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    016588

    Progress report on WHO Sponsored Service Research Project in Family Planning and Family Health: 80030--20 August 1982-28 February 1983.

    Bang S

    [Unpublished] 1983 Mar 25. 35 p.

    Details of the progress made on the World Health Organization (WHO) Project 80030 from August 21, 1982 to February 28, 1983--the Baseline Studies and Evaluation of Health Benefits Attributable to Integrated Family Planning and Maternity/Infant Care Services--are presented. For the last 6 months, the project has been in the initial buildup stage of intervention with 12 personnel/months of midwives input in the intervention area. Crucial to the progress have been the efforts to strengthen the organizational capability of subhealth centers as an effective unit of primary care by: providing personnel resources such as midwives; supporting midwives' ahd health workers' activities; supervising and controlling the quality of work of health workers; and establishing the mechanism of community participation and conducting community education. Information is presented on personnel, quality control in family planning/maternal child health (FP/MCH) care, supportive activities, village health volunteer networks and their education, institution building, the project site as a teaching setting for community medicine, outcome, and finance. Currently, there are 3 nurses aides assigned in each subhealth center. Due to the shift of personnel and government pressure to achieve family planning targets by health workers, the inservice training of health workers has failed to proceed as fast as planned. Yet, 4 training sessions were conducted during this reporting period. The project has developed various record and statistics forms for family planning and maternal and child health services. Results indicate that there are some tendencies for overreporting or underrecording, depending on the kind of services, i.e., either quantitative or qualitative items. A need exists for systems for better accountability in order to obtain accurate recording. To support the activities of health workers, a motor cycle was selected as a means of transportation, 1 for each midwife and 1 for the public health nurse. The project currently has 60 village health volunteers who have been nominated by each township chief. Each village health worker is to report on pregnant women and to keep the village rosters current by reporting on births and deaths in the village. In addition to the village health worker training, active community health education at the village level is now in progress. A chronological development of the project is included.
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