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London, IPPF, 1981 Dec. 24 p.This paper discusses Community-Based Distribution (CBD) programs as a strategy for delivering family planning services at the community level whether through health and other extension workers or lay distributors. Commercial marketing is not discussed. IPPF member family planning associations (FPAs) have been pioneers in establishing CBD programs. In 1979, approximately 40 FPAs were involved in CBD, representing about 80 projects and accounting for 34% of all new acceptors. About half of the projects and half of the new acceptors were in the Western Hemisphere region, where 95% chose oral contraceptives (OCs). OCs were selected by 68% of all new nonclinical clients. The cost per new acceptor in 1979 in CBD programs (with one exception) ranged from 78Z in Thailand to $16.50 in Mexico. Program issues involving the availability of CBD services include: 1) a comprehensive approach to service delivery including adequate and appropriate back up; 2) community participation in the design and delivery of CBD programs; 3) expanding coverage to reach less accessible and disadvantaged populations; and 4) monitoring and evaluating the impact of CBD programs through data collection and constant communication with program participants. The credibility of the distributor in the community is a key factor in ensuring the program's success. The report recommends that OCs of 50 mcg or less be used. Screening of potential acceptors by checklist is adequate; pelvic examination is not needed. CBD projects in Brazil, Colombia, India, Lebanon, South Korea, Thailand, China, Egypt, and the Philippines are described as are projects for 1979. The November 1981 IPPF policy statement supporting community-based family planning services is included.
In: Zatuchni FI, Sobrero AJ, Speidel JJ, Sciarra JJ, eds. Vaginal contraception: new developments. New York, Harper and Row, 1979. 338-52. (PARFR Series on Fertility Regulation)Only about 4.5% of all UNFPA population program expenditures for 1969-1978 were used to purchase and distribute contraceptives. Total population expenditures have increased greatly since the fund was established in 1969. Accumulated expenditures by the end of 1977 amounted to $312.6 million, and for 1978 alone, projected expenditures totaled $125.5 million. Approximately 45% of the expenditures since 1975 were allocated to family planning programs; most of the remaining funds were used to collect population data and to support educational activities. Most of the family planning services are provided in the context of maternal and child health services; therefore, only a portion of these funds are used for the purchase and distribution of contraceptives. Approximately 10.5% of all family planning funds or 4.5% of all population program funds were used to purchase contraceptives from 1969-1978. In 1974, 88.5% of these contraceptive expenditures were allocated for purchasing oral contraceptives, IUDs, and injectables and 11.5% for purchasing condoms and spermicides. In 1978 the respective figures were 79.7% and 20.3%. Bar graphs, depicting UNFPA expenditures for 1969-1978, show: 1) total projected expenditures for all population programs; 2) family planning expenditures as a % of total expenditures; 3) contraceptive expenditures as a % of total family planning expenditures; 4) family planning expenditures as a % of total expenditures by major geographical areas; and 5) contraceptive expenditures as a % of total family planning expenditures by major geographical areas.
IPPF Situation Report, June 1972. 5 pAll the demographic statistics and the cultural, economic, and geogr aphical sttuation of Sierra Leone are presented. The Planned Parenthood Association of Sierra Leone (PPASL) was founded in 1960. There is no anticontraceptive legislation in the country but the attitude of the government toward family planning is still tentative. Current educational, fieldwork, clinic operations, and fund raising projects are summarized. Current personneof PPASL are given. New acceptors choose t he IUD generally, with more educated acceptors favoring the pill or spermicides. Other services provided by PPASL are mentioned. Sources of funding, including international organizations, are listed.