High Infant Mortality May Signal Readiness To Initiate Vigorous Family Planning Effort

1979 ◽  
Vol 5 (2) ◽  
pp. 81
2022 ◽  
Vol 6 ◽  
pp. 1
Author(s):  
Rebecca Rosenberg ◽  
John Ross ◽  
Karen Hardee ◽  
Imelda Zosa-Feranil

Background:  The “ FP2020 Global Partnership” signaled a shift to broader, rights-based approaches to family planning programs, and the National Composite Index for Family Planning was developed as part of related measurement efforts. Methods: In each country 10-15 experts on the family planning program completed a 35-item questionnaire, first in 2014 in 89 countries, and in 2017 in 84 countries. Data were entered in Excel, with checks for consistency and data quality. The total score, and scores for each of 5 dimensions of effort are averages across the 35 indicators. Analytic techniques included cross-tabulations, graphical and correlation approaches. Results: The average total score for all countries in 2017 was 64 of the maximum of 100 of effort. Sub-regions differed: Anglophone and Francophone sub-Saharan Africa (SSA) scored highest in the total score and across all 5 dimensions. Next in order came Latin America and the Caribbean, Asia, the Middle East and North Africa, and Eastern Europe and Central Asia. Despite large differences in scores, the sub-regions followed similar profiles across the 35  indicators. The long term rise in the basic family planning effort scores continued, extending the series from surveys approximately every five years beginning in the 1980s. The highest score reached was for the strategy dimension, but the others were close. Their relative levels remained essentially the same as in the 2014 survey.                     NCIFP scores correlated positively with modern contraceptive use in both the sub-Saharan Africa (SSA) and non-sub-Saharan Africa (non-SSA) countries, but the relationships were stronger for SSA. Access to long-acting and permanent methods (LAPMs) was accompanied by greater LAPM use and modern method use. Conclusion: Repeated surveys in most developing countries show improvements in family planning effort, though unevenly, by 35 indicators and across regions.


Author(s):  
Harun Al Azies

Abstrak Jawa Timur merupakan salah satu provinsi dengan tingkat kematian bayi yang tinggi. Analisis pengaruh fasilitas kesehatan terhadap kejadian kematian bayi di Jawa Timur dapat membantu merumuskan kebijakan dan program kesehatan ibu dan anak. Tujuan analisis ini adalah untuk mengetahui hubungan antara ketersediaan posyandu, klinik Keluarga Berencana (KB), Pos Pelayanan Keluarga Berencana Desa (PPKBD), rumah sakit bersalin, puskesmas pembantu, dan apotek dengan kejadian kematian bayi. Terdapat kemungkinan bahwa wilayah sekitar daerah dengan kematian bayi yang tinggi akan memiliki beban kematian bayi yang tinggi pula. Oleh karena itu diperlukan suatu metode pemodelan statistik dengan memperhitungkan aspek lokasi yaitu metode Geographically Weighted Regression (GWR). Analisis dan pembahasan menggunakan metode GWR mendapatkan bahwa faktor ketersediaan Posyandu Strata Pratama dan Madya serta Puskesmas Pembantu memengaruhi kejadian kematian bayi di wilayah Pacitan, Ponorogo, Pasuruan, Kediri (kota), Malang (kota), Pasuruan (kota), Banyuwangi, dan Probolinggo. Sementara itu, di wilayah Kabupaten Bondowoso, Bangkalan, Batu (Kota), Blitar, Sidoarjo, dan Sumenep kejadian kematian bayi dipengaruhi oleh faktor ketersediaan Posyandu Strata Pratama dan Madya. Faktor ketersediaan Posyandu Strata Purnama dan Mandiri memengaruhi kejadian kematian bayi di wilayah Lamongan, Madiun (Kota), Kediri, dan Malang sedangkan di wilayah Kabupaten Lumajang, Jombang, Magetan, Bojonegoro, dan Jember dipengaruhi oleh ketersediaan Posyandu Strata Purnama, dan Kabupaten Gresik oleh ketersediaan Posyandu Strata Pratama. Ketersediaan fasilitas kesehatan penunjang yang terjamin, adanya kesadaran ibu untuk menjaga kesehatan diri dan asupan nutrisi untuk bayi, serta rutin mengecek kesehatan merupakan upaya untuk menekan tingkat kematian bayi di Jawa Timur. Kata kunci: fasilitas kesehatan, Geographically Weighted Regression, kematian bayi, spasial analisis Abstract East Java is one of the provinces with high infant mortality rates. Analysis of the influence of health facilities on infant mortality in East Java can help to formulate maternal and child health policies and programs. The purpose of this analysis is to determine the relationship between the availability of Integrated Healthcare Center (Posyandu), family planning clinics, village family planning services (PPKBD), maternity hospitals, supporting health centers, and pharmacies with the incidence of infant mortality. There is a possibility that the surrounding area of an area with high infant mortality will have the same burden. Therefore we need a statistical modeling method that takes into account the location aspects, such as the Geographically Weighted Regression (GWR) method. Analysis and discussion using GWR analysis showed that the availability of Posyandu Strata Pratama and Madya, as well as the supporting health centers, affected infant mortality incidence in Pacitan, Ponorogo, Pasuruan, Kediri (city), Malang (city), Pasuruan (city), Banyuwangi, and Probolinggo. While in Bondowoso Regency, Bangkalan, Batu (city), Blitar, Sidoarjo, and Sumenep, it was affected by the availability of Posyandu Strata Pratama and Madya. The availability of Posyandu Strata Purnama and Mandiri affected the incidence of infant mortality in Lamongan, Madiun (City), Kediri, and Malang areas. The availability of Posyandu Strata Purnama influenced the incidence of infant mortality in Lumajang, Jombang, Magetan, Bojonegoro, and Jember districts while Gresik Regency is affected by the availability of Posyandu Strata Pratama. The availability of supporting health facilities, the awareness of mothers to maintain personal health and nutritional intake for infants, and routine health check-up are efforts to reduce infant mortality in East Java. Keywords: health facility, Geographically Weighted Regression, infant mortality, spatial analysis


