Population, Reproductive and Sexual Health
Section Newsletter
Annual Meeting 2006

MESSAGE FROM THE CHAIR

Section Chair Young-Mi Kim, Center for Communication Programs, 111, Market Place, Suite 310, Baltimore, MD 21202 Phone: (410) 659-6258 E-mail: ykim@jhuccp.org

Dear Colleagues,

We look forward to a great and exciting PFPRH program at the November Annual Meeting in Boston. The oral presentations, roundtable discussions, and poster presentations this year not only cover a variety of issues which concern us, but they also explore core issues in more depth than ever before. Joint sponsorship of sessions with other APHA Sections (e.g. HIV/AIDS, International Health), caucuses, and interest groups has enriched the program content for all APHA members. We greatly appreciate those who helped make such a good program this year. Thanks to those who submitted and/or reviewed abstracts, and, a very special thanks to Chair-Elect Dr. Meg Greene, who worked hard to put together this wonderful program.

In Boston, our Section members, along with other APHA members who are interested in our issues, will learn from each other by sharing experiences and lessons. We also hope to stay in contact with those Section members who cannot attend the meeting this year. Together, we can make important contributions to our field as well as influence relevant policies. Personally, feeling connected to other professionals and sharing our lessons and enthusiasm have given me inspiration and motivation. Being involved with this Section has been a very rewarding experience for me, as I hope it has been, and will continue to be, for you.

I would like to cordially invite you to stay connected with our Section members and be involved in Section matters. Here are some ways of staying involved: (a) send in abstracts for the Annual Meeting; (b) volunteer to review abstracts; (c) send news for the Section newsletter; (d) join Section Task Forces; (e) mentor newer members; (f) join the Section list serves; (g) advocate for APHA policies related to PFPRH; (h) volunteer to be in leadership positions; and (i) attend Section business meetings and the social hour at the Annual Meeting.

Please don’t forget to get an absentee ballot and vote before you leave for the Annual Meeting in Boston. (You can use the APHA website to request an absentee ballot: https://ssl.capwiz.com/apha/e4/.) We look forward to seeing you in Boston.

All the best,

Young Mi Kim

NOMINATIONS COMMITTEE REPORT

Chair Tim Williams, John Snow Inc., 1616 N. Fort Myer Drive, 11th Floor, Arlington, VA 22209 Phone: (703) 528-7480 Fax: (703) 528-7480 E-mail: tim_williams@jsi.com


The results of the Section elections are now in; the results appear below. Congratulations to our new Section leaders, and many thanks to everyone who threw their hats into the ring


Chair-Elect
Karen Hardee, PhD

Secretary-Elect
Barbara Seligman, MA, MPP

Section Council
Rebecka Lundgren MPH

Governing Council
Nicole Gray, MPH, MPP, MA
Daniel Grossman, MD
Lisa Maldonado, MPH

15.70% of PFPRH members voted

STUDENT LIAISONS

Student Section liaisons are an important APHA initiative to get more students involved and recognized in their Sections. The student liaisons also work to get students involved in leadership roles in their Section and in the Student Assembly. Go to http://www.apha.org/sections/students/index.htm to get more information and learn how to sign up for this program.

Our Section’s two liaisons, Sara Netzer and Sarah Kelly, have the following messages:

I am Sara Netzer, a second year MPH student at the George Washington University in Washington, D.C. As student section liaison, I am interested in building a larger APHA community, especially among students interested in reproductive health and family planning. I would like students to better understand the benefits of APHA membership, as well as membership within Sections, so that they become active members. I would also like to hear from current Section members on how they would like to connect with students. Please contact me at snetzer@gwu.edu with any ideas that you may have. I look forward to working with you all.

I am Sarah Kelly, a second year MPH student at UMDNJ-New Brunswick/Piscataway in the Environmental and Occupational Health program. I attended Douglass College, Rutgers University as an undergraduate and have my BA in women’s and gender studies. I am interested in reproductive rights and comprehensive sexual education advocacy. As one of the student section liaisons for the Population, Family Planning, and Reproductive Health Section, I am interested in bridging the gap between the student and professional members of the Section. I also am interested in finding ways for the Section to help students in their academic and professional lives. I am interested in hearing from anyone and can be contacted by e-mail at kellysw@umdnj.edu. Please contact me if you have any questions or ideas. Thanks!

ACTION BOARD

Board Representative Lois Uttley, Education Fund of Family Planning Advocates of NYS, 17 Elk Street, Albany, NY 12207 Phone: (518) 436-8408 Fax: (518) 436-1048 E-mail:  Lois@mergerwatch.org

Get involved in APHA Advocacy!

1. This year, some members of our Section have been active in contacting their members of Congress to urge funding increases for public health and for such key reproductive health programs as Title X. Visit the Legislation, Advocacy and Policy section of the APHA Web site
at http://www.apha.org/legislative/ to get up-to-date news about APHA advocacy action.

2. Our Section has enjoyed excellent support from APHA staff on a number of specific reproductive health issues. Examples include urging the FDA to make Plan B emergency
contraception available without a prescription and supporting S. 20, the Prevention First Act, which is designed to provide preventive services that can help reduce unintended pregnancy. You can send an electronic message to your Senators in support of S. 20 by going to:
http://www.capwiz.com/apha/issues/alert/?alertid=8932581


3. Our Section is forming an Advocacy Committee, which will meet by conference call
and then in person at the APHA Annual Meeting in Boston. If you would like to
join this committee, please e-mail Lois Uttley, our Section’s representative to
the APHA Action Board, at lois@mergerwatch.org.

Learn about advocacy at the APHA Annual Meeting

The APHA Annual Meeting in Boston will be a great time to learn more about how you can get involved in APHA advocacy efforts. Our Section is sponsoring an advocacy "how-to"
session on Strategies for Improving U.S. Policy on Domestic and International Reproductive Health. This session, 4054.0, will take place on Tuesday, Nov. 7, from 8:30 to 10 a.m.

Here are just a few of the other advocacy sessions that may be of interest to you. Look up the locations in your program book when you arrive.

1. 3288.0: Monday, Nov. 6, 2006: 2:30 p.m.-4:00 p.m. Mobilizing a Campaign Around A Public Health Issue

2. 3192.0: Monday, Nov. 6, 2006: 12:30 p.m.-2:00 p.m. Advocacy Law Rules and tools of
non-profit lobbying

3. 3008.0: Monday, Nov. 6, 2006: 8:30 a.m.-10:00 a.m. How to Write a Good APHA Policy

4. 5031.0: Wednesday, Nov. 8, 2006: 8:30 a.m.-10:00 a.m. Impact of the Midterm Elections

5. 3288.0: Monday, Nov. 6, 2006 - 2:30 p.m. Vermont: A state-level advocacy best practice

Support the APHA policies proposed by our Section

Members of our Section have written and proposed new policies that will be considered for adoption by the APHA Governing Council at the Annual Meeting. One of these, "Ensuring that Patients are able to have Contraceptive Prescriptions Filled at Pharmacies," was adopted as interim policy last year and is up for adoption as permanent policy this year. Prime author is Lourdes Rivera, attorney with the National Health Law Program and soon-to-be reproductive health program officer at the Ford Foundation.

You can support Lourdes Rivera and other policy authors from our Section by attending
the public hearing that will be held by the APHA’s Joint Policy Committee on this and other proposed policies concerning access to care. The hearing will take place on Sunday, Nov. 5, from 3:30 to 6 p.m. This is session 255.0. Look up the location in your program book when you arrive.

Vote in the mid-term elections!

Don’t forget to get an absentee ballot and vote before you leave for the Annual Meeting in Boston. The election takes place on Tuesday, Nov. 7, in the middle of the Annual Meeting. The future of reproductive health policy is at stake. The APHA website has a link to request
absentee ballots: https://ssl.capwiz.com/apha/e4/

Come to an election night party!

