JOICFP NEWS N0. 221 NOVEMBER 1992
Item
- Title
- JOICFP NEWS N0. 221 NOVEMBER 1992
- extracted text
-
No. 221 November 1992
ISSN 0911-0755
J 0ICFPNEWS
Grassroots Movement in Guatemala
National IP seminar highlights effectiveness of winning community participation
San Lucas Toliman where the IP was
first introduced to an initial target
population of 5,000. The IP has since
been expanded to the neighboring areas
of Godinez, Agua Escondida, San
Antonio Palopo, Santa Catarina, San
Andres Semetabaj, Patanatic and
Panajachel in Solola and Patulul in
Suchitepequez State to cover a total target
population of 70,000.
Community Participation
Dr. Shigeo Hayashi addresses participants at the National IP Seminar.
Since it was initiated in the pilot area
of San Lucas Toliman, Solola State, in
1988, the Integrated Project (IP) has
expanded rapidly into neighboring areas
gaining the confidence ofthe community
people and bringing health and deve
lopment benefits into their lives. The
warm acceptance of the project by the
area ’ s predominantly indigenous Mayan
population was noted at the National
Seminar on the IP, held in Panajachel on
September 16 and 17.
Innovative Concept
^\ll
A total of 76 participants attended
the seminar including the mayors of
Panajachel and San Andres Semetabaj,
health promoters, community leaders,
military personnel, health center
workers, traditional birth attendants
(TBAs), representatives of San Carlos
University, project staff and members of
a vocational sewing school operated
under the IP. Aimed at further promoting
the IP in Guatemala, the workshop
included discussions on the achievements
of the IP and drew attention to the
innovative concept of the project under
which family planning (FP), maternal
and child health (MCH), primary health
care (PHC), environmental sanitation
and community development are promoted
as an integrated package.
A highlight of the meeting was
discussions on the MCH Handbook
produced with funds allocated to JOICFP
for the IP in Guatemala by the Japanese
Ministry of Posts and Telecommunications
under the Voluntary Deposit for Interna
tional Aid (VDIA) scheme. Modeled on
the Japanese MCH Handbook, the Guate
malan book was developed by a committee
comprising TB As, members of the doctor’s
association, members of San Carlos
University and PAHO. The Spanishlanguage booklet, which features illustra
tions to aid understanding among illiterate
users, offers a variety of health messages
incl uding information on FP. It is designed
to be distributed through the wellestablished network of respected TBAs.
A hand-over ceremony for equipment
also purchased with VDIA funds attracted
much attention at the seminar. The
donations comprised a motorboat and
motorcycle to be used to provide services
on a mass scale to settlements around Lake
Atitlan, an overhead projector and 43 health
kits for TBAs. The ceremony was
coordinated by Dr. Roberto Santiso,
executive director. Family Planning
Association of Guatemala (APROFAM).
The seminar also included a field trip to
According to IP personnel, the use of
parasite control as an entry point is a
major reason why the project has sparked
community partici pation in such activities
as environmental sanitation, FP and MCH
care. Inspired by the project, people in
the IP areas have contributed their own
funds to the construction of over 1,000
latrines and have dramatically changed
personal hygiene habits. The project is
expected to be expanded to cover a total
population of 100,000 in 1993.
During the field trip, participants
observed PHC activities conducted under
the IP as well as the activities of the
vocational sewing school for mothers.
To refine the technical skills of project
personnel, technical training sessions
were conducted in San Lucas Toliman
and San Andres Semetabaj. With the aim
of promoting income generation and
project self-reliance, two Japanese
-
-
■1
'"
OS
A young mother pays for services at
an IP clinic in San Lucas Toliman.
1
Latin America
experts. Dr. Shigeo Hayashi, former
director, National Institute of Health,
Japan, and Takaaki Hara, director,
Department of Research and Study, Japan
Association of Parasite Control, provided
demonstrations of laboratory and field
techniques as well as promotional
activities and gave advice on enhancing
efficiency through mass activities.
The Japanese mission also attended
the opening ceremony for a new IP
laboratory in San Andres Semetabaj. The
third laboratory to be donated by the
community, the facility will be used for
PHC services and serve as an FP/MCH
clinic.
[j]
Villagers with VDIA donations.
First Ladies Endorse NGOs
The effective role of non-governmental
organizations (NGOs) in programs for
children, young people, women and families
was emphasized at the meeting of the First
Ladies ofAmerica and the Caribbean, held in
Cartagena, Colombia, from September 23 25. The second such meeting of the wives of
heads of state of the region, the event
highlightedfive priority areas: rural women,
neonatal tetanus, breast feeding, early
pregnancy in adolescents and children in
especially difficult circumstances.
