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At least 19 recordsLinked to original sources

The Euiryong experiment: a Korean innovation in household contraceptive distribution.

Although contraceptive practice has increased substantially in Korea as a result of a strong national family planning program, surveys indicate the existence of an additional unmet demand. A number of obstacles tend to limit availability of family planning services and supplies. The effects of total availability are being tested in a three-year experiment in household contraceptive distribution, for which an exploratory study was carried out in 1975 in Euiryong gun. Three distribution systems were tried in three areas of Euiryong, each enlisting local women to canvass and distribute pills and condoms (and refer those desiring IUDs or sterilization to physician). Results of the preliminary test showed that household distribution was culturally acceptable and administratively feasible and that it did increase contraceptive use. Cost-effectiveness was considered to be within the range of the national program. The most successful of the three distribution systems is being applied in the main study, begun late in 1976 in Cheju province.

Contraception Behavior↗

The impact on breastfeeding and pregnancy status of household contraceptive distribution in rural Haiti.

This paper presents data from an experimental project which distributed oral contraceptives, foam, and condoms to households in three rural areas of Haiti between January 1978 and March 1980. The contraceptive distribution had little apparent impact on traditional, prolonged breastfeeding patterns, and the percentage of women pregnant after eight months of field operations declined over 35 per cent in the two areas where contraceptive acceptance and use were highest. (Am J Public Health 1982; 72:825-838.)

Adolescent↗

Contraceptive distribution in Brazil.

Brazil's 1st program for the community based distribution of contraceptives is successfully in 30 municipalities in Rio Grande do Norte, a state in Brazil's arid Northeast. Already, over 5000 women have been reached by the program, which is operated by the State Secretariat of Health with technical assistance provided by BEMFAM, and IPPF affiliate, under an agreement signed by the governor of Rio Grande do Norte and BEMFAM. In December, several newspapers reported that the program was in possible violation of a law prohibiting distribution of contraceptives without a prescription. After conferring with the secretary of health and local BEMFAM personnel in Rio Grande do Norte, Dr. Walter Rodrigues, executive director of BEMFAM, declared: "There has been no violation of the law for the simple reason that the program was carried out by the Public Health Secretariat's Department of Maternal and Child Care and under the responsibility of its own doctors." He added that BEMFAM had provided both training and technical assistance. According to Dr. Rodrigues, the matter arose when certain well known groups that oppose family planning took advantage of an opportunity to hinder the development of the program. He also pointed out that the nurses and midwives who dispense the pill obtain a prescription for their patients from a local doctor. Many mayors of the 150 municipalities in Rio Grande do Norte have requested the governor and secretary of health to start the program in their municipality. However, expansion of the new distribution program to additional areas will take place gradually as the number of trained personnel and resources increase. Brazil's President elect General Ernesto Geisel takes office in March. The new president, a Lutheran, will be the 1st Protestant to lead Brazil.

Americas↗

Qualitative methods in operations research on contraceptive distribution systems: a case study from Nigeria.

This article discusses the application of qualitative methods in operations research on a family planning service delivery system. Market traders in Ibadan, Nigeria were trained to sell oral contraceptives, condoms, and spermicidal foaming tablets in a collaborative research project of the Fertility Research Unit of the University College Hospital, Ibadan, and the Center for Population and Family Health of Columbia University. Focus group discussion, participant observation, and semi-structured interviews were used to investigate the cultural acceptability of distribution of contraceptives in the market places and the motivations of participating traders. The strength of the market associations was a factor influencing acceptance of the project and the number of customers for the traders' other wares were found to positively influence the volume of sales of contraceptives. Traders were motivated by the status associated with participating in a program of a well-known health institution. Findings from qualitative research suggest areas for quantitative studies and vice versa in an interactive process.

Attitude to Health↗

The demographic impact of the contraceptive distribution project in Matlab, Bangladesh.

This paper evaluates a study fielded in Bangladesh in 1975 to test the hypothesis that ubiquitous availability of pills and condoms in a rural, traditional, noncontracepting population would increase contraceptive use and reduce fertility. Treatment and comparison areas were designated in Matlab, an area with accurate and complete demographic data. Use prevalence peaked at 18 percent in the first three months of the project and declined thereafter. Project activities continued until 1977. Results show that between-treatment fertility differentials were 10 percent in the first year of program impact, but that effects dissipated with time.

Adolescent↗

Distribution of contraceptive use in a Turkish population.

OBJECTIVE: This study is designed to estimate the distribution of contraceptive use among reproductive age women in a Turkish population (Turkey). STUDY DESIGN: We included 2365 women of reproductive age in this study. Women were given a questionnaire via a face-to-face interview. RESULTS: During the time period just after marriage, 1914 women (80.9%) declared that they did not use any type of contraception. Among 451 women who had used a contraceptive method just after marriage, the most commonly used method was condoms (34.2%), followed by oral contraceptives (31.2%) and coitus interruptus (25.9%). When their history of contraceptive use was asked, 1903 women (80.2%) stated that they used a method of contraception while 462 women (19.5%) had never used any type of contraceptive. Distribution of contraceptive methods among women was analyzed and intrauterine devices were detected to be the most commonly used method (n=1046, 55%). CONCLUSION: A point that should be emphasized is that there is a marked increase in contraceptive prevalence, and expansion of family planning activities in Turkey. This change, we believe, is due to improvements in health services of Turkey, realized in recent years.

Adult↗

Cabbages and condoms: packaging and channels of distribution.

Contraception is only rarely a therapy for disease. Usually, contraceptives help adults implement informed choices. Therefore, wider channels of distribution and promotion are possible and necessary than in the case of curative therapies. The more channels of distribution that are available for the same method of contraception, the higher the prevalence of use. Establishing new channels of distribution can be as important as developing new methods of contraception. Family planning is an important element in public health, and active promotion enhances the health of individuals and physicians. Other health professionals need to understand the role of non-medical skills and channels of contraceptive distribution.

Contraception↗

Household distribution of contraceptives in rural Egypt.

Oral contraceptives were offered to all married, fecund women 15-44 years of age living in 38 Egyptian villages with a population of 200,000. Before the household distribution, contraceptive prevalence was 19.1 percent. Nine months after the distribution, the contraceptive prevalence increased to 27.7 percent, a relative increase of 45 percent. Based on this study, a modified delivery system is currently being tested on a governoratewide basis. The modified system will include a wider range of fertility regulation methods and will also have health and community development components.

Adolescent↗