ABSTRACT
PIP: The Center for Family Orientation (COF), a private family planning agency with clinics in 8 provinces of Bolivia, initiated a bold, scientifically planned, and successful mass media campaign in 1986. As late as 1978 the Bolivian government had been hostile to COF. The Johns Hopkins University/Population Communication Services helped COF determine that the Bolivian public and its leaders were open to more information about family planning. Bolivia, the poorest Latin American country, then had 7 million people, expected to double in 27 years. There are 2 distinct indigenous groups, the Aymara and the Quechua, and Spanish-speaking people, centered in the cities of La Paz, Cochabamba, and Santa Cruz, respectively. Only 4% of couples use modern family planning methods. Initial surveys of 522 opinion leaders, 300 family planning users, focus groups of users, and a population survey of 1300 people in 8 provinces showed that 90% wanted modern family planning services. Radio was chosen to inform potential users about COF's services, to increase clinic attendance, and to involve men. To obtain support from public leaders, 10 conferences were held. The 1st series of radio messages focused on health benefits of family planning and responsible parenthood; the 2nd series gave specific benefits, information on child spacing, breast feeding, and optimal ages for childbearing. Besides 36,800 radio spots broadcast on 17 stations, booklets, posters, calendars, promotional items, and audiotapes to be played in public busses, were all designed, pretested, and revised. New acceptors increased 71% during the 11-month campaign. Success of the project influenced the start of the National Reproductive Health Project and new IEC efforts planned through cooperation of public and private institutions.^ieng
Subject(s)
Ambulatory Care Facilities , Communication , Evaluation Studies as Topic , Health Knowledge, Attitudes, Practice , Pamphlets , Patient Acceptance of Health Care , Patient Compliance , Private Sector , Public Opinion , Radio , Tape Recording , Americas , Attitude , Behavior , Bolivia , Delivery of Health Care , Developing Countries , Economics , Family Planning Services , Health , Health Facilities , Health Planning , Latin America , Mass Media , Organization and Administration , Program Evaluation , Psychology , Research , South AmericaABSTRACT
PIP: In 1984, a team of specialists from the National Population Council and the Ministry of Health evaluated the availability of family planning services in 5 health regions of Peru: a sector of Lima, Arequipa, San Martin, Cuzco, and Cajamarca. The numbers of women aged 15-49 years in the health regions, the numbers subject to Ministry of Health programming, the numbers of acceptors, and the percentage of coverage respectively were 1,357,298, 906,675, 83,542, and 9.21% in Lima; 183,168, 122,356, 4789, and 3.91% in Arequipa; 77,427, 51,721, 1610, and 3.11% in San Martin; 283,088, 189,103, 7695, and 4.07% in Cuzco; and 120,375, 80,411, 1181, and 1.47% in Cajamarca. There were 98,817 acceptors in the 5 regions, and the coverage was 7.32%. The differences in coverage achieved in the 5 regions were due to different financial and professional resources in the different regions as well as to differences in sociodemographic characteristics and especially degree of urbanism. A better distribution and more rational utilization of budgetary and professional resources would permit a levelling of the regional rates of coverage and an increase of the total coverage. The number of acceptors of condoms and other methods, pills, and IUDs respectively were 17,034, 30,117, and 36,391 in Lima; 2176, 1830, and 783 in Arequipa; 352, 751, and 507 in San Martin; 2879, 3507, and 1309 in Cuzco, 250, 445, and 486 in Cajamarca, and 22,691, 36,650, and 39,476 in all 5 regions. Of the 98,817 acceptors, 23.0% chose condoms and others, 37.1% pills, and 39.9% chose IUDs. Regional variations in methods selected depended primarily on the professional resources available. In areas where more physicians were available there were higher rates of IUD use.^ieng
Subject(s)
Contraception Behavior , Demography , Evaluation Studies as Topic , Geography , Health Planning , Health Services Accessibility , Health Services Administration , Health Services Research , Medicine , Patient Compliance , Population , Program Evaluation , Sexual Behavior , Americas , Contraception , Delivery of Health Care , Developed Countries , Developing Countries , Family Planning Services , Fertility , Health , Health Services , Latin America , Organization and Administration , Patient Acceptance of Health Care , Peru , Population Dynamics , South AmericaABSTRACT
PIP: The authors describe conditions in Brazil that led to the establishment of family planning centers in 1965 and their institutionalization in 1971. Their organization is described, and a table showing attendance at family planning clinics is presented. Family planning is discussed in relation to social conditions in Brazil, and the results of an empirical study of population growth and family planning are introduced. The study includes tabulated results of a survey undertaken in Sao Paulo and Rio de Janeiro in 1967-1977 to examine attitudes toward contraception, use of the pill, and government policy on birth control.^ieng