“We are working together to combine our
efforts in the design and putting into practice Ana Milena Mufios de Gaviria ad
of alternative solutions for the achievement dresses the meeting. Photo: Cesar Carrion
of our goal: to improve the living conditions areas. Gaviria’s call for a greater role for
of our people and promote sustained NGOs reflects the recommendations of the
development,” said Ana Milena Munos de First Ladies meeting held last year in
Gaviria, first lady of Colombia. As host, Venezuela which recognized the effec
Gaviria underscored the value of NGO input tiveness of involving NGOs in the
in the development process and called for preparation and execution of social
enhanced cooperation among governments programs. Invited as an observer, JOICFP
was provided a booth in a special area set
and NGOs.
Long a supporter of programs to improve aside for NGOs and was a participant in a
the status of women and children and family meeting with experts and government
welfare, Gaviria visited JOICFP on May 1 representatives to discuss future
this year to discuss collaboration in these collaboration.
r J®
A Concrete Model of Development
The National Seminar for the
Integrated Project (IP) generated open,
constructive discussions among
participants on the theme “family
planning (FP), women and community
development.” Extremely practical in
its orientation, the seminar
provided the 40 participants with
a deeper understanding of the IP
concept and offered concrete
approaches for improving the
way of life of community people
through the promotion of FP
integrated with
women's
development, primary health
care and community develop
ment components. The seminar
was organized by the Mexican
Family Planning Foundation
(MEXFAM),
the project
implementing agency, and was
held in Mexico City, from
September 8 - 9.
Prominent among the topics covered
by the seminar were ways to involve
community people in the IP; strategies
for approaching people; criteria for
selecting pilot sites for the IP; ways to
integrate primary health care (PHC) with
other components to strengthen the
impact of the IP; and ways to incorporate
2
women’s development and reproductive
health. Commenting on what she had
learned at the seminar, one participant said
that the IP provided a readily applicable
model for PHC promotion, project selfsufficiency and community participation
A reproductive health class in Sinaloa.
and management.
Coinciding with the seminar was the
Annual General Meeting of MEXFAM,
which was held on September 9 and
attended by members of the board and
representatives ofdonor agencies including
UNFPA, USAID, UNICEF, PAHO and
Pathfinder. One of the topics on the
meeting’s agenda was the donation of
equipment purchased with VDIA funds
to contribute to the self-reliance of
MEXFAM’s activities. The donation
was highlighted at the meeting as a
symbol of goodwill of the Japanese
people. The donation, comprising first
aid kits for community doctors, a
coloscope as well as cryotherapy
testing, blood-urine examination
and mobile X-ray equipment to
support the self-reliance of
MEXFAM activities, was handed
over at the meeting.
Meanwhile, a joint JOICFPMEXFAM observation team
visited the new IP expansion area
in Sinaloa State from September
10 - 12. Community-based FP,
PHC and adolescent health
activities are to be conducted in
the new area jointly by the
Education Board and the Sinaloa
State University. The project approach,
based on the IP concept, was adopted
by the university after the IP technical
training held in Colima in 1991 under
the Latin American regional project.
The university, which recently
completed a baseline survey, will be
implementing the project in four sites
in the new area.
JO1CFP NEWS, November 1992
Philippines
Support from Across the Seas
Assistance from Japanese public boosts grassroots activities in the Philippines
'Q FOUNDATION
• SERVICES ON hIaltII AND DMLOPMtNl '
■ dI___ FOUMkD 1989
!.:TX
i.j,_ _ .zfldHU
I PrtL-JAP |ffiMCAL 1
l/bsfei]
II/WBCH SFKHU3l|
! HGflLTH CLiniC 1
ZITYi;LYING in!
MWUS fl
B
i
jBZBl C U
Workers add the finishing touches to
the clinic’s exterior.
Contributions from Japanese
individuals have brought benefits to the
people of Metro Manila through the
Voluntary Depositfor International Aid
(VDlA) scheme. Under the scheme, funds
were allocated to the Japan Family
Planning Association(JFPA) topurchase
modern medical equipment for a clinic
operated by the Foundation for
Integrated Services on Health and
Development (FISHDEV), a local non
governmental organization (NGO). With
the new equipment, the clinic has been able
to offer a wider range of services on afeecharged basis to promote self-reliance and
enhance sustainability.
