Your search found 20 Results
BULLETIN OF THE PAN AMERICAN HEALTH ORGANIZATION. 1984; 18(2):188-92.Outbreaks of yellow fever in recent years in the Americas have prompted concern about the possible urbanization of jungle fever. Vaccination, using the 17D strain of yellow fever virus, provides an effective, practical method of large scale protection against the disease. Because yellow fever can reappear in certain areas after a 2-year dormancy period, some countries maintain routine vaccination programs in areas where jungle yellow fever is endemic. The size of the endemic area (approximately half of South America), transportation and communication difficulties, and the inability to ensure a reliable cold chain are problems facing these programs. In addition, the problem of reaching dispersed and isolated populations has been addressed by the use of mobile teams, radio monitoring, and educational methods. During yellow fever outbreaks, many countries institute massive vaccination campaigns, targeted at temporary workers and migrants. Because epidemics in South America may involve extensive areas, these campaigns may not effectively address the problem. The ped-o-jet injector method, used in Brazil and Colombia, should be used in outbreak situations, as it is effective for large-scale vaccination. Vaccine by needle, suggested for maintenance programs, should be administered to those above 1 year of age. An efficient monitoring method to avoid revaccination, and to assess immunity, should be developed. The 17D strain produces seroconversion in 95% of recipients, and most is prepared in Brazil and Colombia. But, problems with storage methods, instability in seed lots, and difficulties in large-scale production were identified in 1981 by the Pan American Health Organization and WHO. The group recommended modernization of current production techniques and further research to develop a vaccine that could be produced in cell cultures. Brazil and Colombia have acted on these recommendations, modernizing vaccine production and researching thermostabilizing media for yellow fever vaccine.
INFECTION CONTROL. 1984 Nov; 5(11):538-41.In 1978 the Ministry of Health and Social Welfare (MHSW) of Liberia launched the Expanded Program on Immunization (EPI) with the 5-year objective of establishing an 80% reduction in child mortality and morbidity from measles, polio, diphtheria, neonatal tetanus, pertussis, and tuberculosis. The program at first adopted a strategy of using 15 mobile units in 11 operational zones to deliver vaccinations throughout the country. However, by 1980, despite support from the Baptist World Alliance, the UN International Children's Emergency Fund (UNICEF), and the World Health Organization (WHO), it became evident that the mobile strategy was neither economically feasible nor practical. Therefore, with support from the US Agency for International Development (USAID), the EPI shifted to a strategy of integrating immunization activities into the existing network of state health facilities. After 5 years, in 1982, the Program was evaluated by a team from the MHSW, WHO, USAID, and the Centers for Disease Control. The evaluating team felt that the EPI's strategy was good, but its goals were not being achieved due to deficiencies in funding, clinic supervision, and rural community outreach, as well as shortages of kerosene and spare parts needs to keep the essential refrigerators in operating condition. Measles remains endemic; in the capital, Monrovia, only 9% of the children have been vaccinated against it. Immunization coverage is particularly low in the capital the countries. Other reasons for low vaccination coverage in Liberia are lack of community awareness of existing facilities and the importance of vaccination and lack of coordination at the community level to use the existing facilities efficiently. International assistance is still needed, especially to develop heat-stable vaccines, so that maintenance of refrigerators will not be necessary.
Civil registration and vital statistics in the Africa region: lessons learned from the evaluation of UNFPA-assisted projects in Kenya and Sierra Leone.
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Dec. viii, 25 p.To review the experience of vital statistics and civil registration in the Africa Region, projects in 2 countries were evaluated in-depth: the Civil Registration Demonstration in Kenya and the Strengthening of the Civil Registration and Vital Statistics System in Sierra Leone. Based on these project evaluations and on experience in the area of data collection and project implementation in other parts of the Africa Region, specific observations/conclusions and recommendations are made in 5 areas. 1) United Nations Fund for Population Activities (UNFPA) support for civil registration is justified if and when it can be expected to produce vital statistics which are not less reliable than estimates derived from censuses and surveys. 2) Regarding project strategy, a gradually expanding registration area is preferable in countries in the Africa Region which have extensive rural areas. 3) A thorough assessment of the registration hierarchy is required when establishing new methods and procedures for civil registration. In deciding upon the topics to be included in the region records, usefulness, collectability and neutrality of the inputs are important criteria. 4) Regarding project inputs, Governments may wish to choose an existing organization which has a large field staff and a bureaucratic hierarchy to undertake civil registration activities. In this way these activites could then be added on as new functions of existing posts. The careful selection of types of equipment and supplies greatly affects the implementation of civil registration activities and external resources are required in many projects for vehicles and paper for registration forms. 5) While the projects evaluated have followed the procedures for monitoring through the submission of Project Progress Reports and the holding of Tripartite Review Meetings, the monitoring system has not served as a triggering mechanism for actions. This is mainly due to the lack of follow-up by the governments, and executing and finding agencies of the monitoring reports, and at times, the absence of key technical and administrative persons at Tripartite Review Meetings. Recommendations made concerning these conclusions are addressed to the governments of the Region to improve their civil registration systems; some are addressed specifically to UNFPA and the United Nations Department of Technical Cooperation for Development to improve their assistance to governments.