You're invited to an Election Night Cocktail Party co-hosted by the APHA Action Board & Student Assembly. It will take place at the Hyatt Regency Boston, Lobby Bar and Lounge, One Avenue De Lafayette, (a short walk from the Downtown Crossing T stop) from 7:00 p.m. - 11:00 p.m. on election night, Nov. 7. It will feature a cash bar with election-night-themed drinks, TVs to watch election night results and analysis, election charts and info, APHA voting records, information about APHA advocacy... and much more! Please join us!

SECTION NAME CHANGE

The name of our Section has long been an issue – some complain it is too long, others feel it does not reflect current developments in our field, and others like it as it is.

At our July mid-year meeting, it was agreed to put the issue of changing our Section’s name to a vote. We will be establishing a workgroup to consider an alternate name for our Section, and then will work with APHA staff to coordinate a Section-wide vote.

For more information, please e-mail Lisa Maldonado: lmm9@earthlink.net

FROM THE HILL

FROM THE HILL

 


Terri Bartlett, Vice President, Public Policy and Craig Lasher, Senior Policy Analyst, Population Action International, 1120 19th Street, NW, Suite 550, Washington, DC 20036 Phone: (202) 659-1833 E-mail: tlb@popact.org (Terri) and clasher@popact.org (Craig)

Since the last Section newsletter, a number of important legislative and policy developments have occurred in Washington — most notably, Appropriations Committee approval of the FY 2007 foreign operations appropriations bill in the Senate, frenetic work within the executive branch on a major restructuring of the U.S. government’s foreign assistance program, introduction of pro-active legislation supportive of evidence-based HIV prevention strategies, and efforts to extend the reach of the judges’ rulings declaring the anti-prostitution pledge requirement for U.S. HIV/AIDS assistance unconstitutional.

FY 2007 Appropriations

On June 29, the full Senate Appropriations Committee approved its version of the FY 2007 foreign operations appropriations bill (H.R. 5522), the annual legislation which funds U.S. development and humanitarian assistance programs including family planning and reproductive health. The full House had overwhelmingly adopted its version of the bill on June 9th (see previous Section newsletter for details).

During committee consideration, an amendment spearheaded by Foreign Operations Subcommittee Ranking Member Patrick Leahy (D-Vt.) was adopted to increase family planning and reproductive health funding within the Child Survival and Health Programs Fund (CSH) by $123 million to $465 million. In the committee-approved bill, all funds for FP/RH programs will be contained within a dramatically enlarged CSH line-item, avoiding the painful process of allocating funding from political and regional accounts (such as the Economic Support Fund, Support for Eastern European Democracy, and Freedom Support Act) for family planning purposes in order to meet the overall family planning earmark that Congress includes in the appropriations bill every year. If enacted into law, the net effect would be a large increase in family planning and reproductive health funding under CSH and even an increase in the overall amount of funding available for family planning and reproductive health, currently $436 million in FY 2006.

Ranking Member Leahy was joined by Senators Specter (R-Pa.), Durbin (D-Ill.), Murray (D-Wash.), Mikulski (D-Md.), and Inouye (D-Hawaii) in cosponsoring the funding increase, along with important family planning and reproductive health policy provisions (see below). Funds for the increase for family planning and reproductive health were obtained by reducing the President's budget request and the House-approved level for the Millennium Challenge Account, one of President Bush’s signature foreign aid initiatives.

In opposition to the State Department's stated goal of eliminating congressional earmarks and accounts as part of its ongoing foreign assistance restructuring plans (see below), statutory language was included in the bill that requires that funds in the CSH and other accounts listed "shall be available for programs and countries in the amounts contained in the respective tables" included in the committee report. The report language specifically lists "subaccount allocations" within the CSH account for each programmatic sector — child survival and maternal health, family planning and reproductive health, HIV/AIDS, etc. — and for every recipient countries. Clearly, Senate appropriators have issued a preemptive warning that the State Department's intention to obtain greater flexibility in administering U.S. foreign assistance programs may face difficulties in winning congressional approval.

It remains to be seen whether this new and improved proposal for how funding for family planning and reproductive health programs is appropriated will be viewed positively by the Senate's House counterparts and whether it will survive the legislative process. Nevertheless, it is an extremely encouraging development demonstrating the resolve of Senate champions to protect FP/RH funding in the current climate of budgetary austerity and in the face of the foreign aid program restructuring plan, one of whose central goals is the abolishment of congressional earmarks and accounts.

In addition, the Senate bill includes language overturning the Mexico City Global Gag Rule policy in its entirety, another provision of the Leahy et al. amendment. The language will not survive in the final bill. Because of that reality, some of the Washington-based advocates are discussing the possibility of offering an exemption from the gag rule for contraceptive supplies and condoms as a floor amendment — if and when the bill ever reaches the Senate floor.

The Senate bill earmarks $25 million from the CSH account — not the State Department-managed International Organizations and Programs as has been the case since the beginning of the Clinton administration — for a U.S. contribution to UNFPA, subject to the Kemp-Kasten restrictions. [The Kemp-Kasten restriction prohibits funding to organizations that are judged to "support or participate in the management of a program of coercive abortion or involuntary sterilization," which has been overinterpreted by the Bush administration to withhold the UNFPA contribution due to its presence in China.]

Despite expectations that the Senate bill would contain a modification of the Kemp-Kasten prohibition, the bill does not change the language in order to make it more difficult for the State Department to justify future decisions to deny UNFPA funding based solely on UNFPA's presence in China. Such attempted modifications have been included in the Senate's version of the bill in previous years, although never avoiding the fate of being dropped during conference negotiations with the House. The bill also includes language stipulating that all appropriated funds, if withheld from UNFPA under Kemp-Kasten, must be reprogrammed to USAID for bilateral family planning and reproductive health programs, another provision of the Leahy et. al. amendment. This is a continuation of an existing congressional mandate to prevent the Bush administration from diverting the UNFPA contribution to non-family planning and reproductive health programs. The issuance of a formal determination to withhold the FY 2006 UNFPA contribution is expected from the State Department before the end of the fiscal year on Sept. 30.

Congress reconvened in early September after its month-long August recess for what will likely be an exceptionally polarized and unproductive legislative session. Action on the foreign operations appropriations bill — Senate floor consideration and reconciling the House and Senate passed versions into a conference report — is unlikely before Congress adjourns in late September or early October for the mid-term congressional election, given the Republican leadership's stated intention to focus primarily on defense and security-related items in the few work days remaining. What that means is that the foreign operations bill, along with a number of other appropriations bill, will likely be combined into a catch-all "omnibus" appropriations bill or long-term, stop-gap "continuing resolution" (CR) when Congress reconvenes Nov. 13 for a post-election "lame duck" session. Consideration of the foreign operations bill as part of a larger omnibus bill or CR would be unfortunate, as this will limit opportunities for amendments including a possible amendment to exempt contraceptive supplies from the Mexico City Global Gag Rule Policy.

Restructuring of the U.S. Foreign Assistance Program

When Secretary of State Condoleezza Rice announced in January a major restructuring of the U.S. government's foreign assistance program under a new vision of "transformational diplomacy," its lofty goal was described as "helping to build and sustain democratic, well-governed states that will respond to the needs of their people and conduct themselves responsibly in the international system." As the details of the new strategic framework for foreign aid begin to emerge, however, short-term national security and democracy promotion objectives favored by the State Department appear to be trumping the traditional focus of U.S. foreign assistance on development and poverty reduction. This shift could prove enormously detrimental to long-term development programs, including family planning and reproductive health, lumped together under the "investing in people" objective, one of five new categories under which the aid program will be restructured in a new strategic framework.