Dubbed the “Philippine-Japan
Friendship Family Health Clinic (PHILJAP
Clinic),” the clinic has a staff of 20 doctors
and 10 paramedical personnel and is
providing a variety of healthcare services
in specialized fields such as obstetrics and
gynecology, pediatrics and internal
medicine as well as preventive healthcare,
general surgery and dental care. The clinic
is open 24 hours aday and includes facilities
for overnight stays and baby delivery.
A non-profit organization with a
community-based orientation, FISHDEV
has been promoting such activities as
maternal and child health (MCH), family
planning (FP) and community development
under JOICFP’s Integrated Project (IP)
since 1989. Offering high-quality services
to community people, the clinic charges
fees that are adjusted according to the
income of the client. Services were recently
expanded to include on-site mass health
checkups at offices and factories. Ideally
located in Cavite Province, a newly
industrializing zone, the clinic is expected
to significantly expand its client base and
generate income in the future through
integrated preventive healthcare activities.
Meanwhile, further VDIA funds were
used to purchase food processing equipment
A pediatrician (left) examines a
newborn baby at the clinic.
to support income generation activities
of poor urban women involved in the IP.
In addition, a recent donation of 300
reconditioned bicycles from the Japanese
Municipal Coordinating Committee for
Overseas
Bicycle
Assistance
(MCCOBA) has also boosted IP
activities. Utilized by health workers
such as midwives and public health nurses
for service provision, and by municipal
administrators for information
dissemination in communities, the
bicycles have done much to support
healthcare and community development
activities in IP areas.
[J]
Building on Barangay Potential
Sustainable development was the
theme ofa national workshop held in Las
Pinas, Metro Manila, from September
17-19. Aimed at developing practical
strategies to promote livelihood projects
in barangays (villages) under the IP, the
Seminar-Workshop on Multisectoral
Planning for Sustainable Development
was aimed at fostering the self-reliance
of healthcare and community
development activities of the project. It
was attended by mayors, barangay
captains and leaders of women’s
associations, and representatives oflocal
NGOs, welfare associations and the
health and agricultural sectors.
The workshop was particularly
relevant for representatives of three new
pilot sites which have been established
in the low-income urban area of Las
JOICFP NEWS, November 1992
Pinas. During the workshop, participants
discussed ways to mobilize community
people and improve promotion of the
project, which is mainly focused on
improving the health status of the residents
and providing opportunities for income
generation to alleviate unemployment and
promote community development.
Through presentations and discussions,
participants drew up plans for establishing
small-scale practical schemes to maximize
use of limited resources to achieve the
health and development aims. Among the
schemes presented and discussed at the
meeting were small-scale pig and goat
raising activities for income generation.
A major feature of the plans drawn up
at the workshop was the call for the
establishment of a cooperative system
based on the traditional system of mutual
talon I
TAMBAKAN
Wmaw-s,!
K
J:
Vvt(;uW
i
■ zi-
tel----
A barangay representative explains
a community livelihood project.
assistance prevalent in the barangays.
Under the slogan, “All for One and One
for Al 1.” participants agreed to encourage
cooperation among community
institutions, and leaders in the promotion
of health and sustainable community
development through practical, smallscale activities.
[j]
3
New Animated Film
Young Women at the Crossroads
New JOICFP animated film highlights sexual choices faced by adolescents
The sexual choices faced by four to be used to stimulate audience interest sexual attitudes and behavior. The film,
young couples are the main theme of a and participation. My Way provides a which introduces issues such as family
new JOICFP animated film
planning (FP), sexually
scheduled for release this
transmitted disease prevention
month. A joint Thai-Japanese
including AIDS prevention and
production, “My Way” follows
adolescent pregnancy, does so
the success of the three films of
without offering a “best” or
JOICFP's first animated
“worst” relationship model.
adolescent health series which
Focusing on the female partner
was produced in Mexicofor use
in the four relationships. My
in the Latin America and the
Way offers glimpses of both
Caribbean region. Thefilms—
non-sexual and sexual
“Flue Pigeon,” “Music for
relationships and portrays
Two” and “Best Wishes” —
female characters making their
have proved popular for their
own decisions about sexual
quality and content in the region
behavior to show young women
and have been marketed by the
that they have choices in sexual
Mexican Family Planning
situations. This theme is
Foundation (MEXFAM) to
considered particularly relevant
enhance the self-reliance of
to the situation in Asian
activities conducted under the
countries including Thailand
Integrated Project (IP).
where women are often
My Way, which is targeted
expected to be passive in
at the Southeast Asian area, is
decision-making processes.
