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Report of the evaluation of UNFPA assistance to Colombia's Maternal, Child Health and Population Dynamic's Programme, 1974-1978.
New York, United Nations Fund for Population Activities, July 1981. 181 p.This report for UNFPA (United Nations Fund for Population Activities) on Colombia's Maternal and Child Health and Population Dynamics (MCH/PD) program was prepared by an independent team of consultants which spent 3 weeks in Colombia in February 1980 reviewing documents, interviewing key personnel and observing program services. The report consists of 8 chapters. The 1st describes the terms of references of the evaluation mission. The 2nd chapter provides background information on Colombia and identifies some of the principal environmental factors that affect the program. Chapter 3 describes the organizational context within which the program operates. The chapter also includes a discussion of the UNFPA funding and monitoring mechanism and how that affects program planning and operations. Chapter 4 is a description of the program planning process; goals, strategies and objectives, and of the UNFPA and government inputs to the program between 1974-1978, the period under review. A large part of the report is devoted to describing and assessing each program activity. Chapter 5 consists of descriptions of management information; maternal care; infant, child and adolescent care; family planning; supervision; training; community education; and research and evalutation studies. Chapter 6 is an analysis of the program's impact on: maternal morbidity and mortality; infant morbidity and mortality; and fertility. Chapter 7 summarizes the Mission's conclusions and lists its recommendations. The final chapter deals with the Mission's position in relation to the 1980-1983 proposal. Appendices provide statistical data on medical activities, contraceptive distribution and use, content of training courses, target population, total expenditures, and norms for care, as well as organizational charts, individuals interviewed, and UNFPA assistance to other agencies in Colombia. (author's modified)
[Unpublished] 1979. Paper prepared for the Technical Workshop on the Four Country Maternal and Child Health/Family Planning Projects, New York, Oct. 31-Nov. 2, 1979. (Workshop Paper No. 2) 10 p.An integrated health care system which combined the maternal/child health with other services was undertaken in the Yozgat Province of Turkey from 1972-77. The objective was to train midwives in MCH/FP and orient their activities to socialization. The first 2 years of the program was financed by UNFPA. 52 health stations were completed and 18 more are under construction. The personnel shortage stands at 33 physicians, 21 health technicians, 30 nurses, and 67 midwives. Yozgat Province is 75% rural and has about a 50% shortage of roads. The project was evaluated initially in 1975 and entailed preproject information studies, baseline health practices and contraceptive use survey, dual record system, and service statistics reporting. The number of midwives, who are crucial to the program, have increased from an average 115 in 1975 to 160 in 1979. Supervisory nurses are the link between the field and the project managers. Their number has decreased from 17 to 6. Until 1977 family planning service delivery depended on a handful of physicians who distributed condoms and pills. The Ministry of Health trained women physicians in IUD insertions. The crude death rate in 1976 was 13.2/1000; the crude birth rate was 42.7/1000. The crude death rate in 1977 was 14.8/1000; birth rate, 39.9/1000. Common child diseases were measles, enteritis, bronchopneumonia, otitis, and parasitis.
In: Martinez Manautou J, ed. The demographic revolution in Mexico 1970-1980. Mexico City, Mexican Institute of Social Security, 1982. 17-97.Provides summaries of Mexican demographics, with tables showing annual growth rate (1900-1980), demographic growth rates, crude birth and mortality rates, life expectancy at birth by sex (all for 1940-1980), marital status of women and average age at 1st union (1979), rural and urban population with age distribution (1940-1980), fertility rates overall and broken down by urban and rural groups (1971-1979) and specific age groups (1971 and 1979). Discusses population policy development which has changed from formally pronatalist in the 1940s to a gradual realization of the need for slower growth. Relevant laws and regulations are briefly noted. Policy is viewed in the context of international movements (notably the World Action Plan for Population). The National Plan for Family Planning is summarized and placed in the context of overall development and planning and coordination of overall health services. Organizations within the health sector which provide family planning services are briefly described. The coordination of the national family planning program is based organizationally on the general sense of family planning in 3 dimensions: health, demography, and family and community development; it has 2 types of general objectives: intrinsic, at the family level, and extrinsic, at the social level. Family planning activities are developed according to multidisciplinary, micro and macrosocial, and coordinated activity perspectives. The organization of the coordination office of the national program and the composition of the National Plan are detailed, including establishment of common bases for family planning, coordinated intrasectoral programming, and participation of international organizations.