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1.    Full text document

Title: Optimizing the reproductive health supply chain: A user's guide to software.
Author: Harrington L; Boyson S
Source: [Brussels, Belgium], Reproductive Health Supplies Coalition, 2009 Feb. 53 p.
Abstract: This guide provides in-country reproductive health (RH) supply chain managers and advisors with the information they need to make better informed decisions when they select technology / software with which to manage their RH supply chains. More specifically, the report is structured to help managers do the following: Understand the RH supply chain in terms of its three critical flows -- material, information, and funds; See exactly where and how (functionality) the six RH supply chain software applications studied in this research project map to these flows -- i.e., at what point in the RH supply chain does a particular software program play, and what functions does it perform at that point?; Determine exactly what individual functions the six RH supply chain applications perform; Determine the collective functionality capabilities of the six RH supply chain applications -- i.e., exactly what functions do the six applications perform when they are considered together; Understand what collective functions commercial off-the-shelf (COTS) supply chain applications perform -- to identify gaps that the six RH applications do not address, and to determine how the collective functionality of the six RH applications compare to that of the benchmark commercial off-the-shelf supply chain applications. (Excerpt)
Language: English

Keywords:
DEVELOPING COUNTRIES | SUMMARY REPORT | FAMILY PLANNING PROGRAM ADMINISTRATION | MANAGEMENT | REPRODUCTIVE HEALTH | EQUIPMENT AND SUPPLIES | COLD CHAIN | LOGISTICS | COMPUTER PROGRAMS AND PROGRAMMING | Family Planning Programs | Family Planning | Organization and Administration | Health | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Information Processing | Information
Document Number: 331478  

2.    Full text document

Title: AWARENESS Project. Nicaragua country report, 2003-2007.
Author: Georgetown University. Institute for Reproductive Health. AWARENESS Project
Source: Washington, D.C., Georgetown University, Institute for Reproductive Health, 2008 Jan. [18] p. (USAID Cooperative Agreement No. HRN-A-00-97-00011-00)
Abstract: In 2003, IRH and MSH formed a partnership to support the Nicaragua Ministry of Health (MOH) in incorporating the standard days method (SDM) into its family planning services. The integration and sustainability plan focused on five strategic areas: training, commodities, services, research, and advocacy. The Strategy for Community Delivery of Contraceptive Supplies in communities with poor access guided the SDM initiative. This national strategy aimed to increase access to services in areas with low coverage relative to demand. IRH and MSH presented the SDM to MOH officials as a viable option to increase contraceptive options and improve overall family planning services in the country. The MOH accepted the proposal for implementation, with the condition that the team first carry out a demonstration study. One of the project objectives was to increase the quality and availability of family planning. Part of IRH's mission is to support governments and nongovernmental organizations (NGOs) in the incorporation of fertility awareness-based methods into existing programs. IRH, therefore, provided technical assistance to MSH in Nicaragua for training; an initial donation of CycleBeads® and information, education, and communication (IEC) materials; and design support for a local strategy to ensure SDM sustainability in the public sector and NGO programs. (excerpt)
Language: English

Keywords:
NICARAGUA | SUMMARY REPORT | FERTILITY AWARENESS | FAMILY PLANNING, BEHAVIORAL METHODS | DELIVERY OF HEALTH CARE | FAMILY PLANNING PROGRAMS | FAMILY PLANNING PROGRAM ADMINISTRATION | FAMILY PLANNING TRAINING | AWARENESS | CAPACITY BUILDING | PROGRAM DEVELOPMENT | IMPLEMENTATION | PROGRAM EFFECTIVENESS | Central America | Latin America | Americas | Developing Countries | Family Planning | Health | Training Programs | Education | Knowledge | Sociocultural Factors | Program Sustainability | Programs | Organization and Administration | Program Evaluation
Document Number: 327640  

3.    Full text document

Title: Ensuring a wide range of family planning choices.
Author: Ashford L
Source: Washington, D.C., Population Reference Bureau [PRB], BRinging Information to Decisionmakers for Global Effectiveness [BRIDGE], 2008. [4] p. (USAID Cooperative Agreement No. GPO-A-00-03-00004-00)
Abstract: The use of contraception varies widely around the world, both in terms of total use and the types of methods used. In many countries, women and couples rely largely on one or two contraceptive methods, because of government policies, the way that national family planning programs have evolved, and cultural or social preferences (see box below). Understanding why people prefer some contraceptive methods over others can be useful for strengthening family planning programs. Having a broad range of methods available is a key element of the quality of family planning services and raises the overall level of contraceptive use. Family planning programs ideally should offer choices of methods for all stages of people's reproductive lives, so that they can have the number of children they want, when they want them. (excerpt)
Language: English

Keywords:
GLOBAL | CRITIQUE | CONTRACEPTIVE METHODS | CONTRACEPTIVE AVAILABILITY | FAMILY PLANNING PROGRAM ADMINISTRATION | CONTRACEPTIVE SECURITY | Contraception | Family Planning | Family Planning Programs
Document Number: 327087  

4.    Full text document

Title: Elements of success in family planning programming.
Author: Richey C; Salem RM
Source: Population Reports. Series J: Family Planning Programs. 2008 Sep;(57):1-28.
Abstract: This Population Reports issue is the flagship publication of the "Elements of Family Planning Success" initiative that identified the top 10 elements most important to the success of family planning programs in coordination with health care professionals from around the world. The report synthesizes online discussions about these elements and highlights program experiences, best practices, and evidence-based guidance derived from nearly six decades in international family planning. The lessons identified in this report can help family planning program managers, donor agency staff, policy makers, and other family planning professionals to plan new programs, improve existing programs, and prepare for future developments and challenges.
Language: English

Keywords:
GLOBAL | TECHNICAL REPORT | FAMILY PLANNING PROGRAMS | FAMILY PLANNING PROGRAM EVALUATION | FAMILY PLANNING PROGRAM ADMINISTRATION | FAMILY PLANNING POLICY | FAMILY PLANNING PERSONNEL | FAMILY PLANNING PERSONNEL CHARACTERISTICS | CONTRACEPTIVE SECURITY | COMMUNICATION STRATEGY | BEHAVIOR CHANGE COMMUNICATION | PROGRAM ACCESSIBILITY | ECONOMIC FACTORS | INTEGRATED PROGRAMS | Family Planning | Population Policy | Social Policy | Policy | Political Factors | Sociocultural Factors | Contraceptive Availability | Contraception | Communication | Communication Programs | Behavior Change | Behavior | Program Evaluation | Programs | Organization and Administration
Document Number: 329561  

