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In a world tense with confrontation between North and South on so many issues, it is important that family planning aid offered to Sub-Saharan Africa appear to be a rope to help people- not the "noose" it has seemed in the past.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
The objective of the Population and Family Planning (FP) Project, a Learning and Innovation Loan (LIL), was to test the feasibility of a comprehensive and district-wide Community Based Distribution (CBD) approach to Population and Family Planning Services in three districts, thereby increasing the Contraceptive Prevalence Rate (CPR) for modern methods. Rigorous testing of the hypothesis was ensured in the design by selecting control districts and using the same instruments to collect both the baseline and end of project data. The three rural pilot districts - Chitipa, Ntchisi and Chiradzulu, represented the three mains regions of North, South and Central Malawi and were adjacent to the control ones with which they shared comparable socio-demographic characteristics such as household composition (female headship and number of residents), environmental exposure (water sources, latrines) and backgrounds of respondents (age, education, marital status).