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  1. 1

    The role of the traditional midwife in the family planning program. Report of National Workshop to Review Researches into Dukun Activities related to MCH Care and Family Planning.

    Indonesia. Department of Health; Indonesia. National Family Planning Coordinating Board [BKKBN]; Indonesian Planned Parenthood Association; Universitas Indonesia

    [Jakarta], Indonesia, Department of Health, 1972. 83 p.

    A number of studies conducted already have revealed that there are possibilities of using dukuns as potential helpers in the family planning programme. Bearing in mind that the number of dukuns at the present time is large, it is easy to imagine that they are capable of contributing a great deal towards progress in our family planning programme provided that the dukuns are assigned a role which is appropriate. In this respect, I am only referring to dukuns whose prime function is helping mothers during pregnancy and immediately afterwards, and who have close contact therefore, with the target of the family planning programme, i.e. the eligible couples. It would indeed be very helpful, if we could find out from the available data and from the results of applied research what exactly is the scope and usefulness of dukuns in the family planning programme. It seems to me that in this project we have to consider a twofold problem. The first aspect of the problem is that the dukuns are mostly of an advanced age and they are illiterate. The second aspect is that in spite of relationships with MCH centers extending over a period of years most of the dukuns still prefer their own way of doing things and they remain unaffected by modern ways of thinking. (excerpt)
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  2. 2

    Incorporating cost and cost-effectiveness analysis into the development of safe motherhood programs.

    Forgy L; Measham DM; Tinker AG

    Washington, D.C., World Bank, Population and Human Resources Department, 1992 Jan. 37 p. (Policy Research Working Papers, WPS 846)

    500,000 women die annually from complications related to pregnancy or childbirth; 99% of whom live in developing countries. The Safe Motherhood Initiative was launched at an international conference in 1987 with the goal of reducing maternal mortality by 50% by 2000. This report synthesizes the results of a workshop at the World Bank April 8-9, 1991, comprised of economists, maternal health and family planning professionals, and staff from several multilateral agencies to discern what is known about the components and costs of Safe Motherhood programs, and to establish an agenda for future work on the issue. The goal of the workshop was to begin identifying the conceptual basis of a cost-effectiveness methodology for Safe Motherhood, for use by health planners working to develop and implement programs in developing countries. The workshop also aimed to identify gaps in current knowledge on the efficacy of program options, which will need to be addressed before a general model of cost-effectiveness can be developed and applied in practice. The history and activities of the Safe Motherhood Initiative are summarized, and workshop participants' perceptions of the components of Safe Motherhood programs and possible measures of effectiveness discussed. Costing information and possible data sources are discussed, a specific economic modeling activity is outlined, and additional detail is presented in the report appendix.
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