5.    Full text document

Title: Bangladesh: final country report.
Author: John Snow [JSI]. DELIVER
Source: Arlington, Virginia, JSI, DELIVER, 2007. 47 p. (USAID Contract No. HRN-C-00-00-00010-00)
Abstract: The Bangladesh family planning program has evolved over the course of 30 years to become recognized as one of the most effective programs in the world, despite extreme poverty, illiteracy, religious resistance, and the low status of women. This report documents the technical assistance provided by DELIVER to the Ministry of Health and Family Welfare (MOHFW) in logistics management, procurement, contraceptive security, institutional strengthening, and local capacity building. DELIVER's technical assistance and capacity building have largely contributed to establishing and sustaining an effective and functional logistics system for family planning. DELIVER has also played a pioneering role in raising awareness about contraceptive security and its importance to the Bangladesh family planning program. DELIVER's interventions and strategies focused on developing national awareness of and commitment to contraceptive security and institutionalizing and optimizing a logistics system that was developed under predecessor projects. The work toward contraceptive security included national and local advocacy, media advocacy, procurement assistance, donor and stakeholder coordination, and supply chain technical assistance. DELIVER's support has contributed toward significant improvements in logistics management, procurement capacity, and improved contraceptive security. However, continued support is needed for capacity building in public-sector procurement, introduction of modern technologies in automating logistics functions at the subdistrict level, and better and more effective coordination among donors and stakeholders. (author's)
Language: English

Keywords:
BANGLADESH | EVALUATION REPORT | FAMILY PLANNING ACCEPTORS | FAMILY PLANNING PROGRAMS | NONGOVERNMENTAL ORGANIZATIONS | LOGISTICS | FAMILY PLANNING PROGRAM ADMINISTRATION | CONTRACEPTIVE SECURITY | CAPACITY BUILDING | ADVOCACY | FOREIGN AID | Developing Countries | Asia, Southern | Asia | Evaluation | Family Planning | Organizations | Political Factors | Sociocultural Factors | Management | Organization and Administration | Contraceptive Availability | Contraception | Program Sustainability | Programs | Communication | Financial Activities | Economic Factors
Document Number: 323728  

6.    Full text document

Title: Linking CBFP with long acting methods.
Author: Macro International. Child Survival Technical Support+ [CSTS+]
Source: Calverton, Maryland, Macro International, Child Survival Technical Support+ [CSTS+], 2007 Aug. 4 p. (Community Based Family Planning Technical Update No. 3)
Abstract: Programs should strive to provide as many family planning methods as possible in an effort to meet the diverse needs of those wishing to use family planning throughout the various stages of their reproductive lives. This technical bulletin promotes linkages between community based family planning and long-acting and permanent contraceptive methods (LAPM). For each method, IUDs, implants, vasectomy and female sterilization, links to websites and online resources/tools are provided. Four main strategies for increasing the use of LAMP at the community level are highlighted; Referrals to facilities, Mobile Clinics, Facility-Based Outreach and Satellite Clinics. (excerpt)
Language: English

Keywords:
GLOBAL | TECHNICAL REPORT | FAMILY PLANNING | CONTRACEPTIVE AGENTS | CONTRACEPTIVE DISTRIBUTION | COMMUNITY-BASED DISTRIBUTION | FAMILY PLANNING PROGRAM ADMINISTRATION | FAMILY PLANNING PROGRAMS | CASE STUDIES | Contraception | Distributional Activities | Program Activities | Programs | Organization and Administration | Nonclinical Distribution | Studies | Research Methodology
Document Number: 308799  

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Peer Reviewed

Title: Getting results used: Evidence from reproductive health programmatic research in Guatemala.
Author: Brambila C; Ottolenghi E; Marin C; Bertrand JT
Source: Health Policy and Planning. 2007 Jul;22(4):234-245.
Abstract: This article reviews 44 operations research projects aiming to improve reproductive health services in Guatemala, conducted by the Population Council from 1988 to 2001. It documents the experience of the research programme, traces the extent to which research results are identifiable in existing programmes, and analyses factors influencing utilization. Utilization of research results occurs as a gradual process of information sharing, where researchers influence decision-makers through a continual stream of information rather than a single set of findings. Utilization depends on leadership, collaborative planning and implementation, close monitoring, and feasible research designs, among other factors. To influence policy formulation, organizations should form enduring links among institutions and develop critical research skills among personnel who collaborate with or manage service programmes. To understand how operations research affects policy and programme change, one must consider not just individual projects, but rather the synergistic impact of multiple projects on a broad range of themes over time. (author's)
Language: English

Keywords:
GUATEMALA | EVALUATION REPORT | OPERATIONS RESEARCH | GOVERNMENT AGENCIES | NONGOVERNMENTAL ORGANIZATIONS | REPRODUCTIVE HEALTH | CONTRACEPTION | FAMILY PLANNING PROGRAM ADMINISTRATION | PERFORMANCE IMPROVEMENT | DELIVERY OF HEALTH CARE | DECISION MAKING | IMPLEMENTATION | Central America | Latin America | Americas | Developing Countries | Evaluation | Program Evaluation | Programs | Organization and Administration | Research Methodology | Organizations | Political Factors | Sociocultural Factors | Health | Family Planning | Family Planning Programs | Management | Behavior
Document Number: 313658  

8.    Full text document

Title: Romania. Reaching the poor: scaling up integrated family planning services.
Author: Gasco M; Hedgecock D; Wright C
Source: Boston, Massachusetts, John Snow [JSI], [2007]. 8 p. (JSI Best Practices in Scaling-Up Case Study)
Abstract: The scaling up of integrated FP services through primary care providers was carefully planned to ensure a balance between quality of care, equity/coverage, and cost efficiency. Special care was taken to reduce inequalities affecting the poor and most vulnerable, including minorities. However, scaling up was not simply a replication of key activities in new geographical areas; rather, it was a challenging exercise to simplify the approach used at model sites and strengthen the districts for decentralized management and sustainability of services. At the center of RFHI's strategy was the Three Pillars Approach, which focused on creating key conditions at the same place and time: trained providers; contraceptive supplies; and IEC/BCC (demand creation activities). (excerpt)
Language: English