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 UNFPA assistance to the civil registration demonstration project in Kenya: project KEN/79/P04.
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Dec. xi, 36 p.Kenya established a compulsory vital statistics and civil registration system in 1963 and it was extended nationwide in phases until it covered the whole country by 1971. Serious under-registration of births and deaths however, has persisted. In order to improve registration coverage, the government submitted a proposal to UNFPA to support experimentation with ways to promote registration in some model areas. The original project document included 4 immediate objectives: the strengthening of the civil registration system in the model areas including the creation of a new organizational structure, the training of project personnel and the decentralization of registration activities; the improvement of methods and procedures of registration through experimentation; the collection of reliable vital statistics in the model areas; and, the establishment of a public awareness program on the need for civil registration to ensure the continuation and extension of the new system. Of the 4 objectives of the project, 2 have been achieved--the strengthening of civil registration in the model areas and the improvement of methods and procedures of registration. The major deficiency during the project period was the lack of required staff in the field. The primary feature which distinguishes the project is that traditional birth attendants and village elders become key persons at the village level and act as registration informants after receiving training. The strong points of the project are the high quality of technical assistance provided by the executing agency, the close collaboration among various government departments, and the choice of project strategy and model area. Recommendations have been made to correct the problems of a lack of key personnel at the head office and in the field, and the expansion of registration to new areas before consolidation was completed in the old areas.
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 assistance to the maternal and child health programme of Malawi: project MLW/78/P03 (February 1984).
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Sep. xi, 36,  p.The 3 initial objectives of the Maternal and Child Health Program of Malawi were health and nutrition education, training of traditional midwives, and immunization against measles and polio. The Evaluation Mission found that the strong points of the project are: the Government's commitment to improve the status of maternal and child health by its expansion of services and its recent acceptance of child spacing as part of its program in maternal child health; the high level of dedication of the personnel in the Ministry of Health; the attention given to strengthening the Health Education section; and the establishment of a good management information framework upon which planning, supervision and monitoring can be further developed. Factors which seem to have hindered the project have been the lack of trained staff at the supervisory and service delivery level caused in large part by the lack of accomodation at the various national training institutions; the failure to appoint international staff to key positions within the project; and the lack of adequate transportation for project personnel. As child spacing will soon be included in project activities, the present organization of the Central Medical Stores to procure and distribute contraceptives and other needed supplies will adversely affect project performance. In total, the evaluation Mission made 19 recommendations addressed mainly to the Government and a number to the World Health Organiation and the United Nations Fund for Population Activities for project management decisions.
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.
Report on the evaluation of SEN/77/P04: population/socio-spatial/regional planning (population/amenagement du territoire).
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Dec. xiii, 34,  p.The Senegal population/socio-spatial/regional planning project illustrates a truly integrated approach to population and development planning. The evaluation Mission concluded overall that the project's achievements are positive. The project's main accomplishments have been the establishment of a sophisticated population data bank, the preparation of national and regional population projections, an analysis of migration movements, and the production of related maps and tables using primarily 2ndary data sources. The technical quality and detail of the work undertaken, as well as its potential usefulness, were high. However, the Mission also found that various constraints specific to this project have considerably limited its achievements. These include inadequately formulated project objectives and planned activities, poorly defined conceptual framework, low absorptive capacity of the implementing agency, and severe United Nations Fund for Population Activities budget reductions. The value of the work was found to be lessened because the data assembled have not yet been systematically integrated into other relevant data banks, properly disseminated or utilized. The Mission recommended measures which will help conserve the valuable data bank and other results of the project and will assist in the transfer to nationals of the knowledge and skills to update and utilize the data bank. Limited outside assistance--financial and technical--is needed for some of the recommended measures.
