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CBD research in Muheza district : final report for Tanzanian German Programme to Support Health (TGPSH)/GTZ

SIMBA, Daudi O
November 2005

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This study was done to determine the extent to which Community Based Distribution (CBD) reaches the poor compared with health facilities. It found that contraceptive prevalence rate in the CBD area was 32 per cent, more than double the national figures for rural areas. People from all wealth categories had equal access to contraceptive services from CBD agents. It is therefore likely that the presence of CBD agents increases the access of the poor to family planning services. Interestingly, adolescents, men, and Catholics were more likely to use CBD services to access contraceptives, than older women and people from other religions

Follow up reproductive health needs assessment in the process of evaluating a CBD programme in Lushoto Division, Lushoto District

KRAUT, Angela
et al
April 2004

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This study is a follow up to a baseline study (2000) on GTZ supported Community Based Distribution (CBD) activities in Lushoto Division in Tanzania. The study found that contraceptive prevalence was 43.2 per cent, almost double previous figures, and that women's knowledge of contraceptive methods had increased to 84.4 per cent from 77.1 per cent. CBD agents provide an important 'social link' between communities and the professional health sector. The knowledge of long term methods is high and it seems, in the comparison with non-CBD villages, that CBD agents intensify the demand for these services. The number of unplanned pregnancies has decreased to 26.8 per cent from 58.3 per cent , while a higher proportion of deliveries was attended by health personnel (37.5 per cent from 22 per cent). In the context of this study, it was however not possible to measure the CBD contribution to these changes over time, other contributing factors being difficult to measure

Reproductive health outlook

PROGRAM FOR APPROPRIATE TECHNOLOGY IN HEALTH (PATH)
2004

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Provides summaries of research findings, programme experience and clinical guidelines related to key reproductive health topics, as well as analyses of policy and programme implications. Reproductive Health Outlook is designed for reproductive health programme managers and decision makers working in developing countries and low-resource settings

Community views on CBD activities in Muheza and Lushoto in Tanga region : final report

SANGALE, Loserian
November 2003

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This is an evaluation of the Community Based Distribution (CBD) of family planning (FP) methods, implemented in Tanga region of Tanzania, which aimed to increase the use of contraceptives through better geographical and social access. In collecting views from community members it was found that CBD activities are felt to improve child and maternal health, and to free women to participate in economic and community work. Clients felt that the FP accessed through CBD gave them improved capacity to care for their smaller families and to work more productively. Community members also felt that CBD introduced sensitive topics such as HIV/AIDS in a culturally acceptable way. In short, the community clearly expressed how CBD activities contribute to reaching the Millennium Development Goals. Much of the programme has been successfully absorbed into the district work plan, but initial training of CBD is still financially dependent on GTZ, putting into question the programme's sustainability

Financial resource flows for population activities in 2002

UNITED NATIONS POPULATION FUND (UNFPA)
2002

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Population activities range from family planning programmes, to demographic and contraceptive research and the formulation of family polices. In 2002 primary funds for population assistance reached almost $USD2.9 billion. Crucially, a conspicuous amount of donor expenditures went to STD/HIV/AIDS programmes. The report illustrates in detail the flow of financial resources for population activities in 2002, and shows the extent to which developing countries rely heavily on international aid and loans to finance their programmes

Mainstreaming quality improvement in family planning and reproductive health services delivery : context and case studies

JOHN SNOW INC
January 2000

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This document summarizes SEATS' experience in improving the quality of family planning and reproductive health services in a wide variety of settings. It outlines how SEATS approached "mainstreaming" continuous quality improvement in its subprojects, with special emphasis on making services more responsive to clients' concerns. It shows how the project's approach to improving and measuring the quality of care evolved and suggests how to build on the project's experience. The report includes brief case studies from Albania, Cambodia, Eritrea, Russia, Senegal, Turkey, Zambia and Zimbabwe, and describes how the program improved the quality of care in hospitals, public and private clinics, community-based distribution programs, and private midwifery practices. This report is intended for program managers at the systems level, such as those involved with national, regional, or municipal activities, or in institutions such as NGOs or hospitals

Integrating STDs and AIDS services into family planning programs

CEDPA
1995

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[Publisher's abstract] A five-day, 13-session training workshop to broaden family planning programmes to meet additional reproductive health needs, field-tested in Kenya by more than 60 health care managers and community-based distributors. Topics include attitudes about STDs and HIV/AIDS, approaches to motivating behaviour change, cultural and gender issues in counselling, communication and counselling skills and content and confidentiality issues

The capacity project : planning developing & supporting the workforce

Capacity Project

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This global initiative has been designed to help developing countries build and sustain the health workforce so that they can respond systemically to the challenges of implementing and sustaining quality health programmes. The project seeks to improve the quality, accessibility and use of priority health services through: 1. Improving workforce planning and leadership; 2. Developing better education and training programmes for the workforce, and 3. Strengthening systems to support workforce performance. The Capacity Project works across sectors such as health, education, planning, public service commissions and local government entities in order to address the varied forces that affect the health workforce. The Project also works in multiple priority health areas, including family planning and reproductive health, maternal and child health, HIV and AIDS, tuberculosis, malaria and other infectious diseases

Disbled parents network

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Set up by disabled people, the aim of the website and of the Disabled Peoples Network is to facilitate training, raise awareness, and provide a range of information and advice for disabled people who would like to become parents or are parents already

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