A preliminary assessment of the internal bureaucratic wrangling suggests that the State Department is usurping the traditional role of the U.S. Agency for International Development in setting foreign aid program priorities and in allocating funding, thereby partly insulating aid decision-making from the transient political and diplomatic crises of the moment. Some long-time insiders are beginning to describe the restructuring as a de facto absorption of USAID into the State Department, despite assurance by Secretary Rice in announcing the reorganization that USAID would remain independent. The restructuring process has also proven so far to be centralized, Washington-driven, and top-down with limited involvement by mission and embassy staff on the ground with expertise and insight on country needs.

One of the State Department's stated goals of its foreign assistance restructuring plans is to provide maximum flexibility to the executive branch and to eliminate the practice of earmarking funds for programs favored by their congressional champions. A line-item budget for family planning has been essential to the political survival of the USAID family planning program over the years. Threats to the continuing existence of this critical public health program continue today, best evidenced by the $79 million funding cut proposed by the President in his FY 2007 budget request in February. Largely sidelined until now, Congress must insist on being involved in the process and exercise oversight and leadership in resisting foreign assistance restructuring proposals that endanger successful foreign aid programs in the pursuit of some new vision of greater coherence and coordination.

HIV Prevention Funding Legislative Initiatives

Spurred on by the findings of a long-awaited report on U.S. government HIV prevention activities by the Government Accountability Office, Rep. Barbara Lee (D-Calif.) in the House and Senators Dianne Feinstein (D-Calif.) and Olympia Snowe (R-Maine) have introduced legislation to remove the unworkable strain on prevention efforts caused by the infamous "abstinence-until-marriage" funding earmark applied to U.S. HIV/AIDS assistance. Here are brief descriptions of the two bills:


 



  • Protection  Against Transmission of HIV for Women and Youth (PATHWAY) Act (H.R. 5674): The Lee bill would require the President to develop a comprehensive strategy to combat the spread of HIV among women and children and eliminate the requirement that 33 percent of all HIV/AIDS prevention assistance go toward abstinence-until-marriage programs.
  • HIV Prevention Youth Act (S. 3656): The Feinstein-Snowe bill would define sexually active youth in countries where the epidemic is generalized as being at "high risk," broaden the definition of what constitutes an "abstinence-until-marriage" program to include efforts that result in abstinence, and clarify that the one-third earmark is for the prevention of sexual transmission of HIV, not all prevention programs.

A number of pro-active pieces of legislation have been introduced in the House and proponents continue to seek original sponsors for companion Senate versions. Here are brief descriptions of the bills:


 


·         Ensuring Access to Contraceptives Act (H.R. 4736): The bill would exempt U.S.-donated contraceptive supplies from the Global Gag Rule and would double the amount of funding that USAID currently spends on contraceptives to $150 million. For a description of the Mexico City-Global Gag Rule policy and its impacts, go to http://globalgagrule.org/  


·         Global Democracy Promotion Act (H.R. 4465): The bill, which has been introduced in both the House and Senate in previous Congresses, seeks to legislatively overturn the Global Gag Rule in its entirety.


·         Focus on Family Health Worldwide (H.R. 4188): The bill would authorize $600 million for FP/RH programs in FY 2007, increasing to $1 billion annually over five years.


 


Anti-Prostitution Pledge Lawsuits


In June 2005, the Bush administration expanded to U.S. organizations the requirement that recipients of U.S. government HIV/AIDS assistance have an official organizational policy opposing prostitution and sex trafficking in order to be eligible to receive funds. Based on a 2003 provision in the authorizing legislation creating the President's Emergency Plan for AIDS Relief, the requirement for an official policy had previously been applied only to foreign NGOs.

Two lawsuits were filed in federal court — the first by DKT International in Washington and the second by the Alliance for Open Society International, later joined by Pathfinder International, in New York. Within days of each other in May, the judges in both cases issued decisions declaring
that the anti-prostitution loyalty oath imposed on U.S. organizations receiving HIV/AIDS assistance from the U.S. government violates their First Amendment rights and granting injunctive relief blocking enforcement of the pledge requirement on the plaintiffs.

As expected, the U.S. government filed a notice of appeal with the U.S. Court of Appeals for the Second Circuit in New York on August 28 challenging the judge's favorable ruling overturning the
anti-prostitution pledge requirement in the Open Society Institute-Pathfinder case. In late July, the government had earlier announced its intent to appeal its defeat in the DKT International v. USAID case to the D.C. Court of Appeals.

The schedule for action on the appeals remains uncertain at this time, although hearings in the two appeals courts are not expected before the spring of next year. The judges' orders granting relief to the plaintiffs in both cases, exempting them from the pledge requirement, remain in effect pending the outcome of the appeals.

However, efforts are underway to increase coverage of court decision blocking anti-prostitution pledge. Attorneys for the plaintiffs in the AOSI-Pathfinder lawsuit have sought the same relief from the anti-prostitution pledge requirement afforded the original plaintiffs in the judge's ruling for InterAction (IA) and the Global Health Council (GHC) and their U.S.-based member organizations.

As a result of their membership in either IA or GHC, most population and reproductive health cooperating agencies would benefit from an extension of the coverage of the judge's ruling with
regard to their HIV/AIDS assistance from the U.S. government. IA has 160 international development and humanitarian assistance organizations as members, while GHC has 186 U.S.-based members. In order to bolster the argument that IA and GHC and their members have suffered harm similar to AOSI and Pathfinder, two member organizations also submitted declarations in support — CARE as a member of both IA and GHC and IntraHealth International as a member of GHC. Whether or not the judge will allow InterAction and Global Health Council to intervene on behalf of their members and to be added as additional plaintiffs in the case remains unclear.

WHAT YOU CAN DO
How debates over international family planning and reproductive health programs will be resolved remains to be seen. As a constituent, voter, and public health professional, your well-informed opinion on these vital programs has tremendous credibility and carries great weight with your Senators and Representative. Please let them know what you think.

Members of APHA are urged to join the PAI action network to keep up with political developments in Washington.  Go to http://populationaction.org/action/getinvolved.htm to sign up.

Most importantly, educate yourself and your friends, families, and colleagues on the positions of the candidates for the House and Senate. It would be difficult to overstate the importance of this election to the future of family planning and reproductive health programs — both domestic and international. Please exercise your right —and your solemn duty — to vote on Nov. 7. And remember to apply for an absentee ballot if you are planning to attend the APHA Annual Meeting in Boston.

TASK FORCES

PFPRH Section Launches New Task Force on Emerging Reproductive Technologies

Chair Emily Galpern, Project Director on Reproductive Health and Human Rights, Center for Genetics and Society, 436 14th St. Suite 700, Oakland, CA 94612 Phone: 510-625-0819 x311 E-mail: egalpern@genetics-and-society.org

New reproductive technologies are developing rapidly, with minimal public discussion regarding how they might affect reproductive rights and health. The religious right has focused the debate on the moral status of the embryo, obscuring issues of health equity, women’s rights, racial justice, disability rights, and other important social justice concerns.  Last month, members of the PFPRH Section established a new task force focused on emerging reproductive technologies to address these important issues.

New technologies have emerged to select embryos during assisted reproduction; college women are being recruited as egg donors for fertility treatments; and policy is being proposed to ensure safeguards for women who provide eggs for stem cell research (just to name a few issues). As academics, advocates, and activists in the reproductive rights, population and family planning fields, we have to become well-informed in order to effectively participate in discussion, framing, and policymaking around these important issues. While these topics may seem removed from our everyday work, technologies are advancing so rapidly in so many areas that it is likely these issues will impact all of us sooner rather than later.  We have the opportunity to play a key role in making sure reproductive rights and health are at the forefront of the debate and a primary focus of new policies.  

