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  • Title: Taking family planning to the people.
    Author: Fincancioglu N.
    Journal: Draper Fund Rep; 1984 Jun; (13):6-8. PubMed ID: 12339638.
    Abstract:
    A diversified pattern of family planning service delivery currently exists, one that is considerably extended through the development of a wide range of supply and distribution channels. In most areas, nongovernmental organizations have played a crucial role in the development of innovative approaches to making contraceptives widely available. In many nations the provision of contraceptives through the national health system continues to be the backbone of the family planning program. Changes in the approach to health care have helped increase the acccessibility and acceptability of family planning services. 2 factors necessitate a close link between contraceptive and health services: the need for medical skills and facilities in the provision of surgical contraceptive methods, and the importance of medical supervision in the continuing use of other methods. A widely used approach integrates contraceptive delivery with other development programs, community-based distribution (CBD) of contraceptives, and commercial retail sales. The cornerstone of CBD is extensive use of community networks and of trained community residents. An effective project requires efficient resupply and distribution mechanisms, carefully designed supervision systems, and medical back-up facilities. CBD has spread to over 40 countries, most of them in Asia and Latin America. Wider use of existing commercial retail outlets is being followed in more than 30 countries. Self-sufficiency of these projects has not been realized, and considerable subsidization continues to be required to maintain their efficiency. Efforts to increase the availability of contraceptives have been facilitated by the widening range of service providers. Nurses, midwives, traditional birth attendants, and members of the community are being trained to perform many family planning tasks in clinical and nonclinical settings. Many of these advances have been made possible by the liberalization of laws and regulations governing the distribution, provision, and use of birth control methods. The unmet need for contraceptive advice, services, and supplies is still enormous. The greatest challenge to governments and nongovernmental organizations is to find more effective ways of taking family planning to the people while recognizing that the key to success lies in sensitivity to their needs, perceptions, and priorities.
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