designed to be used by instruc
Thirteen minutes long and
tors and teachers to support
without dialogue, the film is
adolescent health programs
visually attractive and features
and women’s development
music of popular Thai musi
activities. It is the first of three
cians and sounds recorded in
animations of a new “Women’s
Bangkok. The animation is
Health & Status” series to be
mainly the work of distin
produced for the Asia and the
guished Thai animator Payut
Pacific region. The second
Ngaokrachang, known as the
film, which is being made in
“Walt Disney of Thailand.” He
JOICFP’s new animated film My Way concerns the sexual
China, is aimed at audiences choices faced by four young women.
was supported by a team of
in East Asia, and the third film.
young Thai animators and
which is scheduled to be made in India, straightforward view of the relationships Japanese animator Takashi Sugiyama,
is targeted at audiences in South Asia. In of four young Thai couples. Patama who worked on two previous JOICFP
all three productions, the films are being Bhiromrut, expert, Family Health Divi animations. The film also benefited from
put together by local creative teams sion, Department of Health, Ministry of Japanese technical support in the post
working in cooperation with Japanese Public Health of Thailand, developed the production stages and is being distributed
technical experts.
concept of the film and young people were by Sakura Motion Picture Co., Ltd. g]
Designed as an educational material consulted prior to production and were
involved in the creation
of the film itself to ensure
that the characters and
story line appeal to young
audiences.
As in the films of the
Latin American series,
My Way does not push a
message but rather
presents four different
types of relationships
between adolescent
couples to stimulate
discussion among young
(From left) Payut Ngaokrachang, Takashi Sugiyama
people and adolescent A young man acts surprised when a
and Patama Bhiromrut consult on the animation.
health instructors on woman takes the initiative in My Way.
F1
4
JOICFP NEWS, November 1992
In the News
Opening Doors with Integrated Services
Health administrator hails comprehensive approach of the Integrated Project in Ethiopia
Abate Gudunffa, head, Department
of Family Health, Ministry of Health,
Ethiopia, spoke with JO1CFP NEWS on
September 10 about the Integrated
Project (IP) in Ethiopia. Below is an
outline of his interview.
The IP is a relatively new project in
Ethiopia but what makes it attractive to
the Ministry of Health and the commu
nity people is its holistic approach to the
many problems that we are facing. At
present, only 50% of the population of
Ethiopia is covered by the health care
system. The other 50% has to rely on
traditional medicine. Around half of the
children living in rural areas and 3% of
under-5-year-olds are severely mal
nourished due to malfeeding practices.
The IP, which integrates parasite
control (PC), FP, nutrition and water
supply components with IEC activities,
is promoted at the community level
New Twist to
Bicycle Scheme
A new member city of the Municipal
Coordinating Committee for Overseas
Bicycle Assistance (MCCOB A), has added
a new twist to the reconditioned bicycle
donation scheme supported by the
association by including donations of
pencils along with bicycles being shipped
through JOICFP to areas of the Integrated
Project (IP). In its first donation of 150
bicycles under the scheme, Arakawa City
utilized the empty spaces between the
bicycles and within the bicycle baskets to
pack pencils to support educational
activities in IP areas in Tanzania. The
20,000 pencils, donated by the city’s
association of pencil manufacturers, will
be distributed among school children in
the areas where the lack of educational
materials poses a serious obstacle to
promotion of health education at schools.
The shipment also marks the first time for
MCCOBA to donate shipping containers
to an IP area. The two sturdy 6.05 x 2.43
x 2.43-meter shipping containers will be
modified in Tanzania to serve as IP health
clinics for community people. Arakawa
City, which joined MCCOBA in April this
year, brought the number of member cities
in the association up to 11. The city has
announced its intention to send a further
donation of 10,000 pencils, 100,000 sheets
of paper, 75 reconditioned bicycles and
a shipping container to the IP area in
Ghana in the near future.
JO1CFP NEWS, November 1992
A doctor checks the health of an infant in Zone 5 of Addis Ababa.
and is really in line with our primary health
care concept of comprehensive care.
The use of PC as an entry point in rural
communities has made people very
receptive to other components of the
project. It is the visual impact of this
approach that has enhanced receptiveness
to FP and led to an increase in the
contraceptive prevalence rate. The effects
of the IP are encouraging, but at the same
time, it is important not to expect a miracle
to happen immediately, because progress
in health care is
very gradual, as
with any other
development
activity. So far,
J
the IP has been
implemented on a
f
pilot basis. Cost
benefits need to
evaluated,
but I
elk
think there is a
Abate Gudunffa
good chance of
expanding the coverage of the project to
other parts of the country.