Keywords:
ROMANIA | RESEARCH REPORT | CASE STUDIES | LOW INCOME POPULATION | FAMILY PLANNING ACCEPTORS | FAMILY PLANNING PROGRAMS | INTEGRATED PROGRAMS | BEST PRACTICES | CAPACITY BUILDING | PROGRAM ACCESSIBILITY | FAMILY PLANNING PROGRAM EVALUATION | FAMILY PLANNING PROGRAM ADMINISTRATION | Europe, Southeastern | Europe | Developing Countries | Studies | Research Methodology | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Family Planning | Programs | Organization and Administration | Program Sustainability | Program Evaluation
Document Number: 315337  

9.    Full text document

Title: Lessons for family planning providers from transitions in maternal and child health funding.
Author: Gold RB
Source: Guttmacher Policy Review. 2007 Winter;10(1):2-6.
Abstract: By the end of 2006, the federal government had approved applications from 25 states to grant Medicaid coverage for family planning services to low-income women not poor enough for regular Medicaid eligibility. The income ceiling under most of these programs is at or close to 200% of the federal poverty line, well above the national average of 65% of poverty for regular Medicaid. Together, these Medicaid eligibility expansions are beginning to change the face of how family planning services for low-income people are paid for in this country. Also, they move center stage the question of the appropriate future role for Title X family planning dollars in a system that one day may rely on Medicaid to fund direct health care services for most clients. While the family planning community is obviously just beginning to navigate this transition, maternal and child health (MCH) programs have been traveling this road for more than 20 years. Their experience is instructive. (excerpt)
Language: English

Keywords:
UNITED STATES OF AMERICA | CRITIQUE | FAMILY PLANNING PERSONNEL | WOMEN | LOW INCOME POPULATION | FAMILY PLANNING PROGRAM ADMINISTRATION | GOVERNMENT FINANCING | POVERTY | MATERNAL HEALTH SERVICES | CHILD HEALTH SERVICES | North America | Americas | Developed Countries | Family Planning Programs | Family Planning | Demographic Factors | Population | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Financial Activities | Maternal-Child Health Services | Primary Health Care | Health Services | Delivery of Health Care | Health
Document Number: 315413  

10.    Full text document

Title: Turkey. Scaling up nationwide access to integrated family planning through the Turkish Social Insurance Organization (SSK).
Author: Harris NP; Kircalioglu N
Source: Boston, Massachusetts, John Snow [JSI], [2007]. 8 p. (JSI Best Practices in Scaling Up Case Study)
Abstract: In 1990 the population of Turkey was 56.5 million (October 1990 census), and roughly half of the population lived in urban areas. The total fertility rate (TFR) was on the decline-from 4.3 in 1978 to 3.1 in 1993. Turkey was increasingly becoming an urban, affluent, consumer-oriented, and secular society. In comparison with the previous generation, the younger generation was better educated, married later, and had fewer children. In 1992, the Soysal Sigortalar Kurumu (SSK), the government social insurance organization in Turkey, had a clearly stated mandate to deliver curative services only. In addition to pension and social benefits, the SSK provided health services to some 22-30 million people-about 40% of the population. Oral contraceptives were available only for "medical reasons" and on a very limited basis, but not for contraceptive purposes. The John Snow, Inc/Family Planning Services Expansion and Technical Support Project (JSI/SEATS), a USAID centrally-funded project, worked in Turkey from1992 to 1997, collaborating with the SSK to scale up services to include family planning (FP) and to strengthen the entire SSK health system. (excerpt)
Language: English

Keywords:
TURKEY | RESEARCH REPORT | CASE STUDIES | FAMILY PLANNING ACCEPTORS | BEST PRACTICES | CAPACITY BUILDING | INTEGRATED PROGRAMS | SOCIAL SECURITY | PROGRAM ACCESSIBILITY | FAMILY PLANNING PROGRAM ADMINISTRATION | FAMILY PLANNING PROGRAM EVALUATION | FAMILY PLANNING EDUCATION | Developing Countries | Europe, Southeastern | Europe | Studies | Research Methodology | Family Planning Programs | Family Planning | Programs | Organization and Administration | Program Sustainability | Government Financing | Financial Activities | Economic Factors | Program Evaluation | Education
Document Number: 315339  

11.    Full text document

Title: Vasectomy: the unfinished agenda.
Author: Jacobstein R; Pile JM
Source: New York, New York, EngenderHealth, ACQUIRE Project, 2007 Aug. 12 p. (ACQUIRE Project Working PaperUSAID Cooperative Agreement No. GPO-A-00-03-00006-00)
Abstract: Although the need for family planning remains widespread and its health and economic rationales remain valid, family planning has been neglected in the face of competing health and development priorities. Given the need for "repositioning family planning" (i.e., for raising the priority of and resources for family planning), vasectomy services in particular need more attention and support. Vasectomy, the only highly effective male method of contraception, is safe, simple to perform, and economical-yet in most countries it is the family planning method that is the least known, understood, or used. We have learned many lessons about how to program effectively for vasectomy, but a great many barriers to vasectomy's widespread use remain, at multiple levels-client, community, provider, facility, program and policy. A better understanding of what causes these barriers and how they can be removed, and of how to program effectively for vasectomy services, coupled with sustained commitment of attention and resources, can result in greater use of vasectomy. Increased use of vasectomy can help individuals and couples meet their reproductive health intentions and can help countries better serve their citizens while meeting development goals. In every region of the world and in nearly all social and cultural settings, men will use vasectomy services, provided these are appropriately offered. Increases in vasectomy use will likely be quite modest initially; in time, however, vasectomy in developing countries can reach levels seen in many developed countries. Sustained attention to and investments in vasectomy are warranted on both programmatic and equity grounds. (excerpt)
Language: English

