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General lessons learned from evaluations of MCH/FP projects in Botswana, Malawi, Swaziland and Zambia.
New York, New York, UNFPA, 1984 Dec. iv, 41 p.4 maternal-child health/family planning (MCH/FP) projects were evaluated by the United Nations Fund for Population Activities (UNFPA) in the Southern Africa Region between 1981-1984. The projects were in Botswana, Malawi, Swaziland and Zambia. An overriding finding at the time of the Evaluation Missions was the acceptance of family planning (child spacing) by all 4 governments, when at the onset of the projects, family planning was either not included in the project documents or was included only as a minor contributant to the MCH programs. The intervention by UNFPA was very important for the acceptance and promotion of family planning activities by the governments. The Evaluation Missions concluded that there were 3 primary reasons for the successful intervention: UNFPA has a broad mandate to provide assistance in MCH and FP, a commitment to development projects in line with the governments' priorities, and the ability to fund projects very quickly, facilitating project implementation. Each of the 4 projects is assessed in terms of population policy changes, MCH/FP program strategy and serive delivery, organization of the MCH/Fp unit, health education, training, evaluation and research systems, and administration and management. Essential factors affecting the project are outlined and recommendations made. The last section discusses general lessons derived from the MCH/FP projects evaluated. 5 areas are identified where similar problems exist to varying degrees in all the projects evaluated. These are: training of medical personnel in FP (the main MCH/FP service provider in these projects was the nurse/midwife); supervision of personnel and the supply and distribution of contraceptives; research and evaluation, especially regarding the sociocultural setting of target populations and the inadequacy of existing service statistics and other sources of data; project monitoring (technical and financial) and finally project execution by the World Health Organization (WHO). Specifically in regard to the recruitment of experts, the provision of supplies and equipment, and the provision of funds for local costs, WHO execution has been deficient.
Report on the evaluation of CPR/80/P14: population education in the secondary schools and teachers training of the People's Republic of China.
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Nov. iv, 49 p.The objectives of the Population Education in Secondary Schools and Teachers Training of the People's Republic of China Projects were to provide the Chinese people, including young students, with the basic knowledge of population science and an understanding of why the Government considers family planning a fundamental national policy and why it is implementing the policy of controlling the number of the population and raising its quality. The 2 distinguishing features of this project are that the target group are middle school students rather than students of all grade levels, and that the existence of an established system for in-service training in the form of pedagogical institutes provides a fast and effective mechanism to introduce population education into the 2ndary school curriculum. The overall assessment of the Mission is that this project has been highly successful. The Mission's main recommendations are: 1) that the United Nations Fund for Population Activities and the Government increase their financial assistance; 2) future objectives be stated in terms that emphasize educational outcomes rather than operational tasks to permit objective monitoring and evaluation; 3) that a moratorium be place on the revision of population education curricula in order to concentrate on its diffusion; 4) that the posters and commentary be considered as a basis for instruction of junior middle school students as well as out-of-school youth and adults; 5) that questions on population content be included in the national examinations for university admission; 6) that a program for pre-service education in population education be initiated to supplement the in-service training; and 7) that substantial attention be given to different modes of training.
Report on the evaluation of UNFPA assistance to the family health programme of Zambia: project ZAM/74/PO2 (February - March 1984).
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Sep. x, 38,  p.The objective of the Family Health Program of Zambia is to enhance the health and welfare of Zambians, particularly mothers and children, through an increase in coverage of the population served through under-5s clinics, pre- and post-natal services and child spacing activities. The Mission found that the strong points of the project are the increasing commitment of the Government to incorporate family planning activities as an essential component of its family health and primary health care programs; the training and health education components of the program; and the enthusiasm and ability of the Zambian Enrolled Nurse/Midwives in organizing maternal child health/family planning services at service delivery points. Factors which appear to have hindered a more effective project performance have been the restriction on prescribing contraceptives by anyone but physicians; the imbalance in implementation among the project components; the failure to appoint international and national staff to key positions and with a timing that would have enabled staff members to support each other as members of a coordinated team; weak supervision; no research and evaluation activities; transport problems; the lack of use of, and updating of, the project plans; and the absence of a tripartite review early in the project's life to address implementation problems.
Report on the evaluation of UNFPA-sponsored country programme in Democratic Yemen, 1979-1984 and role of women in it.
