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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.





YEAR: 1997




CATEGORY: Contraception (Birth Control) and Family Planning



TITLE



The delivery of maternal, child health and family planning services through

cluster visitation.



AUTHORS

Amin SM; Ashraf A; Islam D


SOURCE

In: Dissemination seminar. Lessons learned and programmatic implications.

Seminar proceedings, edited by Nancy Piet-Pelon. Dhaka, Bangladesh,

International Centre for Diarrhoeal Disease Research, Bangladesh [ICDDR,B],

1997. :29-33. ICDDR,B Special Publication No. 66



ABSTRACT

According to the Bangladesh Demographic Health Survey of 1996-97 the contraceptive prevalence rate (CPR) was

49%. However, the sustainability of the doorstep delivery of contraceptives gave cause for concern; therefore, an

alternative service delivery intervention called maternal-child health and family planning (MCH-FP) delivery through

cluster visitation was tested in two unions each of Mirsarai thana of Chittagong district, a low-performing area, and of

Abhoynagar thana of Jessore district, a high-performing area. Taking into account the number of available family

welfare assistants (FWAs), 178 cluster spots in Abhoynagar and 182 spots in Mirsarai were established to provide

services and record-keeping. An FWA makes home visits to an average of 800 married women of reproductive age

(MWRA) to motivate them and provide contraceptives on a bimonthly basis. The cluster spot supplanted this system

of visits by means of serving MWRA from a fixed spot, a household in the community. FWAs were required to

organize an average of 16 cluster spots on a monthly round, with each spot serving up to 43 women (counseling and

provision of contraceptives, immunization, and prenatal and postnatal care). The data sources included longitudinal

data from the project's sample registration system (SRS), service statistics reported by the FWAs, unscheduled

observations at cluster spots by project staff, and surveys. Findings revealed that ever visits to cluster spots

increased from 20% to 61% in Abhoynagar (predominantly by women with no or low-level education) and from 19% to

36% in Mirsarai. In both areas, mostly women of the 20-39 age group ever visited the cluster spots; in Mirsarai,

women under age 20 had a low rate of visits. The contraceptive prevalence rate continued to increase in both the

intervention and comparison areas. (PubHealth.info Document ID: CONT2T 540-06)



PubHealth.info NOTE: The author(s) of this article titled, "The delivery of maternal, child health and family planning

services through cluster visitation.", is(are) Amin SM; Ashraf A; Islam D. The source of this article is "In:

Dissemination seminar. Lessons learned and programmatic implications. Seminar proceedings, edited by Nancy

Piet-Pelon. Dhaka, Bangladesh, International Centre for Diarrhoeal Disease Research, Bangladesh [ICDDR,B], 1997.

:29-33. ICDDR,B Special Publication No. 66". This article was published in 1997 in English language(s).

(PubHealth.info® Document ID: CONT2T 540-06. All rights reserved with PubHealth.info) PIN: 5540





 

 

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