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    132267

    Reaching out: a campaign to take family welfare services to the slums of Bombay and Madras.

    Chaubey S

    Mumbai, India, Municipal Corporation of Greater Mumbai, IPP V Directorate, 1995. [6], 50 p.

    This report presents a human perspective on development that reveals the daily lives of people affected by the Bombay and Madras World Bank Urban Slums Family Welfare Project. Chapter topics focus on interactions between workers and clients at a health post and cultural barriers and rebuffs, the uniqueness of the program, innovative outreach schemes, patterns of persuasion, piloting the program in New Bombay, and key program staff. The author concludes that slum dwellers are adjusting to some aspects of modernity, such as watching television, but are also retaining negative traditional health practices and beliefs. For example, only 30% of slum dwellers knew about measles as a treatable disease. Most understand measles as a supernatural phenomenon and respond by asking the gods for help. This project was helpful in addressing cultural orthodoxy that prevents health-seeking behavior by offering training, management information systems, and communications. The constant program monitoring allowed for an immediate correction of deficits. During 1988-94, the unprotected couple ratio declined from 72% to 44.5%. Effective temporary couple protection rates (CPRs) increased from 4% to 19.5%. Effective permanent CPRs increased from 24% to 36%. In Madras, CPRs increased, but the birth rate did not decline. In Mumbai, the crude birth rate declined from 23.2 to 19.8 in 1993, which is significantly lower than the national target for the year 2000. The absolute number of births also declined. The project frugally spent funds. Infrastructure was available at the program start. Future government funding is hoped for.
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