketches of the available sources including national governments, intergovernmental agencies such as the UNFPA and other UN entities, and nongovernmental funding, technical assistance, or funding and technical assistance organizations. The descriptions of aid-granting organizations describe their purposes, sources of funding, and activities, and give addresses where further information may be sought. At present about $100 million of the US $1 billion spent for family planning in developing countries each year comes from individuals paying for their own supplies and services, over $400 million is spent by national governments on their own programs, and about $450 million comes from developed country governments and private agencies. Over half of external assistance appears to be channeled through international agencies, and only a few countries provide a substantial proportion of aid bilaterally. In the past decade several governments, particularly in Asia, significantly increased the share of program costs they assumed themselves, and the most populous developing countries, China, India, and Indonesia, now contribute most of the funding for their own programs. Although at least 130 countries have provided population aid at some time, most is given by 12 industrialized countries. The US Agency for International Development (USAID) is the largest single donor, but the US share of population assistance has declined to 50% of all assistance in 1981 from 60% in the early 1970s. Governments of Communist bloc countries have made only small contributions to international population assistance. Most governmental asistance is in cash grant form, but loans, grants in kind, and technical assistance are also provided. Private organizations give assistance primarily to other private organizations in developing countries, and have been major innovators in
"This report describes a family planning survey [involving 172 women] conducted at an antenatal clinic in Maiduguri, Nigeria between June and August 1984. The level of education of respondents is generally low and appears to have a negative effect on knowledge, approval, and use of family planning. Breast feeding is widespread but not many respondents practiced it as a method of family planning. While there is limited knowledge and some approval of family planning, a desire for large families continues and there is relatively little practice of family limitation. The prospects for a decrease in fertility in the near future is not encouraging." PMID:12315201
Shivanandan, Mary; Borkman, Thomasina
Natural family planning (NFP) refers to techniques for planning or preventing pregnancy by observation of natural signs of fertility. In using natural family planning to avoid pregnancy, there is abstinence from sexual intercourse during the fertile phase of the menstrual cycle. Social values which are incorporated into the method include couples…
Szelenyi, Katalin; Inkelas, Karen Kurotsuchi
This paper examines the role of living-learning (L/L) programs in undergraduate women's plans to attend graduate school in STEM fields. Using data from the 2004-2007 National Study of Living Learning Programs (NSLLP), the only existing multi-institutional, longitudinal dataset examining L/L program outcomes, the findings show that women's…
The 10th International Conference on AIDS/International Conference on STD in Yokohama August 7-12, 1994, attracted 12,000 people from 130 countries to consider the expanding AIDS pandemic. A satellite symposium was held the day before the opening of the conference, August 6, also in Yokohama, to bring participants together to focus upon the importance of providing access to oral contraceptives and the necessity of condoms. This symposium was organized by the Japan Family Planning Association. Speakers called for the authorization of the low-dose oral contraceptive pill for Japanese women; greater condom use against HIV and other STDs; expanding the concept of reproductive health to include maternal and child health, the prevention of STDs, and infertility; clinical approaches and care for HIV-infected individuals during pregnancy and labor; and counseling to pregnant HIV-infected women. PMID:12318906
President Jiang Zemin called for major improvements in the country's family planning, resources management and environmental protection at a work conference held in Beijing on March 12 this year on population control, natural resources and environmental protection. In his address, the president noted that the country will strive to control its population within 1.4 billion by the year 2010, halt the deterioration of the environment and noticeably improve it, and enhance resources management. ¿It is an arduous and important task for the Party and the whole nation,¿ the president said. As the world's most populous developing nation, China has limited per capita natural resources. ¿We must always see population control, preservation of resources and environmental protection from a strategic point of view,¿ Jiang said. In the 21st century, China must continue to make great efforts to stabilize the fertility level, maintain rational use and strict management of resources, and protect and improve the environment. ¿Our success or failure will have a direct bearing on the country's economic and social security, the quality of people's lives and the long-term development of China,¿ the president said. In the new century, it is imperative that we earnestly carry out the decisions of the Party and central government on family planning and the stabilization of a low fertility. On environmental protection, the president stressed that continued efforts should be devoted to both pollution prevention and control and ecological protection. The country should implement the strictest rules and regulations, and continue to uphold the principle of ¿developing while protecting: protecting while developing,¿ he said. In developing China's vast western region, it is also necessary to handle well the relationship between economic development and population control. PMID:12295908
The US Office of Family Planning (FP) has issued 10 research grants ranging from $100,000 to $250,000 to organizations seeking to develop, implement, and test ways to involve young men in FP and reproductive health services. While only 2% of federal dollars are currently earmarked for reproductive health services for young men, a survey revealed that only 32% of sexually active men and 17% of sexually inexperienced men reported receiving contraceptive information from health care providers. One grant recipient is a cooperative venture of the University of North Carolina, the Guilford County health department, and "Wise Guys," a male responsibility/adolescent pregnancy prevention program developed by the local Family Life Council in 1989 that focuses on seventh-grade boys. The grant allowed Wise Guys to add a peer education component and hire the first male health educator in the county health department. This educator notes that the biggest misconceptions held by young men about the health department are that test results are shared with parents, that the agency serves only impoverished people, and that every client must be tested for pregnancy or sexually transmitted diseases (STDs). The health educator addresses these misconceptions in classes and individual counseling sessions, and he accompanies young men to STD tests. PMID:12294592
Haws, J; Crawford, G
An AVSC training program, conducted in cooperation with the Navajo Nation Family Planning Corporation (NNFPC), has the potential to profoundly affect sterilization provision and acceptability on the Navajo Nation reservation. AVSC trained a family physician from the Northern Navajo Medical Center (New Mexico) in the no-scalpel vasectomy technique. This physician expects to provide 30 such sterilizations in the one-year period following the training and is preparing to teach reservation physicians from other health centers to perform the procedure. In addition, a joint AVSC-NNFPC course on sterilization counseling was presented to 30 nursing staff from the New Mexico Center. Central to this training was consideration of the obstacles to sterilization acceptance posed by Navajo cultural beliefs. Sensitivity to some women's desire to keep the procedure private, due to concerns their husbands will abandon them if they can no longer bear children, and to the potential need to include mothers and grandmothers in counseling sessions, is required. Also salient for female counselors and nurses are cultural taboos against a woman discussing sexual matters with a man with whom she is not intimate. In late 1996, AVSC will provide a sterilization counseling update for all NNFPC counselors working at centers throughout the four-state reservation. PMID:12347635
The myth in Pakistan is that women do not work outside the home but they do even though they tend not to be paid for it. They handle wheat and plant vegetables. They tend to and milk cattle. They handle manure used for fuel and fertilizer. They receive some money albeit small amounts for picking pesticide-laden cotton which puts them at risk. These work activities link them more closely with nature and natural resources than men. Yet modern harvest methods prevent women from gleaning fields for grain to sell to raise money for their family or for wheat stalks to use as fuel. This forces them to take wood from forests or shrubbery, thereby straining these limited resources. Other problems include population growth, male migration, landlessness, and insufficient health services. Society prefers sons. It considers women as childbearers and transitory persons. Females tend not to be educated, thus society does not value women. Social norms and infant mortality are associated with family size--the poorest women tend to have the highest fertility. More children serve as an economic safety valve. Many studies shatter the myth that women do not work. Policymakers and planners need to learn the results of these studies. The number of female-headed households rises. An increasing number of women must work to supplement their husband's income. To empower women, they need education and to acquire skills. Since they tend to be anemic, have an average of 9 births, and a life expectancy at birth for women of 55 years, they must also have access to health and family planning services. Nongovernmental organizations should help women to be more economically productive which allows them some economic independence. For example, in Gilgit, such an organization has trained women in tree planting, nursery rearing, vegetable growing, and caring for chickens. PMID:12285666
Basuil, Dynah A.; Casper, Wendy J.