A few Section members interested in these issues held a conference call in August and planned the agenda for the first official meeting of Emerging Reproductive Technologies Task Force, which will take place at the 2006 Annual Meeting in Boston. All interested members of the PFPRH Section are invited to attend this meeting, where we will decide the purpose and scope of the Task Force; brainstorm issues connecting public health and population/family planning/reproductive health with emerging reproductive technologies; address how we can raise legitimate criticism about new technologies without giving help to anti-abortion forces; and determine a plan of action for inclusion of these important issues in APHA and in our Section.

The Task Force will meet Sunday Nov. 5 from 6-7:30p.m. Please see the on-line program for location. For more information, please contact Emily Galpern (contact information above).

Abortion

Co-Chairs Lisa Maldonado, Reproductive Health Access Project, P.O. Box 21191, New York, NY  10025 Phone: (917) 586-3260 E-mail:  lmm9@earthlink.net and Diana Romero, Assistant Professor, Department of Population and Family Health Mailman School of Public Health, Columbia University 60 Haven Avenue, B-2 New York, NY 10032 Phone: 212-304-5232 E-mail: drr6@columbia.edu

Recent Supreme Court appointments, South Dakota’s challenge to Roe v. Wade, and the upcoming 30th anniversary of the notorious Hyde Amendment remind us that access to abortion care in this country is in jeopardy. At this year’s PFPRH Section mid-year meeting, Diana Romero and Lisa Maldonado volunteered to re-vitalize our Section’s Abortion Task Force. Lisa and Diana are planning to pull together our colleagues in November to discuss current issues in abortion care and to prioritize issues for the Task Force to focus on in the coming year. Possibilities include updating and developing abortion policies, coordinating a program session, and marking the 30th anniversary of the Hyde Amendment. Both Lisa and Diana are new to the Abortion Task Force. They are both interested in learning more about what the Task Force focused on in the past. Please e-mail them with any ideas and suggestions you have for the Task Force, as well as any insight into the Task Force’s past activities. (Contact information above). Also please note that the Abortion Task Force will hold its meeting on Sunday Nov. 5, 2006 from 4:00 to 5:30 p.m.

Adolescent Reproductive Health


Co-Chairs John Santelli, Professor of Clinical Pediatrics and Clinical Population & Family Health, Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue, B-2, New York, New York 10032 (212) 304-5634 Fax: (212) 305-7024 E-mail: js2637@columbia.edu and Susan Newcomer, DBSB/CPR/NICHD, 6100 Executive Boulevard, Building 61E, Room 8B13, Bethesda, MD 20892-7510 Phone: (301) 496-1174 E-mail: newcomes@mail.nih.gov and Iris Meltzer, Children’s Hospital Medical Center of Akron, One Perkins Square, Akron, OH 44308 Phone: (330) 543-8914 E-mail: imeltzer@chmca.org

Adolescents in the United States and in many other countries around the globe face considerable risk from sexually-transmitted infections, including HIV/AIDS and unintended pregnancy.  The Adolescent Task Force is interested in promoting the sexual and reproductive health of adolescents.  The Task Force provides a forum for discussion of critical issues in the reproductive health for teenagers, including: 



  • Access to reproductive health services and sexuality education,
  • Confidentiality of care,
  • Sexual behaviors,
  • Prevention of STIs and unintended pregnancy, and
  • Government policies and local programs

Past discussions have considered program design, the role of evaluation research in
program implementation, abstinence-only educational policies, statutory rape and whether there is an "acceptable age" for the initiation of sexual behaviors in adolescence, and the importance of understanding the role of young marriage around the world. Recent discussions at the Annual Meeting have focused on U.S federal policies, which are designed to promote abstinence until marriage, and enforcement of statutory rape reporting laws.  Over the past year, the Task Force proposed and developed an APHA position statement on "Abstinence and U.S. Abstinence-Only Education Policies: Ethical and Human Rights Concerns," which is under review by the policy making boards at APHA. We hope it will be adopted this year!

Consistent with the theme of the Annual Meeting this year (Public Health and Human Rights), we plan to provide an update on recent policy developments in abstinence-only education. We will review the proposed APHA statement, the January 2006 policy statement from the Society for Adolescent Medicine, the May 2006 GAO report on the PEPFAR program, and recent developments at the state level. The Task Force will have its meeting in Session 275.0 on Sunday, Nov. 5 from 4:00 to 5:30 p.m.  Please join us for a spirited discussion.

Management/Sustainability Task Force

Co-Chairs Erica Fishman, Asthma Program Coordinator, Minnesota Department of Health, P.O. Box 9441, Minneapolis, MN 55440-9441 Phone: 612-676-5213 E-mail: erica.fishman@health.state.mn.us and Lisa A. Hare, Coordinator for Country Programs, DELIVER - JSI, 1616 North Fort Myer Dr., 11th Floor, Arlington, VA 22209 Phone: (703) 528-7474 E-mail: lhare@jsi.com

The Management and Sustainability Task Force sponsored several exciting panel sessions at the 2005 Annual Meeting in Philadelphia. These included: Improving and Sustaining Reproductive Health Programs for Youth in Developing Countries; Tools and Approaches to Financial Sustainability for Reproductive Health Programs; and Innovative Funding Approaches to Family Planning and Reproductive Health Services. The first two panels focused on international programs, while the final panel included several international presentations and one from California’s family planning program. Each panel produced lively discussion around the issues and programs presented.

The Task Force also held its annual meeting to discuss the upcoming year and potential topics for the next Annual Meeting. We were pleased that two new faces joined us and generated some ideas for the Task Force. Much of our discussion focused on leadership and the general concern that the public health community is facing a potential leadership vacuum. With many of the more experienced staff of both public and private organizations aging out, it is unclear whether there is a sufficient leadership pipeline to fill the gaps of their departure. We agreed that this potential vacuum and various approaches to fill it would be an interesting topic for a panel at the next Annual Meeting.

The co-chairs reviewed all the abstracts submitted under management and sustainability for this year’s Annual Meeting in Boston. Two panels were formed from these abstracts, both of which are scheduled for Tuesday afternoon. The first panel, entitled Supply and Demand: Contraceptive Procurement and Social Marketing, will take place Tuesday, Nov. 7 from 2:30-4:00 p.m.. The second panel, entitled The Commercial Sector and Reproductive Health, is scheduled for Tuesday, Nov. 7 from 4:30-6:00 p.m. The Management and Sustainability Task Force business meeting is scheduled directly after the second panel from 6:00-7:30 p.m. Tuesday.

We also wanted to make you aware of the Sustainability Action Group, a USAID-supported working group. Falling under the auspices of USAID's Maximizing Access and Quality (MAQ) Initiative, the Sustainability Action Group is a forum for individuals and organizations to share information, tools, and best practices related to financial sustainability. The group holds quarterly meetings, hosted by member organizations, with one or more technical presentations and a discussion on an aspect of financial sustainability. In addition, the Group manages a community under the Implementing Best Practices Web site that includes a listserv and previous technical presentations. If you are interested in joining or learning more about the Group, please contact Jim Foreit at jforeit@pcdc.org.

For further information on the Management and Sustainability Task Force, please contact the Task Force chairs (contact information above).

OTHER COMMITTEE AND TASK FORCE INFORMATION

RESOLUTIONS COMMITTEE

Chair Paula Tavrow, Director, Bixby Program in Population and Reproductive Health, School of Public Health, UCLA, Box 951772, Los Angeles, CA 90095-1772  Phone: (310) 794-4302 E-mail: ptavrow@ucla.edu.  

