Population, Reproductive and Sexual Health
Section Newsletter
Fall 2003

Message from the Chair

Section Chair Cynthia Green, Director of Monitoring and Evaluation, Centre for Development and Population Activities, 1400 16th St. N.W., Suite 100, Washington, DC 20036 Phone: (202) 939-2690 Fax: (202) 332-4496 E-mail: cgreen@cedpa.org

Dear Colleagues,

Just when it seems that the political climate for reproductive health (RH) programs couldn’t get any worse, some new outrage is perpetrated that pushes the envelope. Today both domestic and international RH programs have moved into the realm of doublespeak, in which certain words are given new interpretations and thus become verboten among agencies receiving government funds. Even “reproductive health” has become a forbidden term, since it could be construed to include abortion. Terms such as “unsafe abortion” and “commercial sex workers” have been eliminated from our nomenclature. Researchers applying for NIH grants have resorted to using code words for groups at risk of HIV/AIDS.

It's not enough to try to guess which words conjure up unpleasant associations, but we also have to screen every document on our Web sites to be sure that they do not give the wrong impression. Politically motivated agencies are reviewing the Web sites of many RH agencies, seeking to identify examples of our failure to advocate abstinence and any mention of abortion.

Check out <www.ngowatch.org>, a Web site set up by the American Enterprise Institute for Public Policy Research and the Federalist Society for Law and Public Policy Studies. The purpose of this site is to monitor the activities of non-governmental organizations. Although the Web site claims to "compile factual data," it focuses on policy positions antithetic to AEI's views. For example, CARE's listing highlights the fact that its president signed a petition in 2001 against the Bush administration's Mexico City policy (see <www.planetwire.org/details/1263>).

But enough of this gloom! It's all the more reason for you to join us at the APHA Annual Meeting in San Francisco on Nov. 16-19. We can commiserate! We can devise new names for the technical terms we've been using for years! We can reassure each other that we are perfectly sane! We can relax and enjoy ourselves without fear of letting a "no-no" word slip!

Claire Brindis has organized an exciting program that will be stimulating and educational. (Thanks, Claire!) The RH field is moving ahead with new ideas and improved program strategies. Come to Frisco and get updated and inspired!

In the meantime, don't abstain from activism. Here are some simple steps you can take to make your voice heard:

1. Recruit a colleague to join APHA, preferably signing up for our Section;
2. Meet with your Congressional representatives when they're visiting their district/state; and
3. Become a cyberactivist. I’m repeating the list of my favorite RH activist listservs from the previous newsletter:


Use the PFPRH Section's listserv to post information or just to feel in touch with like-minded souls. (Not that we all agree on everything, but we can at least have a rational discussion.) Here's how to sign up:


  • In the "To" line of the e-mail, type: pop-hlth-l@liststar.apha.org. Note: use lower-case letter “L” and not the number one.

  • In the “Subject” line of the e-mail, type: subscribe pop-hlth-l. Note: use lower-case letter “L” and not the number one.

  • Leave the body of the message blank and send.



To post a message to the listserv, send an e-mail addressed to <pop-hlth-l@liststar.apha.org>.

Everyone: hang tough!

Cynthia

Nominations Committee Report

Chair Sheryl Thorburn Bird, Associate Professor, Department of Public Health, College of Health and Human Sciences, Oregon State University, Corvallis, OR 97331-6406 Phone: (541) 737-9493 Fax: (541) 737-4001 E-mail: Sheryl.Bird@oregonstate.edu

Thanks to everyone who voted in the recent Section election! Congratulations to the following Section members who have been elected to the listed PFPRH positions! They will assume office after the close of the 131st APHA Annual Meeting in November.














Chair-Elect Timothy R. Williams, Ma, MEM
Secretary-Elect Rebecka Lundgren, MPH
Section Councilors Jane Boggess, PhD; Laureen Tews, MPH
Governing Councilor Barbara Seligman, MA, MPP



I would like to thank everyone who agreed to run in this year's election!! We had a slate of excellent candidates. I hope that those who were not elected this time will consider running for one of the Section's elected positions in future. We need your involvement and leadership!

Just a reminder… To be eligible, you must be a current member of APHA with a primary affiliation in PRPRH. If you are interested in running for one of the Section's elected positions in the 2004 election, or if you would like to nominate someone, please contact me. If you want to nominate someone, please give me the person's full name and their current contact information. Someone else will be taking over as Nominations Chair for the next election, but I am happy to collect information about possible candidates and pass it along to the next Nominations Chair. You can reach me at the phone number and e-mail address noted above. I hope to hear from you!