Using social learning theory as a framework, we explore two sets of antecedents to work and family role planning attitudes among emerging adults: their work-family balance self-efficacy and their perceptions of their parents' work-to-family conflict. A total of 187 college students completed a questionnaire concerning their work-family balance…
In the former Soviet Union, abortion has been the main method of family planning (FP) since its initial legalization in 1922. When legal access to abortion was restricted in 1936 because the government wanted to encourage population growth, women had to resort to traditional methods of FP or illegal procedures. In 1955, abortion was legalized again, but contraception was an illegal subject (abortionists were organized "like the Mafia" and did not want to lose their monopoly). In 1985, the advent of Perestroika paved the way for efforts to replace abortion with modern methods of contraception. In the Republic of Georgia, a Planned Parenthood Federation was established in 1993, and a new strategy was adopted to promote contraception. The provision of contraceptives through 20 branches of the Zhordania Institute of Human Reproduction has managed to respond to the FP needs of the different regions of the country. Activities of the Institute include performing voluntary sterilization and improving methods of abortion to include the use of RU-486 and vacuum aspiration procedures. These activities have combined to reduce the abortion rate, although the level of illegal abortion is reported to have increased. This gradual shift from a reliance on abortion to use of contraceptives has taken more than a decade and may be doomed to failure by a reduction in the contraceptive imports upon which Georgia entirely depends. PMID:12288983
Mount, Jill Katherine
Background and objective. Latinos are the largest ethnic minority in the U.S. and by 2050 they are estimated to become one quarter of the population, yet only one in ten has a college degree. More Latino women (Latinas) are currently attending college than Latino men. To date research has focused on their experiences and where they obtain support…
Realizing that family planning is not making a sufficient impact on the rural people as it is on the urban population, it was decided that the authors would study the attitude and knowledge of a rural community towards family planning. The study sample consisted of 200 Malay married women--100 acceptors and 100 nonacceptors from the Kuala Pilah District. The study went from December 4-22, 1978. A healthy climate of knowledge and attitude exist among rural Malay women. Only 2% of the nonacceptors had not heard of any family planning method; 99% of acceptors and 85% of nonacceptors had discussed family planning with their husbands. There was also evidence to show that the birthrate does decrease as literacy increases. On the other hand, however, only 19% of the respondents approved of family planning practices prior to the birth of the 1st child. Also, there is a dearth of information on family planning in the rural areas and not much has been done in utilizing the 2 popular forms of mass media--radio and television as a means of disseminating information on family planning. The study concludes with a recommendation that there is a need for a sustained effort at improving knowledge and disseminating information as well as for developing the proper attitude towards family planning. It is suggested that community leaders, women's clubs, and private organizations be mobilized to participate more fully in the promotion of family planning. PMID:7167084
This paper reviews the debate that occurred in the press of the Soviet Central Asian republics during 1988 and 1989 on the issue of family planning. The author identifies three basic opinion groups, those in favor of family planning, those in favor of family planning with certain reservations, and those opposed to family planning. The role this debate has played in bringing into the open a number of political, cultural, economic, and social issues, together with data to support the positions taken that are now possible with glasnost, is noted. PMID:12343037
Melunsky, Nina; Crellin, Nadia; Dudzinski, Emma; Orrell, Martin; Wenborn, Jennifer; Poland, Fiona; Woods, Bob; Charlesworth, Georgina
Reminiscence therapy has the potential to improve quality of life for people with dementia. In recent years reminiscence groups have extended to include family members, but carers' experience of attending joint sessions is undocumented. This qualitative study explored the experience of 18 family carers attending 'Remembering Yesterday Caring Today' groups. Semi-structured interviews were transcribed and subjected to thematic analysis. Five themes were identified: experiencing carer support; shared experience; expectations (met and unmet), carer perspectives of the person with dementia's experience; and learning and comparing. Family carers' experiences varied, with some experiencing the intervention as entirely positive whereas others had more mixed feelings. Negative aspects included the lack of respite from their relative, the lack of emphasis on their own needs, and experiencing additional stress and guilt through not being able to implement newly acquired skills. These findings may explain the failure of a recent trial of joint reminiscence groups to replicate previous findings of positive benefit. More targeted research within subgroups of carers is required to justify the continued use of joint reminiscence groups in dementia care. PMID:24381218
Melunsky, Nina; Crellin, Nadia; Dudzinski, Emma; Orrell, Martin; Wenborn, Jennifer; Poland, Fiona; Woods, Bob
Reminiscence therapy has the potential to improve quality of life for people with dementia. In recent years reminiscence groups have extended to include family members, but carers’ experience of attending joint sessions is undocumented. This qualitative study explored the experience of 18 family carers attending ‘Remembering Yesterday Caring Today’ groups. Semi-structured interviews were transcribed and subjected to thematic analysis. Five themes were identified: experiencing carer support; shared experience; expectations (met and unmet), carer perspectives of the person with dementia’s experience; and learning and comparing. Family carers’ experiences varied, with some experiencing the intervention as entirely positive whereas others had more mixed feelings. Negative aspects included the lack of respite from their relative, the lack of emphasis on their own needs, and experiencing additional stress and guilt through not being able to implement newly acquired skills. These findings may explain the failure of a recent trial of joint reminiscence groups to replicate previous findings of positive benefit. More targeted research within subgroups of carers is required to justify the continued use of joint reminiscence groups in dementia care. PMID:24381218
Johnson, J H; Reich, J
There has been an increase in interest in natural family planning (NFP) in recent years. The Roman Catholic Church and other groups sympathetic to NFP philosophy have pressured the US Agency for International Development (AID) to increase emphasis on NFP, and AID has responded by increasing funding devoted to NFP from US$0.8 to US$7.8 million from 1981-85. In 1985, AID exempted NFP providers from the requirement of providing direct or referral services for other methods, but repealed the exemption in 1986. Several methods fall under the NFP umbrella: rhythm, the estimation of ovulation time by the counting of days elapsed in relation to menstruation; and the more precise cervical musus; basal body temperature; and sympto-thermal methods. Because NFP requires considerable training, recording, and willingness to abstain, recruitment is difficult and dropout rates high. A 5-country World Health Organization study found that 17% of women dropped out during training, and 36% discontinued during the following year. At the 4th International Congress of the International Federation for Family Life Promotion (IFFLP), it was stressed that data on NFP prevalence classed by type of NFP are lacking. Questions raised included whether populations of countries that have achieved or hope to achieve a low birth rate will be interested in NFP; whether NFP can increase the risks of birth defects through fertilization by "aged gametes;" and whether NFP is capable of helping couples to select the sex of the child. The implications of the contraceptive effects of breastfeeding were reviewed. Some problems arise concerning evaluation of effectiveness: NFP advocates often do not consider couples who "break the rules" as acceptors, and when these couples are excluded from data the method appears much more effective. Traditionalists emphasize the increased quality that NFP brings to a marital relationship. Some participants maintained that rigid moral advocacy would deter many couples. PMID
Through personal interviews, it was found that the success of family planning at Xindan Brigade can be attributed in part to the Brigade party's contribution to family planning education, with the party members acting as family planning models. Moreover, economic objectives are used to secure the results desired. Devoted members are recruited to promote family planning, while economic rewards and restrictions reinforce planning goals. Family planning work in the village of Sung Chuang was reasserted in late 1983 with party leaders acting as family planning models. The results were significant and in 1984, 18 out of 24 brigades fulfilled projected goals by 100% with the average for the entire Sung Chung village being 98.5%. A single-child family rate was obtained in 12 brigades with the average rate in the village for single-child families being 95.9% overall. It is thought that the role of agricultural production must be correctly analyzed and family planning modified to adjust to the "new" type of farming village. Furthermore, a long-lasting contradiction must be forseen between the viewpoints of these 2 sectors of society (i.e., agricultural and political). The policy of the party will be to implement the program and to correctly handle any objections or problems that may arise. Finally, collective management methods must be adopted by the authorities in order to effectively control population growth, especially that seen in the farming village. PMID:12341114
White, Katherine M; Thomas, Ian; Johnston, Kim L; Hyde, Melissa K
Using a prospective study of 77 1st-year psychology students' voluntary attendance at peer-assisted study sessions for statistics, the authors tested the addition of role identity to the theory of planned behavior. The authors used a revised set of role-identity items to capture the personal and social aspects of role identity within a specific behavioral context. At the commencement of the semester, the authors assessed the students' attitudes, subjective norm, perceived behavioral control, role identity, and intention. The authors examined the students' class attendance records 3 months later. Attitudes and perceived behavioral control predicted intention, with intention as the sole predictor of attendance. Role identity also predicted intention, reflecting the importance of the student role identity in influencing decision making related to supplementary academic activities. PMID:18807422
In Latin America, many rural people build dwellings in settlements on the cities' fringes without permission from the authorities. The authorities make several unsuccessful attempts to drive them away, but eventually ignore them. In the 1960s, family planning (FP) associations were concerned about how they can serve the shantytowns, which needed their services but had no social services at all, e.g., water supply and sanitation. In the early 1970s, PROFAMILIA Colombia began a new form of FP service delivery in rural areas by training someone from the community who believed in FP to distribution (CBD) programs provided more FP than all of PROFAMILIA's 60 clinics. In 1973, PROFAMILIA started its URBAN CBD program in the slums of Bogota and learned that the people wanted FP. The CBD movement spread throughout urban and rural Latin America. Brazil's BEMFAM developed the world's largest CBD program. By 1985, 10,365 distribution posts operated in Latin America and, by 1991, there were 26,423. In urban slums in the 1980s, Mexico's MEXFAM began using community doctors, who tend to be new medical graduates. Often the community and the doctors respect each other so much that many doctors remain in the shantytowns beyond their required time. The residents' acceptance of FP provided by people who understand the community shows how they want to plan their lives and better themselves. In addition, they have taken the chance to seek a better life by leaving hopeless situations in rural areas and by building dwellings for themselves, even though they had no money, land, or even basic necessities. In Peru, shantytown residents were moved to the desert and supplied with basic construction materials. They built a community, Villa El Salvador, now complete with tree-lined streets, shops, schools, and movies. Shantytown dwellers may have the solution to Latin America's problems. PMID:12179848
McCullough, Laurence B.; Arabin, Birgit; Brent, Robert L.; Levene, Malcolm I.; Chervenak, Frank A.
Introduction Over the last decade, planned home births in the United States (US) have increased, and have been associated with increased neonatal mortality and other morbidities. In a previous study we reported that neonatal mortality is increased in planned home births but we did not perform an analysis for the presence of professional certification status. Purpose The objective of this study therefore was to undertake an analysis to determine whether the professional certification status of midwives or the home birth setting are more closely associated with the increased neonatal mortality of planned midwife-attended home births in the United States. Materials and Methods This study is a secondary analysis of our prior study. The 2006–2009 period linked birth/infant deaths data set was analyzed to examine total neonatal deaths (deaths less than 28 days of life) in term singleton births (37+ weeks and newborn weight ≥ 2,500 grams) without documented congenital malformations by certification status of the midwife: certified nurse midwives (CNM), nurse midwives certified by the American Midwifery Certification Board, and “other” or uncertified midwives who are not certified by the American Midwifery Certification Board. Results Neonatal mortality rates in hospital births attended by certified midwives were significantly lower (3.2/10,000, RR 0.33 95% CI 0.21–0.53) than home births attended by certified midwives (NNM: 10.0/10,000; RR 1) and uncertified midwives (13.7/10,000; RR 1.41 [95% CI, 0.83–2.38]). The difference in neonatal mortality between certified and uncertified midwives at home births did not reach statistical levels (10.0/10,000 births versus 13.7/10,000 births p = 0.2). Conclusions This study confirms that when compared to midwife-attended hospital births, neonatal mortality rates at home births are significantly increased. While NNM was increased in planned homebirths attended by uncertified midwives when compared to certified midwives
Sondhi, P R
The basic, subsistence level, needs for an average Indian are Rs. 100 per month. Normally an Indian spends 57 percent of his income on food. From 1961-71 the per capita income rose by only Rs. 90, from Rs. 337 to Rs. 427. 40 percent of the Indian population lives below the poverty line. The population rises in geometric progression, but the economy develops arithmetically. The goal of family planning officials is to stabilize the population as quickly as possible. If the basic minimum is Rs. 100 per month by 1998 then the population must be stabilized by 1984 to zero population growth. The birth rate must be reduced from 20 in 1978-79 to 13 by 1984. The Gross National Product should be raised by a rate of 6 percent per year. If zero population growth is achieved, 4,160,838 births will have been avoided. 1 birth avoided saves approximately Rs. 690 to Rs. 1360. To achieve zero population growth requires massive sterilizations, IUD insertions, and constant motivational efforts through workers in a small community of 3500-5000. The hospital for the State of Haryana needs facilities and personnel to be able to perform 75,000 tubectomies. PMID:10308707
Kim, Young Mi; Kols, Adrienne; Mwarogo, Peter; Awasum, David
Comparisions of family planning sessions in Kenya found distinct gender differences in reasons for visiting the clinics and communication styles of both the clients and the counselors. These communication patterns may be a result of Kenyan gender roles and men's and women's different reasons for seeking family planning services. Implications of…
Worth, George; And Others
This year's annual review of family planning in Korea and Taiwan is represented in three articles. The first, "Korea/Taiwan 1970: Report on the National Family Planning Programs," separately views the program administration, budget, personnel, and evaluation, as well as the various methods employed in controlling the number of births, and…
Population Council, New York, NY.
