Haiti -- family planning on Rue Barbancourt.
PROFAMIL, the Haitian family planning association affiliated with the IPPF, has embarked on employment-based education and distribution by trained nurse-visitors. A typical nurse visits 17 workplaces monthly, dispensing pills and condoms, and referring those interested in an IUD or injectable to the clinic. PROFAMIL was established in 1986. It opened a clinic in Port-au-Prince, and has begun working with physicians, private voluntary organizations, as well as the media. Haiti, the poorest country in the Western Hemisphere, has a per capita income of $350, an average fertility of 5 children per woman, a population growth rate that is still growing and virtual desertification in rural areas. Only 6% of couples use a modern method of contraception. PROFAMIL's work is viewed with mistrust by many leaders and voodoo priests, who suspect that it is a form of foreign domination.