PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Family Planning Program Administration”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 433 records · Page 24Linked to original sources
PubMedDate not supplied

Implenting family planning in a Ministry of Health: organizational barriers at the state and district levels.

1. Family planning occupied a subordinate position in the medical and health bureaucracy almost two decades after its introduction. Senior Ministry officials accorded low priority to formal program objectives, while the State Family Planning Officer, the highest state official concerned solely with the family planning program, suffered from a relatively subordinate position in the Directorate and a lack of authority and support. Within the medical profession, family planning was held in low esteem, and the medical and health bureaucracies did not have a mechanism for selecting personnel on the basis of interest and commitment. 2. Organizational adjustment to family planning in the Ministry of Health was a slow and painful process, absorbing the energy and attention of Ministry officials for almost a decade. The repeated reorganizations of the district setup revolving around the division of labor between medical, health, and family planning acitvities and between the rural and urban program, led to months of almost total inertia and detracted substantially from the supervisory capacity of the officials involved. 3. Decision making and guidance suffered from the quick turnover of the Secretary, the most powerful administrator in the Ministry. In Uttar Pradesh Secretaries stayed barely long enough to begin to understand the complex organizational setup of the program. 4. Multiple and often conflicting lines of authority characterized the relationships between the higher and lower echelons within the Ministry. This was accentuated when the District Family Planning Officer was placed under the administrative control of the District Magistrate. While intended to "energize" family planning through the association of the most prestigious and powerful district official with the program, this organizational arrangement resulted in conflicting instructions to the staffs of the primary health centers. 5. The organizational behavior of the Ministry of Health was shaped by the interplay of the various "professional cultures" of its key actors. The generalist administrators' short time horizon and eagerness to produce quantitative results clashed with the specialists' emphasis upon long-term goals and technical constraints; the politician's defense of the interest of his constituents clashed with the administrator's desire to defend his autonomy. The calculus of political survival made support for family planning goals a costly burden that few politicians have been willing to shoulder. As the party system does not reward the advocacy of family planning, ministers emphasize those programs within their ministry or those decisions within their discretion that correspond to the demands of their constituents.

Family Planning Services↗
PubMed1978

Family planning: sudden infant death syndrome bills.

Family planning, sudden infant death syndrome (SIDS) bills approved by the Senate Child Health and Human Development Subcommittee authorize $2.5 billion over 1979-1983 for family planning and $49 million over the same period for SIDS. The Human Resources Committee is expected to mark-up both bills May 3, 1978. The SIDS bill includes funds for expansion of counseling and information services, improving reporting requirements, and upgrading the SIDS unit in the Office of Maternal and Child Health. A total of $7 million is autorized for 1979. The Administration's SIDS bill includes only $3 million for 1979 and "such sums as necessary" for 1980-1981. The family planning bill authorizes $169 million for 1979, $197 million for 1980, $228 million for 1981, $263 million for 1982, and $300 million for 1983 to expand basic family planning services to adults and adolescents. It authorizes $42.5 million for 1979, $72 million for 1980, $105 million for 1981, $142 million for 1982, and $183 million for 1983 to provide services specifically to sexually active adolescents, plus $5 million in 1979, $7.5 million in 1980, $10 million in 1981, $12.5 million in 1982, and $15 million in 1983 for demonstration programs in infertility and to increase research in the biomedical, contraceptive development, and behavioral fields. The measure also provides $100 million in 1979, $125 million in 1980, $150 million in 1981, $175 million in 1982, and $200 million in 1983 for population research and reemphasizes the administrative functions of the deputy assistant secretary for population affairs and the Office of Population Affairs. The Department of Health, Education, and Welfare is currently looking for someone to fill the post, the duties of which are now performed by Deputy Assistant Secretary for Health Programs J. Lashof. The Administration's family planning bill requests $145 million for 1979 and "such sums as necessary" for 1980 and 1981.

Americas↗