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  1. 1
    016026

    Report of the evaluation of UNFPA assistance to the National Family Planning and Sex Education Programme of Costa Rica.

    Demographic Association of Costa Rica

    [Unpublished] 1980 Mar. 89 p.

    This report of the evaluation of UN Fund for Population Activities (UNFPA) assistance to Costa Rica's National Family Planning and Sex Education Program covers the following: 1) project dimension and purpose of the evaluation, scope and methodology of the evaluation, composition of the mission, and constraints; 2) background information; 3) 1974-77 family planning/sex education program (overview, immediate objectives, strategy, activities and targets, and institutional framework); 4) planned and actual inputs and rephasing in 1978-79; 5) family planning activities (physical facilities and types of services provided, recruitment of new users, continuation of users within the program, distribution of contraceptive supplies, sterilizations, and indicators of program impact); 6) training and supervision; 7) education, information, and communication (formal and nonformal education, educational activities in the clinics, and the impact of the nonformal educational program); 8) maternal and child health (maternal health indicators, cytological examinations, and infant mortality); 9) program evaluation and research; 10) population policy; 11) program administration; 12) some general conclusions regarding the performance of the program; and 13) the program beyond 1979. UNFPA evaluations are independent, in depth analyses, prepared and conducted by the Office of Evaluation, usually with the assistance of outside consultants. The process of analysis used in the evaluation follows a logical progression, i.e., that which underlines the original program design. Evaluation assessment includes an analysis of inputs and outputs, an investigation of the interrelationship among activities, an indication of the effectiveness of activities in achieving the objectives, and an assessment of duplication of activities or lack of coverage and the effect of this on realization of the objectives. The program was able to expand the coverage of family planning activities but has been unsuccessful in having a population policy established. The number of hospitals, health centers, and rural health posts providing family planning services was tripled in the 1974-77 period. The program could not achieve its targets in number of new users, and it recruited in 1977, only 11% of the total population of the country, against the 20% planned. It has been estimated that between 1973-77 around 231,200 births or 44.4% of those possible had been averted. Training and supervision has been a weak area of the program. A large number of professors have been trained in sex education, but no evaluation has been undertaken of the likely impact of this trained staff at the school level. The information, education, and communication (IEC) program has been successful in taking information and education to the population on family planning/sex education concerns but less successful in motivating the political groups to formulate a population policy.
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  2. 2
    046748

    Smallpox eradication.

    Henderson DA

    PUBLIC HEALTH REPORTS. 1980 Sep-Oct; 95(5):422-6.

    The implications of the eradication of smallpox in the context of epidemiology are presented. Eradication of disease has been conceived since the 1st smallpox vaccination was developed in the 18th century. Since then, attempts to eradicate yellow fever, malaria, yaws and smallpox have been instituted. Most public health professionals have been rightfully skeptical. Indeed, the success with smallpox was fortuitous and achieved only by a narrow margin. It is unlikely that any other disease will be eradicated, lacking the perfect epidemiological characteristics and affordable technology. The key to success with smallpox was the principle of surveillance. This concept has a vigorous developmental history in the discipline of epidemiology, derived from the work of Langmuir and Farr. It involves meticulous data collection, analysis, appropriate action and evaluation. In the case of smallpox, only these techniques permitted the key observations that smallpox vaccination was remarkably durable, and that effective reporting was fundamental for success. The currently popular goal of health for all, through horizontal programs, is contrary to the methods of epidemiology because its objective is vague and meaningless, no specific management structure is envisioned, and no system of surveillance and assessment is in place.
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  3. 3
    267117

    The World Fertility Survey: a basis for population and development planning, statement made at the World Fertility Survey Conference, London, England, 7 July 1980.

    Salas RM

    New York, N.Y., UNFPA, [1980]. 5 p. (Speech Series No. 54)

    The World Fertility Survey (WFS) is the largest social science research survey undertaken to date. From its inception in 1972 the WFS has received the full support of the UN and the UNFPA. This program has not only enhanced considerably our knowledge of fertility levels and fertility regulation practices in developing as well as developed countries but has also provided the UN system with internationally comparable data on human fertility on a large scale for the 1st time. The methodology developed by the WFS has made it possible to collect data on the individual and the household as well as the community. Information has become available not only on fertility levels, trends and patterns but also on fertility preferences and nuptiality as well as knowledge and use of family planning methods. Initial findings document the rather dramatic fertility decline taking place in many developing countries under various socioeconomic and cultural conditions. They also show the magnitude of existing unmet needs for family planning in the developing world which must be continuously brought to the attention of the governments of all countries. A most encouraging effect of the program, however, has been the fact that 21 industrialized countries have carried out, entirely with their own resources, fertility surveys within the WFS framework and in accordance with its recommendations, making it truly an internationally collaborative effort.
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  4. 4
    016084

    Evaluation report of the World Fertility Survey.

