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Population Reports. Series J: Family Planning Programs. 1987 Sept-Oct; (34):921-51.Family planning services through the workplace is an idea that is attracting more attention, benefit's workers, employers, and nations. Large manufacturers and plantations in India first offered family planning to workers in the 1950s. Now also in Indonesia, the Philippines, Thailand, South Korea, Turkey, Egypt, Kenya, and elsewhere, many large companies have added family planning to other health services. In some Latin American countries social security systems have added family planning for many workers. Many different groups, including compaines, labor unions, government-sponsored social marketing programs, and the military, run employment-based programs. Services are offered in workplace clinics, through referrals, in free-standing facilities, in social security hospitals, and in community clinics. Funding comes from employers, governments, unions, family planning associations, and USAID. The most effective programs offer supplies and services as well as information, offer them directly at the workplace, and use worker-volunteers to distribute pills and condoms. Successful programs require the full support of company management. Favorable cost-benefit projections can show managers that offering family planning makes financial sense and contributes to employee health.
General lessons learned from evaluations of MCH/FP projects in Botswana, Malawi, Swaziland and Zambia.
New York, New York, UNFPA, 1984 Dec. iv, 41 p.4 maternal-child health/family planning (MCH/FP) projects were evaluated by the United Nations Fund for Population Activities (UNFPA) in the Southern Africa Region between 1981-1984. The projects were in Botswana, Malawi, Swaziland and Zambia. An overriding finding at the time of the Evaluation Missions was the acceptance of family planning (child spacing) by all 4 governments, when at the onset of the projects, family planning was either not included in the project documents or was included only as a minor contributant to the MCH programs. The intervention by UNFPA was very important for the acceptance and promotion of family planning activities by the governments. The Evaluation Missions concluded that there were 3 primary reasons for the successful intervention: UNFPA has a broad mandate to provide assistance in MCH and FP, a commitment to development projects in line with the governments' priorities, and the ability to fund projects very quickly, facilitating project implementation. Each of the 4 projects is assessed in terms of population policy changes, MCH/FP program strategy and serive delivery, organization of the MCH/Fp unit, health education, training, evaluation and research systems, and administration and management. Essential factors affecting the project are outlined and recommendations made. The last section discusses general lessons derived from the MCH/FP projects evaluated. 5 areas are identified where similar problems exist to varying degrees in all the projects evaluated. These are: training of medical personnel in FP (the main MCH/FP service provider in these projects was the nurse/midwife); supervision of personnel and the supply and distribution of contraceptives; research and evaluation, especially regarding the sociocultural setting of target populations and the inadequacy of existing service statistics and other sources of data; project monitoring (technical and financial) and finally project execution by the World Health Organization (WHO). Specifically in regard to the recruitment of experts, the provision of supplies and equipment, and the provision of funds for local costs, WHO execution has been deficient.
Bangkok, Thailand, March 1968. 28pThe government of Malaysia has initiated a highly visible, high prio rity family planning program to supplement private family planning efforts in accelerating the decline in birthrates and in promoting the health of families. Because increases in economic production were barely able to meet increase in population, the need for reducing the birthrates in East and West Malaysia became apparent. In 1953, private Family Planning Associations were established and eventually there was one such association in each state. By 1966, these private efforts were providing contraceptive services and supplies through 166 clinics. These associations also sponsor a variety of public information and education activities. In 1966 the government launched a family planning program by passing the Family Planning Act and creating the National Family Planning Board (NFPB). The ultimate aim of the government is to incorporate family planning into an overall health service program. The NFPB is presently a semi-autonomous organization with its own professional staff and clinics and manned by its personnel within the Ministry of Health. The responsibilities of the Board are to establish and administer clinics and distribute funding, conduct social and biological research concerning birth control acceptance and methods, and evaluate the effectiveness of family planning programs. The four divisions of the board include: 1) Administrative Division; 2) Service and Supply Division, whose duties include training new personnel; 3) Research Evaluation and Planning Division; 4) Information Division. The government clinics will be attached to existing government health facilities with priority going to establishing facilities in urban areas. International agencies are supporting the program with contraceptive supplies, technical assistance and training. With the acc eptance of the major ethnic groups and no political or religious opposition and enthusiastic government support, the program is a model for other developing countries.