Keywords:
DEVELOPING COUNTRIES | RECOMMENDATIONS | FAMILY PLANNING PERSONNEL | FAMILY PLANNING ACCEPTORS | PROVIDERS WITH CLIENTS | VASECTOMY | CONTRACEPTIVE METHOD ACCEPTABILITY | FAMILY PLANNING PROGRAM ADMINISTRATION | CULTURE | FEES | BEHAVIOR CHANGE COMMUNICATION | Family Planning Programs | Family Planning | Health Services | Delivery of Health Care | Health | Male Sterilization | Sterilization, Sexual | Contraceptive Usage | Contraception | Sociocultural Factors | Financial Activities | Economic Factors | Behavior Change | Behavior | Communication Programs | Communication
Document Number: 327098  

12.    Full text document

Title: Accurately forecasting contraceptive needs: levels, trends, and determinants.
Author: Karim AM
Source: Arlington, Virginia, John Snow [JSI], DELIVER, 2007 Aug. 22 p. (USAID Contract No. GPO-1-01-06-0007-00)
Abstract: Information on the expected accuracy of the contraceptive forecasting processes is useful for family planning supply chain managers to efficiently plan and procure contraceptive commodities and maintain uninterrupted supplies to meet clients' needs. This study examines the accuracy of the contraceptive forecasting processes of 81 family planning programs in 30 developing countries using time-series records between 1994 and 2005 on past contraceptive consumption and projected needs. Forecast accuracy is defined as the absolute percentage difference between the actual and projected quantity of a contraceptive dispensed. Analysis of 1,586 one-year-ahead contraceptive forecasts indicates that the expected median absolute percent error for one-year-ahead contraceptive forecasts for public sector family planning programs is about 25 percent. Multiple regression analysis indicates that the forecast accuracy of public sector programs has been improving over time, which is partly attributable to improvement of the family planning logistics management information system performance and to the use of forecasting software. (author's)
Language: English

Keywords:
DEVELOPING COUNTRIES | RESEARCH REPORT | ESTIMATION TECHNIQUES | FAMILY PLANNING PERSONNEL | FAMILY PLANNING ACCEPTORS | FAMILY PLANNING PROGRAM ADMINISTRATION | CONTRACEPTIVE USAGE | NEEDS ASSESSMENT | LOGISTICS | EQUIPMENT AND SUPPLIES | COMPUTER PROGRAMS AND PROGRAMMING | Research Methodology | Family Planning Programs | Family Planning | Contraception | Evaluation | Management | Organization and Administration | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Information Processing | Information
Document Number: 323727  

13.    Full text document

Title: Working with men: lessons learned.
Author: Mehta M; Peacock D; Bernal L
Source: [New York, New York], EngenderHealth, [2007]. [2] p. Excerpted from: Mehta M., Peacock D., and Bernal L. (2004) “Men As Partners: lessons learned from engaging men in clinics and communities.” In Sandy Ruxton (ed.) Gender Equality and Men: Learning from Practice. Oxfam GB; Oxford, UK. Available online: http://www.oxfam.org.uk/what_we_do/resources/downloads/geneqmen/ gem_complete.pdf
Abstract: Spurred by the recognition that men's attitudes and behaviour can either undermine or promote sexual and reproductive health, many sexual and reproductive health organisations around the world have launched initiatives to encourage positive male involvement. This fact sheet describes the lessons learned by one such initiative: the Men As Partners (MAP) programme at EngenderHealth...We also share lessons that we have learned as a result of implementing the MAP programme in a variety of contexts and countries to address a diversity of reproductive health issues. (excerpt)
Language: English

Keywords:
UNITED STATES OF AMERICA | RECOMMENDATIONS | MEN | FAMILY AND HOUSEHOLD | FAMILY PLANNING PROGRAMS | MALE ROLE | REPRODUCTIVE HEALTH | PARTNER COMMUNICATION | FAMILY PLANNING PROGRAM ADMINISTRATION | MEN'S INVOLVEMENT | MEN'S HEALTH | WOMEN'S HEALTH | Developed Countries | North America | Americas | Demographic Factors | Population | Sociocultural Factors | Family Planning | Social Behavior | Behavior | Health | Interpersonal Relations | Programs | Organization and Administration
Document Number: 323002  

14.    Full text document

Title: Developing a continuing-client strategy.
Author: Ramchandran D
Source: Baltimore, Maryland, Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs, Information and Knowledge for Optimal Health [INFO], 2007 Apr 23. [2] p. (Global Health Technical Briefs)
Abstract: Programs can provide clients with a continuum of care if they adopt a life-stage perspective. From the life-stage perspective, clients who want to switch contraceptive methods are not just discontinuers of one method or new users of another one but continuing users whose family planning needs have changed. Similarly, from the life-stage perspective women who stop contraceptive use in order to become pregnant can be viewed as clients whose reproductive intentions have changed, and who may use contraception again in the future. In a continuing-client strategy, programs realign goals and adapt activities to support continuing contraceptive users, as well as attracting new clients. The strategy focuses on reducing unintended pregnancies among current clients, extending follow-up and outreach within communities, integrating services and creating links with other organizations to avoid gaps in service delivery, and supporting these approaches with focused communication that encourages community support for continued contraceptive use. (excerpt)
Language: English

Keywords:
DEVELOPING COUNTRIES | TEACHING MATERIALS | PROVIDERS WITH CLIENTS | FAMILY PLANNING ACCEPTORS, REPEAT | ADMINISTRATIVE PERSONNEL | CONTRACEPTION CONTINUATION | FAMILY PLANNING PROGRAM ADMINISTRATION | CLIENT-STAFF RELATIONS | NEEDS ASSESSMENT | QUALITY OF HEALTH CARE | CONTRACEPTIVE METHODS CHOSEN | SIDE EFFECTS | Health Services | Delivery of Health Care | Health | Family Planning Acceptors | Family Planning Programs | Family Planning | Organization and Administration | Contraceptive Usage | Contraception | Interpersonal Relations | Behavior | Evaluation | Health Services Evaluation | Program Evaluation | Programs | Treatment | Medical Procedures | Medicine
Document Number: 315340  