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. Presented at the Union of National Radio and Television Organisations of Africa [URTNA] Family Health Broadcast Workshop (Nairobi, 19-23 November, 1984).  p.Statistical information on Zambia's population is provided, and the activities, goals, and achievements of the country's family health, maternal and child health (MCH), and expanded immunization programs are described. Zambia is a tropical country and has a 1-party participatory democratic form of government. The country is inhabited by 73 tribes speaking 62 languages. In 1983, the population size was 6,425,000, and 48.6% of the population was under 15 years of age. Population size, area, and density information for each province is provided. The general fertility rate was 220/1000 women of reproductive age. Life expectancy was 50 years for women and 46.7 years for men. The 6 major causes of death among women and children in 1979 were measles, malnutrition, pneumonia, malaria, diarrhea, and respiratory infection. The Ministry of Health is actively working to expand immunization and MCH services in the rural areas. The family health program is a training program charged with the task of providing training in family health for 600 enrolled nurses and midwives. Sessions include 6 weeks of classroom instruction followed by 6 weeks of clinical or field experience. Topics covered in the training sessions are health education, teaching and communication skills, management skills, child health, nutrition, immunization, prenatal and postnatal care, and child spacing. Graduates of the program are assigned to rural health facilities where they supervise the delivery of immunization and MCH services and initiate child spacing services. The family health program, initiated in 1980, is funded by the UN Fund for Population Activities and is guided jointly by the Ministry of Health and the World Health Organization. As of 1983, 19 registered nurse midwives and 442 enrolled nurse midwives were trained under the program. Information on the family health program is disseminated via radio, television, a Ministry of Health magazine, the World Health Day Exhibition, and agricultural shows. The development of MCH services in rural areas is emphasized by the 1980-84 national development plan. The major components of the MCH program are prenatal and postnatal care, family planning, children's clinics, vitamin and protein supplementation, immunization, and school health services. The Expanded Immunization Program (EIP) is integrated into the primary health care system and covers remote areas not as yet covered by MCH services. The specific goals of the program are to increase immunization coverage, establish a cold chain for vaccines, reduce vaccine wastage, and train health personnel to use and maintain cold chain equipment. The program is funded by various UN agencies and the national government. Family planning was introduced into Zambia by the Family Planning Association. The organization's name was later changed to the Planned Parenthood Association to overcome the mistaken impression that family planning meant the complete cessation of childbearing. In 1973, child spacing was integrated into the MCH program and family planning was assigned a high priority in the 1980-84 national development plan. Between 1980-84, the number of family planning acceptors increased from 49,412 to 101,803. In 1984, a number of evaluations were made of the MCH, EPI, and family health programs. The results of these evaluations will be available in the near future. Tables provide information on contraceptive usage, the Ministry of Health budget for 1983, the number and type of health staff in 1982, and the number and type of health facilities in the country.
Ottawa, Canada, International Development Research Centre, 1984. 40 p. (IDRC-220e)Add to my documents.
New York, United Nations, 1984. 68 p. (ST/ESA/138)This study used 7 focused case studies from developing and developed countries to examine different programs attempting to provide comprehensive family and child welfare services, and to relate the findings to the World Plan of Action for the Implementation of the Objectives of the International Women's Year and the Programme of Action for the Second Half of the United Nations Decade for Women. The various chapters examine the objectives and purposes of comprehensive family and child welfare services; present the 7 case studies; outline the administrative structures and operation of both national and locally based programs and explore emerging issues of decentralization and interorganizational coordination; describe various aspects of service delivery including the range of services, comprehensive services, principles shaping the services, the village or neighborhood as the focal point, and staff functions; examine the relationship of comprehensive family and child welfare services to objectives of the UN Decade for Women and International Women's Year in the areas of modes of delivery, education, health, and employment and self-reliance; and offer conclusions in these areas. Comprehensive services consist of a number of complementary services designed to be mutually reinforcing and linked to produce a system rather than merely a collection of disparate services. The case studies of 3 nongovernmental organizations in the US, Sri Lanka, and Kenya and 4 governmental agencies in India, Bangladesh, Czechoslovakia, and Colombia show that comprehensive programs support national development policies. The study also demonstrates that although decentralization of authority stimulates local participation in program implementation, it does not foster local participation in the policy formulation process. It appears that no nongovernmental organization has had any direct effect on the formulation of national policies. Decentralization was seen in the administrative structures and operation of every governmental program to some extent, although the studies did not specify which functions were exercised primarily at a given level. The effectiveness of administrative structures was found to depend more on the will and behavior of the individuals using them than on any characteristics inherent in the structures. Pre-existing community structures were used whenever possible in implementing programs, and they appeared to improve prospects of involving local institutions in planning, decision-making, and implementation of the program. The case studies indicate that interorganizational communication has functioned satsifactorily in many respects, although more research on this topic is needed.