This report presents a comprehensive review of empirical findings from postpartum research undertaken to date, particularly in respect to the International Postpartum Family Planning Program established by the Population Council in 1966. It is related to a forthcoming report summarizing findings in the field of family planning evaluation. The…
Population Council, New York, NY.
A typology of incentives and the general effects of incentives for family planning are discussed in "Incentives in the Diffusion of Family Planning Innovations," the first of three studies in this monthly publication of The Population Council. A brief review of the history of incentives and their present status in the fields is given, together…
Population Council, New York, NY.
This paper summarizes family planning activities and accomplishments during 1969 and 1970 in Morocco and Tunisia, and then sets forth 12 criteria that are utilized to evaluate the overall progress of the family planning programs in the two countries. These criteria serve to measure the readiness and prospects for the development of viable family…
... 34 Education 2 2010-07-01 2010-07-01 false Individualized family service plans. 303.167 Section...-Application Requirements § 303.167 Individualized family service plans. Each application must include— (a) An assurance that a current IFSP is in effect and implemented for each eligible child and the child's...
Population Council, New York, NY.
A new design for government family planning programs is proposed in "Family Planning Programs: An Economic Approach," the principal article in this monthly publication of The Population Council. The design is intended primarily for low-income countries that seek large and rapid reductions in fertility. Thirteen elements of the proposed system of…
Family planning programmes initiated in the Islamic Republic of Iran from 1966 met with limited success. Following the 1986 census family planning was considered a priority and was supported by the country's leaders. Appropriate strategies based on the principles of health promotion led to an increase in the contraceptive prevalence rate among married women from 49.0% in 1989 to 73.8% in 2006. This paper reviews the family planning programmes in the Islamic Republic of Iran and their achievements during the last 4 decades and discusses the principles of health promotion and theories of behaviour change which may explain these achievements. Successful strategies included: creation of a supportive environment, reorientation of family planning services, expanding of coverage of family planning services, training skilled personnel, providing free contraceptives as well as vasectomy and tubectomy services, involvement of volunteers and nongovernmental organizations and promotion of male participation. PMID:22574484
This article examines the impact of the campaign known as "Bringing New Marital and Reproductive Styles into Tens of Thousands of Households" on family planning in China. The awareness campaign, which started in October 1998, was established to increase the effectiveness of family planning and introduce progressive lifestyles among the population through an interactive and service-oriented approach focusing on the needs of human beings. The program emphasizes the following elements: 1) late marriage; 2) late childbirth; 3) fewer childbirth; 4) gender equality; 5) male participation in family planning; 6) dissemination of family planning and reproductive health knowledge; 7) healthier births and quality of education; 8) enhanced self-care capabilities; 9) higher quality of life; and 10) healthier lifestyles. A face-to-face approach was used to encourage public participation and increase the appeal of family planning programs to ordinary people. Efforts are also being made to expose rural residents to new ideas and lifestyles. PMID:12319745
Flavier, J M
Overly technical terminology and excessive use of lectures impede effective communication and teaching of family planning in the philippines. To achieve better results in information dissemination, especially in rural areas, the author provides a simple, effective, and interactive approach. The clearly-defined objective of identifying what family planning is and how it works is achieved through the use of analogies between farming and human sexual development. These analogies are jointly-developed in the field by groups of family planning workers and 8-10 men and women from the community. The farmers begin the group process by educating the family planning workers about their local farming practices. The workers then develop parallels between farming and the desired family planning messages. Once initiated, farmers are encouraged to develop and share their own parallels, by they with plants, farm animals, beliefs, or household articles. Better understanding, acceptance, and continuation rates will result from this voluntary, interactive approach. PMID:12283886
Alcalay, Rina; Caldiz, Laura
The document addresses communication problems between Anglo-American family planning counselors and Latin-American clients. Cultural differences in attitudes toward family, work, and sexuality are examined. The extended family provides the Latin-American woman with positive self-identity and serves as a source of social relations; it also favors…
Dulli, Lisa S; Eichleay, Marga; Rademacher, Kate; Sortijas, Steve; Nsengiyumva, Théophile
ABSTRACT Objective The primary objective of this study was to test the effectiveness of integrating family planning service components into infant immunization services to increase modern contraceptive method use among postpartum women. Methods The study was a separate sample, parallel, cluster-randomized controlled trial. Fourteen randomly selected primary health facilities were equally allocated to intervention (integrated family planning and immunization services at the same time and location) and control groups (standard immunization services only). At baseline (May–June 2010), we interviewed postpartum women attending immunization services for their infant aged 6 to 12 months using a structured questionnaire. A separate sample of postpartum women was interviewed 16 months later after implementation of the experimental health service intervention. We used linear mixed regression models to test the study hypothesis that postpartum women attending immunization services for their infants aged 6–12 months in the intervention facilities will be more likely to use a modern contraceptive method than postpartum women attending immunization services for their infants aged 6–12 months in control group facilities. Results We interviewed and analyzed data for 825 women from the intervention group and 829 women from the control group. Results showed the intervention had a statistically significant, positive effect on modern contraceptive method use among intervention group participants compared with control group participants (regression coefficient, 0.15; 90% confidence interval [CI], 0.04 to 0.26). Although we conducted a 1-sided significance test, this effect was also significant at the 2-sided test with alpha = .05. Among those women who did not initiate a contraceptive method, awaiting the return of menses was the most common reason cited for non-use of a method. Women in both study groups overwhelmingly supported the concept of integrating family planning
This brief report indicates the accomplishments in family planning of the Automobile Group Corporation in northeastern Changchun, China. This industry has 130,000 staff and workers. The State Family Planning Commission of the Jilin Provincial Government and the Changchun City Government gave an award to this company for having the most advanced unit in family planning provision. This corporation was successful in creating population awareness and strong leadership among its executives for practicing family planning. Administrative workers signed contracts for human reproduction and production of automobiles. The family planning policy was strictly followed on a day-to-day basis. The company offered IEC, contraceptives, and benefits to acceptors. The company provides about 3.5 million yuan per year for family planning activities and strives to improve its services. Women workers now receive reproductive health services. The facility includes a hospital, a family planning clinic, and a maternal and child health clinic and is fully equipped with modern medical instruments for diagnosing gynecological conditions. The quality control management system for producing automobiles is applied to family planning management and applied research on marriage and childbirth. There is 100% acceptance of the one-child certificate. Over 90% of workers delayed marriage and childbirth. During the 1970s and 1980s, about 30,000 births were averted. PMID:12320695
Mexico's private, nonprofit social marketing company, known as PROFAM, intends to expand its family planning clinics to marginal urban areas. The clinics are part of PROFAM's push to diversify social marketing outlets for contraceptive products and other birth control methods. PROFAM expects to establish 3 new clinics, possibly including a pregnancy test laboratory, a small 1-doctor clinic, and a large clinic housing an operating room. 1 clinic will be located outside the Mexico City area, the program's traditional boundaries. The company currently runs 2 small clinics and a pregnancy testing laboratory in Ciudad Netzahualcoyti, a community of 3.5 million on Mexico City's outskirts. PROFAM recently obtaine d government approval to sell condoms in food stores, which should increase distribtuion and sales. Currently, the company sells over 1 million high quality, lubricated condoms each month, accounting for over half of the Mexican market. Distribution covers 85% of the country's drugstore. Program setbacks occurred in 1981, when the Mexican government cancelled PROFAM's sales permits for all contraceptive products except condoms. Cancelled products included an oral contraceptive and 3 vaginal spermicides. These 4 products had provided nearly 100,000 couple years of protection in 1979 and an estimated 120,000 CYP 1980. During 1979 and 1980, condoms provided about 27,000 and 60,000 CYP, respectively. PROFAM had relied heavily on the pill and spermicides because its early studies showed condoms had a negative image in Mexico, due largely to the product's association with extramarital affairs. To counter this, PROFAM launched a widespread, free product sampling program in 1979, along with a continuing educational and advertising drive. Subsequent consumer surveys revealed a marked increase in product acceptance, with PROFAM's condom becoming the most widely known brand available in Mexico. PMID:12267250
Carr, Themba; Shih, Wendy; Lawton, Kathy; Lord, Catherine; King, Bryan; Kasari, Connie
Rates of participation in intervention research have not been extensively studied within autism spectrum disorder. Such research is important given the benefit of early intervention on long-term prognosis for children with autism spectrum disorder. The goals of this study were to examine how family demographic factors predicted treatment attendance and adherence in a caregiver-mediated randomized controlled trial targeting core deficits of autism spectrum disorder, and whether treatment attendance and adherence predicted outcome. In all, 147 caregiver-child dyads from a low-resourced population were randomized to in-home caregiver-mediated module or group-based caregiver education module treatment. Treatment attendance, adherence, and outcome (time spent in joint engagement) were the primary outcome variables. The majority of families who entered treatment (N = 87) maintained good attendance. Attendance was significantly predicted by socioeconomic status, site, and treatment condition. Families in caregiver-mediated module reported lower levels of treatment adherence, which was significantly predicted by site, condition, caregiver stress, and child nonverbal intelligence quotient. Dyads in caregiver-mediated module had significantly longer interactions of joint engagement, which was significantly predicted by an interaction between treatment attendance and condition. Overall, the results from this study stress the importance of considering demographic variables in research design when considering barriers to treatment attendance and adherence. PMID:26290524
Due to budget cuts at the federal, state, and local levels, family planning clinics that rely in public funding are facing financial hardship. In 1980, the federal government provided $162 million for family planning under Title 10. But for 1991, the allocation was down to $140 million. Compared to 1980, there are 100 fewer government-funded clinics providing family planning. Many health clinics have simply ceased providing such services. The Community Family Planning Council in New York City is one of those organizations that has suffered severely from the cutbacks. Previously operating 12 family planning clinics, the council had no choice but to close 3 clinics that served about 10,000 low-income women, after the city's Human Resource Administration (HRA) cut $1 million from the council's budget. For 1992, HRA plans increase the cut to $2.3 million. The majority of the women affected are part of the "working poor," women who work for minimum wage. Family planners say that, in the long run, the consequences of the cutbacks will be more expensive for the city. Many women will have unwanted pregnancies, and many will be forced to quit their jobs to care for the baby, relying on public assistance and Medicaid. As the council has argued to city officials, family planning programs are cost effective. The council estimates that their programs prevent about 4500 pregnancies and 2000 abortions each year, which saves the city $15 million a year social services. Massive cutbacks also threaten family planning services in New Hampshire, where legislators where proposing to cut all funding. After pleas from family planners, the state is not looking at 45% reduction. A bright note has been California, where evidence to the cost-effectiveness of family planning convinced the governor to propose a $10 million increase for 1992. PMID:12284064
American Council of Life Insurance, Washington, DC. Education and Community Services.