Resolutions Committee

Co-Chairs S. Marie Harvey, Associate Professor of Public Health & Director of the Research Program on Women’s Health, Center for the Study of Women in Society, University of Oregon, Eugene, OR 97403 Phone: (541) 346-4120, Fax: (541) 346-5096 E-mail: <mharvey@oregon.uoregon.edu> and Paula Tavrow, Deputy Research Director, Quality Assurance Project, University Research Company, LCC, 7200 Wisconsin Avenue, Suite 600, Bethesda, MD 20814, Phone: (626) 796-1890, Fax: (301) 941-8427 E-mail <ptavrow@urc-chs.com>.

At the Annual Meeting in November, the APHA’s Governing Council will review and adopt policy statements that express the Association's stance and recommendations on issues affecting the health of the public. The Council has identified the following as policy priorities for 2003: public health infrastructure and funding; access to care; and eliminating health disparities. The three resolutions and position paper that our Section supportsare each consistent with one or more of these priorities.

The first resolution is “Preservation of Reproductive Health Care in Medicaid Managed Care,” coauthored by Lourdes A. Rivera, Ruth Roemer and Lois Uttley. This resolution addresses the issue that comprehensive reproductive health care may be severely undermined by the mandatory enrollment of Medicaid recipients in managed care plans that do not provide a full range of reproductive health services. The resolution urges Congress and the states to ensure that all women have access to the full range of reproductive health services and that “freedom of choice” is preserved for all Medicaid beneficiaries. It also urges Congress and the Department of Health and Human Services to repeal the Balanced Budget Act of 1997 and regulations that allow health plans to deny needed health care services and information, based on moral or religious objections.

The second resolution is “Support for Sexual and Reproductive Health and Rights in the United States and Abroad,” coauthored by Yvette P. Cuca, Taylor Haas and Merrill Wolf. The resolution focuses on the current policies and practices of the United States government that undermine previous commitments and threaten to reverse gains in sexual and reproductive health and rights in this country and abroad. The resolution urges the Bush administration and the United States Congress to affirm and uphold its commitments under international agreements and promote sexual and reproductive rights in this country and throughout the world.

The third resolution is "Support of Public Education about Emergency Contraception and Reduction or Elimination of Barriers to Access," coauthored by Kirsten Moore, Arielle Lutwick, Susan McIntyre and Tara Shochet. The resolution examines the effectiveness of emergency contraception (EC) and the potential benefits to women who face unintended pregnancy and suggests actions to make EC more widely known and available. The resolution recommends that APHA and its members also support the development and dissemination of public information campaigns and curricula. In addition, federal and state legislative bodies and agencies are encouraged to promote awareness of EC among the public and providers, reduce barriers to access, and support efforts to make EC available over-the-counter. (See “Emergency contraception making inroads: FDA application may result in over-the-counter status,” in The Nation's Health, June/July 2003, online at <www.apha.org/private/thenationshealth/tnhjunejuly03stories/emercontra0603.htm>.

The position paper, “Improving Emergency Care for Survivors of Sexual Assault,” is coauthored by Ruth Roemer, Lois Uttley, Lourdes Rivera, James Trussell, Richard Grossman, Linda Prine, Carolyn Westhoff, Beverly Winikoff and Charlotte Ellertson. The paper examines the failure of hospital emergency departments to provide Emergency Contraception (EC) to sexual assault survivors and proposes actions that APHA and its members can take to ensure hospitals provide this treatment. Congress and state legislatures are urged to require all hospitals to provide all sexual assault survivors at risk of pregnancy with information and immediate access to EC. In addition, professional medical organizations are encouraged to adopt or strengthen policies that uphold as the standard of care the provision of information about EC to sexual assault victims and on-site dispensation to those who desire it.

Individuals from our Section are encouraged to attend the hearings at the APHA Annual Meeting in San Francisco. If you are available to attend the hearings as a representative of our Section, please contact Marie at the address and phone number above. Thanks to all the coauthors for their efforts to address these important public health issues. See you in San Francisco!

For more detailed descriptions of the policy statements presented above, see the Spring 2003 issue of this newsletter.

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)

As Congress adjourned for its August recess, international family planning and reproductive health programs were well-positioned to fend off further political attacks and even make marginal progress. Given the treacherousness of the current political climate and the determination of the Bush Administration to resist any reversals of their policies, restoring a U.S. contribution to the United Nations Population Fund (UNFPA) or modifying the Mexico City policy/global gag rule (MCP/GGR) remain uphill battles.

