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The "contraceptive revolution" of the 1960s and 1970s introduced totally new contraceptive options and launched an era of research and product development. Yet by the late 1980s, conditions had changed and improvements in contraceptive products, while very important in relation to improved oral contraceptives, IUDs, implants, and injectables, had become primarily incremental. Is it time for a second contraceptive revolution and how might it happen? Contraceptive Research and Development explores the frontiers of science where the contraceptives of the future are likely to be found and lays out criteria for deciding where to make the next R&D investments. The book comprehensively examines today's contraceptive needs, identifies "niches" in those needs that seem most readily translatable into market terms, and scrutinizes issues that shape the market: method side effects and contraceptive failure, the challenge of HIV/AIDS and other sexually transmitted diseases, and the implications of the "women's agenda." Contraceptive Research and Development analyzes the response of the pharmaceutical industry to current dynamics in regulation, liability, public opinion, and the economics of the health sector and offers an integrated set of recommendations for public- and private-sector action to meet a whole new generation of demand.
Se estudian las consecuencias sanitarias de los diferentes patrones reproductivos en la salud de la mujer y de los niños. Tambien se evaluan el riesgo y los beneficios de los diferentes metodos anticonceptivos, aunque algunos de los datos en los que se basa son de paises desarrollados, el nucleo central del informe son los paises en desarrollo.
In this book the authors review initiatives in improving the quality of care for family planning in India and bring them to the broader forum of policy-level discussions. ​The global Family Planning 2020 (FP2020) framework argues for voluntary rights-based family planning programmes. The rights-based approach builds on the bedrock of quality of care, which means listening to what women want, treating individuals with dignity and respect and ensuring that everyone has access to full information and high quality care. Improving the quality of care in family planning services in a country like India is crucial from individual, national and global considerations. This book critically discusses and evaluates the various interventions undertaken so far and the reasons for success and failure. It also synthesizes current research studies in India, identifies gaps and presents a research agenda to bridge this gap and accelerate progress towards improving quality of care in family planning. It presents a comprehensive framework that underscores the importance of health systems and community environments in creating enabling, motivating and empowering roles for providers and clients. The examples and perspectives presented in this book make a strong case for adoption into policy frameworks and scaling up of quality of care efforts, and identifying research priorities for strengthening the response to family planning. This book greatly contributes towards enhancing the quality of family planning care at the grass-roots level in low resource settings and is of interest to researchers and practitioners of public health, particularly community health, maternal and child health, and social work.
As a programme of directed socialand behavioural change, Family Planning has made considerable progress in India. An impressive library of family planning research has also been created in the process. There is, however, a disturbing communication gap between the research and the policy maker / planner-administrator. Research findings do not get canalized into action programmes. These two remain discrete activities with very little of interface between them. One of the reasons for this is lack of systematization of research findings. A stage has been reached when the stock-taking of the existing body of research has become necessary to provide a sort of ‘system’ or ‘order’ to the widely scattered data and findings, and to identify research gaps. This double exercise will render current research utilizable, and will stimulate further research. This is what Professor Kamala Gopal Rao does in this book. A distinguished researcher in the field of family planning, Dr. Rao has attempted to summarize and present in common format over 500 studies conducted in India, between 1950-1973, on different aspects of family planning. The main findings of the studies are critically reviewed for their relevance to the ongoing family planning programme. She has also reviewed the methodologies employed in family planning research. She suggests strategies to promote utilization of research. The book fulfils the much felt need for a ready reference for researchers and a guide to administrators, policy makers, and programme planners concerned with family planning.
More than a quarter of pregnancies worldwide are unintended. Between 1995 and 2000, nearly 700,000 women died and many more experienced illness, injury, and disability as a result of unintended pregnancy. Children born from unplanned conception are at greater risk of low birth weight, of being abused, and of not receiving sufficient resources for healthy development. A wider range of contraceptive options is needed to address the changing needs of the populations of the world across the reproductive life cycle, but this unmet need has not been a major priority of the research community and pharmaceutical industry. New Frontiers in Contraceptive Research: A Blueprint for Action, a new report from the Institute of Medicine of the National Academies, identifies priority areas for research to develop new contraceptives. The report highlights new technologies and approaches to biomedical research, including genomics and proteomics, which hold particular promise for developing new products. It also identifies impediments to drug development that must be addressed. Research sponsors, both public and private, will find topics of interest among the recommendations, which are diverse but interconnected and important for improving the range of contraceptive products, their efficacy, and their acceptability.
A compendium of successful case studies of FAMILY PLANNING implementation in India This is the first book on innovations in family planning service delivery in the country which is of particular contemporary relevance, both nationally and globally.It features innovative case studies of family planning from India which have demonstrated impact and are sustainable and scalable. These cases contribute to the approaches of problem solving, enhancing quality family planning care at the grass-roots level and influence future directions of the programme. The book facilitates advocacy, strengthening programme design and enhancing competency as well as orienting the healthcare system to support these efforts. This is an important book for programme planners, policy makers and researchers.
Current and former professional staff of the Population Council have updated the Handbook for Family Planning Operations Research Design. They assume that readers of the handbook already know terms and concepts of research design and statistics and have some field research experience. The primary objective of the manual is to provide guidance to health and family planning researchers to develop and write and detailed operations research proposal. In fact, it can be and has been used in workshops on research proposal writing. It also serves as a means for program administrators and managers to understand the workings of operations research and the application of research findings for improving service delivery. The authors draw from their field experiences from Asia, Africa, and Latin America. The handbook begins with a definition of operations research, its objectives, different types of operations research, and its desing. It guides readers on how to identify, define, and justify the research problem. Further it helps them to choose a strategy to solve the problem. I next covers objectives and hypotheses of the research. The handbook makes the readers aware of the need to describe the proposed intervention and to define variables and terms. It spends a considerable number of pages on study design including the different types of designs. It also provides guidance on sampling and data collection. The handbook gives detailed guidance on data tabulation and analysis. It also stresses the need to disseminate and use the research findings. It encourages researchers to list limitations of the study, resources, and facilities. It also addresses the preparation of appendixes, title page, and abstract.
A history of the World Health Organization, covering major achievements in its seventy years while also highlighting the organization's internal tensions. This account by three leading historians of medicine examines how well the organization has pursued its aim of everyone, everywhere attaining the highest possible level of health.