This publication for teachers focuses on one specific content area of consumer education--financial planning. The first major section begins by identifying eight competencies in financial planning education. It describes the financial planning process used to anticipate changes in moving from one stage of life to another, choosing the options, and…
Since the official launching of the Philippine Population Program in 1970, family planning campaigns have substantially addressed themselves to women. The suggestion to devote equal, if not more, attention to men as family planning targets had been raised by Dr. Mercado as early as 1971. It was not until 1978, that the deliberate inclusion of males as a target audience in family planning became a matter of policy. The Population Center Foundation (PCF), from 1979 to 1982, carried out research projects to determine the most suitable approaches and strategies to reach Filipino men. The objectives of the PCF's Male Specific Program are: 1) to test alternative schemes in promoting male family planning methods through pilot-testing of family planning clinics for men, 2) to develop teaching materials geared toward specific segments of the male population, 3) to undertake skills training in male-specific motivational approaches for program professionals, and 4) to assess the extent of the husband's role in family planning. An important finding of 1 study was that most outreach workers were female stood in the way of the motivation process, thus hampering the campaign. While the consultative motivational skills training improved knowledge, attitudes, and skills of outreach workers with regard to vasectomy and the motivation process, there were certain predispositions that were hindering the fieldworkers' effectiveness in motivating target clients. Overall, in-depth, 1-to-1 motivation in dealing with men is needed to strengthen internalization of family planning values. PMID:12280740
Macqueen, I A
Recommendations on community family planning services are made by an Aberdeen Medical Health Officer. It is noted that: 1) both GPs and clinics have their value in contraceptive treatment; 2) clinics should be conveniently located and might be set up in buildings which are used for other health purposes at other times; 3) most women work so there should be evening sessions; 4) arrangements should be made which include both an appointments system and emergency visits; 5) reception at the clinic should be courteous and without moral judgements; 6) domiciliary services should be used only as a last resort; and 7) payment of prescription charges is now required, but there might be advantages in changing this to a free service. The ideal person for motivating people to use the service is the health visitor. More health visitors are needed, salaries and promotions must be raised, and enrolled nurses should be recruited to act as assistants to health visitors. Benefits of the Aberdeen community family planning services are described. Such services increase the happiness of the community and save the community a considerable amount of money. PMID:4428028
Roberts, D; Panitchpakdi, P; Loevinsohn, B
Management strategies for reducing discontinuation in family planning programs are summarized; the strategies are practical and show how to analyze data for women who stop using contraception. Common factors that are associated with high levels of discontinuation are identified. Recommendations are made for how program managers can change service delivery in order to improve client continuation. Understanding the size and nature of discontinuation is an important precursor to a solution. Data collection on discontinuation could be combined with a system for tracking and follow-up of individual clients. The reasons that women stop using contraception are identified as those which clinics can or cannot control. A clinic discontinues is one who is a "no show" within a reasonable period of time. Decisions need to be made about the type of discontinues to be tracked, e.g. all new acceptors or pill users only. How to identify no shows, how to use the daily register tracking system, and how to calculate discontinuation rates are described. A special daily record tracking system can be used to track clients over years and does not replace the client medical and reproductive history record. The advantages are that client forms to not have to be redesigned and staff training is simple. The disadvantages apply to large clinics and the need for ample filing areas and proper management. An example is given of a working solution in Kenya for a community-based distribution program. Discontinuation rates may be calculated in various ways; a more exact measure tends to be the most useful. Recalculating discontinuation rates at regular intervals can provide an effective way to check standards of care. A tally sheet can be used to track characteristics of discontinues; a sample is given and analyzed to show interpretations which point the way to program changes. Comparisons may be made by age, method type, length of use. An example is given of the Rwanda service delivery system and
Song, K Y
Data from the 1973 National Fertility and Family Planning Survey show that young unmarried women aged 18-27 desire small families and support family planning. These women express a lower son preference than did young currently married women surveved in 1973 and earlier. A majority of the respondents approve of the "stop at two" slogen of the family planning association, and they want to obtain more information about contraception before marrying. Unfortunately, survey results show that present sources of contraceptive information, including the schools, have not proved adequate. PMID:1209695
Wilson, Samantha L.
The child-caregiver relationship has long been recognized as crucial to social-emotional functioning and later development. Specifically, the consistency with which caregivers interact with young children in warm, supportive ways is related to optimal early development. This may be especially critical in the families formed by international…
Suyono, H; Parsons, J S; Teachman, J D
This paper discusses the strategy of the Indonesian national family planning program for the coming 5-10 years, in which communities will be given greater responsibility for their own fertility limitation programs and a stronger alliance with other government programs will be sought in order to assure the long-term success of both family planning and development activities. The article explains why more vigorous fertility limitation efforts will be required in the future despite encouraging results so far, and describes the structure of the Indonesian national family planning program. The rationale behind the move away from clinics as depensers of family planning services is examined, and the community family planning approach in Bali is described and compared to that in Java. The differing approach to service delivery in the Outer Islands is then discussed. The relationship between development and the small family norm is discussed, and efforts underway to maximize cooperation between the family planning and development sector projects are described. PMID:12309781
Balogun, S K
The potential usefulness of improvisational techniques in changing deeply embedded pronatalist attitudes was assessed in an exercise involving University of Ibadan students. The students were instructed to write an essay in support of family planning. To assist them, 4 statements were provided to the students as guidelines: 1) birth control is the best way to create a happy family; 2) family planning can reduce the burden created by overly large family size; 3) family planning has the potential to raise the standard of living of African families; and 4) overpopulation is at a critical point in Nigeria. It was hypothesized that these arguments, which are counter to those prevalent in Nigeria, would force students to critically examine their thinking and lead to some attitudinal conversion. In addition, some students were given a pretest before and/or after writing the essay that asked their opinion on 5 items: 1) family planning is alien to African culture; 2) excessive childbearing is unhealthy for families and the society; 3) the government should enact antinatalist legislation; 4) there is no present need for large families; and 5) family planning is essential to provide children with a good education. Although students who wrote the essays developed stronger support for all items except number 3, the change in attitudes was not statistically significant. The attitude changes were greatest among the subset of students who took the test before writing the essay and thus were sensitized to the issues. Males, Christians, and older students were more likely to be supportive of family planning than their counterparts. Although this technique was not very effective in this study, its evaluation in other populations is suggested. PMID:12343207
This statement was made by the director of CPIRC in China. Opening remarks focused on the admirable achievement in the reduction of births over 20 years by about 300 million, which is more than the combined populations of Canada and the USA. Family planning programs are considered as providing the means for couples to have fewer children and as promoting social progress and the advancement of women. IEC programming for family planning is extensive and country wide. Home visitation for family planning is part of programming within the All China Women's Federation and the China Family Planning Association. IEC programs include information about population, reproductive health, and family planning for millions of families. The opportunity is available for Chinese women to acquire knowledge and make decisions that balance individual needs with social responsibility and to have access to information on modern methods, on healthy childrearing patterns, and on maternal health. Chinese women are considered able to have an equal say with their husbands in determining the size and spacing of children. The maternal and child health (MCH) and family planning network is described as including 374 MCH hospitals, over 2800 MCH clinics and stations, 2300 county family planning service stations, and millions of medical professionals in mobile medical teams. Jiangsu is identified as a particularly successful province in achievement of health and family planning. State family planning policy and related regulations are understood within the context of integrated programs combining family planning with economic development, poverty alleviation, popularization of modern scientific knowledge, and betterment of social security systems. The example is given of Henan province where girls are enthusiastic about learning and bring productive skills as a form of dowry to the marriage. Rural women are encouraged to participate in training, and urban women are encouraged to serve as public role
Kakar, V N
A massive drive has been launched throughout India in an effort to reenergize the family planning program. The Prime Minister has made a special appeal to the nation from radio and television networks and through the press to adopt the small family norm as a way of life. The Chief Ministers and the Health Ministers in the States have made similar appeals to the people and the doctors. The current drive was preceded by 18 months of concentrated efforts to vitalize the family planning program. The change in nomenclature from "family planning" to "family welfare" created some misunderstanding regarding the government's own commitment to the program, but it is now widely understood that while family welfare aims at the total welfare of the family, family planning is an essential part of it. The government has tried to involve all sectors of society in program efforts. The mass media is now focusing attention on "family welfare" almost continuously. In villages, a large-scale program of organizing education camps of opinion leaders is now underway. The rural health scheme, initiated in October 1977, promises to bring about increased participation of the people in village programs. 54,000 community health workers have already started serving the rural population in their areas. In 2-3 years there will be 1 trained community health worker in every Indian village. PMID:12309490
Kikuchi, Kimiyo; Ghimire, Mamata; Shibanuma, Akira; Pant, Madhab Raj; Poudel, Krishna C.; Jimba, Masamine
