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Adjusting period tempo changes with an extension of Ryder's basic translation equation.

We show that the observed changes in the period tempo of fertility are biased and derive a new formula for adjusting such bias. We present illustrative applications of our proposed method to the cases of the United States and Taiwan. We then describe the relevance of adjustments of observed period fertility tempo for evaluating family planning programs aiming at delaying and reducing births to slow down population growth in developing countries. The work reported in this article also can be regarded as an extension of Ryder's basic translation equation. The extension provides a set of formulas expressing relationships of quantum-tempo between cohorts and periods under specified assumptions.

Bias↗

[A qualitative study on the reasons why the rural people in Nan province use contraceptive].

The purpose of this study is to investigate the reasons that rural people in Nan Province choose particular contraceptive methods, and places of services. The study utilizes the data from the study on the Impact and Efficiency of the Family Planning Program in Thailand: Phase II, which applied in-depth interview and small group discussion techniques. Findings indicate that wanting to limit the number of children to 2, wanting to space pregnancy, the limit of land, the conflict with working situation, and economic hardship are the reasons for using family planning. The major sources of contraception are health center, community health office, village health volunteer, village health practitioner, the border patrol police unit, and the military unit including other government agencies in the areas. As for the reasons for choosing a particular contraceptive method, convenience in practice and on obtaining services, desire for more children and concern over side effects are important.

Asia↗

[Family planning: an evaluation of the program at a health center (1986-1990)].

OBJECTIVE: To gain dome idea of the characteristics of the population attended at a Family Planning Clinic (FPC) in a Health Centre, attempting to find the coverage and performance of the Clinic. DESIGN: Retrospective descriptive study, which analysed 403 cases between July 1986 and December 1990. SITE. Family Planning Clinic in the "Huerta de la Reina" Health Centre. PATIENTS AND OTHERS PARTICIPANTS: Women of child-bearing age who requested a consultation during the period of the study. MAIN MEASUREMENTS AND RESULTS: A uni/bivariate analysis of the studies was carried out. Coverage of 16.3% of the population of child-bearing age, with 69.5% of the women being under 29, was attained. The most frequent motive for a consultation was advice on methods of contraception. Oral contraception (65.0%) was the most common form prescribed. 27.1% of those attending consultation were referred to the second level. Attendance at periodic check-ups was very low.

Age Factors↗

An evaluation of an adolescent family planning program.

The family planning program of an adolescent care clinic (ACC) was evaluated to determine its effect on the teenage birth rate. The ACC was attempting to provide more accessible family planning services to a low-income, minority teenage population. The first evaluation compared the teenage birth rate for the target area served by the ACC with a matched area for 4 years before the ACC began offering services ("pre-intervention") and four years after ("post-intervention"). The two groups did not differ for the pre-intervention period, but the ACC target area had a lower birth rate for the post-intervention period (p = 0.015). The second evaluation was designed to compare the teenage birth rate within the target area for adolescents using the ACC and those not using the service for one year. Adjusting for age and race, the rate for the ACC was 58.0 births per 1,000 and for the non-ACC group, 112.4 births per 1,000 (p less than 0.001). The results suggest the importance of providing accessible family planning services for adolescents.

Adolescent↗

Implications for evaluating the impact of family planning programs with a reproductive health orientation.

In 1994, Jain and Bruce proposed an index--HARI, an acronym for Helping Individuals Achieve their Reproductive Intentions--to measure success or failure of family planning programs with a reproductive health orientation. HARI applies the principle of individual rights and well-being to the assessment of these programs. The index measures two components: the achievement of an individual's reproductive intentions and the avoidance of severe reproductive health problems associated with an individual's efforts to achieve her stated reproductive intentions. A family planning program can be deemed successful if an individual is able to avoid having an unintended pregnancy (or is able to have a wanted child) within the stipulated period and if she experiences no severe reproductive health problems in the process. If these conditions are not met, the program could be deemed a failure. The HARI index has not yet been applied in field conditions. This report illustrates the procedure for estimating HARI by using data from a panel survey conducted in Peru. It discusses the usefulness and limitations of the index in assessing the success or failure of a family planning program with a reproductive health orientation.

Evaluation Studies as Topic↗

Efficacy of methods for determining ovulation in a natural family planning program.

OBJECTIVE: To evaluate the efficacy in ovulation detection of methods used in natural family planning in comparison with pelvic ultrasonography. DESIGN: Prospective analysis of ovulation detection by natural family planning methods and ultrasonography. SETTING: Natural family planning clinic, Department of Obstetrics and Gynecology, University of Naples "Federico II". PATIENT(S): Forty healthy women who were highly motivated to use natural family planning. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Transvaginal ultrasonographic findings, urinary LH levels, salivary beta-glucuronidase activity, salivary ferning levels and characteristics of cervical mucus, and BBT. RESULT(S): Urinary LH level determination yielded a 100% correlation with the simultaneous ultrasonographic diagnosis of ovulation. Mucus sensations and characteristics yielded a 48.3% correlation when simultaneously evaluated with ovulation. Beta-glucuronidase levels yielded a 27.7% correlation. The salivary ferning test had a 36.8% ovulation-detection rate the day of ovulation, but 58.7% of results were uninterpretable. Body temperature measurements yielded a 30.4% correlation with the simultaneous ultrasonographic diagnosis of ovulation. CONCLUSION(S): Measuring urinary LH levels is an excellent method for determining ovulation. Although variations in mucus characteristics and basal body temperature correlate somewhat with ovulation, the length of the fertile period is overestimated with these methods. The salivary ferning test and measurement of beta-glucuronidase levels are not good methods for home ovulation testing.

Adult↗