MEMBERSHIP COMMITTEE

Chair, Erica Fishman, Minnesota Department of Health, P.O. Box 64882, St. Paul, MN 55164-0882 Phone: 651-201-5899 E-mail: erica.fishman@health.state.mn.us

ADOLESCENT REPRODUCTIVE HEALTH

Co-Chairs John Santelli
, Professor of Clinical Pediatrics and Clinical Population & Family Health, Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue, B-2, New York, New York 10032 (212) 304-5634 Fax: (212) 305-7024 E-mail: js2637@columbia.edu and Susan Newcomer, DBSB/CPR/NICHD, 6100 Executive Boulevard, Building 61E, Room 8B13, Bethesda, MD 20892-7510 Phone: (301) 496-1174 E-mail: newcomes@mail.nih.gov and Iris Meltzer, Children’s Hospital Medical Center of Akron, One Perkins Square, Akron, OH 44308 Phone: (330) 543-8914 E-mail: imeltzer@chmca.org

MEN AND REPRODUCTIVE HEALTH

Héctor Sánchez-Flores
, Center for Reproductive Health Research and Policy, University of California, San Francisco, Box 0936, San Francisco CA 941143-0936 Phone: (415) 476- 3375 Fax: (415) 476-0705 E-mail: hectors@itsa.ucsf.edu

SEXUALITY TASK FORCE

Co-Chairs Jennifer Hirsch
, Associate Professor, Dept. of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032 Phone: (212) 305-1185 E-mail: jsh2124@columbia.edu and Leslie Kantor, Kantor Consulting, 600 Prospect Street, Maplewood, NJ 07040 Phone: (973) 763-3904 E-mail: LKantor@KantorConsulting.com and Dina J. Feivelson, 141 E. 33rd St., #9J, New York, NY 10016 Phone: (212) 532-4724 Fax: (212) 305-3702 E-mail: djf64@columbia.edu

2006 ANNUAL MEETING PROGRAM PLANS

Chair-Elect Margaret Greene, Senior Research Scientist, Population and Social Transitions, International Center for Research on Women, 1717 Massachusetts Avenue, NW, Suite 302, Washington, DC  20036 Phone:  (202)797-0007 E-mail: mgreene@icrw.org

The theme of the Annual Meeting is determined by APHA as a whole, and it fits better at some times than others with the agenda of our Section. "Public Health and Human Rights" is a theme that PFPRH members seem to have been waiting for! Rights-related challenges to health are central to sexual and reproductive health, and the outpouring of papers and panels this year, demonstrates how well suited we are to take these issues on.
Service and system-based obstacles to health are the central feature of about a third of the panels, which include: Quality as a Rights Issue; Policy Advocacy for Sexual and Reproductive Health and Rights; The Commercial Sector and Reproductive Health; Training, Reproductive Rights and Abortion; and Community and Clinic: Cultural and Institutional Influences on Gender-Based Violence. These panels all take on the ways that policies, programs and services can limit or open up access to the people who need reproductive health care, both domestically and internationally.   

Another third of the panels address social obstacles to access to reproductive health and how this access varies depending on who you are. Whether you are young, obese, an immigrant, male/female, poor, or the member of some other population sub-group, determines whether you can gain access to services that may exist for others. The panels that address these complex issues include: Norms and Sexual Partnerships; Reproductive Health among Special Populations; The Circumstances of Adolescent Sexual and Reproductive Health; The Right to Become a Parent; Men and Pregnancy-Related Decision-Making, and many others.

A final cluster of panels addresses broad themes of interest across the Section:  Two panels take on Rights-Based Approaches to Sexual and Reproductive Health, another addresses Sexual Pleasure and Sexual Health, and others are Monitoring and Evaluation as Tools for Assessing the Achievement of Rights, and Realizing the Right to Information on Sexual and Reproductive Health.

The Population, Family Planning and Reproductive Health Section rose to the occasion this year and our panels and presentations come together beautifully into a program that thoroughly addresses the theme of rights. Be sure to come to the Awards Ceremony and party afterward because it, too, is extra special this year. Tell your colleagues working in this field that this year’s conference in Boston is one not to miss! 

To view our Section’s sessions and papers, please go to http://apha.confex.com/apha/134am/techprogram/program_597.htm

CEI ON REFUGEE REPRODUCTIVE HEALTH

On Sunday, Nov. 5, staff from the Centers for Disease Control and Prevention/Division of Reproductive Health will conduct an all-day training on their newly-released Reproductive Health Assessment Toolkit for Conflict-Affected Women. This toolkit is intended for organizations that provide or are interested in providing reproductive health services to conflict-affected women. The toolkit assists field staff who have limited survey skills in collecting data on the reproductive health needs and outcomes of women affected by conflict and producing information to inform programs and policy. The training will include lectures, open discussions, small group work, and hands-on activities related to planning and translation of data to action. For more information or to register, go to http://www.apha.org/meetings/continuing_ed.htm (Course CEI 2015.0). For more information, contact Stacy Laswell at slaswell@cdc.gov .


2005 SECTION AWARD WINNERS

Every year, our Section honors leaders in the fields of population, family planning, and reproductive health with the Carl Shultz Award. Last year, we honored two such leaders: Dr. Robert Hatcher, and Dr. James Trussell. For those who were not able to attend the award ceremony, here is a brief biography of each of them.

Dr. Robert Hatcher, a board-certified pediatrician, has devoted his career to public health and family planning. In 1968, he became a Professor of Gynecology and Obstetrics at Emory University School of Medicine and the director of the family planning program at Grady Memorial Hospital, both in Atlanta. Throughout his career, he has worked to educate and inform others about the importance of voluntary family planning to the health of women, children, families, and entire nations. "I remain convinced," he has said, "that the major reproductive health problems facing the world will not be solved unless and until the status of women improves. Popes, presidents, politicians, and physicians, usually men, have controlled the reproductive destinies of women for all too long. This must stop." In 1966, he began to host the Emory University Summer Program in Family Planning and Human Sexuality; the program continued for 30 years. He is still teaching at Emory and producing publications.

Dr. Hatcher has written or co-authored dozens of articles on family planning. Among his publications are Contraceptive Technology, a Handbook for Clinic Staff; , The Essentials of Contraceptive Technology; Family Planning Methods and Practice: Africa; and A Pocket Guide to Managing Contraception.

Dr. James Trussell is the Director of the Program in Population Studies at Princeton University. He is the author or co-author of more than 200 scientific publications, primarily in the areas of reproductive health and demographic methodology, but he may be most widely known due to his work with emergency contraception. He started the U.S. emergency contraception Web site and hotline, keeps it updated, and answers hundreds of questions from Web site visitors. He is also known for his work in tracking the research evidence on contraceptive efficacy, creating the "Failure Rate" table that is continuously updated and published in the Contraceptive Technology references spearheaded by Dr. Hatcher. This table is now probably one of the most widely printed pieces of scientific information, appearing on the label information for every contraceptive product.

Our Section also gives out an Outstanding Young Professional Award every year. In 2005, our awardee was Silvia Henriquez. The daughter of Salvadoran immigrants, Silvia is a leader in the Latina reproductive rights movement and currently serves as the executive director of the National Latina Institute for Reproductive Health. She recently co-authored Our Health, Our Rights: Reproductive Justice for Latinas in California during her tenure as a health policy analyst for the Latino Issues Forum. She has also worked as the outreach director for the National Abortion Federation, developing strategies to increase reproductive health access for women of color across the nation, and as an organizer, then coordinator, of the Feminist Majority Foundation’s national campus organizing program. Women’s economic equality is part of Silvia’s approach to improving women’s health, and she has worked in both the United States and El Salvador on labor issues.

NEWS ITEM

From the American Medical Women’s NewsFlash, Aug. 21, 2006:

Contraception Coverage Could Save $1.5 Billion
Expanding Medicaid coverage for contraception so that it matches Medicaid coverage for pregnancy-related care would enable low-income women to prevent a total of nearly 500,000 unwanted pregnancies annually, including 200,000 abortions. By helping them to prevent an estimated 225,000 unwanted births, such an expansion would also save $1.5 billion in annual federal and state expenditures, according to new research from the Guttmacher Institute. The study examines four potential scenarios that build on the actual experiences of states that have moved in recent years to expand eligibility for Medicaid contraceptive services. The parity scenario, by averting as many as 500,000 unplanned pregnancies, 225,000 unplanned births and 200,000 abortions, would cost nearly $800 million; however, by preventing unwanted births that would have been paid for by Medicaid, would result in $1.5 billion in net state and federal Medicaid savings. To read more, go to http://www.guttmacher.org/index.html.

