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An agenda for action in sub-Saharan Africa. A collaborative initiative of the World Bank, UNFPA and IPPF.
INTEGRATION. 1991 Mar; (27):10-7.An Agenda for Action to Improve the Implementation of Population Programs in Sub-Saharan African in the 1990s is a joint project of the World Bank, the UN Population Fund, the IPPF, the WHO and the African Development Bank. The goals of the agenda are to build public consensus and commitment to population activities, to bring together beneficiaries, implementors and policy makers with these groups to improve population program implementation, to share country program experiences, to make African institutions responsible for ("Africanize") the Agenda, or ultimately to include demographic factors in development. 20 African countries are the focus of the Agenda, grouped by region and language. Major issues include socio-cultural and economic roadblocks, poor transportation infrastructure, lack of community participation, no alternatives to early marriage for women, poor political commitment by decision-making or health ministries. Family planning programs can be improved by better contraceptive technology, program design, and human and financial resources for implementing programs. The methods by which the Agenda proposes to reach its goals are to do literature searches of action strategies, in-depth country analyses, inter-country sharing of experiences, analysis of implementation capability based on case studies, and analysis of contraceptive technology assisted by WHO's Special Programme of Research, Development and Research Training in Human Reproduction and the Population Council. The Agenda will be managed by a Population Advisor Committee, which is an African "think tank," and regional Country Group Task Forces, coordinated by the World Bank's Africa Technical Department.