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Planning for a multi-site study of health careseeking behavior in relation to IMCI, November 4-11, 1997.
Arlington, Virginia, Partnership for Child Health Care, Basic Support for Institutionalizing Child Survival [BASICS], 1997.  p. (Report; USAID Contract No. HRN-C-00-93-00031-00)This trip report pertains to a 1-week workshop held during November 4-11, 1997. The purpose of the workshop was to plan a study of healthcare-seeking behavior in Mexico, Ghana, and Sri Lanka. The study would develop a community and facility link as part of the WHO Integrated Management of Childhood Illness (IMCI) initiative. The theoretical framework identifies four types of maternal behavior (recognition, labeling, resorting to care, and compliance) and four types of channels (paid community health workers, volunteer health workers, mother support groups, and informal support from family and others). Project funding would be supplied by WHO. BASICS has the opportunity to collaborate with WHO and the London School of Hygiene and Tropical Medicine on the study, which is highly relevant to its work with behavior change and IMCI. The workshop was attended by about 18 persons and included teams from the three study sites. The workshop included presentations, plenary discussions, and small group sessions. The organizing committee prepared a review of the literature on healthcare-seeking behavior, evaluation techniques, WHO protocols for multi-center studies, targets, and budgets. Representatives from the sites prepared an overview of health conditions at their sites and some ideas for the study plan and intervention. The subgroups developed specific draft study plans, which were presented to the plenary. Final proposals are due in Geneva by November 30, 1998. BASICS will develop a review of mother support groups and provide position papers to sites.
Bethesda, Maryland, Sisterhood is Global Institute, 1996. , xiv, 168 p.This manual presents a multidimensional framework that allows grassroots Muslim women from various backgrounds to examine the relationship between their basic human rights as inscribed in major international documents and their culture. The introduction contains the manual's objective and background, the major international sources of women's rights, the major premises upon which the manual is based, the theoretical framework of the communication model (involving a communicator, an audience, a medium, and a message), the general structure of the model, and a note to facilitators. The next section presents the learning exercises that can be used by facilitators and participants to discuss women's rights 1) within the family; 2) to autonomy in family planning decisions; 3) to bodily integrity; 4) to subsistence; 5) to education and learning; 6) to employment and fair compensation; 7) to privacy, religious beliefs, and free expression; 8) during times of conflict; and 9) to political participation. Section 3 contains a workshop and facilitator evaluation form. Appendices contain auxiliary material such as relevant religious passages, descriptions of the first heroines of Islam, samples of Arabic proverbs concerning women, the text of international human rights instruments, and a list of various human rights and women's organizations in selected Muslim societies. The manual ends with an annotated bibliography.
New York, New York, UNFPA, . v, 69,  p. (Evaluation Report)In 1991, a mission in India, Bhutan and Nepal evaluated UNFPA/WHO South East Asian Regional Office (SEARO) maternal and child health/family planning (MCH/FP) projects. The Regional Advisory Team in MCH/FP Project (RT) placed more emphasis on the MCH component than the FP component. It included all priority areas identified in 1984, but did not include management until 1988. In fact, it delayed recruiting a technical officer and recruited someone who was unqualified and who performed poorly. SEARO improved cooperation between RT and community health units and named the team leader as regional adviser for family health. The RT team did not promote itself very well, however, Member countries and UNFPA did request technical assistance from RT for MCH/FP projects, especially operations research. RT also set up fruitful intercountry workshops. The team did not put much effort in training, adolescent health, and transfer of technology, though. Further RT project management was still weak. Overall SEARO had been able to follow the policies of governments, but often its advisors did not follow UNFPA guidelines when helping countries plan the design and strategy of country projects. Delays in approval were common in all the projects reviewed by the mission. Furthermore previous evaluations also identified this weakness. In addition, a project in Bhutan addressed mothers' concerns but ignored other women's roles such as managers of households and wage earners. Besides, little was done to include women's participation in health sector decision making at the basic health unit and at the central health ministry. In Nepal, institution building did not include advancement for women or encourage proactive role roles of qualified women medical professionals. In Bhutan, but not Nepal, fellowships and study tours helped increase the number of trained personnel attending intercountry activities.