Your search found 12 Results
In: Quest for gender justice: a critique of the status of women in India, edited by Sebasti L. Raj. Madras, India, T.R. Publications, 1991. 98-110.The socioeconomic factors that lead to unwed motherhood in India are complex. The way that neglect contributes to this phenomenon is illustrated by the case of a daughter of an upper-middle class family consigned to life in a boarding school while her parents lived in the Middle East. This young woman became pregnant after meeting a young man who offered her the attention and love she was missing. She had her baby and eventually married the young man. Another young woman in a similar situation choose abortion and suffers extreme guilt from her decision. Economic deprivation can also cause unwed motherhood as illustrated by the case of a young widow who worked as a housemaid. Eventually the son of the household fathered a child by the widow and then by her eldest daughter. In some cases, women are betrayed by the men who entice them into sexual relationships only to desert them when a pregnancy occurs. A fourth cause is juvenile delinquency that arises from unstable family relationships and from poverty. The problems faced by unwed mothers include psychological and emotional stress as well as social criticism, ostracism, and isolation. In addition, unmarried mothers place a burden on their families who must deal with the loss of status in society. If an unwed woman becomes pregnant as a result of rape, she should receive the help she needs and there should be no stigma attached to her children. In general, however, it is better for society to counter the conditions that lead to unwed motherhood than to deal with the aftermath. Society has a responsibility, however, for helping to restore the dignity of unwed mothers.
Ascertaining the user perspectives on community participation in family planning programme in Thailand.
[Bangkok], Thailand, Mahidol University, Institute for Population and Social Research, 1991 Dec. , 132 p. (IPSR Publication No. 156)A study of community members, family planning program staff and managers, community-based distributors (CBDs), and local leaders in 4 regions of Thailand was undertaken to determine the extent to which community members are willing to participate in family planning programs, and which activities they prefer. 400 married women aged 15-44, 100 of their spouses, with a contraceptive prevalence rate of 69% taken equally from 12 villages, 16 CBDs from 12 communities, 69 village leaders divided into 1 focus group per village, and 17 staff were interviewed from May to July 1989. 5 variables that determine attitudes were measured: sociocultural norms for participatory behavior, values and beliefs underlying norms, institutionalized participatory behavior, government policies, and the family planning program. Some of the responsibilities open for participatory activity were promotion of family planning in the community,k educating potential users, target-setting, selecting, paying, training and supervising CBDs, record keeping, storing commodities, identifying potential acceptors, and transportation to clinics. Staff and CBDs considered community participation a valuable strategy. Community members considered participation attractive if it were perceived as beneficial to the community. They liked the idea of having services locally, but showed some doubts about the competence of CBDs. They expressed hesitancy about participating in such a personal realm as family planning. Most thought that program staff would be better able to do IEC work. Community members would consider participating in transportation to clinics, selection of CBDs, identification of acceptors, and referral to clinics. Community members were strongly motivated to work in collective, social activities. Managers wanted to make community people more self-reliant and cooperative. No one wanted community participation to duplicate current programs, or to pass program expenses on to localities.
[Unpublished] 1991. Presented at the Demographic and Health Surveys World Conference, Washington, D.C., August 5-7, 1991. 32 p.Brazil's National Survey of Maternal-Child Health and Family Planning, conducted in 1986 as part of the international program of Demographic and Health Surveys, consolidated and extended the findings of 9 previous state-level surveys. This work outlines the impact of survey data on Brazil's private sector family planning organizations, donor agencies, the press and opinion leaders, and the federal government and legislators. The finding of the survey that the rate of contraceptive usage among women aged 15-44 married or in union was much higher than expected at 65.4%, initially suggested that the family planning organizations and donors had completed their tasks, but more careful scrutiny pointed up serious problems. Family planning problems identified in the survey included low levels of knowledge and use of contraception in the impoverished northeast and among groups with low levels of income and education; a very high proportion of users (80%) of just 2 methods, oral contraceptives (OCs) and female sterilization; low rates of use of other effective and reversible methods; a large number of unnecessary caesareans performed only to give the woman access to sterilization services, with fully 72% of sterilized women undergoing the procedure during a cesarean delivery; low average age (31.4 years) of sterilization acceptors and low parity of a substantial proportion; use of pharmacies to obtain supplies by over 93% of OC users and OC use at inappropriate ages; low male participation in family planning; and lack of family planning services for adolescents. The survey demonstrated the reality of family planning in Brazil and prompted a rethinking of the aims and goals of family planning programs. Many aspects of maternal-child health and sexual and reproductive health in addition to provision of contraceptives should be included in a high quality family planning program. The survey findings did not completely resolve all the polemics and controversies that have beset the family planning program in Brazil, but they helped dispel some charges against the program. For the most part, only the most strongly ideological opponents have remained unmoved.
