Abstract:
:The International Centre for Diarrhoeal Disease Research, Bangladesh, has launched a field experiment in two rural thanas of Bangladesh to test the transferability of its successful health and family planning experiment in Matlab to the Ministry of Health and Population Control service system. This paper reviews the Matlab experiment with particular attention to its organization and identifies elements for transfer. The intervention strategy and operations research design of the new experiment are discussed. The proposed design follows an organization development strategy in which collaborative diagnostic research is used to foster institutional change. :The International Center for Diarrheal Disease Research, Bangladesh has launched a field experiment in 2 rural thanas of Bangladesh to test the transferability of its successful health and family planning experiment in Matlab to the Ministry of Health and Population Control service system. The 1st family planning experiment began in 1975 and concentrated on the household distribution of contraceptives. It was further designed to provide a broad range of contraceptive and immunization services and oral rehydration therapy. Strong management control is vested in the non-medical, male supervisory staff. Maternal and child health services were later combined with the family planning project. This extension project has 2 components: an intervention strategy and a research strategy to assess the efficacy of the program. The analysis of the effects of this extension program is achieved through the longitudinal observation of households with a sample registration system. The proposed design follows an organization development strategy in which collaborative diagnostic research is used to foster institutional change. The original Matlab experiment posited that a significant proportion of clients desire to limit or space childbearing, but lack contraceptive services for doing so. The experiment demonstrated that there is a set of conditions under which a significant proportion of a rural Bangladeshi population will use contraception, and thereby reduce fertility. In transferring the programs to the supervision of the Ministry of Health, a number of modes were used: 1) use of a team appraoch, especially on household distribution; 2) train more community workers, especially females, and use teams of both males and females; 3) develop a Tertiary Health Center referral system, especially for sterilization; 4) enlarge training of present workers to include better preventive and MCH care; and 5) arrange monthly meetings of union-level workers at the field centers. No change in salary structure or administrative structure was planned.
journal_name
Stud Fam Plannjournal_title
Studies in family planningauthors
Phillips JF,Simmons R,Simmons GB,Yunus Msubject
Has Abstractpub_date
1984-03-01 00:00:00pages
62-73issue
2eissn
0039-3665issn
1728-4465journal_volume
15pub_type
杂志文章abstract::This article reviews field experiences with provision of family planning services in prevention of mother-to-child transmission (PMTCT) programs in ten countries in Africa, Asia, and Latin America. Family planning is a standard component of most antenatal care and maternal-child health programs within which PMTCT prog...
journal_title:Studies in family planning
pub_type: 杂志文章,评审
doi:10.1111/j.1728-4465.2005.00064.x
更新日期:2005-09-01 00:00:00
abstract::This article presents the results of an assessment of gynecological morbidity among 385 women with young children residing in a district of Karnataka State, South India. All three main modes of assessment (clinical examination, laboratory tests, and self-reports) reveal a high burden of reproductive tract infections. ...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract::There are a variety of ways to conceptualize and measure accessibility to contraceptive services and supplies. Using detailed data for rural Thailand, a multiplicity of reasonable measures are developed that reflect time and/or distance to various government program outlets. Many of these are only moderately correlate...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract::This study examines transitions in schooling, sexual activity, and pregnancy among adolescents and young adults in urban South Africa. Data are analyzed from the Cape Area Panel Study (CAPS), a recently collected longitudinal survey of young adults and their families in metropolitan Cape Town. We find that teen pregna...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2008.00180.x
更新日期:2008-12-01 00:00:00
abstract::A survey of abortion providers in Seoul in late 1977 reveals a threefold increase in the rate of abortion and a greater than threefold rise in the ratio of abortions to live births since 1970. The survey findings also show that the overwhelming proportion of these abortions are performed in private clinics, by obstetr...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1979-05-01 00:00:00
abstract::Completion of secondary school is increasingly viewed as a desirable life goal for young men and women in urban Kenya. Yet achieving this goal often conflicts with other key transitions to adulthood, such as becoming sexually active, marrying, having children, and finding employment. Drawing upon exceptionally rich li...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2012.00315.x
更新日期:2012-09-01 00:00:00
abstract::Data collected from 3,073 couples in four Nigerian cities and one semi-urban settlement were used to examine reproductive decision-making and male motivation for large family size. The report concludes that the characteristic male-dominant and patrilineal traditions support large family size and that men's reproductiv...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract::In 2005, Ethiopia liberalized its abortion law and subsequently authorized midwives to offer abortion services. Using a 2013 survey of 188 midwives and 12 interviews with third-year midwifery students, this cross-sectional research examines midwives' attitudes toward abortion to understand their decisions about servic...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2015.00016.x
更新日期:2015-03-01 00:00:00
abstract::In 1980, a study to determine interest in and access to sterilization for females was initiated at two Ministry of Health hospitals in Honduras. Results of the baseline study showed that 42 percent of women desiring sterilization from the Tegucigalpa hospital and 21 percent from the San Pedro Sula hospital had had a t...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1985-03-01 00:00:00
abstract::An empirical study of the family planning program and its clients in the rural areas of Allahabad Division of Uttar Pradesh in India was undertaken in 1971-1972. While family planning acceptance in this region is low, interviews with villagers and family planning staff suggest that organizational shortcomings of the p...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1976-03-01 00:00:00
abstract::The Mexico National Survey on Fertility and Health was national in scope. Data was collected from 7786 households and complete interviews conducted with 9310 women aged 15-49. Field work took place between February and May, 1987. The size of the general population grew from 44.8 million in 1965 to 70.4 million in 1...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract::Community-level research data from a Maternal-Child Health and Family Planning (MCH/FP) program and comparison areas in rural Bangladesh indicate that 60 percent of infant deaths occurred in the neonatal period in both areas. Since the inception of the MCH/FP program, mortality rates declined relative to those in the ...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