SECTION LISTSERV


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FROM OUR SECTION MEMBERS

By Section Chair-Elect Margaret Greene: SysteMALEtizing: Resources for Engaging Men in Sexual and Reproductive Health. Decades of research on reproductive and child health show that everyone can benefit when men are thoughtfully engaged. But distinguishing among the number and diversity of programs, research, and tools is daunting.  This brochure, prepared by Margaret Greene for the Interagency Gender Working Group, lays out many of the key resources for working with men and provides a framework for distinguishing among varied programs, illustrating the range with strong examples. This electronic brochure provides guidance for how male engagement can be a lens through which communities question norms about masculinity and programs integrate approaches to gender equity. To access this resource, please visit: http://www.igwg.org/pdf/IGWG_SysteMALEtizing.pdf


Catherine Maternowska’s new book, Reproducing Inequities: Poverty and the Politics of Population in Haiti, examines a modern, well-staffed and supplied family planning clinic that operated in Cité Soleil in Haiti in the 1980s and 1990s which, despite its amenities and services, had very few clients.  Why not, when surveys suggested residents wanted smaller families?  Catherine argues that we too easily overlook the political dynamics that shape choices about family planning, and that medical anthropologists have an important role to play in developing new action plans for better policy implementation.  Ethnographic studies in desperate, dangerous locations provide essential data that can point the way to solutions for the dilemmas of contraception in poor communities worldwide. Catherine will be at the Annual Meeting in Boston, and will have copies of her book at the Section booth and at the Academia Book Exhibit.  The book, which is published by Rutgers University Press, is available in paperback form for $21.56; it can be ordered at 1-800-848-6224 or via the Web site, rutgerspress.rutgers.edu (examination copies are also available at the Web site).

NEW RESOURCES

Family Care International and Gynuity Health Projects are pleased to announce a set of new publications, Misoprostol for Postpartum Hemorrhage Information Kit.  This package includes the publications Postpartum Hemorrhage: A Challenge for Safe Motherhood and Postpartum Hemorrhage: Responding to the Challenge.

Postpartum Hemorrhage: A Challenge for Safe Motherhood provides an overview of one of the major causes of maternal death and disability in developing countries: severe bleeding following childbirth. The fact sheet defines postpartum hemorrhage and describes its prevalence worldwide; outlines why women in developing countries are at greater risk of dying from severe bleeding; and proposes specific actions that policy-makers and other stakeholders can undertake to address the problem.

Postpartum Hemorrhage: Responding to the Challenge outlines the potential role of a widely available drug (misoprostol) in reducing deaths from postpartum hemorrhage, and describes a multi-country initiative being undertaken to evaluate misoprostol as an alternative therapy for postpartum hemorrhage prevention and treatment. The document lists the potential advantages of misoprostol (as compared to standard treatments) in resource-constrained settings, describes the rationale, objectives, and research protocols related to the research efforts, and lists other planned activities that aim to shape policy and share information in support of misoprostol for postpartum hemorrhage.

These documents are available in English, French, and Spanish. To obtain copies, please contact Family Care International at fcipubs@fcimail.org; or visit http://www.familycareintl.org or http://www.gynuity.org to download these documents in PDF format.

PSP-One has released Unraveling the Factors Behind the Growth of the Indonesian Family Planning Private Sector by Taara Chandani, Barbara O'Hanlon, and Sara Zellner. This case study documents Indonesia's family planning experience with a view to understanding the factors and conditions that led to the remarkable growth in the private sector's role in delivering family planning services. Download the technical report. The project has also released two primers for policy-makers: Contracting-out Reproductive Health and Family Planning Services: Contracting Management and Operations, by Xingzhu Liu and Vouchers for Health: A Focus on Reproductive Health and Family Planning Services by Mursaleena Islam. Download the contracting-out primer. Download the vouchers primer.

YouthNet, a program of Family Health International, is pleased to announce Youth InfoNet No. 25. This issue of the electronic newsletter features 10 program resources available online, as well as summaries of 12 peer-reviewed articles featuring research from Brazil, Cote d'Ivoire, El Salvador, India, Iran, Kenya, Marshall Islands, South Africa, Zimbabwe, and a global data review. You can read the issue at http://www.fhi.org/en/Youth/YouthNet/Publications/YouthInfoNet/YIN25.htm. In addition, YouthNet announces the publication of three new youth community involvement resources, available at: http://www.fhi.org/en/Youth/YouthNet/Publications/CIresources/index.htm: 1) Engaging Communities in Youth Reproductive Health and HIV Projects: A Guide to Participatory Assessments; 2) An Annotated Guide to Technical Resources for Community Involvement in Youth Reproductive Health and HIV Prevention Programs: 3) The Role of Community Involvement in Improving Youth Reproductive Health and Preventing HIV among Young People: Report of a Technical Consultation. A fourth publication in this group of resources, a review of the literature, will be available in September. For printed copies of the three new documents, please send requests to youthnetpubs@fhi.org.

MEASURE DHS has recently released three reports. STIs common in Uganda: Final Report on the 2004-05 Uganda HIV/AIDS Sero-Behavioural Survey. The 2005-04 Uganda HIV/AIDS Sero-Behavioural Survey (UHSBS) included HIV testing, and found that 6.5 percent of Ugandan adults age 15-49 are HIV positive.  HIV prevalence is significantly higher among women than men and among urban residents than their rural counterparts. The survey found that the prevalence of sexually transmitted infections (STIs) is very high in Uganda.  For the full report go to: http://www.measuredhs.com/pubs/pdf/AIS2/AIS2.pdf    Also from MEASURE DHS comes the report Vietnam Population and AIDS Indicator Survey 2005. The 2005 VPAIS survey obtained information on sexual behavior, and knowledge, attitudes, and behavior regarding HIV/AIDS.  In addition, in Hai Phong province, the survey collected blood samples from survey respondents in order to estimate the prevalence of HIV. The survey indicated that knowledge of AIDS in Vietnam is nearly universal.  Sexual activity outside of marriage is rare in Vietnam.  An estimated 0.5 percent of adults age 15-49 in Hai Phong province are infected with HIV.  For the entire report, go to: http://www.measuredhs.com/pubs/pub_details.cfm?ID=581&srchTp=ctry   

The Final Report on the 2005 Egypt Demographic and Health Survey (2005 EDHS) reveals that fertility levels in Egypt have decreased from 5.3 births in 1980 to 3.1 births in 2005.  One of the factors influencing the on-going fertility decline in Egypt has been the steady increase in the age at marriage.  Also, contraceptive use levels have more than doubled between 1980 and 2005, from 24 percent to 59 percent. Questions were also asked on female circumcision and domestic violence.  For the full report go to: http://www.measuredhs.com/pubs/pub_details.cfm?ID=586&srchTp=ctry   


A new advocacy kit, Growing Up Global: An Advocacy Kit on Youth Issues, has been produced by Population Reference Bureau (PRB) and Advocates for Youth and was funded by the Summit Foundation. The kit gives advocates the information and tools they need to speak compellingly to policymakers about many of the challenges young people face worldwide. Based on data and conclusions from the National Academies Press book Growing Up Global: The Changing Transition to Adulthood in Developing Countries, the kit provides clear and concise data about economic, social, developmental, and health trends for youth — as well as proven policy steps for addressing those trends. Highlights of the kit include:


·         Four fact sheets on global trends and challenges for youth.


