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Biomedical subjects

M H Labbok

Publications and source records attributed to M H Labbok.

39 records · Page 3Linked to original sources

IF BORN: a meaningful acronym for interventions in child survival.

In recent years there has been a great deal of effort devoted to refining the framework for the study of child survival in developing countries. In addition, efforts to provide services in the health sector in support of child survival have increased. These efforts have suffered at times from a lack of defined priorities and coordination. This paper presents an acronym derived from interventions in support of child survival: IF BORN (immunization, family planning, breast-feeding/weaning, oral rehydration, rearing, and nutrition). This acronym prioritizes the interventions by impact and feasibility. It highlights the importance of maternal health while complementing present analytical frameworks in this field. It also serves as a basis for the choice and coordination of limited resources.

Breast Feeding↗

Integrating the Lactational Amenorrhea Method into a family planning program in Ecuador.

This paper reports the results of a 12-month implementation study documenting the process of integrating the Lactational Amenorrhea Method (LAM) into a multiple-method family planning service-delivery organization, the Céntro Médico de Orientación y Planificación Familiar (CEMOPLAF), in Ecuador. LAM was introduced as a family planning option in four CEMOPLAF clinics. LAM was accepted by 133 breastfeeding women during the program's first five months, representing about one-third of postpartum clients. Seventy-three percent of LAM acceptors were new to any family planning method. Follow-up interviews with a systematic sample of 67 LAM users revealed that the method was generally used correctly. Three pregnancies were reported, none by women who were following LAM as recommended. Service providers' knowledge of LAM resulted in earlier IUD insertions among breastfeeding women. Relationships with other maternal and child health organizations and programs were also established.

Adult↗

An assessment of the nine-month lactational amenorrhea method (MAMA-9) in Rwanda.

This report presents a secondary data analysis based on prospectively collected records gathered during a field assessment that was carried out in Rwanda in August 1993. The assessment used service statistics and follow-up interviews to evaluate the efficacy of a modified lactational amenorrhea method (LAM) as a nine-month introductory postpartum natural family planning method. The program, carried out by Action Familiale Rwandaise (AFR), reflects high efficacy of the method in a compliant sample that sought this method followed by another form of family planning. These results are promising and provide guidance for the extended use of LAM past six months. Programmatic findings suggest that studies be conducted of the contribution of extended LAM to improved weaning practices, the high efficacy of continued reliance on substantial lactation and amenorrhea beyond nine months, and male involvement in LAM and breastfeeding.

Algorithms↗