Introduction HIV-positive people’s clinic attendance for medication pick-up is critical for successful HIV treatment. However, limited evidence exists on it especially in low-income settings such as Nepal. Moreover, the role of family support in clinic attendance remains under-explored. Therefore, this study was conducted to examine the association between perceived family support and regular clinic attendance and to assess factors associated with regular clinic attendance for antiretroviral pills pick-up among HIV-positive individuals in Nepal. Methods A cross-sectional study was conducted among 423 HIV-positive people in three districts of Nepal. Clinic attendance was assessed retrospectively for the period of 12 months. To assess the factors associated, an interview survey was conducted using a semi-structured questionnaire from July to August, 2015. Multiple logistic regression models were used to assess the factors associated with regular clinic attendance. Results Of 423 HIV-positive people, only 32.6% attended the clinics regularly. They were more likely to attend them regularly when they received high family support (AOR = 3.98, 95% CI = 2.29, 6.92), participated in support programs (AOR = 1.68, 95% CI = 1.00, 2.82), and had knowledge on the benefits of antiretroviral therapy (AOR = 2.62, 95% CI = 1.15, 5.99). In contrast, they were less likely to attend them regularly when they commuted more than 60 minutes to the clinics (AOR = 0.53, 95% CI = 0.30, 0.93), when they self-rated their health status as being very good (AOR = 0.13, 95% CI = 0.04, 0.44), good (AOR = 0.14, 95% CI = 0.04, 0.46), and fair (AOR = 0.21, 95% CI = 0.06, 0.70). Conclusion HIV-positive individuals are more likely to attend the clinics regularly when they receive high family support, know the benefits of antiretroviral therapy, and participate in support programs. To improve clinic attendance, family support should be incorporated with HIV care programs in resource limited settings
Stolee, Paul; Zaza, Christine; Sharratt, Michael T
While most older adults have thought about their future care needs, few have discussed their preferences with family members. We interviewed older persons (24), adult children (24), health professionals (23), and representatives of stakeholder associations (3) to understand their views and experiences on later life care (LLC) planning conversations, in terms of (a) their respective roles, and (b) barriers and facilitators that should be taken into account when having these conversations. Roles described included that of information user (older persons), information seeker (family members), and information provider (health care providers). The study identified practical and emotional considerations relevant to LLC planning conversations. This study found strong support for planning for LLC before the need arises, as well as important potential benefits for older adults, family members, and health professionals. There is interest in, and need for, resources to guide families in LLC planning. PMID:24652903
Warwick, D P
Integrating family planning programs with local cultures can increase or undermine their effectiveness. Program design and organization will be influenced by kinship and reproductive decision-making, which varies across regions, racial and communal divisions, and religions. Program implementation depends on four aspects of culture: (1) the understanding, acceptance, and continued practice of family planning by clients; (2) the climate in the organizations responsible for fieldwork, which affects the disposition to work and the tasks to be done; (3) the ability and willingness of field implementers to do their work; and (4) the communities in which clients live, including collective attitudes toward family planning and local pressures put on clients to participate. The Indonesian family planning program is a case in which these elements of culture are often positive. Other programs, such as that in Kenya, have a more negative environment for action. PMID:3284022
On the basis of Marx and Engels' prediction and thesis of scientific socialism, socialist China, the most populous nation in the world, is the 1st to have realized the planned management of population reproductive in the history of mankind, thus giving an answer to the problem in practice. This paper makes a tentative exploration of such a necessity in socialist family planning. Engels points out that 1) under private ownership, population reproduction takes class antagonism as the basis, while public ownership of the means of production eradicates it; 2) in capitalist society, the reproduction of the labor force is commodity reproduction--public ownership of the means of production can be divorced from the domain of commodity; and 3) under private ownership, population reproduction is purely the private business of an individual or a family whose economic benefit forms the motive force of population reproduction--public ownership liberates it from one's personal gains making it a public affair. The great significance of family planning to economic development can be recognized as production, consumption, and accumulation. Taking family planning as the basis for the reproduction plan of the labor force is the guarantee of realizing the material production plan. Family planning reflects the trend of the structure and change of consumer requirements and provides the direct and indirect objectives of various items of material production planning; it provides the objective basis for social accumulation and the arrangement of expanding reproduction. 3 conclusions are derived: 1) the building up of the public ownership of the means of production affords man the possibility to regulate the production of matter as well as man, 2) the characteristics of the planned development of a socialist national economy demands the planned production of man, and 3) family planning and the development of a socialist economy demand their mutual congruence. PMID:12314263
This brief article summarizes a speech given by the Director of Population Studies in Hebei, China, on family planning and sustainable development. Concurrent with the implementation of the family planning policy over the past 20 years was the implementation of development policies in rural areas. Agricultural policy shifted from support of the commune system to a land-leasing system. The land-leasing system is an improvement that inspires farmers to become wealthy and modernized. The new rural administration encourages modernization that releases manpower, and thus, frees farmers to concentrate on improving production and farming techniques rather than on increasing reproduction. Farmers decide on working time allocation and investment. Surplus agricultural laborers are migrating to cities in search of better work opportunities. Legal measures are needed to help migrants adapt to development. Urban living requires a one-child policy, while a two-child policy is acceptable in poor and mountainous rural areas. "The education of family planning must be mandatory." Under the new policies, people must become committed to family planning. Farmers are beginning to discover the benefits of family planning. Farmer's enlightenment occurred as a result of the family planning and poverty alleviation efforts during the late 1980s and 1990s. Farmers appreciate the government assistance and now believe that family planning benefits individuals and enhances their honor and responsibility. The benefits of the policy will continue into the future. "Sustainable population development is an important part of economic development." China is entering the new century with a new type of demographic structure, a new cultural system of family planning, and practical efforts. PMID:12292780
The paper discusses the effects of the changes of rural income level on family planning practice based a survey of 200 rural families in a affluent vegetable producing area of suburban Beijing. In 1984, 99.7% of child birth followed the local birth planning, and 99.1% of families with one child received One Child Certificates. The annual per capita income of the 200 families was 1,092 yuan (1 US$ = 3.7 yuan) in 1984 even higher than the community average. The number of children was negatively associated with the per capita income and per capita consumption except families with 4 children, most of whom have grown up. The rural mechanization in the community has greatly increased the need for skills and technology rather than strong laborers. The provision of community welfare programs and the increased living standard changed the value of children and also changed people's perception in favor of gender equality. Among families with 1 or 2 children, most preferred to have girls. And among families with more children, the preferred family size is smaller than the actual size, which shows a tendency towards favoring a small family. Among 1 child families, 58.7% considered 1 boy and 1 girl to be ideal, and 37.7% was happy with the only child. As the community becomes richer, both the community and individual families increased their investment in education. The spending on education per child was over 2 times as high in 1 child families than the families with more children. The educational status of parents is positively associated with the exception of children's future education and current spending on education. The concern of parents over children's education is an important factor in improving the quality of labor force. Women of higher education status are more acceptable to contraception and family planning policy. The relatively high level of education of the community has been conducive to it fertility decline. PMID:12280626
Concerned over a high rate of abortions that could be undermining the health Soviet women, the USSR has begun developing a family planning agenda designed to improve maternal and child health. Compared to industrialized countries, the USSR's infant mortality is high. This fact may be explained by the extremely high rate of abortions -- an annual 12 million induced abortions in a country with 70 million women of fertile age. The average Soviet woman of fertile age has had between 4 and 6 abortions (some have had as many as 20 abortions performed in their lifetime). About 1/2 of all the country's gynecologists do nothing but perform abortions. The heavy reliance on abortion is due to shortages in any other birth control methods. When abortion was legalized in 1955, the government did not promote family planning. Many Soviet people, however, had become concerned over the dangers of abortion. With the changes brought on by Glasnost and Perestroika, a movement to develop a family planning agenda began growing. As a result, the Soviet government has begun promoting family planning programs in an effort to improve maternal health and reduce the number of abortions. And in 1989, the Soviet Family Health Association (SFHA), a self-financing nongovernmental organization dedicated to family planning, started operating. Furthermore, in 1990, an appeal by President Mikhail Gorbachev led the Supreme Soviet to create the Committee on Problems of Women, Family and Maternal and Child Health Care. PMID:12284285
Tata, N H
The overall population problem of the world is discussed briefly. The author asserts that rapid population growth has serious social and political implications and imposes serious restraints on economic progress. It is also linked to problems of urbanization. Family planning is a way out. The state alone is not enough to make family planning successful, it must be supported by the different segments of society. Employers have a major social responsibility in this respect. After this general introduction, and the assertion of the basic role of the employer in family planning programs, the author deals with the specific situation in India in terms of 1) its population problem, 2) progress and impact of the Indian family planning program, and 3) the role of employers in the promotion of family planning in India; a detailed section is devoted to the family planning centers of the Tata group of companies (Tata textile units, chemicals, iron and steel, engineering and locomotive, etc.). The author enumerates the measures to promote effective participation by employers, which include 1) an organized framework, 2) assistance to employers, and 3) removal of disincentives. The author concludes by saying that the efforts of employers to limit population growth need to be supplemented by international cooperation and action. PMID:12257448
Garg, Suneela; Singh, Ritesh
The family planning programme of India has shown many significant changes since its inception five decades back. The programme has made the contraceptives easily accessible and affordable to the people. Devices with very low failure rate are provided free of cost to those who need it. Despite these significant improvements in service delivery related to family planning the programme cannot be said to achieve success at all levels. There are many issues with the family planning services available through the public health facilities in India. Failure to adopt the latest technology is one of these. But the most serious drawback of the programme is that it has never been able to bridge the gap between the two genders related to contraceptives. The programme gave emphasis to women-centric contraceptive and thus women were seen as their clients. The choice to adopt a contraceptive though is ‘cafeteria approach’ in family planning lexicon; it is the choice of the husband that is ultimately practiced. There is not enough dialogue between husband and wife and husband and health worker to discuss the use of one contraceptive over another. The male gender needs to be taken in confidence while promoting the family planning practice. The integration of gender equity is to be done carefully so as not to make dominant gender more powerful. Only when there is equity between genders while using family planning services the programme will achieve success. PMID:25673536
Elfenbein, Iris M.; And Others