Tellus. 1984 Jul; 5(2):8-11, 25-8.Since the formulation of the World Population Plan of Action (WPPA) in Bucharest in 1974, about 80% of governments have endorsed family planning and fertility control. There has been a growing awareness by governments that population planning must be an integral part of general policy formulation. This article describes the issues of central concern to the 1984 International Population Conference in Mexico, highlighting those which result from new global developments over the past decade. Immigration, particularly by exiles and refugees from political persecution, are contributing much more to population instability than foreseen by the WPPA. Internal migration and massive population shifts from rural to urban areas are of increasing concern to governments in developing nations. In developed countries, there has been an emergence of anxiety over zero population growth. The role of privately sponsored programs for population control is much less prominent, as governments take more responsibility for formulating population policy. A report from a meeting of 90 such nongovernmental organizations held in 1983 was reluctantly accepted as an official document at the conference in Mexico. The Canadian Task Force on Population has identified 5 issues of special concern: status of women, the environment, aging, immigration, and family planning. The Task Force includes among its objectives the encouragement of a comprehensive population policy for Canada, focussing both on Canada's special concerns and on its place in the global community. For example, acid rain and improper soil conservation are threatening Canada's status as one of the few viable "bread baskets" for the world. The growing bulge in the population over age 65 will impose economic strain in the future. Sex education for adolescents in inadequate, with only 1/2 of Canadian schools addressing sex and sexuality in the curriculum.
[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.
The family planning movement within the African Region of the International Planned Parenthood Federation. Le mouvement pour la planification familiale dans la Region Afrique de la Federation Internationale pour la Planification Familiale.
Africa Link. 1984 Sep; 1, 3-11.The African Region of International Planned Parenthood Federation (IPPF) was established in 1971 to: encourage and sustain voluntary groups, provide information about family planning as a basic right, provide limited family planning services where acceptable and needed, and eventually influence change in public opinion so that governments could accept some responsibility for family planning programs. Today almost all of Anglophone Africa is covered by IPPF-funded activities, progress is being made in Francophone Africa, and Lusophone Africa is a target for the 1980s. National family planning associations and the IPPF have laid a firm foundation for family planning and raised its credibility to acceptable levels. However, both inadequate logistic infrastructures for the smooth flow of services and overcaution in adopting innovative methods such as community-based delivery systems to those not easily reached by coventional delivery systems have led service to lag behind demand. Leaders at all levels must join efforts to solve this dilemma. Family planning associations are the best suited channels for family planning work in the African Region, but they lack the capacity to cover all needs. As a result, these associations are shiftingg their efforts toward supplementing government work in this area. Although the government response has been far from uniform, governments have shown an ability to accommodate the operations of family planning organizations and have integrated family planning into national health services. Although 19 governments in the Region consider the fertility levels in their countries to be satisfactory and a few consider fertility too low, family planning is accepted as an instrument for the promotion of family welfare. The importance of national leadership in promoting and implementing family planning programs is increasingly recognized. Parliamentarians can formulate national policies favorable to family planning, promote awareness among their constituencies, and vote for more resources for the family planning effort.
