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Self-sustaining clinics: innovation or retreat?
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[Primary health care: the case of Fundacao Esperanca].
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Family planning through private practitioners: characteristics of Kenyan contraceptive acceptors.
Kenya has one of the highest population growth rates in the world. Innovative programs are therefore called for to help curb the fast population growth rate. The Kenya Medical Association started a new program of involving private physicians in the active provision of family planning services. A preliminary analysis shows that the program serves generally young, better educated women of low parity. Sixty-one percent of the clients are new acceptors and the oral contraceptive pill the most popular method. The level of education of the clients had marked influence on family size. Age, parity and marital status also influenced the pattern of contraceptive use. These preliminary results are discussed against the background of the 1984 Kenya Contraceptive Prevalence Survey findings and possible areas of improvement suggested.
How the JFPA operates its self-reliant FP programs.
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Egypt's FOF shifts into high gear.
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Demographic and social characteristics of family planning acceptors in Jordan.
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Low-cost water supplies and their contribution to health.
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Traditional midwives, tetanus immunization, and infant mortality in rural Haiti.
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Reproductive rights in jeopardy. The Supreme Court upholds restrictions on abortion.
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Adolescent pregnancy program stresses family counseling, educational services.
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Policies for solidarity. A personal view of the Second International Conference for non governmental organizations working on AIDS, Paris 1-4 November 1990.
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The role of non-governmental organizations in the global response to AIDS.
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Heuristic approaches to decision-making in the delivery of primary health care within developing regions.
The delivery of primary health care (PHC) services is now recognized as a crucial element in the development of low-income regions. Effective delivery of these services requires the ability to solve a variety of policy decision problems. Research has demonstrated the utility of operations research/management science (OR/MS) models and methodologies in the analysis and solution of such problems. However, this approach may be limited in some regions by the data and computational requirements of the models. Intuitive approaches in the spirit of OR/MS models, termed heuristics, can provide an effective alternative in such cases. The current paper proposes a general heuristic procedure for solving problems of PHC delivery in developing regions. The heuristic is applied, in detail, to the problem of identifying "best" community financing schemes for PHC services in low-income sections of Rio de Janeiro, Brazil.
Beating back the desert: the case of Burkina Faso.
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For our mutual benefit.
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