The first of a series on personal and family financial planning (PFFP) education, this publication presents five papers examining the need for educational programs that emphasize the use of financial resources in ways that contribute to family stability. C. Raymond Anderson discusses the inability of many individuals to realistically manage…
Castro Villamil, R
During the 1960s, when family planning services were institutionalized in Colombia by PROFAMILIA, abundant foreign assistance was readily available. Few questions were asked about the longterm funding of family planning programs or the need for financial self-sufficiency. The emphasis was on program development without great attention to costs. Beginning around the early 1980s, international donors began to place a higher priority and greater investment in the incipient family planning programs of less developed countries. At present a greater number and higher quality of services are being demanded from PROFAMILIA at the lowest possible cost. Efficiency has replaced efficacy as the overriding goal. PROFAMILIA, due to its excellent results, has lost priority in the eyes of international donors. It has therefore reoriented its financing strategies toward a short, medium, and long term plan to reduce its financial dependence on international donor agencies. Self-sufficiency could be increased through various means, including total government subsidy, charging fees for services and materials sufficient to cover program costs, establishing services and marketing programs aside from family planning programs for the specific purpose of obtaining funds to cover program deficits, or establishing accounting and operational controls to reduce costs through greater efficiency. But large government subsidies are unlikely in a time of budgetary constraints, and raising fees for family planning users would exclude a large number of low-income clients from the family planning program. Cost reduction and implementation of diversified programs should therefore be emphasized for the present. The diversified program should be related to family planning so that use can be made of idle resources. PROFAMILIA has emphasized surgical procedures and medical consultations to utilize clinic facilities more fully and to increase income without increasing fixed costs. In 1990, foreign
Navot, Noa; Jorgenson, Alicia Grattan; Vander Stoep, Ann; Toth, Karen; Webb, Sara Jane
The diagnosis of a child with autism has short- and long-term impacts on family functioning. With early diagnosis, the diagnostic process is likely to co-occur with family planning decisions, yet little is known about how parents navigate this process. This study explores family planning decision making process among mothers of young children with autism spectrum disorder in the United States, by understanding the transformation in family vision before and after the diagnosis. A total of 22 mothers of first born children, diagnosed with autism between 2 and 4 years of age, were interviewed about family vision prior to and after their child's diagnosis. Grounded Theory method was used for data analysis. Findings indicated that coherence of early family vision, maternal cognitive flexibility, and maternal responses to diagnosis were highly influential in future family planning decisions. The decision to have additional children reflected a high level of adaptability built upon a solid internalized family model and a flexible approach to life. Decision to stop childrearing reflected a relatively less coherent family model and more rigid cognitive style followed by ongoing hardship managing life after the diagnosis. This report may be useful for health-care providers in enhancing therapeutic alliance and guiding family planning counseling. PMID:26395237
Planned Parenthood--World Population, New York, NY. Katherine Dexter McCormick Library.
Abstracts of current publications in the fields of population and family planning are contained in this monthly acquisitions list of the Katherine Dexter McCormick Library, Planned Parenthood, New York. Organized in two parts, Part 1 contains an annotated list of the books most recently acquired by the Library, marked with its Library call number,…
Piotrow, Phyllis T., Ed.
Analysis of Latin America's demographic situation has led many to believe that the present rapid rates of population growth, the highest anywhere in the world, must be reduced in order to prevent catastrophe. Family planning associations, affiliated with the International Planned Parenthood Federation (IPPF), have been organized in 29 Latin…
Victor-Bostrom Fund Committee, Washington, DC.
This report contains eight articles on the importance of the role of women in family planning. An Assistant Secretary General for Social Development and Humanitarian Affairs, United Nations, calls for increased female participation in national development. The Secretary General of The International Planned Parenthood Federation observes that women…
Although the demographic explosion in Rwanda will have catastrophic consequences if it is left unchecked, the family planning program has been received with hostility within the country. The National Population Office has conducted 2 studies to provide information on the costs and use of family planning services from 1981-88 and to project the findings into the future in demographic and financial terms. The population of Rwanda increased from 2 million in 1950 to 7 million in 1990 and will exceed 10 million in 2000. The projection is based on various hypotheses about demographic behavior from 1981, when the family planning program began, to 2011. The model measures the impact of family planning on population size and then assesses the repercussions of family planning on health, education, and agriculture expenditures. According to the projection, in the year 2011 with and without family planning respectively, the total population will be 17.7 or 13.2 million, the rate of increase will be 4.5% or 2.7% per year, and the number of children per woman will be 10.6 or 4.7. The rate of contraceptive prevalence is projected to increase from 8.0% in 1990 to 34.8% in 2000 and 46.8% in 2011. Expenditures for health care increase as a function of population size and therefore grow more rapidly without family planning. The government would save 29.2% of health expenditures and about 1/3 in education expenditures in 2010 if fertility declined according to the projection. Lower fertility would facilitate improvements in both health and education services. But it is in the agricultural sector that family planning would have the greatest impact in Rwanda. 93% of the economically active population is employed in agriculture, but available land has disappeared and productivity has declined due to soil exhaustion. The food supply is no longer adequate and famine threatens certain regions. Because population is increasing more rapidly than food production, the per capita food supply
The Family Planning Association of Pakistan has begun a program of integration of family planning activities with other voluntary welfare agencies. 1 of the more successful projects has been in cooperation with the Family Welfare Cooperative Society of Lahore. Volunteers have provided facilities to very low-income women to help supplement income. At 1st it was knitting, embroidery, and cloth manufacture, but over several years it developed into a complex of several buildings with a comprehensive vocational training center, a showroom, schools for the children of mothers in training, a secretarial school, and a hostel for homeless women there. There is a medical unit, a full-time doctor, and family planning services. PMID:12260386
The implementation of the Integrated FP/MCH/Parasite Control project by JOICFP in 1984 was envisioned to strengthen international cooperation, promote international exchange of knowledge and expand approaches in the practice of family planning. 2 municipalities in China were selected as pilot project areas. The objectives set in the 3-year plan of the integrated project are: to publicize the advantages of family planning and improve people's knowledge and practice of family planning; to stengthen technical guidance on family planning and control the growth and improve the quality of the population; to improve maternal and child care; and to reduce the infection rate of soil-transmitted helminthiasis. Steering committees on the integrated project at the municipal, county, township and village levels were set up in the pilot areas; the significance of the project has been communicated through film and slide presentations. Training courses for the administrative workers and technicians have been held. As a result of the family planning education activities, the contraceptive rates in the 2 pilot areas remained stable at 85%. Neonatal mortality was reduced significantly. Parasite control has benefitted 52,546 people in the pilot areas. An improvement was noted in environmental hygiene, the proper disposal of waste and the provision of safe drinking water. Further improvement can be achieved by intensifying public health education in the project areas, improving working systems and accomplishing all the tasks that the integrated project has set forth. PMID:12313888
Rohrer, James E; Young, Rodney
Background The independent effects of stress on the health of primary care patients might be different for different types of clinic populations. This study examines these relationships in a low-income female population of patients attending a family planning clinic. Methods This study investigated the relevance of different sources of personal stress and social support to self-rated health, adjusting for mental health, health behavior and demographic characteristics of subjects. Five hundred women who attended family planning clinics were surveyed and 345 completed the form for a response rate of 72 percent. Results Multiple logistic regression analysis revealed that liking oneself was related to good self-rated health (Odds ratio = 7.11), but stress or support from children, parents, friends, churches or spouses were not significant. White non-Hispanic and non-white non-Hispanic respondents had lower odds of reporting good self-rated health than Hispanic respondents (odds ratios were 2.87 and 2.81, respectively). Exercising five or more days per week also was related to good self-rated health. Smoking 20 or more cigarettes per day, and obese III were negatively related to good self-rated health (odds ratios were .19 and .22, respectively with corresponding p-values equal to .0043 and .0332). Conclusions Among younger low-income women, addressing low self-esteem might improve health status. PMID:15176984
Pallone, Stephen R; Bergus, George R
Modern fertility awareness-based methods (FABMs) of family planning have been offered as alternative methods of family planning. Billings Ovulation Method, the Creighton Model, and the Symptothermal Method are the more widely used FABMs and can be more narrowly defined as natural family planning. The first 2 methods are based on the examination of cervical secretions to assess fertility. The Symptothermal Method combines characteristics of cervical secretions, basal body temperature, and historical cycle data to determine fertility. FABMs also include the more recently developed Standard Days Method and TwoDays Method. All are distinct from the more traditional rhythm and basal body temperature methods alone. Although these older methods are not highly effective, modern FABMs have typical-use unintended pregnancy rates of 1% to 3% in both industrialized and nonindustrialized nations. Studies suggest that in the United States physician knowledge of FABMs is frequently incomplete. We review the available evidence about the effectiveness for preventing unintended pregnancy, prognostic social demographics of users of the methods, and social outcomes related to FABMs, all of which suggest that family physicians can offer modern FABMs as effective means of family planning. We also provide suggestions about useful educational and instructional resources for family physicians and their patients. PMID:19264938
Aguayo Hernandez, J R
Institute of Social Security estimates that the rate of abortion has declined by about 25% between 1982-1990. Currently 1 of every 10 pregnancies is believed to end in induced abortion. Family planning programs have led to declines in the rates of both pregnancy and abortion in Mexico. The number of fertile-aged women attended in Social Security facilities for abortion complications declined from 11.5/1000 in 1982 to 8.8 in 1990. The extremes of opinion about whether abortion should be made safe and legal appear irreconcilably opposed. From a national perspective, abortion is a public health problem that needs to be addressed by the health sector. Existing laws permitting abortion under some circumstances should be made more explicit. The point of view of society should be respected, but women should also be protected. PMID:12317070
