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  1. 1
    144747

    [Family planning expansion project in Burkina Faso: initial community study, 1992. Preliminary report] Projet d'expansion de la planification familiale au Burkina Faso: etude communautaire initiale 1992. Rapport preliminaire.

    Babalola SO; Par A; Sherman J

    [Ouagadougou, Burkina Faso], Ministere de la Sante et de l'Action Sociale, Direction de la Sante Familiale, 1992. [3], xv, 48, [15] p.

    This report describes and presents preliminary results from an initial community study for a family planning (FP) expansion project in Burkina Faso. The study was conducted during May 1992 in 4 of 15 provinces retained for information, education, and communication (IEC) activities, with the goal of obtaining preliminary data on the knowledge, attitudes, and practices (KAP) of the target population with regard to FP, their contact and understanding of the logo on population issues, and their opinion of health agents and social workers. 494 men and 506 women were interviewed by questionnaire. 40% of the study respondents were from Kadiogo, 30% from Yatenga, 20% from Kossi, and 10% from Namentenga. 73% were married and 26% were single. 64% were Muslim and 27% were Catholic. About half of the respondents had received no formal education, while 15% had attained a secondary school education. Recommendations are made with regard to increasing FP awareness among some target groups, inadequate FP knowledge and use in Yatenga, the limited knowledge about FP methods other than the oral pill and the condom, partner communication about FP, ideal family size, knowledge and use of modern contraceptives, intentions to practice FP in the future, the less than universal use of IEC by health agents and social workers, respondents doubts about the abilities and intentions of social workers, and the inability of many respondents to clearly associate the national FP logo with FP.
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  2. 2
    127669

    Perceptions of family planning and reproductive health issues: focus group discussions in Kazakhstan, Turkmenistan, Kyrgyzstan, and Uzbekistan.

    Storey JD; Ilkhamov A; Saksvig B

    Baltimore, Maryland, Johns Hopkins School of Public Health, Center for Communication Programs, 1997 Aug. xiii, 80 p. (Field Report No. 10)

    In preparation for a planned expansion of reproductive health services in Kazakhstan, Kyrgyzstan, Turkmenistan, and Uzbekistan, focus groups were conducted to gain an understanding of contraceptive knowledge, attitudes, and practices of the audience targeted for contraceptive promotion. The field work began with a pilot project involving 103 married men and women in 12 focus group sessions in and around Tashkent, Uzbekistan in December 1993. This pilot study led to development of a discussion guide adapted for use in all four countries, and 96 focus groups discussions involving 888 married men and women were held in three different regions of each country. Additional focus group sessions in each country involved participants specifically targeted by the new program. The results revealed differences among the countries but could be generalized to develop a regional IEC (information, education, communication) approach. This report opens with an introduction describing background information on the region and the study methodology. The next four chapters present results and conclusions for each country in terms of the following topics that were discussed: perceptions on age at first marriage, fertility preference and family size, attitudes towards family planning (FP), knowledge and awareness of FP methods, FP communication between husbands and wives, available sources of FP information, and additional perspectives. Chapter 6 covers the following issues that can be used to plan a regional approach to reproductive health: the quality of family life, male responsibility, abortion, communication about side effects, provider knowledge and skills, the role of religion, and the symbolic environment.
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  3. 3
    034363

    Revolution in reproduction: family planning in an Appalachian community.

    Hochstrasser DL; Gariola GA; Garkovich LE; Marshall PA; Rosenstiel CR

    Lexington, Kentucky, University of Kentucky, Center for Developmental Change, 1985 Jun. vii, 141 p. (CDC Development Papers No. 21)

    An interdisciplinary study, which incorporates a community-based and multimethod approach in a rural, historically high fertility community of Southern Appalachia, was conducted to describe the current pattern of fertility regulation behavior among the study population and to discern the most significant factors associated with such regulation in this contemporary rural-mountain community. A 3-phase research design was used, combining an inventory of local public opinion about birth control and family planning services with a social survey and related ethnographic field studies on the fertility regulation behavior of individuals and specifically married couples living in the community. In addition, the research team conducted a county-wide survey consisting of interviews with 407 married women of childbearing age (15-45) in intact conjugal units and a follow-up study involving indepth interviews with 107 of the 407 women. The county community hospital and health department have played a major role in the provision and delivery of family planning services to community residents since at least the early to mid-1960s. There is general agreement among community leaders, health professionals, and survey respondents that family planning services are now widely available and accessible to individuals and families throughout the county. There is general community support for smaller families and the decision of young married couples to use birth control and to postpone childbearing for a period of time following their marriage. Also there is general community support for educational activities in secondary schools. Family has declined for several reasons since the 1970s, including a tendency to think of childbearing in terms of socioeconomic conditions and to consider the costs of raising and educating children. Active fertility management practices among married couples appear to be rooted primarily in biological, economic, and family considerations as well as increased knowledge of wives and husbands about birth control and greater availability and accessibility of modern contraceptive methods. 8 out of 10 couples with wives who are not currently pregnant are using a method of fertility management. About half of these couples have chosen sterilization. Almost 2/3 of the wives among couples who were sterilized were either pregnant or just had a baby when the couple first considered sterilization. It is concluded that the contemporary patterns of fertility regulation among married couples in the study community are strikingly similar to those found among most other American couples today.
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  4. 4
    033419

    Family planning in Colombia: changes in attitude and acceptance, 1964-69.

    Simmons AB; Cardona R

    Ottawa, Canada, International Development Research Centre, 1973. 30 p. (IDRC-009e)

    This paper evaluates the progress of a Latin American population through stages in family planning adoption. The focus is on changes in knowledge of contraception, attitudes, and practices which occurred over 5 years (1964-69) of widespread public discussion concerning family planning and of program activity in Bogota, Colombia. Data from 2 surveys, 1 in 1964 and the other in 1969, permit the 1st temporal analysis of family planning adoption for a major metropolitan city in Latin America. Additional data on rural and small urban areas of Colombia from the 2nd survey permit a limited assessment of diffusion of family planning from the city to the nation as a whole. The 1st survey in Bogota revealed moderate to high levels of knowledge of contraceptive methods and generally favorable attitudes to birth limitation. However, at this time many women had never spoken to their husbands about the number of children they wanted, nor tried a contraceptive method at any time. The 2nd survey showed substantial changes in this picture. The proportion of currently mated women who had spoken to their husbands about family size preference changed from 43 to 62% for an increase of 71%. Fertility fell appreciably over this period, especially among younger women. Family planning program services had a significant direct contribution to the adoption process, since 36% of mated women had been to a clinic by 1969. The most modern methods of birth control -- the anovulatory pill and the intrauterine device -- which were scarcely known in 1964 were widely known in 1969, and contributed most to the observed increase in current contraceptive practice. However, among the previously known methods, the simplest method of all, withdrawal (coitus interruptus), showed the greatest increase in current practice and remained the most commonly used method. These findings suggest that favorable attitudes and knowledge tend to become rather widespread before levels of husband-wife discussion of family size preferences and levels of contraceptive trial increase appreciably. The results also indicate that contraceptive knowledge and favorable family planning attitudes are spreading rapidly outward from the cities into the rural areas, but that contraceptive practice is still predominantly restricted to urban populations. (author's)
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