[The challenges of the family planning program].
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The National HIV-AIDS Strategy document was launched on December 27, 1995, in simple rites in Malacanang with no less than President Fidel V. Ramos himself giving his famous thumbs-up sign as his way of endorsing the document for mass distribution and discussion. The 25-page strategy document was developed to "serve as a framework for both individual and community responses to the challenge of HIV infection and AIDS. It seeks to provide the appropriate context necessary for both independent as well as coordinated responses." The strategy presents nine major principles that need to be considered in developing and carrying out programs that aim to address the various dimensions of HIV infection and AIDS. These principles were presented, critiqued, and validated in several regional consultations held between June and September 1995, and participated in by representatives from government agencies and nongovernmental organizations. ISSA attended the launching ceremonies, having been an active member of the Committee on Policy Development of the Philippine National AIDS Council, which helped in the drafting and review of the document. Copies of the document are available at the STD/AIDS Unit of the Department of Health. It is encouraged that the document be discussed widely such that the strategy may be used to aid in the development and evaluation of programs on HIV/AIDS in the country.
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A cost-benefit analysis of the family planning program of the Mexican Social Security System (IMSS) was undertaken to test the hypothesis that IMSS's family planning services yield a net savings to IMSS by reducing the load on its maternal and infant care service. The cost data are believed to be of exceptionally high quality because they were empirically ascertained by a retrospective and prospective survey of unit time and personnel costs per specified detailed type of service in 37 IMSS hospitals and 16 clinics in 13 of Mexico's 32 states. Based on the average cost per case, the analysis disclosed that for every peso (constant 1983 currency) that IMSS spent on family planning services to its urban population during 1972-1984 inclusive, the agency saved nine pesos. The article concludes by raising the speculative question as to the proportion of the births averted by the IMSS family planning program that would have been averted in the absence of IMSS's family planning services.