Although pharmacies now dispense primarily modern products originating in large multinational corporations, the community pharmacist has not been replaced by any ultramodern technological advance. Many thousand persons acquire family planning products in pharmacies. The pharmacist works many hours a day, is always available, and provides free advice to his clients. Pharmacists are consulted daily on numerous topics, especially on family planning. Many prsons in rural areas are without the services of a physician and rely on pharmacists all the more. Pharmacists could orient the public on family planning in general, help in choosing the most appropriate of available methods, and refer patients to physicians in case of problems. Participants at the recent International Conference on the Role of Retail Pharmacists in Family Planning, held in Alexandria, Egypt, concluded that pharmacists should cooperate with physicians and other health professionals to provide family planning services and should participate in elaboration of laws regulating the manufacture, storage, prices, and distribution of contraceptives. The prices of contraceptive supplies to the consumer could be reduced if taxes and import duties were removed, if supplies were produced locally, or if supplies were subsidized by some donor organization. PMID:12178199
Rix, B A
An April 1994 workshop involving 13 men associated with European Family Planning Associations emphasized the need for greater male involvement in family planning and sex education. The redefinition of traditional sex roles currently underway in Europe provides a basis for men to discuss sexuality more openly and assume a more active part in family planning activities. This will not occur under existing family planning clinic models, however. Family planning associations must train male educators to train their counterparts and consider the establishment of special facilities to reach and meet the needs of men. In countries such as Sweden, Denmark, Holland, and Ireland, where male-specific services (e.g., sex education clinics for boys, courses on male sexuality for teachers and other role models, special educational materials) have been made available, the response has been overwhelming. Other suggested programs include peer-led boys' discussion groups, educational programs at sites such as sports clubs and army barracks, and open discussions of sensitive issues such as homosexuality, masturbation, and pornography. Also in need of revision is condom information. Such training should include advice to first try to masturbate with a condom and the experience of condom purchase. Realistic information on the difficulties of condom use should be offered, and young men should be given suggested phrases to use in situations when condom use is being negotiated with a partner. PMID:12289090
Hen, Itay; Rieffel, Eleanor G.; Do, Minh; Venturelli, Davide
There are two common ways to evaluate algorithms: performance on benchmark problems derived from real applications and analysis of performance on parametrized families of problems. The two approaches complement each other, each having its advantages and disadvantages. The planning community has concentrated on the first approach, with few ways of generating parametrized families of hard problems known prior to this work. Our group's main interest is in comparing approaches to solving planning problems using a novel type of computational device - a quantum annealer - to existing state-of-the-art planning algorithms. Because only small-scale quantum annealers are available, we must compare on small problem sizes. Small problems are primarily useful for comparison only if they are instances of parametrized families of problems for which scaling analysis can be done. In this technical report, we discuss our approach to the generation of hard planning problems from classes of well-studied NP-complete problems that map naturally to planning problems or to aspects of planning problems that many practical planning problems share. These problem classes exhibit a phase transition between easy-to-solve and easy-to-show-unsolvable planning problems. The parametrized families of hard planning problems lie at the phase transition. The exponential scaling of hardness with problem size is apparent in these families even at very small problem sizes, thus enabling us to characterize even very small problems as hard. The families we developed will prove generally useful to the planning community in analyzing the performance of planning algorithms, providing a complementary approach to existing evaluation methods. We illustrate the hardness of these problems and their scaling with results on four state-of-the-art planners, observing significant differences between these planners on these problem families. Finally, we describe two general, and quite different, mappings of planning
Schenker, J G; Rabenou, V
The world population explosion has caused political leaders to look upon national and regional birth control projects as vital. Support for regulation of individual fertility has been evident in all cultures, and at all times, even in those societies in which social and religious rules have favoured the abundant production of children. As the secularization of Western society and scientific enquiry gained momentum during the modern period, knowledge of reproduction increased and was applied to control human population growth. The various methods of contraception and their development through the years from the ancient ideas to the modern era are presented. Each approach to fertility control has its advantages and disadvantages. No one method is perfect for everyone, for every clinical setting, and in every culture. Higher levels of fertility have been associated with 'traditional', religious prohibitions on some forms of birth control, 'traditional' values about the importance of children and the priority of family, and 'traditional' family and gender roles reinforced by religion. The attitude of the main religious groups to contraceptive practice is discussed. PMID:8345093
Fehring, Richard J
The purpose of this study was to determine the influence of contraception, abortion, and natural family planning (NFP) on divorce rates of US women of reproductive age. The variables of importance of religion and frequency of church attendance were also included in the analysis. The study involved 5,530 reproductive age women in the (2006-2010) National Survey of Family Growth who indicate that they were ever married. Among the women who ever used NFP only 9.6 percent were currently divorced compared with the 14.4 percent who were currently divorced among the women who never used NFP (x (2) = 5.34, P < 0.21). Odds ratio analysis indicated that ever having an abortion, sterilization, and/or methods of contraception increased the likelihood of divorce - up to two times. Frequency of church attendance decreased the risk of divorce. Although there is less divorce among NFP users the reason might be due to their religiosity. Lay summary: Providers of natural family planning (NFP) frequently mention that couples who practice NFP have fewer divorces compared to couples who use contraception. Evidence for this comment is weak. This study utilized a large data set of 5,530 reproductive age women to determine the influence that contraception, sterilization, abortion, and NFP has on divorce rates. Among the women participants who ever used NFP only 9.6 percent were currently divorced compared with the 14.4 percent who used methods of contraception, sterilization or abortion as a family planning method. Frequency of church attendance also reduced the likelihood of divorce. PMID:26912935
Shandong Peninsula, China, includes 24 towns, 4 townships, and 1006 villages with a total 1992 population of 754,000. Due to the family planning program (instituted in the mid 1950s), and its emphasis on the "three stresses" since 1983, the rate of natural increase was maintained for the past decade at 6.59/1000. Marriage and childbirth has been deferred and the annual rate of planned births is 99%. Neonatal mortality is below 10/1000 and life expectancy is 76 years. There have been 260,000 births averted. In 1966, national commendation was given for the achievements in family planning. The city now ranks 12th among the top 100 counties that are the most economically developed. Success was linked with an effective IEC programs. Changing public opinion was accomplished by placing family planning slogans and cards in windows of public places and commercial centers. Contests were held, and performances publicized family planning. There are 1162 population schools in the county which have trained 10,000 family planning publicity workers and about 400,000 others since 1987. Radio and television stations have broadcast regular programs on family planning and population twice a week since 1987. Everyone has radio sets and 90% have televisions. IEC promotion has also been concerned with social security and alleviating poverty. Contraceptive prevalence among reproductive age women is now 91%. After 25 years of family planning operation, the "three stresses" were introduced and popularized in 1983. The goal was no early marriages, no early births, no induced abortions, and no unwanted births. The program strengthened family planning agencies, promoted women's services, oversaw birth quotas, and distributed contraceptives at the grassroots level. By 1991, the city began promoting control of population growth and improvement in human resources. The "four priorities" were formulated by the city for acceptors; housing sites, business licenses, recruitment of only-child parents
College attendance is a generally accepted goal of most students and families. A study by the US Department of Education found that more than 80% of students indicate that they plan on obtaining a college degree (2002). Other studies found that these aspirations were consistent regardless of race, social class, and gender or achievement level.…
In Japan, the condom is the method of choice of 82% of all contraceptive users. The Japan Family Planning Association covers about 3% of the total condom market through a well-organized social marketing scheme. Mobile guidance teams, equipped with a vehicle, supply contraceptives to health centers, independent midwives, and maternity hospitals in 17 prefectures and collect payment for condoms distributed after their previous visit. As an incentive, organizations and health institutions receive a commission for the condoms they supply. Japan's largest condom manufacturer provides supplies to the Family Planning Association at a very low price. The contraceptive social marketing program pays for its own promotion, and the Family Planning Association is able to support its other activities from the income it earns. The program was designed to complement rather than compete with commercial marketing channels such as pharmacies, which supply 60% of the 660 million condoms purchased in Japan each year. PMID:12341264
Basten, Stuart; Jiang, Quanbao
In November 2013, China announced reforms to its family planning policies whereby couples would be allowed to have a second child if either parent is an only child. The announcement garnered worldwide media coverage, and stimulated academic and popular discussion. We explore the context of the 2013 reforms, including the economic, demographic, and political motivations behind them, and speculate on their likely effect. Noting that the impact of the reforms on China's long-term demographic future is likely to be relatively slight, we consider why more radical reform may have been difficult to implement. We offer observations about possible future directions for Chinese family planning policies and explore the notion of "local pronatalism within nationally prescribed antinatalist limits" and how this suggests that an ideological shift within China's family planning apparatus may be plausible. PMID:25469931
... 42 Public Health 1 2010-10-01 2010-10-01 false Who is eligible to apply for a family planning... SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.3 Who is eligible to apply for a family planning services grant? Any public or nonprofit private entity...
... 42 Public Health 1 2012-10-01 2012-10-01 false How does one apply for a family planning services... GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does one apply for a family planning services grant? (a) Application for a grant under this subpart...
... 42 Public Health 1 2014-10-01 2014-10-01 false How does one apply for a family planning services... GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does one apply for a family planning services grant? (a) Application for a grant under this subpart...
... 42 Public Health 1 2013-10-01 2013-10-01 false How does one apply for a family planning services... GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does one apply for a family planning services grant? (a) Application for a grant under this subpart...
... 42 Public Health 1 2013-10-01 2013-10-01 false Who is eligible to apply for a family planning... SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.3 Who is eligible to apply for a family planning services grant? Any public or nonprofit private entity...
... 42 Public Health 1 2012-10-01 2012-10-01 false Who is eligible to apply for a family planning... SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.3 Who is eligible to apply for a family planning services grant? Any public or nonprofit private entity...
... 42 Public Health 1 2011-10-01 2011-10-01 false Who is eligible to apply for a family planning... SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.3 Who is eligible to apply for a family planning services grant? Any public or nonprofit private entity...