There are other agencies in Ethiopia
carrying out projects in specific fields, but
the IP is ideal because it includes all the
elements of the health needs of the
population. When looking at a project, I
think it is sometimes necessary to take a
step back and consider all developmentrelated activities for a more comprehensive
approach.
Ethiopia has one of the highest maternal
mortality rates in the world and the infant
mortality rate is also extremely high. The
government is willing to tackle these
problems, but these wishes need to be
translated into action. The government
and development workers and agencies,
non-governmental
organizations
(NGOs), and church-related organiza
tions should join hands with the
community people to solve health and
related problems. We should be able to
tap the existing resources of government,
NGOs and the communities themselves.
We have to help the community people
to help themselves.
[J]
Non-aligned Countries
Highlight Population
Population was prominent among the
issues discussed at the 10th Conference of
Heads of State or Government of Nonaligned Countries, heldfrom September 1
- 6 in Jakarta, Indonesia. The delegates
from 108 countries attending the
conference agreed that population issues
should not be considered in isolation,
stressing that other aspects ofdevelopment
policy such as education, health, and the
role of women in society also needed to be
addressed in order to achieve population
policy objectives. In the conference
declaration, the delegates called for a
ministerial-level meeting to consider the
intensification of the exchange of
information and experiences on population
issues andfamily planning (FP) programs
among member countries; the organization
ofSouth-South technical cooperation and
assistance schemes with respect to
education and awareness-raising
activities, safe motherhood and FP
programs; and the establishment ofjoint
cooperative schemesfor the production of
medical supplies for FP programs.
5
Asia in Focus
China Project Gathers Steam
Seminars pave way for IP expansion into 10 new provinces in 1993
The National Steering Committee
(NSC) of the Integrated Project (IP) in
China is making progress in preparations
for the expansion of the project into 10
newprovinces in Chinafrom 1993. Ahead
of the fourth phase of the IP which
begins in January next year, the NSC
recently held two seminars to introduce
new IP personnel to the technical aspects
of the project and to do the groundwork
for baseline surveys to be conducted by
spring 1993 in each project area prior to
project initiation. The IP, currently being
implemented in six provinces, will be
expanded on a self-sufficient basis to
cover 16 out of the total of 30 provinces
in mainland China. The expansion of
the project into Zhejiang, Anhui, Fujian,
Jiangxi, Henan, Hubei, Guangdong,
Sichuan, Guizhou provinces and Guanxi
Zhuang Autonomous Region has been
endorsed by central and local govern
ment officials.
Baseline Survey
The Training Seminar on Conducting
a Baseline Survey and KAP (knowledge,
attitude and practice) Survey highlighted
the importance of gaining accurate
baseline data to support future evaluation
and monitoring of project achievements.
Held in Beihai City, Guanxi Zhuang
Autonomous Region, near the Vietnam
ese border, the seminar provided
participants with a broad knowledge of
survey methodology. The participants
learned how to collect and analyze data
on family planning (FP), maternal and
child health (MCH) and other health
aspects during the seminar, held from
September 14 - 18.
During the seminar, participants
listened to presentations from a number
of prominent Chinese experts, including
Technical training in Shanghai.
6
A trainee conducts a KAP survey in a
farming community in Hepu County.
Dr. Wang Ping, professor. Obstetrics and
Gynecology, and director, FP Division,
Beijing Medical University, and Dr. Qiao
Genmei, researcher. Institute of FP Science
and Technology, State FP Commission
(SFPC). Dr. Huang Baoshan, director.
Department of Foreign Affairs, SFPC,
attended the seminar at which a total of 30
project personnel from the 10 provinces
were present. One of the highlights of the
seminar was a field trip to the pilot project
area in Hepu County where participants
were able to apply their new research skills
in an experimental KAP survey of farmers
in the area.
Meanwhile, the Technical Training
Seminar focused on providing personnel
from the new project areas with the
technical skills necessary for implementing
the IP and conducting surveys on the
prevalence of parasite infection. Held in
Shanghai from August 3-8, the seminar
was entrusted by the NSC to the Institute
of Parasitic Diseases, Chinese Academy
of Preventive Medicine. It was attended
by 33 participants from the 10 new
provinces comprising project promoters
from county FP commissions and epidemic
prevention centers. Representatives from
the two third-phase provinces of Hunan
and Yunnan also attended the seminar.
Ding Xiaoming, deputy division chief,
Foreign Affairs Department, SFPC, joined
the seminar which featured presentations
from experts from the Institute of Parasitic
Diseases, Chinese Academy of Preventive
Medicine, including Dr. Yu Senhai,
director, and Dr. Xu Longqi and Dr. Jiang
Zexiao, associate professors.
