Maria Wawer - Health And Family Planning In Community-based Distribution Projects

Health and Family Planning in Community-Based Distribution Programs

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The authors of this book address the major issues involved in developing and evaluating community-based delivery (CBD) healthcare services administered by nonmedical workers in developing countries. Ranging from a general discussion of integrated community-based programs to the prescription of dose regimens that nonmedical personnel can use in field situations, the contributions cover such topics as nutrition intervention, antihelminthics distribution, oral rehydration therapy, and the efficacy of existing programs designed to train those who administer these services.

Maria Wawer is assistant clinical professor, Center for Population and Family Health, School of Public Health, Faculty of Medicine, Columbia University. Sandra Huffman is associate professor, Department of International Health, School of Hygiene and Public Health, The Johns Hopkins University. Deborah Cebula is a consultant for the American Public Health Association. Richard Osborn is a professor with the Department of Preventive Medicine and Biostatistics, University of Toronto.

edited by
Maria Wawer, Sandra Huffman, Deborah Cebula, and Richard Osborn

First published 1985 by Westview Press, Inc.

Published 2018 by Routledge
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Library of Congress Cataloging in Publication Data
Main entry under title:
Health and family planning in community-based distribution programs.
(Westview special studies in social, political, and economic development)
Papers from a conference sponsored by the Johns Hopkins School of Hygiene and Public Health and the U.S. Agency for International Development.
1. Community health services--Developing countries--Congresses. 2. Birth control--Developing countries--Congresses. 3. Health services administration--Developing countries--Congresses. I. Wawer, Maria. II. Johns Hopkins University. School of Hygiene and Public Health. III. United States. Agency for International Development
RA441.5.H426 1985 362.1'0425 84-7527
ISBN 13: 978-0-367-01645-6 (hbk)

International efforts to improve access to family planning and health services in urban and rural areas of less developed countries have led to a great increase in the number of community-based distribution (CBD) projects over the last ten years. The extension of services through such programs reduces the reliance on clinics and broadens service delivery, frequently by employing health professionals who are not highly trained. While this model permits coverage of larger populations, it also presents project planners with special challenges in selection of services, implementation, and monitoring.

Recognition of the special characteristics of CBD programs has resulted in efforts by a number of agencies to summarize experience to date and to determine future directions. The current proceedings emanate from a Workshop focused on the Selection of Health and Family Planning Components in CBD Programs, organized by the Population Center of The Johns Hopkins School of Hygiene and Public Health, and funded under a contract with the D. S. Agency for International Development (USAID), Office of Population. The papers represent an important effort to define a broad range of CBD strategies, their potential and problems, and to discuss future opportunities for CBD family planning projects, many of which will be integrated with health. Previous activities under the Johns Hopkins/USAID contract have included: the preparation of the Comprehensive Review of Field Experience: Community Based Distribution of Contraception ; a Workshop on Cost-Effectiveness and Cost-Benefit Analysis and subsequent publication of the proceedings entitled, "Evaluating Population Programs: International Experiences with Cost-effectiveness Analysis and Cost-benefit Analysis," and several other in-depth monographs regarding worker selection, training and supervision in CBD programs.