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IPPF Situation Report, June 1973. 10 p.The Indonesian Planned Parenthood Association (IPPA) was founded in 1957 and pioneered family planning services. It made little headway duri ng the pronatalist Sukarno regime, but in 1967 the present government announced an intensive family planning program and the IPPA was named as an implementing unit in 1971. 2 primary roles now are the training activities for fieldworkers and the development of community education and motivation programs. This complements the national mass media program. In 1970 the government took over all clinics except those in the Outer Islands (the islands outside Java, Bali, and Madura). The IPPA runs 150 clinics in the Outer Islands, is responsible for all supplies and maintenance, and has a number of model clinics in Java and Bali. The Community Education program has 8 components: speakers bureau, family planning clubs, mobile audiovisual units, exhibitions, tr aditional media, special events, local mass media support, and evaluatio n. In 1971 the 'ippa trained 2951 people; in 1972 this was increased by 25%. In 1973 the target is training 3000 fieldworkers with 16 centers for training and 16 field demonstration areas. An agreement with the U.N. Fund for Population Activities/International Development Association (UNFPA/IDA) will provide for building, equipping, and staffing. The research and evaluation function is also expanding to complement government activities. The government program aims to train 20,250 medical and paramedical personnel over 5 years and medical schools have incorporated the teaching of population and family planning. Government allowances are being curtailed for all children over 3 for government workers. An active clinic program aims to set up 1200 fully equipped and 1250 moderately equipped facilities by 1973. An active media campaign has been launched and for the 1st time in the population field the UNFPA and the IDA are helping to finance a project to expand a family planning program and broaden its activities. This su pport will provide for physical facilities, technical assistance, training, motivation, evaluation, research, and population education.
Seventh annual report of the St. Vincent Planned Parenthood Association, 1 January-31 December 1972.
Kingston, Jamaica, St. Vincent, 1973. 28 p.The activities during 1972 of the International Planned Parenthood Association on the island of St. Vincent, a 150 square mile dependency of Great Britain in the eastern Carribean with a population in 1972 of 92,000. Although supported by an annual Government grant, the IPPF program is the only one on the island. The events of Family Planning Week in June 1972, one of the IPPF's more important promotional activities, are described in the introductory section. Other social marketing activities of field nurses and fieldworkers, consisting primarily of visits to Government health clinics and maternity wards, as well as an average of 18 home visits a day by fieldworkers during the year, are emphasized. In addition, substantial follow-up efforts were conducted to get dropouts back into the program. Statistics are provided on the age groups and contraceptive method chosen by those who restarted. Other data are provided on the total number of active acceptors, contraceptive methods chosen by acceptors and the number of dropouts during 1972. Detailed financial statements of the St. Vincent Planned Parenthood Association, consisting of a balance sheet, revenue and expenditures, and fixed assets, are provided for the 1972 calendar year.
Country Profiles. 1971 Apr; 12.The 1970 estimated population of Indonesia was 118,000,000, making it the fifth largest nation in the world. In 1961 the mean age at marriage for males was 24.3 years, for females 19.2 years. The birthrate is estimated at 43 to 45 per 1000, and the death rate at 17-19, causing a growth rate of about 2.8%. In 1970 about 50% of the population was literate. Rapid population growth is helping to restrict economic development, increasing unemployment problems, and negating expansion of social welfare programs. While the government of Indonesia supports family planning, it still maintains several pronatalist policies. Existing health facilities are utilized for family planning information and to stimulate referrals to clinic facilities. In 1969, 26,400 new acceptors chose IUDs, 15,000 chose orals, and 9,000 chose other methods. While in the past the Indonesian Planned Parenthood Association conducted an equal role with the National Family Planning Institute. Because of grave economic problems Indonesia is now attaching high priority to the national family planning program to reduce the rate of population growth.
