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Paper presented at the Nineteenth Session of the UNICEF/WHO Joint Committee on Health Policy, Geneva, February 1-2, 1972. 40 pFamily planning is an integral part of the health care of the family and has a striking impact of the health of the mother and children. Many aspects of family planning care require the personnel, skills, techniques, and facilities of health services and is thus of concern to UNICEF and WHO. Once individual governments have determined basic matters of family planning policy and methods, UNICEF and WHO can respond to requests for assistance on a wide range of activities, with the primary goal being the promotion of health care of the family. Emphasis will be placed on achieving this by strengthening the basic health services that already have a solid foundation in the community. The past experience of UNICEF and WHO should provide valuable guidance for assistance to the health aspects of family planning, particularly as they relate to the planning and evaluation of programs; organization and administration; public education; the education and training of all medical personnel; and the coordination of family health activities both inside and outside the health sector. The review recommends that UNICEF and WHO first regard the capacity of the host country to absorb aid and maintain projects, and that specific family planning activities, such as the provision of supplies, equipment, and transport, be introduced only when the infrastructure is actually being expanded. Capital investment should be viewed in relation to the government's ability to meet budgetary and staff requirements the new facilities demand.
Report on the evaluation of the UNFPA funded project on labour and family welfare education in organized sector in Zambia (September-October 1986).
Arlington, Virgina, Development Associates, 1986. iii, 71 p.This report evaluates the UNFPA-funded Labor and Family Welfare project in the Organized Sector of Zambia, Africa. The project targeted 3 key elements of the Organized Sector--motivation of leaders, training of educators, and in-plant workers' education. The project laid the groundwork for a major expansion of education and services at the workers' level. It has also led to a National Population Policy formulation. 18 recommendations are suggested with priority given to factory-level education and family planning service delivery. Additional funding for companies to motivate and educate workers regarding acceptance of family planning services is suggested, as well as increased training for economics, teachers, psychology teachers, and social workers to enable them to incorporate population education into their curriculums. Training activities were a major focus of the project. Increased training and educational materials about family planning, in the form of posters and handouts, should be produced and disseminated at the factory level, as well as to medical personnel. UNFPA, in accord with the Ministry of Health of Zambia, should ensure an adequate supply of contraceptives to the factories. Existing record keeping, reporting and scheduling practices should be improved, as well as the International Labor Organization (ILO) disbursement system. Short-term ILO consultants should be recruited to improve the project and its management, and 2 additional staff members, provided by the government, could help to implement the program at the plant level. 2 new vehicles should be purchased for full-time field staff to ensure availability to carry out project activities. In addition, the present accounting and recordkeeping of the ILO Lusaka office should be restructured to achieve more accurate monitoring of the use of project funds.
Report on the evaluation of various family life education projects with particular emphasis on youth in the English-speaking Caribbean: general conclusions and recommendations.
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Nov. xii, 39,  p.Most family life education (FLE) projects included in this evaluation have the longterm objectives of reducing the incidence of teenage prognancy, and promotion of self-reliance and positive, responsible behavior among youth. The immediate objectives and project strategies are also very similar across projects, e.g., in-school and out-of-school FLE, comprehensive youth services, including family planning (FP) and training. The evaluation shows that project design has improved over the years (clearer and measurable formulation of objectives, more comprehensive workplans and better explanation of budgetary items) and projects have moved from addressing a wide variety of broad issues to a more focused consideration of adolescent fertility. However, the Evaluation Mission in concerned that due to the similarities in project design, country-and-time-specific factors have not always been adequately taken into consideration. Other concerns include the lack of systematic needs assessment and use of baseline data to guide implementation. All the projects evaluated have contributed to the training in FLE/FP of a large number of family life educators, teachers and nurses and have thus significantly strengthened professional national capability. Nevertheless, training needs still exist in motivational/attitudinal variables, sex roles, teaching/learning technics. The projects have made a significant contribution to the introduction of FLE into schools and teacher training institutions. The focus at present should be the institutionalization of FLE within the in-school sector, including the development of a policy approving FLE in schools. The development of community-based health centers was often the central activity of the out-of-school FLE component of the projects. These centers have contributed to shaping the countries' attitudes by creating an awareness of teenage pregnancy, by developing an acceptable strategy, by providing a focal point for discussing sensitive issues, and by becoming a mechanism for community mobilization. The projects have also contributed to making FP services available and specialized services for adolescents are being established. The emphasis has been more on education and awareness creation than on contraceptive distribution to adolescents. At present the need is to strengthen the service delivery components. The limited availability of data suggests that adolescent pregnancy remains an urgent problem in the region. Sustained and more focused FLE/FP program efforts directed to adolescents continue to be needed in the region. The most important general lesson learnt from the programs is that programs in adolescent fertility can be started and implemented in countries even prior to declaration of policy by governments. However, at a certain stage of implementation the programs cannot be carried further without explicit government policies and control.