15.    Full text document

Title: Developing a continuing-client strategy. How to meet clients' changing family planning needs.
Author: Ramchandran D
Source: Population Reports. Series J: Family Planning Programs. 2007 Mar;(55):1-27.
Abstract: Family planning programs conventionally have paid primary attention to attracting new clients. Yet, each new family planning user is also a potential continuing client. As more and more people use family planning, continuing clients outnumber new clients by a widening margin. A family planning program that focuses on clients not only when they first choose a contraceptive method but also throughout their reproductive lives can offer better care than one that focuses on new clients alone. People's family planning needs last for a reproductive lifetime, and often change as their life stage changes (11). Adopting a life-stage perspective can help programs identify clients' continuing family planning needs and thus provide information and services as their needs change. This perspective can form the basis for a continuing-client program strategy. (excerpt)
Language: English

Keywords:
DEVELOPING COUNTRIES | TEACHING MATERIALS | FAMILY PLANNING ACCEPTORS, REPEAT | PROVIDERS WITH CLIENTS | CONTRACEPTION CONTINUATION | SIDE EFFECTS | QUALITY OF HEALTH CARE | FAMILY PLANNING PROGRAM ADMINISTRATION | CLIENT-STAFF RELATIONS | NEEDS ASSESSMENT | FAMILY PLANNING DISCONTINUERS | INTEGRATED PROGRAMS | Family Planning Acceptors | Family Planning Programs | Family Planning | Health Services | Delivery of Health Care | Health | Contraceptive Usage | Contraception | Treatment | Medical Procedures | Medicine | Health Services Evaluation | Program Evaluation | Programs | Organization and Administration | Interpersonal Relations | Behavior | Evaluation
Document Number: 315336  

16.    Full text document

Title: Measuring success of a continuing-client strategy.
Author: Sullivan TM; Ramchandran D
Source: Baltimore, Maryland, Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs, Information and Knowledge for Optimal Health [INFO], 2007 Mar. 12 p. (INFO Reports No. 11USAID Grant No. GPH-A-00-02-00003-00)
Abstract: This tool offers program managers a quick reference to measure how well a continuing-client strategy is succeeding. It includes 24 key indicators organized into three areas: program readiness, quality of care, and reproductive health outcomes. By measuring these indicators, managers can track changes in program performance and fine-tune operations as needed to achieve the objectives of a continuing-client strategy.
Language: English

Keywords:
DEVELOPING COUNTRIES | TEACHING MATERIALS | FAMILY PLANNING PERSONNEL | PROVIDERS WITH CLIENTS | FAMILY PLANNING ACCEPTORS | CONTRACEPTION CONTINUATION | FAMILY PLANNING PROGRAM EVALUATION | QUALITY OF HEALTH CARE | MONITORING | FAMILY PLANNING PROGRAM ADMINISTRATION | CLIENT-STAFF RELATIONS | LOGISTICS | Family Planning Programs | Family Planning | Health Services | Delivery of Health Care | Health | Contraceptive Usage | Contraception | Health Services Evaluation | Program Evaluation | Programs | Organization and Administration | Evaluation | Interpersonal Relations | Behavior | Management
Document Number: 315335  

17.    Full text document

Title: [Measuring success of a continuing-client strategy] Midiendo el exito de una estrategia para elientes que continuan usando los metodos.
Author: Sullivan TM; Ramchandran D
Source: Baltimore, Maryland, Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs, Information and Knowledge for Optimal Health [INFO], 2007 Mar. 12 p. (INFO Reports No. 11USAID Grant No. GPH-A-00-02-00003-00)
Abstract: This tool offers program managers a quick reference to measure how well a continuing-client strategy is succeeding. It includes 24 key indicators organized into three areas: program readiness, quality of care, and reproductive health outcomes. By measuring these indicators, managers can track changes in program performance and fine-tune operations as needed to achieve the objectives of a continuing-client strategy.
Spanish Abstract: Esta herramienta ofrece a los gerentes de programas, una rapida referencia para medir el grado de exito que esta teniendo una estrategia para clientes que continuan usando los metodos. Esta incluye 24 indicadores clave organizados en tres areas: competitividad del programa, calidad de atencion y resultados de salud reproductiva. Al medir estos indicadores, los gerentes rastrean los cambios en el desempeno del programa y ajustan las operaciones tanto como sea necesario para alcanzar los objetivos de la estrategia para clientes que continuan usando los metodos.
Language: Spanish

Keywords:
DEVELOPING COUNTRIES | TEACHING MATERIALS | FAMILY PLANNING PERSONNEL | PROVIDERS WITH CLIENTS | FAMILY PLANNING ACCEPTORS | CONTRACEPTION CONTINUATION | FAMILY PLANNING PROGRAM EVALUATION | QUALITY OF HEALTH CARE | MONITORING | FAMILY PLANNING PROGRAM ADMINISTRATION | CLIENT-STAFF RELATIONS | LOGISTICS | Family Planning Programs | Family Planning | Health Services | Delivery of Health Care | Health | Contraceptive Usage | Contraception | Health Services Evaluation | Program Evaluation | Programs | Organization and Administration | Evaluation | Interpersonal Relations | Behavior | Management
Document Number: 308637  

18.
Title: Dalian: Promote family planning management and services in isolated residential areas.
Source: China Population Today. 2006 Aug;23(3-4):19.
Abstract: Since it was designated by the National Population and Family Planning Commission in 2003 as a pilot city for promoting family planning management and services in isolated urban residential areas, Dalian, a coastal city in Northeast China s Liaoning Province, has been active in exploring a long-term working mechanism featuring community-based management, multi-departmental coordination, assistance of property management and participation of property owners. Their practice has provided valuable experience for further expansion of the pilot work in other parts of China. (excerpt)
Language: English

Keywords:
CHINA | URBAN AREAS | PROGRESS REPORT | ADMINISTRATIVE PERSONNEL | VOLUNTEERS AND VOLUNTARISM | FAMILY PLANNING PROGRAM ADMINISTRATION | MANAGEMENT | COMMUNITY HEALTH SERVICES | BEST PRACTICES | RESOURCE ALLOCATION | PERFORMANCE IMPROVEMENT | Asia, Eastern | Asia | Developing Countries | Geographic Factors | Population | Organization and Administration | Family Planning Programs | Family Planning | Primary Health Care | Health Services | Delivery of Health Care | Health | Programs | Financial Activities | Economic Factors
Document Number: 308600  

