{"title":"Oral Rehydration Therapy: Implementation Issues in Community-Based Distribution Programs","authors":"M. Wawer","doi":"10.4324/9780429046315-9","DOIUrl":"https://doi.org/10.4324/9780429046315-9","url":null,"abstract":"","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128104557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-07DOI: 10.4324/9780429046315-19
S. Bhatia
{"title":"The Use of Tetanus Toxoid in a Community-Based Distribution Project in Rural Bangladesh","authors":"S. Bhatia","doi":"10.4324/9780429046315-19","DOIUrl":"https://doi.org/10.4324/9780429046315-19","url":null,"abstract":"","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"122 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122823654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-07DOI: 10.4324/9780429046315-27
J. Heiby
{"title":"Operations Research in Primary Health Care","authors":"J. Heiby","doi":"10.4324/9780429046315-27","DOIUrl":"https://doi.org/10.4324/9780429046315-27","url":null,"abstract":"","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"19 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125614247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-03-07DOI: 10.4324/9780429046315-11
G. Keusch
{"title":"Antihelminthic Therapy in Community-Based Family Planning and Health Projects","authors":"G. Keusch","doi":"10.4324/9780429046315-11","DOIUrl":"https://doi.org/10.4324/9780429046315-11","url":null,"abstract":"","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"91 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126428622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editors' Overview","authors":"A. Weisshaar, G. Heiter, W. Hoefer","doi":"10.1353/cwh.2014.0039","DOIUrl":"https://doi.org/10.1353/cwh.2014.0039","url":null,"abstract":"","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129302247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4324/9780429046315-13
W. Rodrigues, C. Valladao
In April 1979 BEMFAM launched a family planning program in Piaui State a large poor sparsely populated and underdeveloped area with fertility and crude birth rate estimated at 5.9 and 40 respectively. It has become a laboratory for a family planning antiparasite project started in 1980 funded by the Japanese Organization for International Cooperation in Family Planning (JOICFP). In the country of Oeiras there are 47300 inhabitants density is 9.3/km2 population is 74%: 74% rural and 26% urban. The rural and urban prevalence rates of intestinal parasites were 46.3 and 42.9% respectively. Antiparasite activities were located in 41 urban and rural schools administered by teachers. Family planning activities were added in 15 rural schools and to urban health posts where staff included students aged 16-20. By the end of September 29985 persons had received anthelminthics -- 96.8% of the target and 63% of the population. Infection rate fell to 14.6% and 9.5% after a 2nd treatment in March 1981. Plans call for continuation. Statistics do not support the assumption that combined programs increase family planning prevalence despite increased acceptor recruitment. In fact although schools proved to be a very effective antiparasite treatment institution the Oeiras combined program proved not to be cost-effective although this could be attributable to the small size of Oeiras villages. BEMFAM is however satisfied that contraceptive distribution can be legitimized by and adapted to antiparasite distribution and information programs.
{"title":"Sociedade Civil Bem-Estar Familiar No Brasil (BEMFAM): Review of an Integrated Family Planning and Antihelminthic Therapy Project in Piaui State, Brazil","authors":"W. Rodrigues, C. Valladao","doi":"10.4324/9780429046315-13","DOIUrl":"https://doi.org/10.4324/9780429046315-13","url":null,"abstract":"In April 1979 BEMFAM launched a family planning program in Piaui State a large poor sparsely populated and underdeveloped area with fertility and crude birth rate estimated at 5.9 and 40 respectively. It has become a laboratory for a family planning antiparasite project started in 1980 funded by the Japanese Organization for International Cooperation in Family Planning (JOICFP). In the country of Oeiras there are 47300 inhabitants density is 9.3/km2 population is 74%: 74% rural and 26% urban. The rural and urban prevalence rates of intestinal parasites were 46.3 and 42.9% respectively. Antiparasite activities were located in 41 urban and rural schools administered by teachers. Family planning activities were added in 15 rural schools and to urban health posts where staff included students aged 16-20. By the end of September 29985 persons had received anthelminthics -- 96.8% of the target and 63% of the population. Infection rate fell to 14.6% and 9.5% after a 2nd treatment in March 1981. Plans call for continuation. Statistics do not support the assumption that combined programs increase family planning prevalence despite increased acceptor recruitment. In fact although schools proved to be a very effective antiparasite treatment institution the Oeiras combined program proved not to be cost-effective although this could be attributable to the small size of Oeiras villages. BEMFAM is however satisfied that contraceptive distribution can be legitimized by and adapted to antiparasite distribution and information programs.","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116336450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4324/9780429046315-17
A. Lechtig, Townsend Jw, F. Pineda, Arroyo Jj, R. Klein, R. deLeon
The main purpose of the Guatemalan Program of Primary Health Care (SINAPS) is to increase the effective coverage of primary health care services in rural populations of Guatemala. The Rural Health Promoter (RHP) provides services such as community census and maps vaccinations detection and distribution of food supplements to pregnant women and preschool children at high risk of malnutrition oral rehydration to children with diarrhea primary curative care encouragement of longterm breastfeeding and promotion of health and environmental sanitation. The traditional birth attendant (TBA) provides care of normal pregnancy birth and puerperium detection of high nutritional risk newborns and referral of high risk pregnant women to health services. SINAPS external evaluation is performed through baseline and endline surveys carried out in a random sample of families in 3 control and 6 experimental Health Districts. Results indicate that both groups control and experimental were very similar before program implementation in terms of malnutrition infant mortality vaccinations and contraceptive usage. As of December 31 1981: 1) 100% of malnourished children were participating in the food supplementation program 2) 84% of households received oral rehydration salts and 3) prevalence of contraceptive usage increased from 10.7-15% after 3 months of the program. Personnel training is carried out in-service and as of 30 December 1981 405 RHPs and 228 TBAs were being trained. Several methods developed in SINAPS are currently being adopted at the national level in Guatemala and other Latin American countries.
