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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: 1992




CATEGORY: Contraception (Birth Control) and Family Planning



TITLE



Nonclinical approaches to family planning service provision: the Zairian

experience. [Approches non cliniques de prestation des services de

planification familiale: l'experience Zairoise.]



AUTHORS

Mangani N; Polondo KM


SOURCE

In: Approches de planification familiale en Afrique: bilan et perspectives, sous la

direction de Mohammed Bouzidi, Helmut Gorgen, Richard Turkson, Londres,

Juillet 1992. London, England, International Planned Parenthood Federation

[IPPF], 1992. :26-38.



ABSTRACT

Although Zaire has provided some support for family planning programs since 1972, the contraceptive prevalence

rate in the early 1990s was only 3% at the national level and 7% in Lubumbashi and Kinshasa. An operational

research program was undertaken in 1980 in the city of Matadi and the rural zone of Songololo in the province of

Lower Zaire to compare two service delivery modes. The rural and urban segments were divided into experimental

and control areas. Home visits and in rural areas, group meetings were provided in addition to contraceptive

supplies in the experimental zones. Control zones received contraceptive supplies only. Several different indices

were used to evaluate the project activities. The total couple months of protection provided were higher in the

experimental zones in both urban and rural segments. The total couple months of protection provided in 1984

amounted to 20,126 in the urban experimental area, 3647 in the urban control area, 6077 in the rural experimental

area, and 2574 in the rural control area. 3591 urban and 3195 rural women were interviewed in baseline and follow-

up tests to evaluate changes in knowledge, attitudes, or contraceptive usage associated with the project. In the

baseline survey, 94% of women in all areas knew a traditional method and around 80% knew a modern method. At

the evaluation survey 21 months later, 100% of urban women and 90% of rural women knew of at least one modern

and traditional method. In the baseline survey, over 90% of respondents expressed approval of family planning, and

in the evaluation survey 100% did so. The proportion currently using a modern method at the baseline and evaluation

surveys, respectively, were 4 and 5% in the urban experimental zone, 19 and 16% in the urban control zone, 5 and

14% in the rural experimental zone, and 2 and 10% in the rural control zone. In the urban segment, the ideal family

size declined from 6.1 to 5.6 in the experimental zone and from 6.2 to 5.6 in the control zone. The ideal family size

declined only slightly in the rural areas. Partly on the basis of the study results, the government of Zaire decided to

establish a community based program for contraceptive distribution. By the first quarter of 1990, the community

based distribution program had provided 4915 couple months of protection. The low cost of this program led the

government to propose extending it to over 200 health zones. The community based distribution program requires

community participation and community education. Trained nonmedical personnel provide family planning services.

Services and supplies become accessible to a larger proportion of couples needing them. Despite its advantages,

the program is subject to many of the problems of logistics, resources, and lack of support that hamper other family

planning approaches. (PubHealth.info Document ID: CONT3T 1592-06)



PubHealth.info NOTE: The author(s) of this article titled, "Nonclinical approaches to family planning service

provision: the Zairian experience. [Approches non cliniques de prestation des services de planification familiale:

l'experience Zairoise.]", is(are) Mangani N; Polondo KM. The source of this article is "In: Approches de planification

familiale en Afrique: bilan et perspectives, sous la direction de Mohammed Bouzidi, Helmut Gorgen, Richard

Turkson, Londres, Juillet 1992. London, England, International Planned Parenthood Federation [IPPF], 1992. :26-

38.". This article was published in 1992 in French language(s). (PubHealth.info® Document ID: CONT3T 1592-06.

All rights reserved with PubHealth.info) PIN: 11592





 

 

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