19.
Title: Nan'an, Fujian: Taking concrete measures to improve management and services.
Source: China Population Today. 2006 Aug;23(3-4):33.
Abstract: In recent years, the local family planning authorities in Nan an have taken a series of effective measures to improve the management of and services for local residents working outside the city. The actions they have taken include the implementation of five concrete measures, the establishment of four service platforms and the opening of three information exchange channels. Each village is required to appoint one person to take care of family planning affairs concerning migrant villagers. The villagers committee is responsible for the family planning work among villagers working outside their hometowns. Leaders of the villagers committee take the major responsibility of family planning management of out-going migrants, followed by the leaders of household groups. The liaison person in each village assists and reports to the committee the family planning and reproductive health status of the migrants. (excerpt)
Language: English

Keywords:
CHINA | CRITIQUE | MIGRANTS | FAMILY PLANNING PERSONNEL | FAMILY PLANNING PROGRAM ADMINISTRATION | INFORMATION NETWORKS | PROGRAM ACCESSIBILITY | FAMILY PLANNING EDUCATION | REPRODUCTIVE HEALTH | COMMUNITY HEALTH SERVICES | EMPLOYMENT-BASED SERVICES | Asia, Eastern | Asia | Developing Countries | Migration | Population Dynamics | Demographic Factors | Population | Family Planning Programs | Family Planning | Communication | Program Evaluation | Programs | Organization and Administration | Education | Health | Primary Health Care | Health Services | Delivery of Health Care
Document Number: 308598  

20.
Title: Nanjing: Building a service platform for migrants.
Source: China Population Today. 2006 Aug;23(3-4):24-25.
Abstract: Nanjing, capital city of Jiangsu province in east China, has taken a series of steps in recent years to improve family planning services for migrant workers in the city. The municipal family planning commission targeted communities with a heavy concentration of commercial facilities, a mix of different organizations, or isolated residences for pilot sites for community-centered, localized management. By June 2005, more than 95% of the city s neighborhoods had set up a family planning and reproductive health center, and residential communities had universally established a family planning service outlet. (excerpt)
Language: English

Keywords:
CHINA | CRITIQUE | MIGRANTS | FAMILY PLANNING PROGRAMS | INTEGRATED PROGRAMS | RURAL-URBAN MIGRATION | FAMILY PLANNING PROGRAM ADMINISTRATION | MANAGEMENT | COMMUNITY HEALTH SERVICES | SETTLEMENT AND RESETTLEMENT | COUNSELING | Asia, Eastern | Asia | Developing Countries | Migration | Population Dynamics | Demographic Factors | Population | Family Planning | Programs | Organization and Administration | Primary Health Care | Health Services | Delivery of Health Care | Health | Clinic Activities | Program Activities
Document Number: 308596  

21.
Title: Quimen, Anhui: Establishing a mechanism of interactive services and management.
Source: China Population Today. 2006 Aug;23(3-4):30.
Abstract: Qimen is a typical mountainous county located in the southern part of Anhui Province. In recent years, over 35,000 local residents have left their hometowns to seek jobs in cities every year. Of these people, more than 6,700 are married women of childbearing age. Family planning management of and services for this group of people has become a headache for local family planning authorities. After conducting countywide research, the county family planning authorities established a model featuring interactive services and management. Currently, this practice has been expanded throughout the whole county and has proven to be fruitful. The following are the concrete measures they have taken. (excerpt)
Language: English

Keywords:
CHINA | CRITIQUE | MIGRANTS | FAMILY PLANNING PROGRAMS | RURAL-URBAN MIGRATION | FAMILY PLANNING PROGRAM ADMINISTRATION | MANAGEMENT | DELIVERY OF HEALTH CARE | INFORMATION NETWORKS | Asia, Eastern | Asia | Developing Countries | Migration | Population Dynamics | Demographic Factors | Population | Family Planning | Organization and Administration | Health | Communication
Document Number: 308594  

22.
Title: Survey on FP / RH of floating population.
Source: China Population Today. 2006 Aug;23(3-4):9-10.
Abstract: Family planning among the floating population is critical to stabilizing the current low fertility level in China. The majority of the floating population is farmer workers who are sexually active. According to the 2004 sampling survey conducted by the National Statistical Bureau, the number of rural residents working in cities reached 118 million, over 84.5% of them aged 16-40. In recent years, the percentage of married women of childbearing age has been growing year by year, by close to 30%. According to this survey, of the 8.04 million farmer workers in Hunan Province in 2004, 1.35 million were unmarried women of childbearing age and 2.39 million were married women of childbearing age, making a combined 46.52% of the total number of farmer workers. As more and more farmer workers flock to the urban areas, the number of children they have is increasing, putting great pressure on the urban family planning system. The old system operating in the urban cities for permanent residents no longer worksfor migrant workers. Obstacles such as incomplete laws and institutional problems have also added to the difficulties in family planning management of and services for the floating population, including farmer workers. (excerpt)
Language: English

Keywords:
CHINA | RESEARCH REPORT | FAMILY PLANNING SURVEYS | MIGRANTS | WOMEN | FAMILY PLANNING PROGRAMS | REPRODUCTIVE HEALTH | INTERNAL MIGRATION | RURAL-URBAN MIGRATION | FAMILY PLANNING PROGRAM ADMINISTRATION | PROGRAM ACCESSIBILITY | FAMILY PLANNING PROGRAM EVALUATION | Asia, Eastern | Asia | Developing Countries | Family Planning | Migration | Population Dynamics | Demographic Factors | Population | Health | Program Evaluation | Programs | Organization and Administration
Document Number: 308593  

23.
Title: Suzhou: Explore new approaches for management of and services for migrants.
Source: China Population Today. 2006 Aug;23(3-4):15-16.
Abstract: By the end of 2005, Suzhou had a migrant population of nearly four million, accounting for 62.7% of the permanent population, according to local statistics. This group of people has become critical to the local socioeconomic development, and family planning management and services among these people has also constituted an important component of the work of local family planning authorities. In line with the principles of equal treatment, reasonable guidance, improved management and quality services, the local family planning authorities have made great efforts to find new ways of management of and services for migrants. (excerpt)
Language: English