Populi. 1984; 11(2):4-12.This article highlights some of the findings of the 5th Population Inquiry carried out by the UN Population Division in 1982-83. A total of 109 countries responded to questionnaires on government population perceptions, practices, and policies. Slightly over 25% of countries reported that they had established targets for population growth. Of the 81 developing countries included, 56 (69%) characterized present health and mortality conditions as unacceptable. In contrast, only 4 (14%) of the 28 developed countries did so. Infants were identified most frequently as the target of special policy concern. 40 countries, 39 of which were in the Third World, referred to the implementation of some aspect of primary health care. In terms of fertility control, 38% of governments reported that they have not expressed a formal view on the present level of fertility. Whereas 50% of developed countries viewed their fertility levels as too low and 50% considered them satisfactory, the corresponding figures among developing countries were 8% and 28%. Most governments pursue policies aimed at both influencing the fertility rate and improving maternal and child health. In developed countries, the emphasis is usually on economic measures that enhance the status of women. In developing countries, family planning was the most frequently reported measure. The government provides direct support to the provision of family planning services in about 65% of countries and indirect support in 16%. In terms of population distribution and internal migration, the major spatial concern was to alter the urban-rural distribution, generally through reducing migration to the largest metropolitan area and retaining population in rural areas. 55 governments (47 in developing and 8 in developed countries) reported the rate of growth of the largest metropolitan area to be too high. Less than 1/3 of responding governments viewed recent immigration levels as significant. 59 countries have designated a single agency to be responsible to the coordination or formulation of population policies. In general, the population issue of concern mentioned most frequently was the need for further analysis of the relationship between population and social and economic development.
[National Conference on Population, Resources, Environment, and Development] Reunion Nacional sobre Poblacion, Recursos, Medio Ambiente y Desarrollo
Mexico City, Mexico, Mexico. Consejo Nacional de Poblacion [CONAPO], 1984. 120 p.Opening remarks, presentations, comments, and conclusions are presented from the Mexican National Conference on Population, Resources, Environment, and Development, the last of a series of conferences held in preparation for the 1984 World Population Conference. The 3 papers, each with a commentary, concerned questions regarding the balance between population, resources, the environment, and development to be addressed by the World Population Conference; population, resources, and environment; and population and development. A list of comments of participants and the closing remarks are also included. Several concluding statements summarized the main points of the debate: 1) Relationships between demographic variables and economic and social processes are highly complex and the World Population Conference should take such complexities into account. 2) Reproductive and migratory behavior of the population is just 1 element influencing and being influenced by social and economic development. The decreasing rate of population growth alone cannot lead to development. 3) The quest for a better balance between resource utilization and environmental conservation, with the resulting improvement in living standards, requires immediate and realistic measures on the part of the State and the participation of the people not merely as objects but also as active subjects through their community organizations. 4) The regional dimension must be included in the analysis of disequilibrium between population and development, at both national and international levels, in order to provide a better comprehension of phenomena such as migration, urbanization, production and distribution of food, environmental deterioration, ant the qualitative development of the population. 5) Better conceptual, analytical, informative, and planning instruments must be developed regarding the themes of population and development. In particular, instruments for the medium- and longterm should be developed, since the time frame of population processes exceeds the usual programming limits. 6) Questions suitable for a forum such as the World Population Conference must be distinguished from those relating to national population policy. Nevertheless, common principles exist, such as full respect for human rights, national sovereignty, and the fundamental objectives of population policy, which should be to contribute to elevating the level and quality of life of human beings.
Tropical Doctor. 1984 Jan; 14(1):3-7.On April 27, 1982 the Ministry of Health of the government of Bangladesh, set up an 8-man expert committee to evaluate all the registered pharmaceutical products presently available, and to formulate a draft National Drug Policy. Objectives are: 1) to provide support for ensuring quality and availability of drugs; 2) to reduce drug prices; 3) to eliminate useless, nonessential, and harmful drugs from the market; 4) to promote local production of finished drugs; 5) to ensure coordination among government branches; 6) to develop a drug monitoring and information system; 7) to promote the scientific development and application of unani, ayurvedic, and homeopathic medicines; 8) to improve the standard of hospital and retail pharmacies; and 9) to insure good manufacturing practices. 16 criteria were agreed on as guidelines for evaluating the drugs on the country's market. Drugs in Bangladesh have been classified into 3 categories. The 1st is drugs that are positively harmful. They should be banned immediately and withdrawn from the market. There are 265 locally manufactured drugs and 40 imported drugs in this category. The 2nd, drugs to be slightly reformulated by eliminating some of their requirements. There are 134 drugs in this category. The 3rd is drugs that do not conform to 1 or more of the 16 criteria/guidelines. There are over 500 drugs in this category. The new drug policy will produce a saving of 800 million taka (US $32.4 million). Drug supply in Bangladesh is a problem. The public sector distributes 20% of the total. In the private sector, drugs are supplied through import and local production. Investment for research by the pharmaceutical companies is essential. The principles laid down by the International Federation of Pharmaceutical Manufacturers Associations for the supply of good medicine needs to be put into practice.