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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: 1991




CATEGORY: Contraception (Birth Control) and Family Planning



TITLE



Improving access to family planning services in rural Mali. Evaluation

report, the Centre for Development and Population Activities (CEDPA)



AUTHORS

Kak LP


SOURCE

Washington, D.C., Centre for Development and Population Activities [CEDPA],

1991 Sep. iv, 26 p. USAID Cooperative Agreement No. DPE 3037-AA-00-5020



ABSTRACT

This report evaluates the family planning (FP) component of an integrated FP/maternal and child health project

implemented in rural Mali and covers the period September 1986-May 1991. Among the 12 sub-Saharan countries

which underwent Demographic Health Surveys, Mali, in 1987, had the highest total fertility rate (TFR 7.6), the highest

desired TFR (7.1), the highest child mortality rate (250/1000 births), the second highest infant mortality rate

(108/1000), the lowest contraceptive prevalence rate (1.3%), and the lowest female literacy rate (3%). At the time of

this study, the government had no population policy, but it advocated child spacing to improve maternal and child

health. This project aimed to 1) increase the use of modern FP methods by increasing accessibility and

acceptability of FP services, 2) assess the use of community-based distribution (CBD), and 3) introduce income-

generating activities to increase project sustainability. It was found that demand for FP methods can be generated if

service delivery places a high priority on child survival. The accessible CBD system led to the recruitment of 4383

new clients (compared to 127 preintervention clients) and provided 3452 couple years of protection (CYP). 48.3% of

the acceptors were of low parity (0-2), 36.5% of medium parity (3-5), and 15.2% of high parity (6 or more). A deliberate

attempt to involve men resulted in approximately 75% of the acceptors being men who used condoms. Oral

contraceptives were the next most used method. The high cost per CYP ($44.00) was attributable to the cost of

vehicle rental before the project purchased a vehicle. The costs of new CBD programs are often associated with

transportation problems and the need for frequent and constant supervision. (PubHealth.info Document ID: CONT3T

2065-06)



PubHealth.info NOTE: The author(s) of this article titled, "Improving access to family planning services in rural Mali.

Evaluation report, the Centre for Development and Population Activities (CEDPA)", is(are) Kak LP. The source of

this article is "Washington, D.C., Centre for Development and Population Activities [CEDPA], 1991 Sep. iv, 26 p.

USAID Cooperative Agreement No. DPE 3037-AA-00-5020". This article was published in 1991 in English

language(s). (PubHealth.info® Document ID: CONT3T 2065-06. All rights reserved with PubHealth.info) PIN: 12065






 

 

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