JOURNAL OF SCHOOL HEALTH. 1991 Aug; 61(6):279-80.Despite strong protests from a minority group of critics, the New York City Board of Education adopted a measure February 27, 1991, approving universal availability of condoms in city high schools to students without the need for parental consent. This expanded HIV education program allows the system's 261,000 students in 120 public high schools to procure condoms from any of 17 clinics and any teacher or staff member volunteering for the program. While a few, small U.S. school districts have implemented such programs in efforts to curb the incidence of HIV and other sexually transmitted diseases infections, and unwanted pregnancies, this move by New York city's enormous school district could set the trend for similar action by other large school systems. The Centers for Disease Control document 691 cases of AIDS in youths aged 13-19, and 7,303 among those aged 20-24. More than 20% of U.S. AIDS cases are among those aged 20-29. Given the long incubation period for HIV, many if not most of these case probably stem from HIV infection during the teenage years. New York City accounts for 20% of all reported AIDS cases among youths aged 13-21, placing New York teens at disproportionate risk for infection. The number of infected adolescents doubles every 14 months. More than adults, these youths are likely to have contracted HIV through heterosexual contact instead of through IV-drug use or homosexual intercourse. Making condoms readily and confidentially available to adolescents, youths vulnerable to HIV infection will no longer fail to procure them due to embarrassment, fear of resistance from store clerks, and cost. The Youth News Service reveals youths to have been most supportive of the new program for several months, and anxious for its implementation. A random poll of adults found support for condom distribution in high schools and junior high schools to be 64% and 47%, respectively.
AIDS ACTION. 1991 Sep; (15):4.Bombay has a teeming and mobile, yet comparatively invisible, population of approximately 600 male prostitutes who ply their trade on and from Chowpatty beach. These men, aged 12-50 years, masturbate and/or perform fellatio for male clients in exchange for financial reward ranging from US$0.75 - $2. Unprotected penetrative anal sex also takes place, though it is generally not acknowledged by the prostitutes. These men and their clients are therefore in great need of information and access to condoms for the practice of safer sex. Both self- and social denial of the practice of anal sex must, however, be overcome. To this end, Bombay Dost, the 1st openly gay organization in India, distributes condoms and information to gay men on railway platforms, and in public toilets and parks. These efforts are unfortunately not welcomed by the prostitutes of Chowpatty beach for fear that acceptance of the intervention would imply their practice of anal sex and a more substantial degree of homosexuality within their subpopulation. Recruiting and training men as health educators from their ranks may be a viable, effective promotion approach. Any interventions must also understand the friendly and supportive, yet competitive, relationships within this community.
WOMEN'S GLOBAL NETWORK FOR REPRODUCTIVE RIGHTS NEWSLETTER. 1991 Jul-Sep; (36):60.A dilemma exists over who should care for, and where to place 4 delinquent female runaways with AIDS. These girls have also engaged in prostitution, crime, and are addicted to drugs, thus prompting society to view them more as dangerous adults than aberrant adolescents. While they are presently in the hands of the National Institute for Minors (Iname), organizations in Uruguay are ill-equipped to face such challenges presently by these and other HIV+\AIDS adolescents. Discussion of the issue and society's views is suggested. The views of a few civil servants from Iname are briefly presented in the text. They generally disagree with incarceration of such youths, and recommend there placement in a semi-open environment supported by specially trained doctors, psychologists, psychiatrists, and nurses. Ideally, a home-like setting is preferred where these young women and others in similar situations may undergo treatment while carrying on with their lives.
[Public opinion poll concerning population issues, 1989] Kozvelemeny-kutatas nepesedesi kerdesekrol--1989.
DEMOGRAFIA. 1991; 33(1-2):38-57.The results of a 1989 public opinion poll on population issues in Hungary are presented. Respondents were from a nationally representative sample of persons 18 years and older. Attitudes toward large families and ideal family size are described. (SUMMARY IN ENG) (ANNOTATION)
INTEGRATION. 1991 Sep; (29):8-15.This article describes the urgent need for modern family planning (FP) services and supplies in the Soviet Union, and presents the nation's high induced abortion rate as one of its most serious medical and social problems. With more than 6 million legal abortions per year, and another estimated 6 million performed illegally, the problem of induced abortion is placed on par with heart disease and cancer in the Soviet Union. Induced abortion is the primary method of birth control, responsible for terminating 2 out of 3 pregnancies. Many abortion seekers, especially those employing illegal services, suffer complications resulting in loss of ability to work or even death. The maternal mortality rate for 1988 was 43.0/10,000. Efforts to decrease the level of abortion have increased during reconstruction, and have been witness to a decline in the number of abortions by 866,000 over the period 1985-1988. Contributory factors behind this decline, as well as the decrease of the abortion ratio, are an increased contraceptive prevalence level totalling 13.7% of reproductive-age women, stabilization of the birth rate at a low level, a smaller proportion of reproductive-age women in the population, and rate reporting changes. Nonetheless, inadequate family planning services prevail in the Soviet Union. Instead of focusing upon abortion and contraception, services focus upon diagnosing and treating infertility, and offer neither FP information nor services for premarital youths. Moreover, contraceptive supplies suffer serious, ongoing shortages. Research is needed on the social, demographic, medical, and biological aspects of reproductive behavior in the Soviet Union. Regional differences, abortion law, public opinion on illegitimate pregnancy, abortion methods, health personnel training, and maternal and child health are also discussed.
