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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.
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.
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.