Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-26T06:09:02.388Z Has data issue: false hasContentIssue false
  • English
  • Français

Integration of family planning and maternal and child health in rural West Africa

Published online by Cambridge University Press:  31 July 2008

Alfred K. Neumann ,
Samuel Ofosu-Amaah ,
Daniel A. Ampofo ,
David D. Nicholas  and
Rexford O. Asante
Alfred K. Neumann
Affiliation:
University of California, Los Angeles, USA
Samuel Ofosu-Amaah
Affiliation:
University of Ghana Medical School, Accra
Daniel A. Ampofo
Affiliation:
University of Ghana Medical School, Accra
David D. Nicholas
Affiliation:
University of California, Los Angeles, USA
Rexford O. Asante
Affiliation:
Ministry of Health, Accra, Ghana
Get access Rights & Permissions [Opens in a new window]

Summary

There is controversy extending beyond that of whether family planning or population control measures should be promoted among various populations. Even when the decision has been made to provide family planning advice, information and service, debate often arises as to the best method of administering a family planning programme—whether to integrate it with maternal and child health (MCH) services, offer it post-partum, or provide it independently of all other health activities.

The Danfa Comprehensive Rural Health and Family Planning Project, Ghana, is investigating the general problem of health service delivery, including family planning, and is doing so with a firm commitment to efficient management, staff training and supervisory maintenance. An established research design and ongoing evaluation efforts, including cost and functional analyses, are an integral part of the project. While it is believed that the integrated MCH/Family Planning approach will yield optimal results in family planning acceptance (as well as reduction in morbidity and mortality), other alternatives of health care and family planning service delivery are being evaluated.

Type
Research Article
Information
Journal of Biosocial Science , Volume 8 , Issue 2 , April 1976 , pp. 161 - 173
Copyright
Copyright © Cambridge University Press 1976

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ashitey, G.A., Wurapa, F.K & Belcher, D.W. (1972) Danfa Rural Health Centre: its patients and services. Ghana med. J. 11, 266.Google Scholar
Berg, A. (1973) The Nutrition Factor. The Brookings Institution, Washington, DC.Google Scholar
Birch, H.G. & Gussow, J.D. (1972) Disadvantaged Children: Health, Nutrition and School Failure. Harcourt, Brace & World, and Grune & Stratton, New York.Google Scholar
Brass, W., Coale, A.J., Demeny, P., Heisel, D.F., Lorimer, F., Romaniuk, A. & Van De Walle, E. (1968) The Demography of Tropical Africa. Princeton University Press, Princeton, NJ.CrossRefGoogle Scholar
Caldwell, J.C. & Okonjo, C. (1968) The Population of Tropical Africa. Longmans, London.CrossRefGoogle Scholar
Darrity, W. (1971) Race consciousness and fears of genocide as barriers to family planning. Popul. Ref. Bureau, 5.Google Scholar
Franda, M.F. (1972) Millitant Hindu opposition to family planning in India. Fieldstaff Reports, South Asia Series (Asia), XVI, 1.Google Scholar
Gopalan, C. & Naidu, A.N. (1972) Nutrition and fertility. Lancet, ii, 1077.CrossRefGoogle Scholar
Heer, D.M. (1966) Economic development and fertility. Demography, 3, 423.CrossRefGoogle ScholarPubMed
Neumann, A.K., Ampofo, D.A., Nicholas, D.D., Ofosu-Amaah, S. & Wurapa, F.K. (1974) Traditional birth attendants—a key to rural maternal and child health and family planning services. Envir. Child. Hlth, 20, 21.Google Scholar
Neumann, A.K., Prince, J., Gilbert, F.F. & Lourie, I.M. (1972) The Danfa comprehensive rural health and family planning project—preliminary report. Ghana med. J. 11, 18.Google Scholar
Neumann, A.K., Sai, F.T. & Dodu, S.R.A. (1973) The Danfa comprehensive rural health and family planning project: Ghana—research design. Envir. Child. Hlth, 20, 39.Google Scholar
Neumann, A.K., Sai, F.T., Lourie, I.M. & Wurapa, F.K. (1973) A new trend in international health work: the Danfa project. Int. Dvlmt Rev./Foc. 2, 11.Google Scholar
Omran, A.R. (1971) The Health Theme in Family Planning. Carolina Population Center, University of North Carolina, Chapel Hill, NC.Google Scholar
Perkin, G.W. (1968) Assessment of reproductive risk in non-pregnant women. Am. J. Obstet. Gynec. 101, 709.CrossRefGoogle Scholar
Poerwodihardjo, S. (1971) Family planning as an essential element of maternity and child health services. In: Family Planning and National Development, p. 194. Proceedings of the IPPF Conference of the SE Asia and Oceania Region.Google Scholar
Reynolds, J. (1970) Delivering family planning services: autonomous versus integrated clinics. Fam. Plann. Perspect. 2, 15.CrossRefGoogle Scholar
Sai, F.T. (1973) Ghana. In: Health Service Prospects, p. 125. Edited by Douglas-Wilson., I & McLachlan, G. The Lancet and the Nuffield Provincial Hospitals Trust, London.Google Scholar
Sai, F.T., Wurapa, F.K. & Quartey-Papafio, E.K. (1972) The Danfa/Ghana comprehensive rural health and family planning project—a community approach. Ghana med. J. 11, 9.Google Scholar
Taylor, C.E. (1973) Nutrition, national development and planning. Proceedings of International Conference on Nutrition. Edited by Berg, A., Scrimshaw, N. & Call, D.L. Massachusetts Institute of Technology Press, Cambridge, Massachusetts.Google Scholar
Taylor, C.E. (1972) Family planning and health planning. In: Health Planning, Qualitative Aspects and Quantitative Techniques. Edited by Reinke, W. A. Johns Hopkins University, School of Public Health.Google Scholar
Taylor, H. & Berelson, B. (1968) Maternity care and family planning as a world program. Am. J. Obstet. Gynec. 100, 885.CrossRefGoogle ScholarPubMed
Wallace, H.M., Gold, E.M. & Dooley, S. (1969) Relationships between family planning and maternal and child health. Am. J. Publ. Hlth. 59, 1355.CrossRefGoogle ScholarPubMed
Williams, C.D. & Jelliffe, D.B. (1972) Mother and Child Health. Oxford University Press, London.Google Scholar
Wishik, S.M. (1972) Nutrition, family planning and fertility. Paper presented at the Protein Advisory Group (United Nations) Meeting, Paris.Google Scholar
World Health Organization (1970) Health aspects of family planning. Tech. Rep. Ser., No. 442.Google Scholar
World Health Organization (1971) Family Planning in health Services. Tech. Rep. Ser., No. 476.Google Scholar
Wray, J.D. (1971) Population pressure on families, family size and child spacing. Reports on Population/Family Planning. The Population Council, New York.Google Scholar
Wright, N. (1972) International post partum program: analysis of performance 1970–1971. Stud. Fam. Plann. 3, 305.CrossRefGoogle Scholar
Wurapa, F.K., Belcher, D.W., Neumann, A.K. & Lourie, I.M. (1974) An approach to illness measurement in a rural community—a questionnarie sample survey of households in the population of the Danfa comprehensive rural health and family planning project in Ghana. Ghana med. J. 13, 98.Google Scholar
Wyon, J. & Gordon, J. (1971) The Khanna Study: Population Problems in the Rural Punjab. Harvard University Press, Cambridge, Mass.CrossRefGoogle Scholar
Zatuchni, G.I. (1969) The post Partum program: a new approach. In: Family Planning Programs. Edited by Berelson, B. Basic Books, New York.Google Scholar