HIV/AIDS

Despite leaks originating from the White House earlier this spring, the MCP/GGR—the restrictions that render ineligible for U.S. funding foreign nongovernmental organizations (NGOs) that provide abortion services, counsel or refer for abortion, or lobby for abortion law reform with funds from any other source—was not extended to organizations receiving HIV/AIDS assistance for reasons both political and programmatic. That is not to say that HIV/AIDS programs escaped unscathed from meddling by social conservatives during consideration of the authorization bill (H.R. 1298) for the five-year, $15 billion global HIV/AIDS initiative announced by President Bush in his State of the Union address last January.

During the House floor debate on May 1, Rep. Joseph Pitts,R-Pa., successfully offered an amendment earmarking one-third of prevention funds (roughly $133 million) for “abstinence-until-marriage” programs. Despite arguments on behalf of the need for a flexible, multifaceted prevention strategy (like the “ABCs” of prevention model) that includes condom promotion and education, the House voted 220 to 197 in support of the Pitts proposal.

Bowing to pressure from the White House, the Senate Republican leadership bypassed the Foreign Relations Committee and brought the House-passed HIV/AIDS bill directly to the Senate floor on May 15. Heavy political resistance was mounted to all amendments in order to enact the bill in time for the President’s trip to the G8 summit in early June. As a result, an amendment sponsored by Sen. Dianne Feinstein,D-Clif., to delete the “abstinence-until-marriage” earmark and substitute a more flexible, comprehensive approach failed on a straight party-line vote 45 to 52 as moderate Republican reproductive health supporters were strong-armed into opposing the Feinstein amendment.

Fortunately, both the House and Senate foreign operations appropriations bills (H.R. 2800,
S. 1426) include language to fix one of the many deficiencies of the global HIV/AIDS authorization bill. Specifically, both bills include a provision that requires that condom information provided in U.S.-funded programs "be medically accurate and shall include the public health benefits and failure rates of such use." This provision addresses concerns that many of the NGOs likely to receive funding under the abstinence earmark have a history of promoting abstinence in part by denigrating the safety, effectiveness and morality of condom use.

Two other potentially harmful provisions in the authorization bill—a requirement that NGOs have an official policy explicitly opposing prostitution and sex trafficking and a mandated study on condom use and the spread human papilloma virus (HPV)—remain in force.

Global Gag Rule

One very positive political development was Senate approval of an amendment to overturn the global gag rule offered by Senator Barbara Boxer (D-CA) on a surprisingly strong vote during consideration of the State Department authorization bill (S. 925). The Boxer amendment would prohibit the President from refusing to fund foreign NGOs solely because they provide medical services, including counseling and referral, that are legal in their countries and are legal in the United States, and from imposing free speech restrictions on foreign NGOs that are not imposed on U.S. organizations that receive assistance under the foreign aid program.

By rejecting Foreign Relations Committee Chairman Richard Lugar's motion to table ("kill") it on a vote of 43 to 53, the Boxer amendment overturning the global gag rule was approved. The margin would have been even larger if three of the candidates for the Democratic presidential nomination—Senators Edwards, Graham, and Kerry—had been present and voting.

To see how Senators voted, go to <http://capwiz.com/pai/issues/votes/?votenum=267&chamber=S&congress=1081>.

Prior to the vote, the White House indicated that the President would veto the State Department bill if the Boxer amendment was included, the only item in the bill that prompted a veto threat. Although the Boxer amendment is unlikely to be in the final bill presented to the President, the vote nevertheless for the first time puts the Senate on record in solid opposition to President Bush's reinstatement of the global gag rule. The Senate version of the appropriations bill also includes language modeled after the Boxer amendment, setting the stage for negotiations in the House-Senate conference committee later this year.

UNFPA

On July 15, the House narrowly approved—on a vote of 216 to 211—a Smith-Oberstar-Hyde amendment deleting a provision in the State Department bill (H.R. 1950) authored by Representative Joseph Crowley,D-N.Y., that would have allowed the restoration of a U.S. contribution to UNFPA. The Crowley provision contained in the committee-passed bill would have allowed the restoration of a U.S. contribution to UNFPA unless the President certified that UNFPA "directly supports or participates" in coercive practices and authorized a contribution of $50 million for UNFPA in Fiscal Years (FY) 2004 and 2005.

The vote was extremely close. Even though the Smith-Oberstar-Hyde amendment prevailed, a majority of House members did not support it—not a strong sign of approval of the Bush administration’s policy toward UNFPA.

To see how House members voted, go to <http://capwiz.com/pai/issues/votes/?votenum=362&chamber=H&congress=1081>.

Unlike the May vote on the Pitts "abstinence-until-marriage" amendment, there were not as many Republican defections among those traditionally supportive. The reduced losses came despite active White House lobbying on behalf of the amendment and the issuance of a "statement of administration policy" promising a presidential veto if the Crowley provision was retained.