Practical and well-organized, the
seminars paved the way for initiation of
the fourth phase of the IP in the new
provinces in 1993.
[5]
Action on
Aging in Asia
A preparatory meeting held in Bangkok
paved the way for the establishment of a
collaborative network of policy makers,
researchers and program managers on
population aging in the Asia and the Pacific
region and the creation of an informal
advisory committee comprising experts of
population agingfrom the region. Organized
by JOICFP in collaboration with ESCAP as
part ofJOICFP’s regional population aging
project, the meeting was held on October 1
and 2 and attended by nine experts in policy
issues ofagingfrom Asia and representatives
of UNFPA, ESCAP and JOICFP.
The “Promotion of Awareness and Policy
Formulation on Aging (R AS/92/P13)” project
is being implemented by JOICFP during 1992
-1995 with the supportofUNFPA to build on
the first project, “Creation of Awareness on
Aging for Policy Making Purposes in the
Asian Region (RAS/88/P02).” The aim of
the new project is to develop a regional
network on aging through seminars, work
shops and publications focusing on
information exchange and technical assis
tance, and to strengthen the knowledge and
capacity of policy makers and administrators
in formulating appropriate policies and
programs on aging in participating countries.
Developmental Aspects
Among the issues highlighted at the meeting
was the developmental aspects of population
aging. Participants stressed the need to
mobilize resources to develop strong
community support for the care of the
elderly and urged efforts to ensure the
mainstreaming of the elderly in the social
and economic development process.
It was also suggested that JOICFP facilitate
the exchange of experiences and information
through publications or by working closely
with ESCAP, HELPAGE and other agen
cies in similar activities. In particular,
participants noted that JOICFP’s project and
ESCAP’s 1992-1994 regional study “Local
Level Policy Development to Deal with the
Consequences of Population Aging” were
complementary to each other.
[J]
An elderly man with children in Japan.
JOICFP NEWS, November 1992
Exchanges
Putting Men in the Picture
Turkish MCHIFP head puts high priority on male involvement in FP
Dr. Ayse Akin Dervisoglu, general but the men’s knowledge increased
director, MaternalandChildHealth and enormously after the IEC activities.
One effective way to involve men in
Family Planning, Ministry of Health,
Turkey, spoke with JOICFP NEWS on FP is through community leaders. The
September 10 aboutfamily planning (FP) male religious leaders of each village, or
iman, are the best
issues in her
people to use as moti
country including
vators since 98% of
male involvement.
Turkish people are
Below is an outline
Muslim. Although the
of her interview.
Muslim religion is not
In
Turkey,
against FP, the iman
around 45.5% of
do not know much
contraceptive me
about reproductive
thods are “male
health and FP. And if
methods” that need
they do not have the
male involvement
correct knowledge,
and cooperation
they might say FP is
such as the condom,
a sin. But if we
rhythm method and
provide them with
withdrawal. But
correct knowledge,
according to our
even if they do not
studies, women
promote FP, at least
have more correct
Ayse Akin Dervisoglu
they will not be
information about
contraception and reproductive health obstacles to promotion. According to our
than men. Unfortunately, we have a studies, in communities where the iman
male-dominated society in Turkey and of a village and the school teacher, usually
when a married woman wants to use a woman, were trained to provide
contraception, she is supposed to consult information to the men and women
with her husband and sometimes get his respectively, the contraceptive prevalence
permission. But men are so misinformed rate increased significantly.
Unfortunately, there is prejudice
on these matters that they are in no
position to give advice about contra among health personnel in my coutnry.
ception. If, for example, a husband When surgical sterilization was legalized
believes that the IUD causes cancer, he in Turkey, almost everybody said that men
will advise his wife not to have one fitted. will not accept vasectomies. But since our
aim is to provide information about all
methods without bias, we began IEC
Male-dominated Societies
activities on vasectomies and introduced
Male involvement in FP is especially the non-scalpel vasectomy. At first our
important in male-dominated societies newly opened clinic had only a few clients
such as Turkey. For information, each month, but within six months the
education and counseling (IEC) activities number of vasectomy clients had risen to
to be effective in these societies they 600. Nobody had expected such an
must target men as much as women, increase.
Today, we have three metropolitan
sometimes even more. After all, men
have to bear the burden ofexcess fertility. vasectomy centers in addition to the FP
This is why I believe that the national FP centers around the country. These centers
program in Turkey, which mainly targets provide comprehensive IEC on contra
women, definitely needs to be modified ception and the health aspects of fertility.
