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Measles immunisation before the age of nine months? Position statement by the Expanded Programme on Immunisation of the World Health Organisation.
Lancet. 1988 Dec 10; 2(8624):1356-7.In developing countries, where measles in young infants results in high mortality, it would be advantageous to immunize children at 6 months. However, the efficacy of standard-dose vaccines at 6 months is low, and a second dose at 9 months is required, which all too often is not given. At a meeting in Washington, D.C., sponsored by the World Health Organization, the US Agency for International Development, and the US National Institutes of Health. Comparative data were presented for the higher-than-standard dose Edmonston-Zagreb vaccine, the AIK-C vaccine, and Schwarz vaccines given earlier than 9 months, with standard-dose Schwarz measles vaccine given at 9 months. The data were reviewed by the Expanded Program on Immunization and the Global Advisory Group, which concluded that higher-than-standard dose vaccines for use before 9 months needed further evaluation and countries should continue to administer standard vaccines after 9 months except among high-risk populations, where standard dose vaccines should be given at 6 months and the children reimmunized after 9 months.
Washington, D.C., U.S. Government Printing Office, September 1978. (International Research Document No. 6) 12pCompiling population data for Afghanistan is made difficult by the nomadic population. Estimates of their numbers range from 1-2 million people, 9-14% of the total. A 1972-73 survey of the settled population accumulated data from approximately 21,000 households and 120,000 individuals. Pregnancy and marital histories were acquired from 10,000 women. The age-specific fertility rate was 8 per woman; crude birth rate, 43/1000. Estimated life expectancy for males was 34-42 years, for females, 36-41 years. The crude death rate is 28-32/1000. Of the 10,020,099 total settled population, 5,373,249 were male, 4,646,850 were female. The Afghan Family Guidance Association opened the first family planning clinic in 1968. By 1972 there were 18 clinics in operation. When surveyed, 3% of women over 15 knew about family planning, only 1/3 of these had used a family planning method. 66% males and 90% females over 15 were ever-married. About 11% of those over 6 years were literate, 18.7% males, 2.8% females.
CBFPS (Community-based Family Planning Services) in Thailand: a community-based approach to family planning.
Essex, Connecticut, International Council for Educational Development, 1978. (A project to help practitioners help the rural poor, case study no. 6) 91 pThis report and case study of the Community-Based Family Planning Service (CBFPS) in Thailand describes and evaluates the program in order to provide useful operational lessons for concerned national and international agencies. CBFPS has demonstrated the special role a private organization can play not only in providing family planning services, but in helping to pioneer a more integrated approach to rural development. The significant achievement of CBFPS is that it has overcome the familiar barriers of geographical access to family planning information and contraceptive supplies by making these available in the village community itself. The report gives detailed information on the history and development of the CBFPS, its current operation and organization, financial resources, and overall impact. Several important lessons were learned from the project: 1) the successful development of a project depends on a strong and dynamic leader; 2) cooperation between the public and private sectors is essential; 3) the success of a project depends primarily on the effectiveness of community-based activities; 4) planning and monitoring activities represent significant ingredients of project effectiveness; 5) a successful project needs a sense of commitment among its staff; 6) it is imperative that a project maintain good public relations; 7) the use of family planning strategy in introducing self-supporting development programs can be very effective; 8) manning of volunteer workers is crucial to project success; and 9) aside from acceptor recruitment in the short run, the primary purpose of education in more profound matterns such as childbearing, womens'roles in the family, and family life should also be kept in mind. The key to success lies in continuity of communication and education.
In: Watson, W.B., ed. Family planning in the developing world: a review of programs. New York, Population Council, 1977. p. 54-55The government of Honduras included a population policy in its National Development Plan for the period 1974-1979. This policy will be implemented by providing information regarding responsible parenthood, by using natural and technical resources to produce a well-nourished and creative population, and by applying the principles of voluntary participation in family planning programs. The 2 family planning programs in Honduras are the government maternal and child health program and the Family Planning Association of Honduras program. The government program, initiated in 1968, operates 34 clinics which offer family planning along with prenatal and postnatal care, child care, and nutrition education services. The Family Planning Association, established in 1961, operates 2 clinics and served 42,000 people during 1975. 9000 of this group were 1st acceptors. Oral contraceptives were chosen by 80% of the new acceptors; 13% chose IUDs and 5% chose injectables. The Association's information and education activities included conferences, talks, courses, seminars, and home visits. Additionally, the Association is operating a demonstration community-based distribution program with financial assistance from the International Planned Parenthood Federation. 40 workers in each of 2 cities provide contraceptives in their own neighborhoods.
Country Profiles. 1972 Oct; 19.The estimated population of Iran in 1972 was 31,000,000, with an estimated rate of natural increase of 3.2% per year. In 1966 61% of the population lived in rural areas, male literacy was 41% and female literacy 18%. Coitus interruptus is the most common form of contraception used in Iran, followed by condoms. Because of the rapid rate of population growth, the government has taken a strong stand in support of family planning. The Ministry of Health coordinates family planning activities through the Family Planning Division. Contraceptive supplies are delivered free of charge through clinics. The national family planning program also is involved in postpartum programs, training of auxiliary personnel, communication and motivation for family planning population education, evaluation and research. The overall goal of the program is to reduce the growth rate of 2.4% by 1978, and to 1% by 1990.