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FORUM. 1996 Dec; 12(2):14.While the government of St. Lucia actively supports family planning and the Ministry of Health maintains a service delivery program, the Saint Lucia Planned Parenthood Association (SLPPA) is also involved in getting family planning messages and a variety of services to the public at minimal cost. The work schedules of factory workers in St. Lucia's manufacturing sector prohibit them from visiting family planning clinics, doctors' offices, and distribution posts to obtain contraceptives. SLPPA staff members therefore go to 12 selected factories to provide female employees with family planning information and contraceptive methods. 90% of employees at these factories are female. The outreach team of one nurse midwife, a counselor, and a trained factory distributor visit the factories twice each month during which they also teach women on sexual and reproductive health, responsible family life, and relationships. More than 2000 factory workers currently have access to SLPPA services. In 1996, more than 1000 workers had individual counseling sessions on sexual and reproductive health. The SLPPA also reaches women through other non-contraception initiatives such as the early detection of cervical and breast cancer.
Contraception. 1970 Jun; 1(6):409-445.This article reviews the validity of previously published material linking oral contraceptive usage to health hazards. The statistical methods involved in such studies are thoroughly examined, particularly those studies relating oral contraceptive usage to thromboembolic disease incidence. Problems inherent to the basic designs of such studies are discussed. Some relationship between thromembolic disease and oral contraceptive usage has been established. Studies on animals relating oral contraceptive usage with carcinogenesis are inconclusive due to the different metabolic rates obtained for different animals and different strains and the high dosage used to produce tumors. Review of the data relating oral contraceptives with alterations in carbohydrate metabolism, serum lipids, etc., show pure speculation of conclusion. Endrocrine effects persisting after discontinuation of oral contraceptives were rare; apparently both types of steroids play some part. It was suggested that most data on this subject is faulty and filled with fixed opinions which should be avoided.