The aim of these activities is to assist
to involve men in IEC programs.
We recently conducted a study of people to make unbiased, voluntary choices
2,000 couples and found that the partners and to provide good-quality services.
of couples that received IEC together Family planning clients are not ill, but are
acquired more knowledge than couples healthy individuals. As a service provider,
in which the male or female partner you have to please your clients. Therefore
received the messages separately. Prior you should provide full knowledge
to the intervention, the knowledge of the through education to enable them to make
men was much lower than the women, informed, voluntary choices.
JOICFP NEWS, November 1992
Japan Urged
to Set Example
“Japan’s emergence as a leader in the
development assistance field is apparent,”
said Alexander R. Love, chairman,
Development Assistance Committee (DAC),
Organizationfor Economic Cooperation and
Development (OECD). In a keynote address
to the International Symposium in
Commemoration of the Day of International
Cooperation, Love said, “It is especially
important that Japan s near-term strategy
signals to the world a commitment to a
continued steady increase in ODA (official
development assistance). Japan has assumed
a leadership role with respect to ODA
increases, andJapan s performance can have
a very positive influence on other DAC
members.”
ODA Increases
Noting the contribution of the yen’s
appreciation to Japan’s increased ODA,
Love urged Japan to increase its ODA to GNP
ratio. “ Japan currently is still only at 0.32%
— slightly below the DAC average (for
ODA),” he said. It is important that in
Japan’s future planning a continued growth
of ODA be targeted, he added.
Held in Tokyo to mark International
Cooperation Day on October 6, the symposium
took the theme of “Review of aid policies
during the 1980s and tasks for the future —
the practitioner’s view.” It was sponsored by
the Overseas Economic Cooperation Fund
(OECF) and the Japan International
Cooperation Agency (JICA).
Priority on Population
In his address. Love highlighted the issue
of population as a priority area for
development assistance. Noting that
population programs were a key component
of development in the Asian region, Love
said that in 1989 Japan contributed 0.67% of
its ODA to population programs. “Japan
tends to concentrate the bulk of its assistance
in the UN agencies and through the NGOs.
Very little is channeled through bilateral
programs,” he said. “I would encourage
Japan to increase its allocation of ODA to
population programs, possibly shooting for a
figure of close to 4% of ODA with a larger
percentage for the areas of greatest need, i.e.
Sub-Saharan Africa.” Maternal and child
health and education to women should be
especially encouraged, he stressed.
“Japan is emerging as the largest aid donor
and as an increasingly assertive leader in the
development assistance field,” he said. “It is
important that Japan continues to exercise
this leadership through sustained growth in
its ODA contribution thereby easing the
burden-sharing within the donor
HEAlTH CEU
E
326. V Main, I Block
Koramangpla
Bang a Iore-56oud4
India
7
Voice of Voices
ANNOUNCEMENT
By Chojiro Kunii
First African Regional Workshop on the Integrated Project
Date:
November 23-27
Venue:
Addis Ababa, Ethiopia
Organizers: UNFPA, JOICFP
Participants: IP project director/coordinator and evaluation officer involved in IP
implementation from the IP countries of Ethiopia, the Gambia, Ghana,
Tanzania and Zambia
Director of MCH/FP service, ministry of health, ordirectorof programs,
FPA, from the non-IP countries of Guinea, Namibia, Sierra Leone,
Togo, Uganda
Theme:
Project Management and Evaluation for Strategy Development
Objectives:
1) To review the project management and monitoring/evaluation
mechanism of the IP.
2) To discuss an appropriate monitoring and evaluation methodology
for the IP, based on the “Brief Guidelines for Designing an Integrated
FP, Nutrition and PC Project.”
Note: Self-funded participants are welcome to attend the workshop. For more
information, please contact JOICFP.
Public Health Award
The Japan Association of Parasite
Control (JAPC) was recently granted the
Public Health Award, one of the highest
honors in the public health field in Japan.
This award was given to JAPC for its
more than 40 years of hard work, and I
would like to share my joy with the
pioneers of JAPC, Makoto Koizumi,
YoshitakaKomiyaand Kaoru Morishita,
and with the promoters in branch offices
around the country. Thanks to theirefforts
and the support of the government, the
parasite control (PC) movement was
spread far and wide among primary and
secondary schools, women’s associations
and agricultural cooperatives throughout
Japan in the postwar years.
FP Movement
Through this movement, people
realized the need to improve their
lifestyles and to reconstruct their lives.
