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  • Title: A Philippine experiment in community development.
    Journal: JOICFP Rev; 1986 Jun; 11():6-11. PubMed ID: 12267907.
    Abstract:
    For years, villages in the towns of La Trinidad and Tuba in the Philippine province of Benguet suffered from several serious health problems. The use of "entry points" or projects which yield immediate tangible results within a short period of time was introduced in the municipalities of La Trinidat and Tuba in 1981. A year later, 9 additional pilot areas were selected. Today, these cities and municipalities form the nucleus of a new and promising experiment in community development, i.e., the Integrated Family Planning/Maternal Child Health Project, jointly sponsored by the Philippines' Commission on Population (POPCOM) and the Japan International Cooperating Agency (JICA). Generally, the project aims to strengththen and expand community-based family planning and maternal and child health services in the project areas that aim to improve the health of the residents. Specifically, it seeks to achieve several objectives: increase the rate of family planning acceptance and decrease the dropout rate in family planning participation within the community; decrease the incidence of malnutrition among preschool and school age children; and decrease the intestinal parasite infection rae in the community. In the field, these objectives are translated into concrete activities which people, especially in remote rural areas, can readily understand. Children, who are the center of love and attention in every home, are introduced to services which produce immediate results: growth monitoring, breastfeeding and nutrition, immunization, and cure of common childhood diseases. Deworming and its marked and immediate reslutls establish and increase the credibility of family planning, health, and other fieldworkers in the areas. The health development services break the barrier of resistance on the part of parents and adults. Once the population and health workers establish rapport with the community, they introduce family planning concepts and techniques, environmental sanitation projects, and income generating projects. In June 1985, POPCOM commissioned an independent research agency to evaluate the impact of the integrated project in the 2 model areas. The study, conducted from June 30 to July 31, 1985, consisted of a survey, an evaluation workshop, and library research. The main findings included: there was a marked increase in the number of breastfeeding mothers in both La Trinidad and Tuba; both municipalities showed a decrease in the number of postnatal care cases; maternal mortality went down to zero throughout the survey period; there was a consistent upward trend in the prevalence of family planning. Based on reports from the projects areas, 27,744 children aged 0-4 had undergone stool examination. Of these, 25,963 or 93% were treated. Other major accomplishments of the project are cited.
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