IPPF Situation Report, September 1972. 7 pHong Kong, with 3858 people/sq km, is 1 of the world's most densely populated areas. Family planning was introduced in 1936 by the Hong Kong Eugenics League and 5 clinics were operating by 1940. The Family Planning Association (FPA) was formed in 1950 and was a founder member of IPPF in 1952. Interest in family planning increased as massive immigration from China added to overcrowding. The government supports FPA (in 1972 the grant was U.S.$254,545) and houses 80% of the FPA clinics in government properties. At present there are 46 female clinics providing 189 sessions per week and 2 male clinics operating eac h week. The decline from 54 to 48 clinics is due to the new emphasis on full-time rather than part-time clinics. In 1971 there were 347,894 attenders, an increase of 18% over 1970, and 31,898 new acceptors, an increase of 4%. There has been continued increase in the number of patients requesting oral contraceptives (70.6% in 1971). The IUD began to decline after bad publicity surrounded a large number of loops which had broken in the uterus; in 1971 only 6% of acceptors asked for IUDs. Condoms account for 11.5% and injectables, 3.6%. FPA offers subfertility and marriage guidance services and is extending its Papanicolaou smear service. An active media campaign, exhibitions, and seminars are conducted. Until 1967 fieldwork consisted of random home visits. An efficiency study led to concentration on maternal and child health clinics, postnatal clinics, and follow-up home visits. Home visi ts are still made on request. A number of international trials for various contraceptives have been run in Hong Kong. Many church and international organizations are helping to finance family planning activities, both through FPA and through their own organizations.
[Unpublished] . 24 p.Focus in this annual report of the Executive Director of the Planned Parenthood Federation of Nigeria (PPFN) for 1982 is on the following: program development and implementation; Planfed News Magazine; community education; family life education (FLE) for youth and adults; resource development and integration; FLE seminar for curriculum developers and trainees; family planning training for nurses and midwives; program impact evaluation; program management; administration and general services; commodities (contraceptives, clinic supplies and equipment, audiovisual equipment, and vehicles); volunteer inputs; branch activities, fieldwork; sessional clinic services; administrative and financial accounting; and interagency collaboration. The 1982 program year witnessed an era of new initiatives and renewed efforts in all aspects of PPFN operations, particularly in program development, management, and administration. Program implementation was improved and strenghened through the establishment of new and the revision of old operational procedures and guidelines. Staff of the Program Development Department (PDD) visited 15 branches to monitor and supervise activities and to provide technical assistance as required. The most prominent accomplishment for 1982 was in the area of contraceptive service delivery. A more than 22% increase was realized in the number of new family planning acceptors recruited and served, compared with the figure for 1981. Program development efforts for the year focused on initiating new or modifying and strengthening existing strategies that would enhance and facilitate the development of more effective, innovative, and community based family planning education and service projects and activities. 2 separate issues of Planfed News Magazine were published on schedule during the year, and 5000 copies of each were printed. The operational objectives of the community education project were the organization of radio and television discussion programs in Kano and Kaduna; broadcasting of radio spot announcements in Oyo, Lagos, Anambra, Bendel, Ondo, Rivers, and Cross River States; and the production of 5000 annual calendars and 5000 Christmas greeting cards. Program impact evaluation revealed that over 26% of the 925 respondents in 15 locations throughout Nigeria received family planning information from PPFN fieldworkers. Other sources of information included doctor, nurse/midwife, friend, relative, and the mass media.
World Health Forum. 1983; 4(2):157-61.In developing countries, the delivery of basic health care services is often hampered by communications problems. A pilot project in Guyana, involving 2-way radio in 9 medex (medical extension) locations, was funded by USAID (United States Aid for International Development). A training manual was prepared, and a training workshop provided the medex workers with practical experience in using the radios. The 2-way radios have facilitated arrangements for the transport of goods, hastened arrangements for leave, and shortened delays in correspondence and other administrative matters. Communication links enable rural health workers to treat patients with the advice of a doctor and allow doctors to monitor patient progress. Remote medex workers report that regular radio contacts with their colleagues have lessened their sense of isolation, boosted their morale, and helped build their confidence. 1 important element of the project was the training given to the field workers in proper use of the radio and in basic maintenance. Another key to the success of the system appears to be the strength and professionalism of the medex organization itself. Satellite systems may eventually prove to be the most cost effective means of providing rural telephone and broadcasting services and may also be designed to include dedicated medical communications networks at very little additional cost.