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Washington, D.C., U.S. Office of International Health, Division of Planning and Evaluation, 1976. 144 p. (Syncrisis: the dynamics of health, XIX)This report uses available statistics to examine health conditions in Senegal and their interaction with socioeconomic development. Background data are presented, after which population, health status, nutrition, environmental health, health infrastructure, facilities, services and manpower, national health policy and planning, international organizations, and the Sahel are discussed. Diseases such as malaria, measles, tuberculosis, trachoma and venereal diseases are endemic in Senegal, and high levels of infant and childhood mortality exist throughout the country but especially in rural areas. Diarrhea, respiratory infections, and neonatal tetanus contribute to this mortality and are evidence of the poor health environment, and lack of basic services including nutrition assistance, health education, and potable water. Nutrition in Senegal appears to be good in general, but seasonal and local variations sometimes produce malnutrition. Lowered fertility rates would reduce infant and maternal mortality and morbidity and might slow the present decline in per capita food intake. At present the government of Senegal has no population policy and almost no provisions for family planning services. Health services are inadequate and inefficient, with shortages of all levels of health manpower, poor planning, and overemphasis on curative services.
IPPF Situation Report, June 1973. 10 p.The Indonesian Planned Parenthood Association (IPPA) was founded in 1957 and pioneered family planning services. It made little headway duri ng the pronatalist Sukarno regime, but in 1967 the present government announced an intensive family planning program and the IPPA was named as an implementing unit in 1971. 2 primary roles now are the training activities for fieldworkers and the development of community education and motivation programs. This complements the national mass media program. In 1970 the government took over all clinics except those in the Outer Islands (the islands outside Java, Bali, and Madura). The IPPA runs 150 clinics in the Outer Islands, is responsible for all supplies and maintenance, and has a number of model clinics in Java and Bali. The Community Education program has 8 components: speakers bureau, family planning clubs, mobile audiovisual units, exhibitions, tr aditional media, special events, local mass media support, and evaluatio n. In 1971 the 'ippa trained 2951 people; in 1972 this was increased by 25%. In 1973 the target is training 3000 fieldworkers with 16 centers for training and 16 field demonstration areas. An agreement with the U.N. Fund for Population Activities/International Development Association (UNFPA/IDA) will provide for building, equipping, and staffing. The research and evaluation function is also expanding to complement government activities. The government program aims to train 20,250 medical and paramedical personnel over 5 years and medical schools have incorporated the teaching of population and family planning. Government allowances are being curtailed for all children over 3 for government workers. An active clinic program aims to set up 1200 fully equipped and 1250 moderately equipped facilities by 1973. An active media campaign has been launched and for the 1st time in the population field the UNFPA and the IDA are helping to finance a project to expand a family planning program and broaden its activities. This su pport will provide for physical facilities, technical assistance, training, motivation, evaluation, research, and population education.
IPPF Situation Report, February 1974. 6 p.Laos has been so torn by war and continuing waves of refugees that i t has been difficult to provide basic medical services to the population . In 1969 Laos had 53 medical doctors, 40 of whom were foreign instructors at the School of Medicine, 676 practical nurses, and 400 trained midwives. Before 1971 the government was opposed to family planning. A study commission in that year, however, examined population growth problems and recommended support for family planning. The voluntary association had been formed in 1966 and had sent representatives to international workshops. After the change in government attitude, the association has actively acted to distribute family planning supplies to villages, train midwives as motivators, and give additional training to public health center heads, home economists, medical assistants, and refugee village heads. The governmental emphasis is on better spacing of births rather than limitation. It took over operation of 7 association clinics in 1973 and now helps provide contraceptive services. The association still has 5 fixed and 6 mobile clinics. A refugee pilot program which opened in 1971 now has a permanent building and a full-time rural midwife. The association also stresses influencing opinion leaders through lecture forums, pamphlets, radio commercials, and film shows. Information and Education teams were formed to conduct 2-3 day seminar-lectures in other provinces to diverse groups like village headmen, town influentials, teachers, and other leaders. Many foreign groups have provided assistance, supplies, training, and other aid. WHO is helping with the integration of family planning into the nursing and midwifery curricula in the schools of Laos.
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.
IPPF Situation Report, June 1972. 5 pAll the demographic statistics and the cultural, economic, and geogr aphical sttuation of Sierra Leone are presented. The Planned Parenthood Association of Sierra Leone (PPASL) was founded in 1960. There is no anticontraceptive legislation in the country but the attitude of the government toward family planning is still tentative. Current educational, fieldwork, clinic operations, and fund raising projects are summarized. Current personneof PPASL are given. New acceptors choose t he IUD generally, with more educated acceptors favoring the pill or spermicides. Other services provided by PPASL are mentioned. Sources of funding, including international organizations, are listed.
IPPF Situation Report, June 1972. 4 pAll the demographic statistics and the cultural, economic, and geogr aphical situation of Sarawak, part of the Malaysia Federation, are presented. The history of interest in family planning and the current personnel of the Sarawak Family Planning Association (FPA) are presented. The FPA is assisted with clinics, grants, and land from the government. Family planning services are provided by the FPA at 8 urban and 57 rural clinics. Orals are the overwhelming favorite of acceptors. Current educational and training activities are summarized. International organizations providing assistance for the family planning program are mentioned.
IPPF Situation Report, September 1972. 7 pHong Kong, with 3858 people/sq km, is 1 of the world's most densely populated areas. Family planning was introduced in 1936 by the Hong Kong Eugenics League and 5 clinics were operating by 1940. The Family Planning Association (FPA) was formed in 1950 and was a founder member of IPPF in 1952. Interest in family planning increased as massive immigration from China added to overcrowding. The government supports FPA (in 1972 the grant was U.S.$254,545) and houses 80% of the FPA clinics in government properties. At present there are 46 female clinics providing 189 sessions per week and 2 male clinics operating eac h week. The decline from 54 to 48 clinics is due to the new emphasis on full-time rather than part-time clinics. In 1971 there were 347,894 attenders, an increase of 18% over 1970, and 31,898 new acceptors, an increase of 4%. There has been continued increase in the number of patients requesting oral contraceptives (70.6% in 1971). The IUD began to decline after bad publicity surrounded a large number of loops which had broken in the uterus; in 1971 only 6% of acceptors asked for IUDs. Condoms account for 11.5% and injectables, 3.6%. FPA offers subfertility and marriage guidance services and is extending its Papanicolaou smear service. An active media campaign, exhibitions, and seminars are conducted. Until 1967 fieldwork consisted of random home visits. An efficiency study led to concentration on maternal and child health clinics, postnatal clinics, and follow-up home visits. Home visi ts are still made on request. A number of international trials for various contraceptives have been run in Hong Kong. Many church and international organizations are helping to finance family planning activities, both through FPA and through their own organizations.