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PEOPLE. 1992; 19(1):26-8.Despite much time and effort, the Irish Family Planning Association (FPA) has had to abandon several of its projects under its 5-year plan, due to severe financial strains and political opposition. In 1990, the Irish FPA embarked on a new initiative, the Challenges Project of the IPPF. The FPA drafted a strategic plan, but factors outside the strategic planning process have frustrated the efforts to implement the plan. One such factor is the perilous state of finances of the FPA. The FPA has seen a decline in condom sales, and the government continues to refuse payment for indigent clients who receive free clinical services from FPA. In addition to a decline in income, FPA was prosecuted in May 1990 for selling a condom from its stand located in a large record store in Dublin -- a place frequented by young people. In February 1991, the government again prosecuted FPA for the same offense. This time, the FPA went on the political offensive and succeeded in winning an admission from Ireland's prime minister that the current laws on the distribution of condoms were outdated. The government's proposal for change, however, has been disappointing. Predictably, these financial and political obstacles have disrupted the implementation of the 5-year initiative. Having left the legal ordeal behind, the FPA's planning committee has begun to meet again to discuss the implementation of the program. Sadly, the committee has had to revise or completely discard many of its most ambitious projects, since most of the organization's resources are currently being used to prevent bankruptcy. Despite these problems, the organization looks towards the future with optimism.
POPULATION MANAGER: ICOMP REVIEW. 1987 Dec; 1(2):49-52.The role of nongovernmental organizations (NGOs) in national family planning programs have been extensive and effective. In terms of meeting the needs of the local level poor by encouraging self-help and participation, understanding social and cultural subtleties, and circumventing red tape. NGOs have a remarkable record. There is still a need for NGOs and there will be until the needs of the people are adequately met by the abilities of their governments. This is a rare occurrence, especially in developing countries. International Planned Parenthood Federation (IPPF) is an outstanding example of a successful NGO. A properly run, well staffed NGO can uphold national characteristics even when a program is threatened by political forces. They can help form government policy and aid in program development, complement and supplement government programs, carry out programs that the government can not or will not undertake, conduct experimental programs that governments will not risk resources for, yet are often time greatly needed, offer more personalized, flexible service and safeguard human rights. Without some form of support or endorsement, NGOs could not function. Governments should be encouraged to make contacts with as many agencies as possible about the promotion of family planning, formulate prototype programs for NGOs, help NGOs raise funds and resources, obtain technical aid including medical supplies and contraceptives, arrange counseling and exchange of information, make suitable arrangements for training of personnel.
IN TOUCH 1991 Jun; 10(99):21-2.Despite obstacles to expanding immunization coverage (EPI) in developing countries, progress has been made in Bangladesh and is described. A February, 1991, World Health Organization cluster evaluation survey indicates that government efforts during the 1980s, with the cooperation and assistance of non-governmental organizations (NGO), have increased the degree of immunization coverage in Bangladesh. 80% coverage for BCG, measles, and DPT-3 antigens is realized in the Rajshahi division, 1 of 4 divisions sampled in the survey. Use of existing FWAs and HA as vaccinators; DC, UNO, and upazila chairmen involvement; partner recruitment for mobilization efforts; steam sterilization of needles; maintenance of an effective cold chain; and monthly vaccination sessions at more than 108,000 sites throughout the country worked together to successfully yield greater immunization coverage. Sustained efforts are, however, required to ensure vaccine protection of the 4 million children born into the population each year. 80% or greater universal coverage in Bangladesh is the focus of continued efforts. Eradication of polio, measles, and neonatal tetanus is possible in the 1990s, while Vitamin A distribution and more effective promotion of family planning services are also objectives. Government and NGO workers must promote awareness of EPI, monitor EPI service delivery, and encourage HAs, FWAs, UHFO Civil Surgeons, UNOs, DCs, and upazila chairmen to provide regular EPI services.