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Populi. 1977; 4(1):7-13.The suggestion at a U.N. Children's Emergency Fund staff meeting that 1/2 the organization's money should be spent on preventing the periodic crises, specifically, on family planning, and the other 1/2 on the miseries of living mothers and children was not accepted in 1958. Another chance for dealing with the problem came through the Population Council in New York. Assigned to East Asia, there was no budgetary support for population policies. Only in South Korea, at the suggestion of the Minister of Planning, was a policy for reducing the birthrate announced. It was the local branch of the International Planned Parenthood Federation that undertook most of the training of the over 2000 field workers hired to visit the rural families especially and to establish a supply line for pills, which were a gift from Sweden. The methods used in order of adoption were the IUD, the oral contraceptive, the vasectomy, condom, and later, subsidized female sterilization. This began in 1963, and it is the 1st example of a population program that has grown until it is now 1 of the soundest anywhere. In East Asia every official program was preceded by activity by some private agency. These usually began in a single clinic to meet the urgent need of mothers who had more children than they could afford and care for. Going out and seeing the people in the various countries of East Asia revealed that they too were aware that they had more children than they could afford. In that 3/4 of the people in East Asia live in villages, it is important that every married couple be visited at home by someone who can explain what family planning is all about and how it will benefit the family and the village. An experienced midwife on a small motorcycle can carry with her all the equipment she heeds and attend to 30 or 40 cases in 1 day. Experience in East Asia suggests that any nation that really wants to can reduce its annual population growth rate.
In: International Planned Parenthood Federation (IPPF). Preventive medicine and family planning. Proceedings of the 5th Conference of the Europe and Near East Region of the IPPF, Copenhagen, Denmark, July 5-8, 1966. London, England, IPPF, 1967. p. 222-224Women's organizations played a significant part in the family planning movement in the United Arab Republic (UAR). In 1962 the President of the UAR made his 1st public pronouncement in favor of family planning. Soon after, the Cairo Women's Club staged the 1st series of public lectures on the subject in the country. This series served to bring the subject into the open. With national and international assistance, other UAR women's groups began to establish family planning clinics around the country. Through the Joint Committee for Family Planning, a number of women's groups attracted international aid to the movement in the UAR, effected cooperation with the national Ministry of Social Affairs, and evolved standardized procedures for registration, education, training, and evaluation to be used by all the family planning clinics in the country. In 1967, the government established a national family planning program. The voluntary women's groups can still serve as a testing ground for the national program.
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.
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.