London, England, IPPF, Europe Region, 1982. 62 p.The final report of the Migrants and Planned Parenthood (MPP) Project, a cooperative effort between the European Region of International Planned Parenthood Federation (IPPF), Pro Familia, and other European Planned Parenthood Associations (PPA), is presented. Increasing contact with migrant clients stimulated Pro Familia to ask IPPF to evaluate existing family planning services for migrants and consider transnational coordination and sociopolitical action in this area. 13 countries were represented in this project: 4 donor countries (Italy, Portugal, Turkey, and Yugoslavia); 7 recipient countries (Belgium, Federal Republic of Germany, Luxembourg, Netherlands, Norway, Sweden, and the United Kingdom); and 2 through correspondence (France and Ireland). 2 questionnaires were administered. The 1st was aimed at detailing European migratory movements and the ethnicity of target groups in each country; the 2nd explored PPA attitudes toward migrant clients and the need for migrant-specific services. Project conclusions were based on a series of plenaries and sub working group meetings held during 1981-82. (Reports of these meetings are included as Appendices to the final report.) It is recommended that the MMP Project continue until a Regional Policy Statement can be produced. The Regional Council is requested to develop a handbook of general guidelines for migrant work and should nominate a nonsalaried regional migrant ombudsperson. Each PPA is requested to select a liaison person for migrant work. Other tasks proposed for PPAs include: personnel training, production of educational materials for migrants, and cooperation with migrant's organizations. Family planning and health should be integrated into general migrant services offered by other institutions. PPAs in donor countries should consider special programs for groups affected by migration, e.g., wives remaining behind and returning migrants. Discussions are to be held on how to reach illiterate migrants and develop wider channels of materials distribution. Future workshops may be scheduled to train family planning personnel to work with migrants. In terms of services, PPA personnel are warned that problems outside the scope of family planning are likely to be encountered in work with migrants. Attention should be given to making services more accessible. Possible measures include mobile clinics, domiciliary services, provision of interpreters, and child care. The need for sex segregation and use of female personnel is also stressed.
In: Impact, effectiveness and efficiency of the AFPH programs on family planning status in 20 provinces, [compiled by] Mahidol University. Institute for Population and Social Research [IPSR]. Bangkok, Thailand, Mahidol University, IPSR, 1983. 3-9. (IPSR Publication No. 76)The Population Project, implemented by the Ministry of Public Health of Thailand, has as its goal the integration of family planning with existing public health services. 20 provinces were selected for the project from 1979-1982. Thailand's population policy, instituted in 1970, was aimed at reducing the growth rate, which had inhibited national development. The plan featured 2 5-year plans, and the Population Project was designed to meet the goals of these plans. The strategies to achieve these goals include: expansion and improvement of family planning services; training of public health personnel; expansion of information services; and increased evaluation and research on family planning. Financial aid for the project came from the World Bank, as well as various international governmental aid agencies. It was estimated that to achieve the reduced growth rate goal, 3 million new contraceptive acceptors and 1.6 million continuing users were required. The project operated on 2 levels, national and provincial. On the national level, training of non-medical personnel and expansion of family planning services were the aims. On the provincial level, the project's objective was to accelerate the expansion of family planning services in rural areas of 20 provinces that were characterized by low rates of family planning practice. The project was administered by the ministry of Public Health, with operation of the project under the Central Operation Unit, Provincial Operation Unit, and the Central Coordination Unit. The 5 levels of operation were: village; tambon; district; provincial; and national. Activities included service, training, communication, evaluation and research, and administrative management. By September 1981, the project realized an increase in health centers in rural areas, an increase in non-medical personnel, and the provision of additional vehicles. These inputs were realized across all 20 provinces participating in the project.