Keywords:
CHINA | CRITIQUE | MIGRANTS | SETTLEMENT AND RESETTLEMENT | FAMILY PLANNING EDUCATION | FAMILY PLANNING PROGRAM ADMINISTRATION | PROGRAM ACCESSIBILITY | NEEDS ASSESSMENT | MARRIAGE PATTERNS | REPRODUCTIVE BEHAVIOR | MANAGEMENT | COMMUNITY PARTICIPATION | Asia, Eastern | Asia | Developing Countries | Migration | Population Dynamics | Demographic Factors | Population | Education | Family Planning Programs | Family Planning | Program Evaluation | Programs | Organization and Administration | Evaluation | Marriage | Nuptiality | Fertility
Document Number: 308601  

24.
Title: Zhejiang: Improve the management and service mechanism for population and family planning among the floating program.
Source: China Population Today. 2006 Aug;23(3-4):13.
Abstract: At the end of 2005, the whole province of Zhejiang had a total number of 11.22 million immigrants of childbearing age, of whom 4.32 million were women and 2.99 million were married women. The number of children born to the floating population totaled 17,315, of which 2,943 were out-of-plan births. The fertility rate of the married women of childbearing age was 5.79, and 83% were practicing family planning. In contrast, the number of people of childbearing-age working outside their hometowns totaled 3.4 million by the end of 2005. Of these people, 1.72 million were women and 1.25 million were married women. Of the 22,407 births given by these women, 6,630 were unplanned. The fertility rate of the married women of childbearing age was 17.8, and the family planning prevalence rate was 70%. (excerpt)
Language: English

Keywords:
CHINA | CRITIQUE | MIGRANTS | FAMILY PLANNING PROGRAMS | INTERNAL MIGRATION | TEMPORARY MIGRATION | REPRODUCTIVE BEHAVIOR | POPULATION POLICY | FAMILY PLANNING PROGRAM ADMINISTRATION | PROGRAM ACCESSIBILITY | GOALS | Asia, Eastern | Asia | Developing Countries | Migration | Population Dynamics | Demographic Factors | Population | Family Planning | Fertility | Social Policy | Policy | Political Factors | Sociocultural Factors | Program Evaluation | Programs | Organization and Administration | Planning
Document Number: 308592  

25.    Full text document

Title: Contraceptive Security Strategic Plan for Egypt, 2006–2010.
Author: Constella Futures. Health Policy Initiative; Egypt. Ministry of Health and Population; Egypt. National Population Council
Source: Washington, D.C., Constella Futures, Health Policy Initiative, 2006 Jul. [59] p. (USAID Contract No. GPO-I-01-05-00040-00)
Abstract: The Contraceptive Security Strategic Plan for Egypt 2006-2010 (CSSP) was developed in consultation among all concerned stakeholders. These include the Ministry of Health and Population (MOHP), National Population Council (NPC), Ministry of Finance (MOF), Ministry of Planning, Ministry of International Cooperation, NGOs, private sector, public and private sector pharmaceutical companies, donor agencies, technical support agencies, representatives from health and population committees in the Shura and People's Assembly, heads of the physician and pharmacy syndicates, research institutes, and USAID cooperating agencies and projects like the Population Council, JSI/DELIVER, Frontiers in Reproductive Health Program, and the TASHEEN/POLICY and CATALYST projects. USAID provided technical assistance through the POLICY Project based in Cairo, Egypt. This plan was developed in response to a series of gaps identified by a Contraceptive Security Working Group and stakeholders. Gaps included financial pressures on public resources; insufficient financing for contraceptives; lack of adequate user fees and the absence of an exemption and waiver policy; limited information for decision-making; lack of appropriate quality control measures in manufacturing; commodity testing, and service delivery; lack of collaborative between sectors and partners working toward contraceptive security; and an overall lack of awareness of contraceptive security issues. (excerpt)
Language: English

Keywords:
EGYPT | PROGRESS REPORT | FAMILY PLANNING ACCEPTORS | GOVERNMENT | CONTRACEPTIVE SECURITY | FIVE-YEAR PLANS | FAMILY PLANNING PROGRAM ADMINISTRATION | ECONOMIC FACTORS | LOGISTICS | ADVOCACY | FAMILY PLANNING BENEFITS | FAMILY PLANNING POLICY | Developing Countries | Africa, North | Africa | Family Planning Programs | Family Planning | Political Factors | Sociocultural Factors | Contraceptive Availability | Contraception | Development Planning | Management | Organization and Administration | Communication | Population Policy | Social Policy | Policy
Document Number: 324532  

26.    Full text document

Title: Strategic choices in scaling-up: introducing injectable contraception and improving quality of care in Viet Nam. Draft.
Author: Fajans P; Nguyen Thi Thom; Whittaker M; Satia J; Tran Thi Phuong Mai
Source: Geneva, Switzerland, World Health Organization [WHO], 2006. [23] p. Scaling-Up Health Service Delivery: From Pilot Innovations to Policies and Programmes", edited by Ruth Simmons, Peter Fajans and Laura Ghiron, to be published by WHO.
Abstract: This paper analyses the process of scaling-up introduction of the injectable contraceptive Depo-medroxy progesterone acetate (DMPA) as part of a package of interventions to improve quality of care in the provision of all contraceptives in the Vietnamese family planning programme. After a strategic assessment of the need for contraceptive introduction, followed by pilot testing of the interventions in three provinces, these interventions were scaled up to 21 of Viet Nam's 64 provinces. Although DMPA was widely introduced, scaling-up did not fully achieve the gains in quality of care for all methods found in the pilot phase. Three interrelated variables affected this outcome: the degree of change the interventions require for the service delivery system, the pace of expansion, and available resources to support expansion. In this case, scaling-up proceeded faster than desirable, given the extensive changes entailed by the interventions and the limitations in resources. Before embarking on rapid expansion involving complex programmatic changes, planners of scaling-up strategies should carefully assess the balance among these three variables. (author's)
Language: English