·         An executive summary of Growing Up Global, a 720-page book from the National Research Council and the Institute of Medicine that features the latest research on the transition to adulthood for young people ages 10-24.


·         Tips for advocates seeking the support of opinion leaders and policy-makers.


·         The World's Youth 2006 Data Sheet, a wall chart produced by PRB of health and well-being indicators for every country.


Youth in a Global World, an eight-page policy brief that summarizes the findings of both Growing Up Global and The World's Youth 2006 Data Sheet.


To view or download this kit, visit the youth section of PRB’s Web site, http://www.prb.org. To request copies for advocacy purposes, contact prborders@prb.org.   

The Frontiers in Reproductive Health Program (FRONTIERS) announces a number of new publications: Priority Setting for Reproductive Health at the District Level in the Context of Health Sector Reform in Ghana; Correlates of Inter-birth Intervals: Implications of Optimal Birth Spacing Strategies in Mozambique; Developing Regional Capacity in Operations Research and Economic Evaluation in South Asia; "Make better use of provider time in public health clinics" ; Studies on financial sustainability of reproductive health services in Bolivia, Ghana, Kenya, and Uganda: "Operations research to improve financial sustainability in three Bolivian NGOs"; "Face-to-face complimentary selling of health products in Ghana"; "Costs of reproductive health services provided by four CHAG hospitals";  "Cost analysis of reproductive heath services in PCEA Chogoria Hospital, Kenya"; "Cost of training programs and willingness to pay for training: an application of break-even analysis in Uganda" . Please visit the Web site for other publications and descriptions of over 170 projects in 37 countries on topics including safe motherhood, emergency contraception, family planning and HIV integration: http://www.popcouncil.org/frontiers . Frontiers in Reproductive Health Program (FRONTIERS), Population Council, 4301 Connecticut Avenue, NW, Suite 280, Washington, DC 20008 Tel 202-237-9400 Fax 202-237-8410 E-mail frontiers@pcdc.org

The International Consortium for Emergency Contraception
announces the relaunch of its Web site, http://www.cecinfo.org. The all-new site now features EC news, theme pages covering science, youth, crises, product access, and legal issues, case studies of EC introduction efforts around the world, a media section, and more. Three searchable databases provide access to scientific articles, client and provider materials, and listings of EC products available globally. Regional EC groups are featured, as is the work of ICEC's member organizations. The site will be updated frequently; please send feedback and updates to info@cecinfo.org.

Pathfinder International is pleased to announce the publication of three monitoring and evaluation tools:  



  • CONDUCTING IN-DEPTH INTERVIEWS: A Guide for Designing and Conducting In-Depth Interviews for Evaluation Input;
  • USING MYSTERY CLIENTS: A Guide to Using Mystery Clients for Evaluation Input; and
  • PREPARING A CASE STUDY: A Guide for Designing and Conducting a Case Study for Evaluation Input.

Print copies are available by contacting tech_comm@pathfind.org, or the documents may be viewed and downloaded from the Web at http://www.pathfind.org/Publications_Guides_and_Tools_MandE_Guides. In addition, Pathfinder is offering the publication Improving Female Recruitment, Participation, and Retention Among Peer Educators in the Geração BIZ Program in Mozambique.  In response to the under-representation of female peer educators in the Geração BIZ Program (GBP), an adolescent sexual and reproductive health program in Mozambique, an operational research study was used to test new strategies for improving recruitment, participation, and retention of female peer educators. The study started with the hypothesis that a protocol addressing young women’s needs for comfort and security, skills acquisition, support, and mentoring would improve their recruitment, retention, and effective performance in the program. Print copies are available by contacting tech-comm@pathfind.org, or the document may be viewed and downloaded from the Web at http://www.pathfind.org/Publications_RH_Resources_ASRH. Pathfinder also offers an updated collection of HIV/AIDS Fact Sheets.  These fact sheets highlight Pathfinder's prevention, care, and support projects in 13 countries, as well as Pathfinder's expertise in key HIV/AIDS program areas, such as home-based care and prevention of mother-to-child transmission. Print copies are available by contacting tech-comm@pathfind.org, or the documents may be viewed and downloaded from the Web at http://www.pathfind.org/Publications_RH_Resources_HIVAIDS

The latest publication in MSH’s Occasional Papers series from Management Sciences for Health is Supportive Supervision to Improve Primary Health Care," which identifies constraints to effective supervision and provides options for making supervision work. This paper shows how supervisors can use and adapt the Clinic Supervisor’s Manual, which MSH has used in several African countries, to the needs of their programs, staff, and settings. Jon Rohde, MD, an MSH Senior Fellow in the Center for Health Outcomes, authored this paper based on his experience in South Africa, India, and many other countries. The manual is available at: http://erc.msh.org/newpages/english/toolkit/Clinic_Supervisors_Manual.pdf

Family Health International
invites global HIV/AIDS practitioners to download the following recent HIV/AIDS publications and reports for use in programs, services and training: Behind the Pleasure: Sexual Decision-Making Among High-Risk Men in Urban Vietnam (2006).   This 84-page report summarizes the findings of a qualitative study of male clients of sex workers and other key informants in Vietnam. http://www.fhi.org/en/HIVAIDS/country/VietNam/res_BehindThePleasure.htm Protecting People on the Move: Applying Lessons Learned in Asia to Improve HIV/AIDS Interventions of Mobile People (2006): This 28-page report recounts the experiences and themes that have emerged from over a decade of mobility and AIDS programming in the Asia region. http://www.fhi.org/en/HIVAIDS/country/Cambodia/res_peopleonmove.htm Ghana START Process Evaluation (2006): This 37-page report assesses the main achievements and challenges of the START program, which created an ART delivery system in Ghana. http://www.fhi.org/en/HIVAIDS/country/Ghana/res_StartProgramEvaluation.htm FHI East Africa Regional ROADS Program Launches Farm to Provide Income-Generation and Nutrition for HIV-affected Communities (2006): In Malaba, Kenya, a new ROADS initiative has brought income-generating agricultural skills to the area's poor residents, as well as fresh fruit and vegetables to HIV-infected and -affected families, many of whom suffer from poor nutrition. The farm is part of the broader, regional "SafeTStop" initiative to reduce HIV infection and improve the health and well-being of communities along the major transport corridors of East and Central Africa. http://www.fhi.org/en/HIVAIDS/country/EastAfrica/res_ROADSFarm.htm

FHI Rwanda has released the debut issue of the Makuru Ki, FHI? (What's New?) newsletter that documents milestones in HIV/AIDS programs, materials, training and interventions. http://www.fhi.org/en/HIVAIDS/country/Rwanda/index.htm The Baltic Sea Regional HIV/AIDS Initiative: Case Studies from St. Petersburg and Kaliningrad (2006): This 24-page report describes highlights from the Doctors We Trust Project in St. Petersburg and the Together We Are Stronger Project in Kaliningrad, implemented by FHI/IMPACT with support from USAID. The key strategy of both projects was to build cooperative links between government agencies and NGOs, uniting those who control public medical facilities and those who work most closely with vulnerable populations. http://www.fhi.org/en/HIVAIDS/Projects/res_balticcasestudy2006.htm Guidelines for Effective Use of Data from HIV Surveillance Systems (2006): This 62-page guide addresses specific technical issues related to strengthening surveillance system, including the three major areas of data use (program planning, program monitoring and evaluation, and advocacy) and gives examples of ways data can be used effectively in these contexts. http://www.fhi.org/en/HIVAIDS/pub/survreports/res_GuidelinesEffectiveUseData.htm Pre-Surveillance Assessment: Guidelines for planning serosurveillance of HIV, prevalence of sexually transmitted infections and the behavioral components of second generation surveillance of HIV (2005): This 51-page guide is part of a series of technical resources that started with the guidelines for second generation HIV surveillance published by UNAIDS and WHO in 2000. It addresses technical issues related to strengthening surveillance systems and provides an overview of pre-surveillance assessment to address the questions needed to plan for surveillance, while considering local variation and the constantly changing nature of HIV epidemics. The publication focuses on periodic HIV serosurveys, sexually transmitted infection surveys and behavioral surveys. http://www.fhi.org/en/HIVAIDS/pub/survreports/res_PresurveillanceAssessment.htm For more on Family Health International's global programs, visit http://www.fhi.org

