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London, FPA, 1972. 48 p.Currently, public authorities pay for almost 2/3 of the family planning consultations conducted by the Family Planning Association, and this is the most significant development since the publication of the last Family Planning Association Report. Additionally, more local health authorities are operating direct clinic and domiciliary services. The Family Planning Association handed over the management of 39 clinics to public authorities in the 1971-1972 year. However, despite this progress, family planning service provision by public authorities throughout England continues to be uneven in quality and extent. Spending by local health authorities for each woman at risk varies from 1 penny per woman at risk in Burnley (excluding the city of London) to 179 pence at Islington. In addition to the problem of inconsistency in spending, there appears to be no immediate prospect of a comprehensive family planning service - one that is available to all, is free of charge, and is backed by an adequate education campaign. Although government help for the extension of domiciliary family planning service is impressive, it should not obscure the false economies in spending on other contraceptive delivery services such as general practitioners, specialist clinics, and specialized advisory centers. Until the government announces the details of its plans for family planning services within the National Health Service beginning April 1974, the Family Planning Association's own detailed planning cannot be exact. The Association's basic policy continues to be to turn over the responsibility for the management of clinic and domiciliary contraceptive services as quickly and as smoothly as possible to the public authorities. Already there is concern that some clinic services managed by public authorities may become less attractive, particularly to young people, and that differences in the quality of service will increase under local public management as well as that backup services will be neglected. Also existing is the realization that the public authorities do not do enough to attract people to the use of contraception.
[Unpublished] 1989. Presented at the First International Symposium on No-Scalpel Vasectomy, Bangkok, Thailand, December 3-6, 1989. 10 p.The paper describes the introduction and use of the no-scalpel vasectomy in the United States. Vasectomy is popular in the U.S., with 336,000 of them performed in 1987 almost exclusively buy urologists, family practitioners, and surgeons. Receiving no government funding for the new procedure's introduction in the U.S., the Association for Voluntary Surgical Contraception (AVSC) turned to family planning clinics, Planned Parenthoods, and medical schools to reach experienced vasectomists interested in co-sponsoring orientation seminars for other doctors. Programs were held in 1988, in California, Massachusetts and New York, in which attendees were provided self-training packages, and asked to report their experiences with the new technique. Field reports were received from 25 physicians on 2,237 vasectomies, and included both positive and negative comments. Even though the technique is uncomplicated, physicians generally found the technique difficult to master with only teaching materials. Accordingly, the U.S. training model was modified to include a rubbermodel f the scrotal skin and underlying was with the training packet, visits to practitioners' offices by clinical instructors, a compressed training period of 1 day, and hands on training. A minimum of 6-9 cases is generally required to properly learn the technique. 3-4 training seminars will be conducted over the next year in different regions of the U.S. in addition to other efforts aimed at meeting demand for training from interested doctors. Care is taken in choosing instructors and participants, with interest especially strong in training of trainers. Of central concern to the AVSC is their ability to keep pace with growing demand for training, while ensuring 6-12 month follow-up and high-quality instruction and practice of the technique.
New York, UNFPA, June 1979. (Report No. 13) 151 pThis report is intended to serve, and has already to some extent so served, as part of the background material used by the United Nations Fund for Population Activities to evaluate project proposals as they relate to basic country needs for population assistance to Thailand, and in broader terms to define priorities of need in working towards eventual self-reliance in implementing the country's population activities. The function of the study is to determine the extent to which activities in the field of population provide Thailand with the fundamental capacity to deal with major population problems in accordance with its development policies. The assessment of population activities in Thailand involves a 3-fold approach. The main body of the report examines 7 categories of population activities rather broadly in the context of 10 elements considered to reflect effect ve government action. The 7 categories of population activities are: 1) basic data collection; 2) population dynamics; 3) formulation and evaluation of population policies and programs; 4) implementation of policies; 5) family planning programs; 6) communication a and education; and 7) special programs. The 10 elements comprise: 1) decennial census of population, housing, and agriculture; 2) an effective registration system; 3) assessment of the implications of population trends; 4) formulation of a comprehensive national population policy; 5) implementation of action programs integrated with related programs of economic and social development; 6) continued reduction in the population growth rate; 7) effective utilization of the services of private and voluntary organizations in action programs; 8) a central administrative unit to coordinate action programs; 9) evaluation of the national capacity in technical training, research, and production of equipment and supplies; and 10) maintenance of continuing liason and cooperation with other countries and with regional and international organizations.