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  • Title: Baseline study on the Integrated Project on Family Planning, Parasite Control and Nutrition in Zambia.
    Journal: JOICFP Rev; 1986 Jun; (11):23-6. PubMed ID: 12340744.
    Abstract:
    Zambia's Integrated Project on Family Planning, Parasite Control, and Nutrition was set up in a government effort to adopt policies and projects to manage population growth. In Zambia, the population is expected to reach 11.5 million people by the year 2000--twice as large as the current population. 2 project areas were chosen to represent both rural and urban settings. Kapata, a typical rural area located on lake Bangweulu in the province of Luapula, was chosen as the 1st project site. The majority of its 15,000 inhabitants are engaged in fishing. In contrast, the Zambia Sugar Company, the 2nd project area is located in Ndola City in urban Kabushi. About 1200 people live within the sugar company compound. In May and July 1985, the integrated project in Zambia conducted a baseline study on these 2 project areas. The average number of members per household in both project areas was more than 5. 74.6% of the women in Kabushi said they were familiar with oral contraceptives (OCs), while only 30% of women in kapata indicated a knowledge of family planning methods. The practice of family planning was very low in both areas. Only 20.9% of the Kabushi respondents said that they practiced family planning (mainly using condoms); 11% of the Kapata respondents indicated the use of a family planning method. In both areas, women of childbearing age indicated that they did not use a contraceptive method cause of the unavailability of contraceptives. Foods rich in protein, carbohydrates, vitamins are minerals are available in the households in both areas. The quantitities and frequencies with which these foods were consumed varied considerablY. The families in Kabushi consumed more protein carbohydrates, and vegetables than the families in Kapata whose diets consisted mainly of cassava and fish. 64% of the mothers in Kabushi breast fed their babies from birth up to 1 year; only 33.3% of the women in Kapata breast fed their babies for the same period. All the families in Kabushi have access to latrines; this is the case for only 39% of the families in Kapata. Parasite infection was 42.9% in Kabushi and 35% in Kapata. The integrated project has been very successful in using parasite control as an entry point for other health interventions. The Zambia study has demonstrated the need for adopting strategies that will suit local conditions. In the case of Kabushi and Kapata, a different entry point was needed. By attending to 3 common health concerns such as eye problems, jigger, and foot infection among children, the project staff made family planning more acceptable to the people in the 2 areas.
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