abstract::In this study, data gathered in southern Ethiopia are used to explain how ethnic and religious identities affect current or intended contraceptive use. The only compositionalfactors that increase the likelihood of birth limitation are having a member of the family with a higher level of education and community access ...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2004.00010.x
更新日期:2004-06-01 00:00:00
abstract::A study of 500 abortion-seeking women in the San Francisco Bay area, in California, revealed that, although a majority of them had used contraceptives previously, only a minority had consistently used effective contraceptives. This paper presents a theory of contraceptive risk taking and analyzes the decision making p...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1977-08-01 00:00:00
abstract::Although contraceptive practice has increased substantially in Korea as a result of a strong national family planning program, surveys indicate the existence of an additional unmet demand. A number of obstacles tend to limit availability of family planning services and supplies. The effects of total availability are b...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1977-03-01 00:00:00
abstract::The estimation of fecundability from survey data is plagued by methodological problems such as misreporting of dates of birth and marriage and the occurrence of premarital exposure to the risk of conception. Nevertheless, estimates of fecundability from World Fertility Survey data for women married in recent years app...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1985-09-01 00:00:00
abstract::Although experimental trials often identify optimal strategies for improving community health, transferring operational innovation from well-funded research programs to resource-constrained settings often languishes. Because research initiatives are based in institutions equipped with unique resources and staff capabi...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2004.00020.x
更新日期:2004-09-01 00:00:00
abstract::This study investigates the extent of unwanted pregnancy, the use of illegally induced abortion, and the attitudes toward and practice of contraception among women admitted to a hospital with the diagnosis of abortion in Dar es Salaam, Tanzania. (In Tanzania, induced abortion is permitted only to save the mother's lif...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::This article presents results from the 1997 Jordan Population and Family Health Survey (JPFHS) that was conducted by the Department of Statistics, Amman, Jordan, within the framework of the Demographic and Health Survey Program of Macro International. The data for the nationally representative JPFHS were collected fr...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2000.00081.x
更新日期:2000-03-01 00:00:00
abstract::Although models of high-quality family planning services for men exist in Latin America, few if any have been organized within the complex and resource-constrained national public health systems. This study provides evidence from the Santa Barbara project in southern Brazil showing how vasectomy was introduced into th...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2001.00315.x
更新日期:2001-12-01 00:00:00
abstract::Should family planning programs put more effort into persuading couples to want smaller families or into helping women achieve their reproductive goals? Indeed, can family planning programs affect fertility preferences? Longitudinal data from Bangladesh collected from 1982 to 1993 show that women's desired family size...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.1999.00183.x
更新日期:1999-09-01 00:00:00
abstract::Two university centers in Debrecen, Hungary and Seoul, Republic of Korea collaborated in a prospective study of fertility following induced abortion. Conception rates were compared for 30 months among two groups of women whose last pregnancy outcome was either an induced abortion or a live birth. The cumulative life-t...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1984-11-01 00:00:00
abstract::By 1988, 71% of the 206 million married Chinese women of reproductive age were using a modern method of contraception. About 60 million women were using IUDs (41%), and 38% relied on tubal ligation, the main methods promoted by the national family planning (FP) program. During several trips to China between May 1990...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::In this study, we model women's recourse to induced abortion as resulting from a process that starts with sexual intercourse and contraceptive use (or nonuse), continues with the occurrence of an unintended pregnancy, and ends with the woman's decision to terminate the pregnancy and her access to abortion services. Ou...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2007.00128.x
更新日期:2007-09-01 00:00:00
abstract::A number of evaluation projects and demographic surveys were undertaken by the government during 1978-80, aimed at strengthening family planning and other population programs. A bill to strengthen the program was introduced in the National Assembly which would, among other things, amend the tax structure to discourag...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1980-11-01 00:00:00
abstract::The 1988 Zimbabwe Demographic and Health Survey (DHS) collected data from 4107 households and conducted complete interviews with 4201 women ages 15-49 years. The 27 tables and charts in this article summarize findings of the DHS in the areas of fertility, family size preferences, contraceptive use, postpartum variabl...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract::A multimedia communication campaign was conducted between 1988 and 1989 to promote family planning among men in Zimbabwe. The campaign consisted of a 52-episode semiweekly radio soap opera, about 60 motivational talks, and two pamphlets about contraceptive methods. Changes over time were measured by comparing a subset...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract::Emergency contraception has been called the best-kept contraceptive secret. Previous research shows that several regimens of postcoital contraception offer safe and effective ways for women to avoid pregnancy. Yet the methods are typically unavailable to women in developing countries. In this article, the authors revi...
journal_title:Studies in family planning
pub_type: 杂志文章,评审
doi:
更新日期:1995-09-01 00:00:00
abstract::When women talk with each other about family planning outside the clinic, are they really only spreading myths and rumors? If nurses give good information about family planning, why do women go and talk with other women? Why would a woman instructed by a nurse at a workshop want to talk to the workshop cleaner as well...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::This paper evaluates a study fielded in Bangladesh in 1975 to test the hypothesis that ubiquitous availability of pills and condoms in a rural, traditional, noncontracepting population would increase contraceptive use and reduce fertility. Treatment and comparison areas were designated in Matlab, an area with accurate...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1982-05-01 00:00:00