... 42 Public Health 1 2011-10-01 2011-10-01 false How does one apply for a family planning services... GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.4 How does one apply for a family planning services grant? (a) Application for a grant under this subpart...
... 42 Public Health 1 2014-10-01 2014-10-01 false Who is eligible to apply for a family planning... SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.3 Who is eligible to apply for a family planning services grant? Any public or nonprofit private entity...
... 42 Public Health 1 2010-10-01 2010-10-01 false What requirements must be met by a family planning... GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.5 What requirements must be met by a family planning project? (a) Each project supported under this part must:...
Congressional legislation seeking to overturn US government restrictions on international family planning assistance face a possible presidential veto. Dating back to the Reagan years, the 1984 Mexico City Policy prohibits foreign nongovernmental organizations (NGO) receiving US money from performing or actively promoting abortion as a family planning method. Even if abortion is legal in that particular country, the agency involved may not even discuss abortion as one of the medical options of a pregnant woman. In line with the Mexico City Policy, the US has withdrawn funding from both the International Planned Parenthood Federation, the largest NGO in the population field, and the Family Planning International Assistance, the international division of the Planned Parenthood federation of America. One of the effects of the Mexico City Policy has been to make family planning more controversial, and to increase opposition to birth control. In addition to the Mexico City Policy, the Reagan years also saw the implementation of a policy that denies funding to the UNFPA, charged by the US of "co-managing" China's population program that engages in coercive abortion and involuntary sterilization. The UNFPA has denied such charges. So far, President George Bush -- previously a supporter of family planning programs -- has sided with opponents of abortion, and has threatened a veto threat may soon be tested, since Congress has drafted a foreign aid appropriations bill that has includes a measure saying that NGOs should be treated in the same manner as their governments, which are exempt from the Mexico City Policy so long as US funds are not used to support abortions. PMID:12178849
Introduction In recent decades, the foreign population in Spain has increased significantly, particularly for Catalonia, an autonomous region of Spain (2.90% in 2000 and 15.95% in 2010) and in particular Girona province (6.18% in 2000 and 21.55% in 2010). Several studies have shown a lower use of family planning methods by immigrants. This same trend is observed in Spain. The objective of this paper is to determine the existence of differences and possible sources of inequity in the use of family planning methods among health service users in Catalonia (Spain) by sex, health status, place of birth and socioeconomic conditions. Methods Data were taken from an ad-hoc questionnaire which was compiled following a qualitative stage of individual interviews. Said questionnaire was administered to 1094 Catalan public health service users during 2007. A complete descriptive analysis was carried out for variables related to public health service users’ sociodemographic characteristics and variables indicating knowledge and use of family planning methods, and bivariate relationships were analysed by means of chi-square contrasts. Considering the use (or non-use) of family planning methods as a dependent variable and a set of demographic, socioeconomic and health status variables as explanatory factors, the relationship was modelled using mixed models. Results The analysed sample is comprised of 54.3% women and 45.7% men, with 74.3% natives (or from the EU) and 25.7% economic immigrants. 54.8% use some method of family planning, the condom (46.7%) and the pill (28.0%) being the two most frequently used methods. Statistical modelling indicates that those factors which most influence the use of family planning methods are level of education (30.59% and 39.29% more likelihood) and having children over 14 (35.35% more likelihood). With regard to the origin of the user, we observe that patients from North Africa,sub. Saharan Africa and Asia are less likely to use family planning
Dumitrache, F; Gheorghiţă, E
Female hormonal contraceptives, introduced commercially in 1959, contained 10 mg of norethynodrel and .15 mg of mestranol. The estrogen and progesterone doses were progressively reduced over time. In 1989, approximately 60 million couples used oral contraceptives (OCs) ranging from 1% in Japan to 40% in the Netherlands. The monophasic pill contains .01 - .04 mg of ethinyl estradiol (EE), and the biphasic pill contains increasing doses of progesterone and estroprogesterone in the course of the menstrual cycle. Triphasic combined pills contain an initially dominant estrogen dose. In oral sequential pills, estrogen is given on days 14-16 followed by a estroprogesterone for 5-7 days. Micropills with progesterone, injectables with medroxyprogesterone, and 3rd-generation OCs such as gestoden with a low progesterone dose of .04 mg/day and reduced androgenic activity are among other OCs. The OCs are administered in 21-22 day packets. Absolute contraindications include history of venous thrombosis, atherogenic lipid profile, hormone-dependent cancer, and allergy. Relative contraindications include arterial ailments, smoking, hypertension, older age, obesity, and familial history of cardiovascular and cerebrovascular accidents. Interactions with antibiotics (ampicillin and tetracycline) occur as the modified intestinal flora reduces the level of deconjugated EE. Most frequent side effects are depression, modification of libido, ocular disorders, headache, and urinary infection. Benefits include favorable modification of menstrual cycle, and reduction of endometriosis and endometrial and ovarian cancer. Systemic risks such as cardiovascular and blood coagulation effects occur mainly with high-dose OCs. Further topics addressed are the cancer risk and protective effect of OCs, postcoital OCs, traditional contraception, the IUD, RU-486, implants, vaccination with the human antigonadotropine, and the vaginal ring. PMID:1823414
Decades of social change in West Germany and the emergence of an ideology that stresses individualism have altered dramatically procreative behavioral patterns. At present, West Germany is characterized by a low marriage rate (6.1/1000 in 1986), declining fertility (10.3 birth/1000), rising divorce rates (20.1/1000), and increases in the proportion of single-person households (34%). The relationship between family planning, family policy, and demographic policy is unclear and changing. Family planning practice is viewed as a part of comprehensive life planning and is based on factors such as partnership or marital status, sex roles, the conflict between working in the home and having a career, consumer aspirations, and housing conditions. The Government's family policy includes the following components: child benefits, tax relief on children, tax splitting arrangements for married couples, childcare allowance, parental leave, student grants, tax deductions for domiciliary professional help and nursing assistance, and the provision of daycare. Thus, West Germany's family policy is directed more at encouraging and facilitating parenthood and family life than at a setting demographic goals. There is no evidence, however, that such measures will be successful and divergent influences of other policy areas are often more compelling. Nor is there any way to quantify the fertility-costing impact of individual family policy measures. The indistinct nature of family planning policy in West Germany mirrors political differences between the current coalition government, which maintains a traditional view of the family, and the opposition Social-Democratic and Green Parties, which question whether the equality of men and women can be achieved in the context of old family structures. PMID:12316308
Many family planning specialists worldwide are praising the success of the family program of Indonesia because fertility rates have fallen considerably in many parts of the country. Yet, others question the reliability of the data collected and distributed by the National Family Co-ordinating Board (BKKBN), whether the publicized fertility rates are real, and whether the program or socioeconomic changes are responsible for the decline. Further, no one has assessed whether the program is sensitive to women's needs and desires. Overall, the program does not meet women's needs or consider women's health. Specifically, it deems population control more important than family planning, uses provider-dependent, long-acting hormonal contraceptives, and delivers poor quality service. The BKKBN is a prestigious group and accountable to Indonesia's president because its primary objective is to reduce population growth so socioeconomic development can occur. Even though the program originally stressed maternal and child health as a means for women to accept family planning methods, it no longer promotes maternal and child health as evidenced by the continuously high maternal mortality rates (lowest rate, 450/100,000 lives births). In fact, the maternal mortality rate for 15-19 year old women (1100) is so very high that it is second only to Ethiopia. The Indonesian Planned Parenthood Association agrees that the family planning program of Indonesia does not provide means for women to autonomously control their fertility and has taken as assembly line approach. Moreover, the administrative officials coerce subordinates to meet the ambitious targets who then coerce eligible couples and individuals to accept contraceptives. This violates their basic rights. The program has realized the significant role women play in demographic dynamics, but not as leader of socioeconomic development but as tools to rapidly and effectively implement population policies. PMID:12285429
The goal of the Indonesian family planning program has been to institutionalize both the concept and the norm of a small, happy and prosperous family in a manner that is acceptable to all. To this end, a larger role for the private sector in family planning (FP) has been promoted. While the government program has been very effective in the villages, it was not as effective in the urban areas where there are more diverse populations. Several meetings were held to develop a strategy for FP programs in the urban areas involving both the nongovernment organizations (NGOs) and commercial enterprises. It was agreed that several model programs would be developed through the NGOs with funds coming from both international health organizations and the National Family Planning Coordinating Board. It was hoped that the NGOs would develop into self-sufficient organizations. 1 urban activity that has just started is a specially designed social marketing project aimed at increasing the involvement and commitment of males through a condom distribution scheme. Another promising development is the shifting of the management and implementation of FP programs from the government to the community itself. A primary emphasis is to activate the private sector to expand its role in providing FP information and services. The overall strategy is to create a climate that will make it easier for people to increase their role in family planning service delivery and acceptance through mobilization of resources, funds, facilities and infrastructure so that acceptors will gradually pay for family planning services by themselves according to their needs. PMID:12314467
Cho, Heung-Don; Kim, Nam-Young; Gil, Hyo-wook; Jeong, Du-shin
The frequency and extent of the existence of a familial suicide prevention plan may differ across cultures. The aim of this work was, therefore, to determine how common it was for families to develop a suicide prevention plan and to compare the main measures used by families with and without such a plan, after an attempt to commit suicide was made by a member of a family living in a rural area of Korea. On the basis of the presence or absence of a familial suicide prevention plan, we compared 50 recruited families that were divided into 2 groups, with Group A (31 families) employing a familial suicide prevention plan after a suicide attempt by a family member, and Group B (19 families) not doing so. The strategy that was employed most frequently to prevent a reoccurrence among both populations was promoting communication among family members, followed by seeking psychological counseling and/or psychiatric treatment. Contrary to our expectation, the economic burden from medical treatment after a suicide attempt did not influence the establishment of a familial suicide prevention plan. It is a pressing social issue that 38% (19 of 50) of families in this study did not employ a familial suicide prevention plan, even after a family member had attempted suicide. Regional suicide prevention centers and/or health authorities should pay particular attention to these patients and their families. PMID:26130963