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Apr. xiii, 101 p.The United Nations Fund for Population Activities (UNFPA)-sponsored Country Program was the 1st comprehensive effort in the field of population in Democratic Yemen, following earlier sub-sectoral interventions which benefitted from UNFPA assistance. This evaluation covers 1) the country program as such, focusing on the results achieved in terms of building national capacity for formulating and implementing population policies and programs; 2) the 7 component projects, one in data collection and analysis, a maternal child health/family planning project, and 5 in population education for different audiences; and 3) the women's dimension of the program. At the end of the 4th year of implementation, little had been done by the Country Program in terms of institution building and population policy. The program's achievements were hindered by factors such as an extreme shortage of national qualified staff, training facilities, poor program design, insufficient technical leadership and support, as well as unrealistic objectives. The 7 component projects were plagued with similar problems and made only modest acheivements. The Evaluation Mission expressed the view that long term international expertise to serve all projects would have been advisable as well as long term training abroad for a few people who could become leaders/advisors/administrators. In evaluating the role of women, the Mission found that women had participated in the implementation of all the projects evaluated but were mainly to be found in junior positions. The program as a whole contained a substantial portion of women among its direct beneficiaries comprising those who had been trained, employed and targeted as recipients of the services of the projects, although this varied considerably between projects. In general, the Mission was of the view that in the future a country program document should be prepared specifying the long term and immediate objectives for the population program as a whole.
A summary of the report on the evaluation of MEX/79/P04 "Integration of population policy with development plans and programmes".
New York, New York, UNFPA, 1984 Jul. 19,  p.The objective of this UNFPA project was to build the institutional and methodological base for integration of population policy into and its harmonization with national, sectoral and state policies or socioeconomic development in Mexico. More specifically, the project was to achieve integration of population policy with 6 sectoral plans, 24 state plans and the Master Development Plan within 3 years. Although the Mission considers it an achievement that the project signed agreements with all 31 states and the Federal District, no formal contacts had been made with the 6 sectors. Mexico's National Population Council (CONAPO) coordinated the project. The Mission recommended that support to integration activities be continued on the basis of the experience that has been acquired. Therefore it is necessary 1) to strengthen the activities at the state level; 2) to support the development of methodologies considering the impact of socioeconomic plans and programs on demographic variables and to provide a comprehensive program of international technical experience; 3) to recognize that responses to ad hoc support activities are an important integration instrument for both sectors and states; and 4) to exact greater clarity concerning the role of the project in the National Population Program. A lack of aedquately trained personnel proved to be a continual obstacle to implementation. The Mission recommends that at an early stage in the development of such projects a thorough assessment of the human resource requirements and existing capacity for integration of demographic and socioeconomic variables be made and that, based on this assessment, a specific training strategy be developed and incorporated in the project's design. In addition to training, the project also included research support activities; the outputs, however, were descriptive rather than analytical, which can be traced to both the design and execution of the work plan for research activities. The UNFPA's funding constraints and its management of reduced funds further complicated the project's execution, which suffered from high personnel turnover and lack of coordination of project activities.
[Unpublished] 1984. Paper prepared for the International Conference on Population held in Mexico City, August 6-13, 1984. 138 p.The World Population Plan of Action (WPPA), which was adopted by consensus at the UN World Population Conference held at Bucharest in 1974, recommended that a comprehensive and thorough review towards achieving the goals and recommendations of the Plan of Action should be done every 5 years. The goals and recommendations of the Plan could then be modified. An International Conference was to be held in 1984 so that selected issues of the highest priority could be discussed. The aim was to contribute to the process of review and appraisal of the WPPA and to further its implementation. The present report is before the conference for consideration. It provides the rationale for the further implementation of the Plan of Action. Its purpose is to facilitate the deliberations of the Conference by providing appropriate background information on population trends and policies and assessing the progress made in achieving the goals and objectives of the Plan. This report is organized into 6 major chapters: 1) socioeconomic development and population; 2) development of population policies; 3) population trends, prospects, goals and policies; 4) promotion of knowledge; 5) role of national governments and the international community; and 6) monitoring, review and appraisal of the WPPA. Each chapter includes a summary of the major trends observed in the past decade and where appropriate, the most probable future prospects. This is followed by an assessment of the level of implementation of the Plan. This report has been prepared by the Population Division of the Department of International Economic and Social Affairs, in cooperation with the Department of Technical Cooperation for Development, the UN Fund for Population Activities, the regional commissions, specialized agencies and other bodies of the UN systems, as well as several nongovernmental organizations.