    Smith TE; Berquo E; Fisek NH; Knodel J; Ordonez-Plaja A; Presser HB

    [Unpublished] 1980 Dec. 183 p. (ADSS AID/DSPE-C-0053)

    A general report follows the "Executive Summary" of this evaluation of the World Fertility Survey (WFS). The general report covers the following: previous evaluations, terms of references, and composition and itinerary for the Evaluation Mission; background and objectives of WFS (origin of the program; objectives, priorities, and strategies); organization aspects of the WFS program (headquarters, country participation, operating procedures, survey organization, and coordination); inputs (scope of support to the program, procedures for provision of funds, headquarters costs, costs of country surveys, and complementary support to the program); methodological aspects of the program (sampling procedures; questionnaires, survey procedures, and basic documentation; data processing and archives; and production of the 1st country report); execution of national surveys (nature, character, and significance of WFS assistance; implementation of survey procedures); analysis (evaluative, illustrative, 2nd stage, and comparative analyses); building the national capability (contribution to survey taking capability, contribution to data processing capability, and contribution to analatical capability); dissemination of survey results (national meetings, limits of WFS participation in national dissemination activities, actual and potential audience for WFS survey results, and libraries in the WFS despository system); and use of WFS survey results. Conclusions are reported, recommendations are made, and country reports are included for the Dominican Republic, Mexico, Jordan, Kenya, Nepal, and the Philippines. The 1st objective of the WFS is to help countries acquire scientific information that will allow them to describe and interpret their populations' fertility, to identify meaningful differentials in patterns of fertility and fertility regulation, and to provide improved data in order to facilitate efforts in economic, social, and health planning. As of July 1980, a total of 36 less developed countries had completed fertility survey fieldwork, and of these 21 had published their First Country Report. The following were among the conclusions reached concerning this 1st objective: the sampling, training, field supervision, editing, and data processing standards set by the WFS for the national executing agencies were higher than those which characterized previous surveys; data processing was the major bottleneck in the participating countries during the surveys; and at all stages of the survey there was a conflict between the time constraints on completing the survey and getting the report out and the desire to rely as much as possible on local personnel. As far as utilization of WFS data, at this stage the Mission was able to evaluate only the short range use of the results.
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  5. 5
    264218

    A comprehensive evaluation of the regional programs of the Pathfinder Fund.

    Huber SC; Crocker C; Goodwille S; Minor K; Strachan D

    [Unpublished] 1981. 267 p. (Authorization: Ltr. AID/DS/POP: 2/12/81; Assgn. No. 582059)

    The major purposes of this evaluation were to assess Pathfinder's program of in-country assistance to family planning projects. A 2-part framework was followed. The general evaluation considered the organization's policy, including the composition and functions of the board, the project development strategy, and future planning; the management structure in Boston and in the field and program support; and project management. The country evaluation framework considered the country background in terms of demographics, overall family planning services, population policy, and laws and legislation; organizational structure and program support of Pathfinder management; several aspects of project management including project descriptions, design and selection, implementation and monitoring, and evaluation; and project effectiveness. Regional evaluations were separately prepared for Africa, Latin America, and Asia and the Middle East. Within the African region country reports and evaluations of specific projects in Nigeria, Kenya, and Zaire are presented; in Latin America reports are included for Brazil, Peru, Guatemala and Colombia; and in Asia and the Middle East reports were prepared for Indonesia, Bangladesh and Egypt. General recommendations are applicable to the overall program and recommendations and suggestions specific to a region, country or project are included in the individual regional reports. In general terms the team concluded that the Pathfinder Fund is using the USAID grant effectively. Specific projects are innovative, and no major insurmountable problems in the field were noted.
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  6. 6
    802984

    Program management and effectiveness: perspectives from the funding agencies.

    Kanagaratnam K

    In: Files LA, ed. Research on the management of population programs: an international workshop. Chapel Hill, NC, Univ. of NC, School of Public Health, Dept. of Health Administration and the Carolina Population Center, 1980. 91-108.

    There are 2 types of government-sponsored national family planning programs, those which operate within narrowly-defined parameters and recognize local constraints and those which, with the support of politicians, aim at all the national population problems. The trend has been toward the 2nd, more comprehensive type of program. Since population programs in most countries began as medically-based family planning programs, they have been cut off from broader affiliations. Once domestic funding increases, the programs will gain autonomy in program direction. The World Bank offers program funds aimed at establishing effective management policies for the national population programs. A 1st step in Bank funding is an assessment of organizational and managerial problems. The Bank also focuses on management and personnel at the micro level. Most Asian programs are felt to be strong and effective; Latin American programs fall slightly behind the Asian programs; programs in Africa lag far behind. Immediate future steps for the programs in each of the continental regions are outlined. A summary of management components in Bank population projects in several selcted countries is presented. A funding summary for these management activities is tabulated.
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  7. 7
    803119

    Recommendations of the Second Expert Group Meeting on Methods of Measuring the Impact of Family Planning Programmes on Fertility: report of the Secretary-General.

    United Nations. Economic and Social Council. Population Commission

    New York, UN, 1980 Nov 18. 10 p.

    The Secretariat-General of the UN, following recommendation, convened a Second Expert Group Meeting to assess methods for evaluating the impact of family planning programs. The Meeting, held in March 1979, discussed evaluation methodology. 5 new country cases were presented for Meeting discussion with a view to illustrating cross-method variance in evaluation results. It was concluded that evaluation methodology has improved in recent years. Also, progress had been made in understanding sources of error in data. Service statistics should be produced by all national family planning programs; they are useful for evaluation and administration monitoring. Computerization of the methods of evaluation is recommended as a means of time-saving and guaranteed accuracy. The use of computerized evaluative methods also facilitates comparability studies. Recommendations were made by the Expert Group to the Secretariat-General as to data collection, data quality, and research priorities.
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