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PubMed1977

New acceptors reach 72% of target according to IMCH mid-year report.

Cumulative number of new acceptors since January-June was 49,958, 72% of the target of average number of 331 reporting clinics. Average number of new acceptors recruited per clinic per month was 24. Method profile showed the same trend as previous year but with increasing number of acceptors for fertility termination and IUD. Total caseload was 467,112 with an average caseload of 235/clinic/month. Total number of old acceptors serviced was 382,036 with an average of 211/clinic/month. On the trend and level of return visits, there were 434,477 return visits of which 58.9% was for the purpose of getting supplies, 32.0% for routine checkup, and 8.9% for medical consultation or checkup. Total number of shifters was 12,609 of which 33% shifted to condom, 28% to pills, 13.9% to sterilization, 10.9% to IUD, and 10% to rhythm. It is interesting to note that 909 pill users shifted to IUD and 371 condom users to IUD. Continuing users reported was 94,987, about 25% of total number of old acceptors serviced during the 6 months. Dropouts - 2438 of which about 48% were pill dropouts, 27% condom, 12% rhythm, and 9.2% IUD. Failures - 4696, 45% of which were pills, 37% condom, 12.5% rhythm, and 2.7 IUD. Sterilization services - a total of 3486 sterilizations of which 569 were vasectomies and 2947 were tubal occlusions. 7% of total new acceptors registered during the 6-month period were for sterilization and about 14% of shifters shifted to sterilization. Expansion of family planning services through utilization of nurses and midwives in IUD insertion and pill dispensing: Average number of nurses and midwives reporting performance was 266/month. The total number of pill acceptors serviced was 10,767 about 41% of the 26,431 number of pill acceptors recruited. There were 739 who complained of side effects and were managed by the midwives. For comprehensive service - out of the 694 nurses and midwives, only 22 were trained in comprehensive service. Average number of midwives reporting performance was 15 and had serviced 652 IUD acceptors (18%) and 618 pill acceptors (12%). The impact of the service could hardly be felt because of the limited number of staff trained in comprehensive service. However, there is an increasing trend for IUD method.

Ambulatory Care Facilities↗
PubMed1981

Catholic perspectives on populations issues II.

This Bulletin discusses the history and current status of the population problem from a Roman Catholic viewpoint. While upholding human rights and admitting the right of couples to control the size of their families, the Catholic Church continues to prohibit the use of artificial methods of contraception as sinful. This position hinders the Church, with its some 750 million adherents, from taking an effective lead in confronting the growing threat of global overpopulation. Rhythm has been permitted since 1930 but Pope Pius 12 in 1958 forbade contraceptive use of the pill. Despite the liberal spirit engendered by Vatican Council 2 and against the recommendation of a papal birth control commission, Pope Paul 6 in his 1968 Encyclical Humanae vitae reaffirmed the ban on artificial contraception, apparently convinced that this was necessary to combat growing sexual immorality, family breakdown, and materialism. This stance has been upheld by Pope John Paul 2 and the 1980 Synod of Bishops. The decision ignores the pleas of a number of responsible churchmen speaking for their people at the Synod and of a growing majority of Catholic theologians and laity, that Church teaching must be updated to take account of the facts of modern life. Surveys reveal that Catholic married couples increasingly find Church-approved natural family planning methods unsatisfactory and feel obliged to turn to artificial methods to regulate their family size. On the world scale, Pope John Paul 2 and the Vatican, while insisting on human rights and the need for a reordering of unjust economic, social, and political structures, seem to be neglecting the threat of civilizational breakdown that looms with the prospect of too many people in too little space with too few resources.

Abortion, Induced↗