The Matlab family planning-health services project.
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On the occasion of World Population Day (11 July), India installed its first condom vending machine. The machine was inaugurated by Mr. Eruch Lala, an official of the Family Planning Association of India, as part of the association's campaign to help the country curb its rapid population growth rate and stem the spread of AIDS (acquired immune deficiency syndrome). Each condom, called sangam ("union" in English) costs Rupees 2 (about 6.5 US cents). The machine is located at a textile mill in Bombay. The Association said it would install at least 60 such machines in Bombay over the coming months. "A psychological advantage of the machine is that the user need not personally meet the dispenser and can collect a condom without any embarrassment," Mr. Lala said. "The machine is expected to promote efforts at curbing population growth and prevent the spread of AIDS," he said. In a separate report, AIDS has been found to be racing through India just eight years after the first case was detected. Prostitutes, drug addicts and untested blood supplies are the conduits. More than half of the prostitutes in cities such as Bombay have HIV (human immunodeficiency virus), which causes AIDS. The truck drivers and itinerant workers they serve carry it to their own villages, according to the report by Mr. Thomas Wagner writing for the Associated Press. There are 43 million cases of sexually transmitted diseases reported each year in the country, according to the report. The HIV virus has been reported in all 25 states of India. Although the AIDS pandemic came to India later than most large countries, the National AIDS Control Organization estimates there are 1.62 million cases in the population, up 60% from 1993, according to the report. "AIDS is no longer just a problem of high-risk groups; it has spread to every area of India," Dr. P.R. Das Gupta of the national AIDS agency said in an interview. "So many people are migrating from their villages in search of jobs that this epidemic is spreading very fast."
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Using data from four nationally representative sample surveys conducted since 1968, this paper examines the performance of the family planning program of Bangladesh, which placed emphasis on its supply component. The very low contraceptive prevalence rate and the large gap between knowledge and use of contraceptive methods indicates the poor performance of the program. After discussing the probable reasons for such performance, the paper suggests accelerating the demand for contraceptives among the married women of Bangladesh through persuasion and by improving the existing contraceptive distribution system. This is required for increasing the use of family planning methods in the country.
The author offers detailed procedures for RNs and NPs who provide oral contraceptives to students through a college health service. She includes an outline of necessary subjective assessments, objective examinations, and laboratory work, and includes a list of absolute contraindications, strong relative contraindications, and other situations that may indicate that it would be unwise to provide oral contraceptives to students. Interventions for the registered nurse and nurse practitioner are described and schedules for follow-up visits are given.