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  1. 1
    070431

    The Soviet question: as the new commonwealth rises from the ruins, will Western family planning assistance come to the rescue?

    Barron T

    FAMILY PLANNING WORLD. 1992 Jan-Feb; 2(1):22-3, 25.

    Family planning in the old Soviet Union was administered through roughly 100 Family and Marriage Centers scattered across the hugh country. Unfortunately they only provided abortions and help for infertile couples, and not much else. The old Soviet government gave contraceptives a low priority and as a result they were only available as imports on the black market. The result is a lot of ignorance and misinformation about oral contraceptives, IUDs, and sexuality in general. The average Soviet women has 4-6 abortions in a life time. The USSR's infant mortality rate in 1991 was 23/1000. In 1988 its maternal mortality rate was 43/1000. The contraceptive prevalence rate in 1988 was 13.7%. There are some small, encouraging signs of change. The abortion rate fell 15.4% between 1975-1988 according to JOICFP. In 1989 the Soviet Family and Health Association (SFHA) was established in order to improve these horrible statistics. The biggest obstacle to the success of the SFHA is the political instability currently being experienced as the Commonwealth is being formed. The IPPF helped raise $14,000 dollars to purchase 15.5 million Malaysian condoms. UN aid is only in the form of technical assistance since the Commonwealth is considered a developed nation. This is the same problem currently facing the Eastern Block nations. The Commonwealth is really like 2 different countries in terms of its family planning needs. The states of the South and East have a population growth rate of 2.5% annually. While the states of the North and West have a population growth rate of 0.6%. Until political stability is achieved in the new Commonwealth, donor nations are going to be unwilling to offer a great deal of assistance. Ultimately the Commonwealth is going to have fund its own family planning system aided by the technical advice from the West.
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  2. 2
    069634

    Trip report, Geneva, Switzerland.

    Wharton C

    [Unpublished] 1990. [6], 3, [26] p.

    In February 1990, a writer for the international publication Population Reports attended the WHO Interagency Consultation to Discuss Strategies for Coordinating and Improving Global Condom Supply in Geneva, Switzerland to garner the most recent facts about the international supply of condoms and their distribution to be incorporated in an upcoming issue. The WHO/Global Programme on AIDS (WHO/GPA) expanded its role recently to become a major procurer of condoms. Its traditional role remained as coordinating agency of condom strategies against AIDS. The writer recommended that the issue on condoms include a short box featuring WHO/GPA condom activities. Participants agreed that national AIDS programs should focus more on condom services. This could include formation of a condom subcommittee, involvement of a condom programming specialist in drafting medium term national plans, and incorporation of condom distributor experiences in planning. Further they emphasized the need to recognize and consider family planning program experience in supplying and distributing condoms. Participants also conceded the need to no longer differentiate between condom use for AIDS prevention and for family planning. Several agencies including WHO/GPA and USAID addressed the need for quality control including increased emphasis on logistics and distribution channels. They did acknowledge, however, that implementation of quality assurance measures in many countries would be hard and time-consuming. 1 item that received considerable discussion was a generic condom which USAID intended to purchase under its next contract. USAID also planned on switching its focus from quantity to condom distribution and quality control. UNFPA adopted the new WHO Specifications and Guidelines for Condom Procurement. IPPF considered doing so also.
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