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  • Title: Next step for Egypt -- access to more methods.
    Author: Herndon N.
    Journal: Netw Res Triangle Park N C; 1993 Mar; 13(3):18-21. PubMed ID: 12318096.
    Abstract:
    Population growth in Egypt is a problem which threatens the future of Egypt and her children. As a result of government promotion of family planning, the annual population growth rate is down to 2.3% from 3% in 1985, and the number of annual births first fell in 1989 and has fallen each year since. WIth USAID's assistance, the government has done a rather good job at providing family planning services, as indicated by the results of a 1991 survey. Results indicate that high cost of inaccessibility to family planning services are not reasons for not using contraception. Egypt is trying to remove medical practices or regulations that are barriers to contraceptive use which once removed, will expand the variety of contraceptives available. Today 83% of Egyptian couples use oral contraceptives (OCs) or IUDs. Family planning specialists have identified certain areas to target to bring about improved access: Norplant, progestin-only OCs, Ocs, voluntary sterilization, injectables, unnecessary contraindications, and unnecessary examinations. The Clinical Services Improvement (CSI) Program is a model to increase access to contraception. Women physicians provide family planning services to the program's women clients through 100 center and satellite offices. CSI also offers services at a reasonable cost. The Egyptian Ministry of Health family planning project is using nurses, who tend to be women, to provide counseling and injections, which generally are physicians' duties. Some physicians defend the medical barriers present in the beginning of Egypt's family planning program, e.g., only gynecologists could insert IUDs (now general practitioners can also insert IUDs). Religious and cultural factors are barriers for abortion and for sterilization. Thus, Norplant shows promise of becoming a substitute for sterilization.
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