1973 ◽  
Vol 3 (4) ◽  
pp. 759-764 ◽  
Author(s):  
Pierre Pradervand

This paper takes a hard look at foreign initiatives in the field of population in Africa. Some important characteristics of the contemporary African scene are outlined, including the great diversity of attitudes regarding population control, and high infant mortality rates. A culturally insensitive approach to family planning characterizes most foreign initiatives in this area and has led to serious backlashes. The growing number of organizations active in this field and the increasing availability of funds for family planning contrasted with the lack of money for other concerns, which many Africans perceive as more urgent, has led recipients to question Western motives. The author underscores African irritation with so-called “experts” who know little or nothing about Africa, yet attempt to organize family planning programs. A new restiveness prevails among the younger generation of African administrators and intellectuals who demand that family planning be approached in the global context of development issues.


2015 ◽  
Vol 9 (3) ◽  
pp. e0003581 ◽  
Author(s):  
Hubert Barennes ◽  
Khouanheuan Sengkhamyong ◽  
Jean Pascal René ◽  
Maniphet Phimmasane

1995 ◽  
Vol 177 (3) ◽  
pp. 57-69 ◽  
Author(s):  
Kriste Lindenmeyer

Early in the twentieth century, a growing child welfare movement led to the establishment of the first federal agency in the world, the U.S. Children's Bureau, designated to investigate and report on the circumstances of children. Appointed in 1912, the agency's first director, Julia Lathrop, focused on infant mortality, beginning with a year's study in Johnstown, Pennsylvania. The work stimulated a national effort to “save babies.” The Bureau's efforts led to the Sheppard-Towner Act of 1921, which funded educational and diagnostic work to lower the nation's high infant mortality rate. But this type of effort was short-lived. The article describes the course of the agency's work in the Progressive Era and evaluates its effect on current child welfare policy, a key area in the ongoing controversy over “welfare reform” and the role of the federal government in the provision of human services.


2018 ◽  
Vol 17 (4) ◽  
pp. 262-265
Author(s):  
Larisa E. Gorelova ◽  
Vera N. Shelkova

The article is devoted to the important course of the medicine development at the beginning of the 20th century — mother and infant protection. The contribution of pediatricians and obstetricians to prevention of high infant mortality in Moscow is represented. The activities of G.N. Speransky and other doctors in public benevolent institutions are reported.


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