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Women's program impact on village women's contraceptive and reproductive behavior in rural Bangladesh.

The author examines the impact on contraceptive and reproductive behavior of a social program designed to teach trade skills and family planning to women in rural Bangladesh. The focus is on "whether a social program that is designed to use a particular group as catalysts brings about any change in [the] contraceptive and reproductive behaviour of the community that is indirectly exposed to the program." A sample of 625 women indirectly exposed to the program and 312 women from non-program, control villages were interviewed; baseline data are from the 1976 Bangladesh Fertility Survey. It is found that "the indirectly exposed and unexposed women are very similar in their contraceptive and reproductive behaviour. The impact of the directly exposed women (trained women) in family planning was trivial even after three years of program operation. Socio-economic and demographic characteristics of both the groups are also similar....The current use among the indirectly exposed women was only 12% as compared to 10% for the unexposed women."

Asia↗

Which patient education strategies will pay off under prospective pricing?

As cost containment pressures mount under prospective pricing, patient education managers need to assure that appropriate educational strategies are implemented. This article reviews the evidence for nine educational strategies which demonstrate cost-saving potential under prospective pricing: pre-operative education, medication self-administration programs, outpatient education, discharge planning education, family education, peer educators, cooperative care units, early discharge programs and home health programs. Whenever possible, the diagnosis related groups (DRGs) to which these strategies apply are indicated. Finally, issues of patient education and quality of care are discussed.

Cost-Benefit Analysis↗