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In: Gender, health, and sustainable development: a Latin American perspective. Proceedings of a workshop held in Montevideo, Uruguay, 26-29 April 1994, edited by Pandu Wijeyaratne, Janet Hatcher Roberts, Jennifer Kitts, and Lori Jones Arsenault. Ottawa, Canada, International Development Research Centre, 1994 Sep. 19-25.A non-profit, nongovernmental organization, the Paulina Luisa Movement was founded in 1985. It is based in the poor Cerro Largo region of Uruguay. There has been considerable concern for many years over the quality of health care which women receive in public and private health clinics. Health services in Uruguay generally perpetuate the notion that men should be the ultimate authority. In the field of medicine, the male doctor, not the female doctor, holds power and knowledge. These men are usually loathe to establish equal and cooperative relationships with their female patients. In this context, four years ago, the coordinators of the movement began to design a new model for women's health care. Many programs were launched designed to improve health services for women. When HIV/AIDS emerged as a serious heath concern, it was immediately incorporated into the women's health program. This paper describes an HIV/AIDS education intervention project proposed by the Paulina Movement and other nongovernmental organizations to the World Health Organization (WHO) in 1992. The project was approved by the WHO and was developed in 1993 throughout Argentina and Uruguay. Project objectives, methodology, the vulnerability of women to HIV/AIDS, and results are presented. The 82 women involved in the project learned new approaches to avoiding infection with HIV.
NETWORK. 1991 Sep; 12(2):14-7, 27.Many unwanted births and pregnancies could be avoided by improving instructions for and comprehension of the use of oral contraceptives. Employed less than only the IUD, the oral contraceptive pill is the 2nd- most widely used reversible form of contraception, used by 8% of all married women of reproductive age. 6-20% of pill users, however, fall pregnant due to improper pill use. Improving instructions in the pill pack, ensuring that instructions are correct, and working to facilitate user understanding and motivation have been identified as priorities in maximizing the overall potential effectiveness of the pill against pregnancy. Since packets in developing countries may consist of pills in cycles of 21, 22, 28, or 35 days, providers must also be trained to instruct users in a manner consistent with the written instructions. Pictorial information should be available especially for semi-literate and illiterate audiences. The essay describes recommendation for instruction standardization and simplification put forth by Family Health International, and endorsed by the U.S. Food and Drug Administration. International Planned Parenthood Federation efforts to increase awareness of this issues are discussed.