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[Critical analysis of the functioning of family planning services] Analyse critique du fonctionnement des services de PF.
In: Pratique et gestion de la planification familiale dans les pays en voie de developpement, a l'usage des cliniciens, des formateurs, des gestionnaires, [edited by] Elisabeth Wollast, Marcel Vekemans. Brussels, Belgium, De Boeck-Wesmael, 1993. 444-55. (Savoirs et Sante)Many obstacles and problems in developing countries frustrate the provision and use of family planning services, which means that poor service provision is reflected in populations’ family planning use rates. Contraceptive prevalence levels range from 1% to 75%, depending upon the country. There is always a rather large discrepancy between a population’s needs, the available supply of services, and the extent to which the population uses those services. When service use by the targeted population is weak, one can investigate the different relationships between actual needs and existing services, existing services and their capacity to satisfy needs, service capacity and geographic accessibility, and geographic accessibility and use by the population which has access. Health centers can be generally accepted by the population as a whole, but poorly accepted for specific services. The author describes determinants of service use, factors specifically linked to the organization of services, factors specifically linked to healthcare providers, the assessment of service use, indicators used in the critical analysis of service delivery, and the creation of indicators. The determinants of service use are based upon factors associated with individual action possibilities, while service use depends upon how services are perceived by the population with regard to the quality of service organization and provision.
INTEGRATION. 1992 Jun; (32):41-3.The Center for Family Orientation (COF), a private family planning agency with clinics in 8 provinces of Bolivia, initiated a bold, scientifically planned, and successful mass media campaign in 1986. As late as 1978 the Bolivian government had been hostile to COF. The Johns Hopkins University/Population Communication Services helped COF determine that the Bolivian public and its leaders were open to more information about family planning. Bolivia, the poorest Latin American country, then had 7 million people, expected to double in 27 years. There are 2 distinct indigenous groups, the Aymara and the Quechua, and Spanish-speaking people, centered in the cities of La Paz, Cochabamba, and Santa Cruz, respectively. Only 4% of couples use modern family planning methods. Initial surveys of 522 opinion leaders, 300 family planning users, focus groups of users, and a population survey of 1300 people in 8 provinces showed that 90% wanted modern family planning services. Radio was chosen to inform potential users about COF's services, to increase clinic attendance, and to involve men. To obtain support from public leaders, 10 conferences were held. The 1st series of radio messages focused on health benefits of family planning and responsible parenthood; the 2nd series gave specific benefits, information on child spacing, breast feeding, and optimal ages for childbearing. Besides 36,800 radio spots broadcast on 17 stations, booklets, posters, calendars, promotional items, and audiotapes to be played in public busses, were all designed, pretested, and revised. New acceptors increased 71% during the 11-month campaign. Success of the project influenced the start of the National Reproductive Health Project and new IEC efforts planned through cooperation of public and private institutions.
[Family planning counseling centers in Brazil] Consultori per la pianificazione familiare in Brasile
Sociologia Del Diritto. 1980; 7(2):125-37.The authors describe conditions in Brazil that led to the establishment of family planning centers in 1965 and their institutionalization in 1971. Their organization is described, and a table showing attendance at family planning clinics is presented. Family planning is discussed in relation to social conditions in Brazil, and the results of an empirical study of population growth and family planning are introduced. The study includes tabulated results of a survey undertaken in Sao Paulo and Rio de Janeiro in 1967-1977 to examine attitudes toward contraception, use of the pill, and government policy on birth control. (summary in ENG)