{"title":"Nutrition, Family Planning and Health Components of the Guatemalan Program of Primary Health Care (SINAPS)","authors":"A. Lechtig, Townsend Jw, F. Pineda, Arroyo Jj, R. Klein, R. deLeon","doi":"10.4324/9780429046315-17","DOIUrl":"https://doi.org/10.4324/9780429046315-17","url":null,"abstract":"The main purpose of the Guatemalan Program of Primary Health Care (SINAPS) is to increase the effective coverage of primary health care services in rural populations of Guatemala. The Rural Health Promoter (RHP) provides services such as community census and maps vaccinations detection and distribution of food supplements to pregnant women and preschool children at high risk of malnutrition oral rehydration to children with diarrhea primary curative care encouragement of longterm breastfeeding and promotion of health and environmental sanitation. The traditional birth attendant (TBA) provides care of normal pregnancy birth and puerperium detection of high nutritional risk newborns and referral of high risk pregnant women to health services. SINAPS external evaluation is performed through baseline and endline surveys carried out in a random sample of families in 3 control and 6 experimental Health Districts. Results indicate that both groups control and experimental were very similar before program implementation in terms of malnutrition infant mortality vaccinations and contraceptive usage. As of December 31 1981: 1) 100% of malnourished children were participating in the food supplementation program 2) 84% of households received oral rehydration salts and 3) prevalence of contraceptive usage increased from 10.7-15% after 3 months of the program. Personnel training is carried out in-service and as of 30 December 1981 405 RHPs and 228 TBAs were being trained. Several methods developed in SINAPS are currently being adopted at the national level in Guatemala and other Latin American countries.","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123979667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1900-01-01DOI: 10.4324/9780429046315-23
Goldenberg As, Wawer Mj, Mercer Ma
Training of community-based development (CBD) workers in family planning addresses some problems faced by CBD workers: isolation and problematic supervision solo public contact roles tather than helper roles assumed by clinic workers time constraints and local resistance. Combining primary health care with family planning forces the worker to set priorities in accordance with project goals. Training of workers must be careful continous and competency-based not credentials oriented bridging the gap from program goals to worker execution of the goals by job description and analysis task analysis concrete task description grouping of objectives developing a teaching plan and evaluation based on competency. Low levels of literacy may necessitate keeping theory to a minimum and preclude ongoing written protocols. Worker attitudes must be consistent with program philosophies. Selection of the trainers themselves can be complicated; the best trainers seem to be selected community workers. In any case training should continue to be skills-oriented and based on real execution. The minimum time necessary to prepare family planning workers is 5 days; there is a trend for longer periods especially as extra duties are added. Rate is an important consideration as well since it is difficult to speed up learning to fit time constraints. Decentralization or regionalization of training increases possibilities for practical components and is more personal although it stretches resources. Phasing training by adding skills as older ones are mastered and applied is a promising approach as is related continuing education. Materials should be simple and demonstrative. Training evaluation should cover input process evaluation attainment of competencies and outcome measures. All training programs should be designed to generate feedback since program evaluation data is still scarce.
{"title":"Training CBD Workers for Family Planning and Health Interventions","authors":"Goldenberg As, Wawer Mj, Mercer Ma","doi":"10.4324/9780429046315-23","DOIUrl":"https://doi.org/10.4324/9780429046315-23","url":null,"abstract":"Training of community-based development (CBD) workers in family planning addresses some problems faced by CBD workers: isolation and problematic supervision solo public contact roles tather than helper roles assumed by clinic workers time constraints and local resistance. Combining primary health care with family planning forces the worker to set priorities in accordance with project goals. Training of workers must be careful continous and competency-based not credentials oriented bridging the gap from program goals to worker execution of the goals by job description and analysis task analysis concrete task description grouping of objectives developing a teaching plan and evaluation based on competency. Low levels of literacy may necessitate keeping theory to a minimum and preclude ongoing written protocols. Worker attitudes must be consistent with program philosophies. Selection of the trainers themselves can be complicated; the best trainers seem to be selected community workers. In any case training should continue to be skills-oriented and based on real execution. The minimum time necessary to prepare family planning workers is 5 days; there is a trend for longer periods especially as extra duties are added. Rate is an important consideration as well since it is difficult to speed up learning to fit time constraints. Decentralization or regionalization of training increases possibilities for practical components and is more personal although it stretches resources. Phasing training by adding skills as older ones are mastered and applied is a promising approach as is related continuing education. Materials should be simple and demonstrative. Training evaluation should cover input process evaluation attainment of competencies and outcome measures. All training programs should be designed to generate feedback since program evaluation data is still scarce.","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116506391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Issues in Integrated Family Planning and Health Programs","authors":"D. Gillespie","doi":"10.4324/9780429046315-3","DOIUrl":"https://doi.org/10.4324/9780429046315-3","url":null,"abstract":"","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134106435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Danfa, Lampang and Narangwal Projects: A Comparative Review","authors":"W. Reinke","doi":"10.4324/9780429046315-4","DOIUrl":"https://doi.org/10.4324/9780429046315-4","url":null,"abstract":"","PeriodicalId":248846,"journal":{"name":"Health and Family Planning in Community-Based Distribution Programs","volume":"1987 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125478020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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