They then began to work on the provision
of safe water and the improvement of
latrines with the construction of wells
and pipes, and the prevention of typhus
and dysentery. Out of this awareness of
health came a new family planning (FP)
movement primarily aimed at preventing
the high number of abortions, which
eventually developed into a widespread
movement to promote Maternal and Child
Health (MCH).
Following the start of the PC
movement in Japan in 1945, the Tokyo
Parasite Control Association was
established in 1949 and JAPC was
founded in 1955 as the governing
organization for all activities in Japan.
The movement was further expanded
through two routes. One channel was the
preventive health movements, which
were spreading hand in hand with health
education activities, and the other was
the Asian Parasite Control Organization,
which was extending its cooperation with
countries such as Taiwan and Korea.
The Asian strategy utilizing PC as an
entry point to promote preventive health
and FP is worthy of attention. The most
applicable aspect of this strategy for other
countries is the way that PC is used to
initiate a health movement to which FP
and MCH activities are then added. In
other words, PC is an excellent driving
force for motivating communities to join
a health movement. For a movement to
be successful, it must spark the
enthusiasm of the community people with
8
something practical that brings visible
results. Once initiated, it can then be
expanded according to the needs of the
people in the community.
The strategy of the Integrated Project
(IP), which JOICFP is promoting, owes a
great deal to the movement launched by
JAPC. It is truly wonderful that JAPC was
honored with this award. I hereby express
my deep gratitude to JAPC.
[j]
attended the Meeting of the First Ladies of
America and the Caribbean in Colombia
from Sept. 22 - 24.
JOICF-P ‘Women s health andStatus Series
_______ A New Animated Film__________
My Way
13 min., Color/English, Thai
DIARY
Fourteen participants from 13 countries attended
the Seminar on FP Administration for Senior
Officers, held Aug. 24 - Sept. 11 in Tokyo.
Sponsored by JICA, the seminar was
implemented by JOICFP.
*
*
*
Abdus Samad, chief, General Demography
Section, Population Division, ESCAP, visited
JOICFP on Sept. 14 to exchange information
on the upcoming Seminar on Population Aging.
*
*
*
Perdita Huston, director, The Global Family
Project, visited JOICFP on Sept. 14 to introduce
the project and exchange information.
*
*
*
JOICFP Program Officer Ryoichi Suzuki and
Haruo Konagai, deputy director, Operations
Division, JFPA, were in the Philippines to
attend the Seminar-Workshopon Multisectoral
Planning for Sustainable Development, held
Sept. 17 - 19.
*
*
*
JOICFP staff member Sono Aibe visited
UNFPA headquarters in New York on Sept. 16
to exchange information.
*
*
*
Dr. Shigeo Hayashi, former director, National
Institute of Health ofJapan, and Takaaki Hara,
director, Research and Study Department,
JAPC, accompanied by Program Officer Kiyoko
Ikegami and staff member Fumiharu Sato,
JOICFP, attended the National SeminarWorkshop on the IP, held in Guatemala Sept.
16 - 22. Ikegami also joined the National IP
Seminar in Mexico, held Sept. 7-12, and
Sexual relationships between teenagers tend to place
young women in much more serious situations, both
physically and mentally, than their partners. Four young
women are depicted in this Film, each with a chance to
have a sexual relationship with her boyfriend. What
desires does each girl feel for her partner? How does
each girl make her own, personal choice?
My Way is lhe first film in the Women's Health and
Status Series. Il was produced specifically for lhe Asian
region. It is an animated film jointly produced by Japan
and Thailand, the first country in the world to promote AIDS
education on a nationwide scale.
Distributed by
Sakura Motion Picture Co., Ltd.
Yoyogi Center Bldg., 57-1 Yoyogi l-chome
Shibuyo-ku, Tokyo 151, Jopon
Tel: 81 3-332O-6311/Fox: 81 3-3320-7666
Telex: J34799 ITCINBTH
16mnr VTR (Beta, VHS/NTSC, PAL, SECAM)
JOICFP NEWS is a monthly newsletter
published by lhe Japanese Organization for
International Cooperation in Family Planning,
Inc. (JOICFP).
JOICFP NEWS welcomes your comments,
suggestions and contributions. Please mail to:
JOICFP NEWS
Hokcn Kaikan Bekkan
1-1, Sadohara-cho, Ichigaya
Shinjuku-ku, Tokyo 162 Japan
Phone: Tokyo 3268-5875
Telex: 2324584 JOICFP J
Cable Address: JOICFP Tokyo
Facsimile: Tokyo 3235-7090
JOICFP NEWS, November 1992
Position: 2334 (9 views)