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[Unpublished] 1984 Jun. 10,  p.105 developing country projects dealing primarily or exclusively with adolescent fertility were analyzed in an attempt to determine the nature and level of adolescent fertility programming in the developing world. There were 37 projects in Asia, 21 in Sub-Saharan Africa, 8 in North Africa and the Middle East, 22 in the Caribbean, and 17 in Latin America. About 27% of the programs were exclusively urban, 16% exclusively rural, and the remainder operated in both rural and urban settings. Various types of organizations sponsored projects, but the majority were sponsored by International Planned Parenthood Federation affiliates and other private organizations. There were marked regional differences in sponsorship. Only 11 of the 105 programs were conducted by government agencies, but 14 programs received some support from national governments and local governments also sometimes contributed support. Family life education for both in and out of school youth was the predominant project activity in 66 of the 105 projects. 20 projects focused on training of professionals in family life education such as educators, counselors, and health personnel. Curricula primarily concentrated on sex education, responsible parenthood, the importance of delayed 1st birth and child spacing, and general population concerns. 25 projects conduct youth training sessions and teach teams to serve as peer counselors and cators, motivating their peers toward acceptance of family planning and the small family and providing accurate information on sexuality. About 21 projects have a specific counseling component, with most counseling services teaching family planning, distributing condoms, or referring clients to clinics. Only 16 projects had as a stated objective provision for adolescents of diagnostic or clinical health services related to contraceptive use, family planning, or venereal disease. 18 projects offered training in vocational or income-generating skills integrated with family planning, sex education, and family life education. Over 20 projects described educational materials preparation and production as an activity. Innovative approaches observed in the 105 projects included adoption of the multiservice center concept, integration of family planning education with self-help initiatives to improve young women's socioeconomic status, participation of adolescents in program decision making, and innovative promotional activities. Factors contributing to program success identified by project staff include conducting a needs assessment survey, securing parental and community support, solid funding, a flexible program design, skilled personnel, availability of adequate materials, good cooperation with other community agencies, active participation of young people in planning and running the program, good publicity, and use of innovative teaching methods. Projects are increasingly tending toward less formal kinds of communication in family life education.
British Journal of Family Planning. 1984 Jul; 10(37):37.This editorial takes a broad, international look at the worldwide implications of decisions taken in the United Kingdom (U.K.) and the US with regard to family planning. National authorities, like the U.K. Committee for Safety of Medicines (CSM) of the US Food and Drug Administration, address issues concerning the safety of pharmaceutical products in terms of risk/benefit ratios applicable in their countries. International repercussions of US and U.K. decision making must be considered, especially in the area of pharmaceutical products, where they have an important world leadership role. Much of the adverse publicity of the use of Depo-Provera has focused on the fact that it was not approved for longterm use in the U.K. and the US. It is not equally known that the CSM, IPPF and WHO recommeded approval, but were overruled by the licensing agencies. The controversy caused by the Lancet articles of Professors with family planning doctors. At present several family planning issues in the U.K., such as contraception for minors, have implications for other countries. A campaign is being undertaken to enforce 'Squeal' laws in the U.K. and the US requiring parental consent for their teenagers under 16 to use contraceptives. In some developing countries, urbanization heightens the problem of adolescent sexuality. Carefully designed adolescent programs, stressing the need for adequate counseling, are needed. Many issues of international interest go unnoticed in the U.K. International agencies, like the WHO and UNiCEF, have embarked on a global program to promote lactation both for its benficial effects on an infant's growth and development and for birth spacing effects. It may be of benefit to family planning professionals in the U.K. to pay attention to international activity in such issues.
New York, Rockefeller Foundation. 1974 June; 98.31 participants, representing in the main specialists from international public and private agencies, together with regional representatives from the developing world, gathered in Bellagio, Italy, in May 1973, to discuss world population growth. A record of that conference, consisting of some of the position papers and a small portion of the attending dialogue, is presented. Topics include: 1) status report on population developments; 2) sociopolitical implications of family planning programs as an aspect of population policies and development planning in Africa; 3) population and family planning programs in Latin America--programs and prospects; 4) emerging issues in population policy and population program assistance; 5) an overview of agency activities; 6) social research and population policy; 7) university programs and population centers; 8) delivery systems for family planning; 9) contraceptive development; 10) demographic data collection and analysis; and 11) population education: school and nonschool.