Looking for technical overviews on health? Global Health Technical Briefs summarize the most important information on a timely reproductive health topic in two pages, and pinpoint the implications for public health programs. Four new Global Health Technical Briefs are now available at http://www.maqweb.org:


Checklists Reduce Medical Barriers to Contraceptive Use
HTML: http://www.maqweb.org/techbriefs/tb29checklist.shtml
PDF: http://www.maqweb.org/techbriefs/tb29checklist.pdf

Five Simple Ways to Improve Oral Contraceptive Provision and Use

HTML: http://www.maqweb.org/techbriefs/tb30oc.shtml
PDF: http://www.maqweb.org/techbriefs/tb30oc.pdf

Accelerating the Abandonment of Female Genital Cutting: Community Change to Support Human Rights HTML: http://www.maqweb.org/techbriefs/tb31fgc.shtml
PDF: http://www.maqweb.org/techbriefs/tb31fgc.pdf
Helping Women with HIV Decide About Breastfeeding: What Family Planning Programs Can Do HTML: http://www.maqweb.org/techbriefs/tb32breastfeeding.shtml
PDF: http://www.maqweb.org/techbriefs/tb32breastfeeding.pdf
New Global Health Technical Briefs are posted regularly on MAQWeb at http://www.maqweb.org/techbriefs/index.shtml. Currently, the site offers 32 technical briefs on Family Planning, Healthcare Programming, Maternal and Child Health, and Malaria. The INFO Project produces Global Health Technical Briefs for the Maximizing Access and Quality Initiative.

The Population Council is pleased to announce that two new working papers have been posted online. The abstracts and links to the full text of the papers are provided below. Multiple disadvantages of Mayan females: The effects of gender, ethnicity, poverty, and residence on education in Guatemala, Policy Research Division Working Paper no. 211

http://www.popcouncil.org/pdfs/wp/211.pdf Pregnancy-related school dropout and prior school performance in South Africa, Policy Research Division Working Paper no. 212.

http://www.popcouncil.org/pdfs/wp/212.pdf

JHPIEGO
is pleased to announce the publication of the IUD Guidelines for Family Planning Service Programs, 3rd edition. This learning package was completed for the Capacity Project through support provided by the United States Agency for International Development, and edited by Julia Bluestone, Rebecca Chase and Enriquito R. Lu. It includes all of the materials needed to conduct a competency-based, in-service training course for service providers: a reference manual, notebook for trainers, handbook for participants and presentation graphics.  Although the manual can be used in the context of IUD service delivery, it is designed to work primarily as a reference document during clinical training. The course outline, exercises and other course materials are specifically keyed to work with the manual, which becomes a "common ground" for trainers and participant-providers as they navigate together through the course. JHPIEGO’s IUD Guidelines for Family Planning Service Programs learning package is part of the IUD Toolkit—a comprehensive, online resource that offers the best available knowledge and practices on how to develop and expand IUD services in reproductive health programs (compiled by members of the IUD Subcommittee of USAID’s Maximizing Access and Quality Initiative). For more information about ordering this learning package, which is available in hard-copy and on CD-ROM, visit our Web site.

Journeyworks Publishing
produces health education pamphlets for a youth audience. They have a wide variety of titles available, and in recent months they have produced the following pamphlets in both English and Spanish: Ten Good Reasons NOT to Be a Teenage Parent; 50 Things You Need to Know About Birth Control; Sex, Alcohol, and Your Right to Say No; 25 Things Everyone Should Know About Bullying. These pamphlets are available in bulk quantities with prices starting at $18 for 50 pamphlets, but review copies are available for free. To learn more or order copies, go to http://www.journeyworks.com.

Since its launch in June 2005, the Resources for Family Planning and HIV/AIDS Integration Web site (http://www.fpandhiv.org has grown to include over 400 expert-selected resources, many of which can be downloaded as full text or ordered. The site can be accessed for free and no longer requires a password log-on. It was jointly developed by the Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs and Constella Group, LLC under the INFO Project. The site is a comprehensive knowledge base for health professionals working to integrate family planning and reproductive health services with the prevention and treatment of HIV/AIDS. What you will find: The latest research and evidence-based approaches to family planning and HIV/AIDS integration; Materials documenting actual field program experiences with family planning and HIV integration, including contact information for ordering; Practical tools for integrated service delivery that can be adapted to various settings; Featured Web sites, publications, and other new and emerging integration resources; family planning and HIV integration meetings, presentations, and conference highlights. We welcome your comments and contributions. Please contact info@fpandhiv.org .

The Population Council's journal Population and Development Review has assembled a collection of essays entitled The Political Economy of Global Population Change, 1950-2050 A New Book Exploring the International Political Dimensions of the Population Explosion and Its Aftermath. The demographic transformation of the world in the 100 years from 1950 will have been marked both by a vast expansion in human numbers and by the emergence of a low-fertility, highly urbanized, and increasingly elderly world population. In the decades before that eventual outcome, however, differences in the timing of change give rise to striking contrasts in demographic conditions across countries and regions-in relative population sizes, in dependency burdens, in the pace of rural exodus and city growth, and in international migration pressures. Interacting with inequalities in economic performance and with mounting environmental threats, these demographic contrasts are an entrenched source of international tension and political conflict. The resulting challenges posed for national governments and international institutions, and the responses those bodies have arrived at or must now formulate, are the subject of the new volume The Political Economy of Global Population Change. The essays assembled in this book take up major components of this subject-looking both to the experience of the second half of the twentieth century and forward to 2050. The volume's contributing authors represent the disciplines of history, economics, political science, and demography. The editors are Paul Demeny, Distinguished Scholar and editor, Population and Development Review, and Geoffrey McNicoll, senior associate, Policy Research Division, both at the Population Council. The complete table of contents can be found online at https://www.popcouncil.org/publications/pdr/PoliticalEconomyTOC.html. To order this book call +1 212 339 0514; fax +1 212 755 6052; or e-mail mailto:publications@popcouncil.org. You may also order online at https://www.popcouncil.org/publications/puborder.html. The book costs $21, but single copies are available free of charge to individuals and institutions involved in reproductive health or population sciences in developing countries.

SECTION WEB SITE

The Population, Family Planning, and Reproductive Health Section Web site can be accessed at http://www.pfprh.org or at http://www.apha.org/sections/sectwww.htm. Thanks go to Section Council member Larry Finer, who developed the site.

You can find general information about the Section and its leadership; information on our standing committees, Task Forces, Section awards, and listserv; current and past newsletters; links to other sites of interest; Section contact information; and more.

And – especially useful as you prepare for this year’s Annual Meeting -- you can now easily access the list of PFPRH sessions for this year's meeting (as well as from the last several meetings) right from the home page of the Web site.

If you have suggestions for further improvements or can help to maintain the Web site, please contact Cynthia Green at cgreen@cedpa.org .

SUBMISSIONS TO THE NEWSLETTER

Share your news! Let us know about books or papers you have recently published, upcoming conferences you are involved in, or policy or program news that might be of interest to fellow Section members. Perhaps we can abstract an article or include a description of an innovative program. Please send all submissions by Friday, May 11, 2007 to:


Susanna Binzen
Division of Reproductive Health, MS K-35
Centers for Disease Control and Prevention
4770 Buford Highway, NE
Atlanta, GA 30341
Phone: (770) 488-6273
E-mail: SBinzen@cdc.gov