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Cambridge, England/New York, N.Y, Cambridge University Press, 1982. xvii, 229 p.This book is concerned with what happens when national governments and international donors try to promote birth control in developing countries. An attempt is made to answer several questions, including how governments adopt population policies, how those policies are carried out, and what explains the difference between programs that are implemented and those that are not. The book is based primarily on research concerning Egypt, Kenya, Mexico, and the Philippines, with some reference also to the Dominican Republic, Haiti, India, and Lebanon. The author's main contention is that effective program implementation depends more on sensitivity to people than on rational organization. The idea that successful implementation is a matter of clear authority, sound logistics, and reliable product delivery is challenged, and the author also suggests that such an approach leads to programs becoming a source of political contention. Instead, an approach that takes explicit account of the political context, cultural nuances, bureaucratic wars, and above all, client welfare, is suggested. The study includes an analysis of the pervasive influence of international donors and a chapter on the ethics of population control.
Integrating population programmes, statement made at 10th Asian Parasite Control Organization Family Planning Conference, Tokyo, Japan, 5 September 1983.
New York, N.Y., UNFPA, . 6 p. (Speech Series No. 95)The relationship between the Japanese Organization for International Cooperation in Family Planning (JOICFP) and UNFPA has been a vital force in the integration of family planning programs with nutrition and health services. The success of the integrated programs is evidenced by its rapid expansion from a pilot project in 1975 to projects in many countries in Asia, the Pacific and Latin America. The programs are efficient and effective in delivery of family planning services, as well as in linking and integrating these family planning services with other social and development programs. The programs have been designed to meet the needs of the people at the village level, taking into account their cultural sensitivities. This approach has encouraged acceptance and cooperation by the local communities and has made the program credible to the villagers. In fact, this seems to be the key to effective implementation of any type of development project. The coming 1984 International Conference on Popultion is also discussed. It is hoped that the present meeting will produce policy and operational suggestions which can be discussed at the International Conference.