Keywords:
VIETNAM | RESEARCH REPORT | EVALUATION | FAMILY PLANNING ACCEPTORS | FAMILY PLANNING PROGRAMS | INJECTABLES | CAPACITY BUILDING | QUALITY OF HEALTH CARE | NEEDS ASSESSMENT | INTERVENTIONS | FAMILY PLANNING PROGRAM ADMINISTRATION | FAMILY PLANNING PROGRAM EVALUATION | Asia, Southeastern | Asia | Developing Countries | Family Planning | Programs | Organization and Administration | Contraceptive Methods | Contraception | Program Sustainability | Health Services Evaluation | Program Evaluation
Document Number: 303627  

27.
Title: Best practices in Egypt: democratization of performance improvement (clinic management).
Author: CATALYST Consortium
Source: [Washington, D.C.], CATALYST Consortium, [2005]. 9 p.
Abstract: In Egypt, public sector health clinics provide the majority of rural health care. Of all primary health care (PHC) facilities in rural areas, 59% have a waiting area protected from the elements, a functioning latrine, and a basic level of cleanliness and hygiene; 44% have the capacity for proper sterilization or high-level disinfection; 75% have regular water and electricity supply; 28% have a preventive maintenance program for major equipment; and, 48% report no funding sources for maintenance and repairs. Clinic management is often poor. Merely 9% of all rural PHC facilities have documented, biannual management committee meetings, and only 4% of these elicit client opinion. (excerpt)
Language: English

Keywords:
EGYPT | EVALUATION REPORT | OPERATIONS RESEARCH | RURAL POPULATION | FAMILY PLANNING PERSONNEL | ADMINISTRATIVE PERSONNEL | BEST PRACTICES | USAID | REPRODUCTIVE HEALTH | DEMOCRACY | PERFORMANCE IMPROVEMENT | FAMILY PLANNING CENTERS | CLINICS | FAMILY PLANNING PROGRAM ADMINISTRATION | Developing Countries | Africa, Northern | Africa | Evaluation | Research Methodology | Program Evaluation | Programs | Organization and Administration | Population Characteristics | Demographic Factors | Population | Family Planning Programs | Family Planning | Government Agencies | Organizations | Political Factors | Sociocultural Factors | Health | Political Systems | Management | Health Facilities | Delivery of Health Care
Document Number: 300625  

28.    Full text document

Title: The fundamentals of care: Ensuring quality in facility-based services. A resource package.
Author: EngenderHealth. ACQUIRE Project
Source: New York, New York, EngenderHealth, ACQUIRE Project, [2005]. 14 p. (USAID Cooperative Agreement No. GPO-A-00-03-00006-00)
Abstract: The ACQUIRE Project has developed this resource package to assist program planners, managers, supervisors, and providers in designing, implementing, monitoring, and evaluating facility-based program interventions and services..
Language: English

Keywords:
DEVELOPING COUNTRIES | SUMMARY REPORT | REPRODUCTIVE HEALTH | FAMILY PLANNING | INFORMED CHOICE | HEALTH SERVICES | QUALITY OF HEALTH CARE | SAFETY | FAMILY PLANNING PROGRAM ADMINISTRATION | Health | Contraceptive Usage | Contraception | Delivery of Health Care | Health Services Evaluation | Program Evaluation | Programs | Organization and Administration | Public Health | Family Planning Programs
Document Number: 331575  

29.    Full text document

Title: Use of family planning services in the transition to community clinics in Abhoynagar: 1998-2002.
Author: International Centre for Diarrhoeal Disease Research, Bangladesh [ICDDR,B]. Health Systems and Infectious Diseases Division
Source: Health and Science Bulletin. 2004 Dec;2(4):1-6.
Abstract: A major change in rural health service delivery was introduced in Bangladesh under the government’s five-year sector programme (1998-2003). Family planning services previously provided through household visits by fieldworkers and satellite clinics were transferred to new static community clinics. Data on use of services from an ICDDR,B surveillance area in Abhoynagar show that in a period of considerable change in service delivery, women switched to new sources of contraceptive supply and the overall contraceptive prevalence rate was maintained at about 60%. Within two years (2001-2002) community clinics became the source of contraceptives for about one-third of users, and a steady increase in use of shops and pharmacies continued. The data suggest that where community clinics are made operational, women will use them and despite cultural constraints on mobility they have not become dependent on home-delivery of contraceptives. (excerpt)
Language: English

Keywords:
BANGLADESH | WOMEN | HEALTH PERSONNEL | SATELLITE CENTERS | COMMUNITY HEALTH SERVICES | FAMILY PLANNING PROGRAM ADMINISTRATION | CONTRACEPTIVE DISTRIBUTION | CONTRACEPTIVE PREVALENCE | SERVICE STATISTICS | CLINIC VISITS | Asia, Southern | Asia | Developing Countries | Demographic Factors | Population | Delivery of Health Care | Health | Health Facilities | Primary Health Care | Health Services | Family Planning Programs | Family Planning | Distributional Activities | Program Activities | Programs | Organization and Administration | Contraceptive Usage | Contraception
Document Number: 280415  

30.
Peer Reviewed

Title: Decentralization and integration of health and family planning services in Bangladesh.
Author: Akhter F
Source: Development. 2004;47(2):140-144.
Abstract: The health and family planning programme in Bangladesh has undergone many administrative changes. The decentralization policy along with integration of health and family planning services has been dictated, according to Farida Akhter, by donors to the Bangladesh government. She underlines how, as a result, the already neglected health sector has been used for the service delivery of clinical contraceptive service rather than primary health care or meeting other health rights of the community. (author's)
Language: English

Keywords:
BANGLADESH | CRITIQUE | EVALUATION | ADMINISTRATIVE PERSONNEL | HEALTH PERSONNEL | DECENTRALIZATION | INTEGRATED PROGRAMS | FAMILY PLANNING PROGRAM EVALUATION | FAMILY PLANNING PROGRAM ADMINISTRATION | FAMILY PLANNING POLICY | FOREIGN AID | PRIMARY HEALTH CARE | Asia, Southern | Asia | Developing Countries | Organization and Administration | Delivery of Health Care | Health | Programs | Family Planning Programs | Family Planning | Population Policy | Social Policy | Policy | Financial Activities | Economic Factors | Health Services
Document Number: 193106  
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