TEC NETWORKS. 1991 Sep; (30):1, 8-9.The author expresses concern over the lack of legislative interest in and support for reducing and rate and incidence of pregnancy and childbearing in the adolescent and teenage population. While experts and professionals have some of the answers needed to reduce these rates, often misinformed, ill-advised, and ignorant policymakers provide neither cooperation nor support for effective changes. Policymakers who have pledged to address the needs and social conditions of this age group, yet have failed to deliver once elected, should be removed from office. Those few who do support the interests of youths need help in the form of citizen advocacy and leadership. The reader is called upon to remain informed and abreast of local, state, and federal legislation regarding the needs of at-risk, pregnant, and parenting adolescents. Policymakers must, in turn, be educated about social factors directly contributing to the continued prevalence and incidence of teen pregnancy and childbearing. Systemic change, institutions, laws, and policies are required to better meet the needs of youths. Reasons for the decreased incidence of teen childbearing over the period 1970-88 include a decrease in the size of the adolescent population since 1988, increased use of contraception, and more abortions. In closing the Title X family planning program recently approved by the House Energy and Commerce Committee is discussed. In view of Title X's crucial and unique role in providing services to low-income women and adolescents, the reader is urged to rally in support of its reauthorization.
HEALTH FOR THE MILLIONS. 1991 Aug; 17(4):20-3.Until recently, the only sustained AIDS activity in India has been alarmist media attention complemented by occasional messages calling for comfort and dignity. Public perception of the AIDS epidemic in India has been effectively shaped by mass media. Press reports have, however, bolstered awareness of the problem among literate elements of urban populations. In the absence of sustained guidance in the campaign against AIDS, responsibility has fallen to voluntary health activists who have become catalysts for community awareness and participation. This voluntary initiative, in effect, seems to be the only immediate avenue for constructive public action, and signals the gradual development of an AIDS network in India. Proceedings from a seminar in Ahmedabad are discussed, and include plans for an information and education program targeting sex workers, health and communication programs for 150 commercial blood donors and their agents, surveillance and awareness programs for safer blood and blood products, and dialogue with the business community and trade unions. Despite the lack of coordination among volunteers and activists, every major city in India now has an AIDS group. A controversial bill on AIDS has ben circulating through government ministries and committees since mid-1989, a national AIDS committee exists with the Secretary of Health as its director, and a 3-year medium-term national plan exists for the reduction of AIDS and HIV infection and morbidity. UNICEF programs target mothers and children for AIDS awareness, and blood testing facilities are expected to be expanded. The article considers the present chaos effectively productive in forcing the Indian population to face up to previously taboo issued of sexuality, sex education, and sexually transmitted disease.
NETWORK. 1991 Sep; 12(2):3.While family planning programs in Africa may pay great attention to motivating women to accept contraception, research indicated that more attention should be focused upon encouraging the continuation of contraceptive use. 2 studies partially funded by Family Health International (FHI) have revealed insufficient counseling about potential side effects of contraceptive methods to be a key reason for contraception discontinuation. A 1st study of 650 women acceptors in the Niger found 70% continuation after 7 months, with the most common reason for discontinuation among those terminating contraception being side effects and fear of side effects. Acceptors who felt that they were poorly counseled were twice as likely to end use. A study of 570 acceptors in the Gambia found a 72% continuation rate after 7 months, with discontinuation 3-4 times more likely where poor counseling was perceived. A 3rd study is planned for Senegal. The provision of improved acceptor counseling may both improve service delivery and reduce program costs. FHI report recommendations have prompted the Niger to emphasize counseling about side effects in its midwife training curriculum, and to pursue a public information campaign against rumors of contraceptive method side effects.
PEOPLE. 1991; 18(1):16-7.This report on the turnaround in Madagascar population policy notes the importance of the educational experience provided at the 1984 Mexican World Population Conference. The author describes his experiences in developing and implementing a population policy. When people were informed that past food was exported and now imported (265,000 tons in 1985), increasing land usage was not seen as a solution to population growth. The National Environmental Action Plan now in effect helps to underscore the importance of population distribution so that land is not needlessly cultivated. The public response was disinterest initially, but education has been successful in convincing people. The dominant Catholic religion has recognized the population problem and there is only disagreement on the means ( Catholics prefer natural means). Cultural attitudes are changing at all levels due to the economic crises and greater number of people being unable to feed their children. In 1989, the Population Unit of the Ministry of Economy and Planning provided detailed studies of the consequences of population growth, thus forming the basis of the present policy. The plan targets a reduction of population growth from 3.1% to 2% for the year 2000, increasing life expectancy from 55 to 60, and reducing infant mortality from 120 per 1000 live births to 70 and the number of children per family from 6 to 4. Although the policy has been accepted and people ready to use family planning, services to urban centers as well as rural areas is yet unavailable.