The narrowness of the margin may open up potential opportunities for addressing UNFPA during the appropriations process. UNFPA champions in the Senate are weighing their options for the fall. Both the Senate and House versions of the FY 2004 appropriations bill specify contributions of $35 million and $25 million respectively. However, the prospects for securing a UNFPA contribution in FY 2004 remain limited—as does a positive determination on the fate of the pending FY 2003 contribution for UNFPA—without a change in the Kemp-Kasten amendment, the legal restriction interpreted by the Bush Administration to defund UNFPA in July 2002.

Funding

A number of pro-family planning/reproductive health provisions were approved at the end of July when the full appropriations committees in both houses marked-up their respective versions of the FY 2004 foreign operations appropriations bill. The full House adopted the committee-approved foreign operations bill on July 23 on a vote of 370 to 50. Senate floor action will not take place until September.

On funding for family planning and reproductive health, the Senate bill is more generous earmarking "not less than" $445 million from all foreign aid accounts, of which $375.5 million is drawn from the Child Survival and Health Programs Fund (CSH). The House bill recommends $425 million with $368.5 million out of CSH.

Both Senate numbers compare favorably to the FY 2003 appropriated levels of $446.5 million overall and $368.5 million in CSH, as does the House CSH figure. The Senate funding levels also represent a $20 million increase over the President's FY 2004 budget request for population assistance of $425 million and a $29.5 million jump from his CSH request level of only $346 million.

Given the budgetary pressures being exerted upon the core development and humanitarian accounts because of low budget allocations for international affairs programs overall and massive funding demands for two new presidential initiatives—the Millennium Challenge Account ($1.3 billion) and global HIV/AIDS ($3 billion)—both the Senate and House funding levels must be viewed as positive outcomes.

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.

Sexuality Task Force

Co-Chairs Jennifer Hirsch, Assistant Professor, Department of International Health, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, Atlanta, GA 30322 Phone: (404) 727-9976 Fax: (404) 727-4590 E-mail: jshirsc@sph.emory.edu 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>.

On many occasions over the past several years we have been moved to tears while reading the New York Times – tears of sadness, tears of anger, and occasionally tears of fear. In the midst of what feels like an unrelenting stream of bad news, it was a rare pleasure to be moved to cry tears of joy when we opened the newspaper on June 26 and read of the Supreme Court’s decision to strike down the Texas “Homosexual Conduct” law, and in so doing to usher in a new era of civil rights for gay people in the United States. In the words of Kevin Cathcart, Executive Director, Lambda Legal Defense Fund, “For decades, these laws have been a major roadblock to equality. They've labeled the entire gay community as criminals and second-class citizens. On June 26, the Supreme Court ended that once and for all. This ruling starts an entirely new chapter in our fight for equality for lesbian, gay, bisexual and transgendered people.” (For more on the decision and its implications, see <www.lambdalegal.org>.

Some of you will remember our trip to the Kinsey museum several years ago. In celebration of the Lawrence v. Texas decision (and taking advantage of the 2003 annual meeting's location in San Francisco), this year the Sexuality Task Force will be sponsoring another field trip! This year, our trip will be a walking tour of through the Castro, reported to be the first “total” gay community the world has ever known. The tour is led by legendary guide Trevor Hailey, whose charisma and flair in recounting the community's history will leave you inspired and enchanted. Since 1989, Cruisin' the Castro has provided travelers with the opportunity to learn Gay history in a concise and colorful format, enthusiastically told in the setting where much of it took place. The tour includes a stop at the 1922 vintage movie palace, the Castro Theatre, where the Gay and Lesbian Film Festival was born in 1976, as well as Harvey Milk's camera shop, the “Gayest four corners on earth” and much, much more.

Trevor was selected one of the top 20 tour guides in the Bay Area and "Cruisin' the Castro" was nominated for "Small Business of the Year" award and received honorable mention from San Francisco's Chamber of Commerce. The BBC, CNN, Denmark and Japan have all televised segments of the tour and aired coverage on their broadcast TV travel shows. Most tour guests tout Trevor's tour as the "highlight" of their visit to San Francisco. One British visitor said, "This is the most brilliant experience of my visit and I came over on the Q.E. II." The response from a Southerner was, "Trevor can talk about paint drying and make it sound interesting."

A private tour for APHA attendees has been arranged for Sunday, Nov. 16, from 4-6 p.m. The cost is $25 and pre-payment (via check) is necessary to reserve a spot. Only 20 spots are available, so don't wait until the last minute! If interest is overwhelming, it may be possible to add a second tour earlier that afternoon. Write, e-mail <TRVRHAILEY@aol.com> or call for reservations. Trevor Hailey, 375 Lexington Street, San Francisco, CA 94110 (415) 550-8110. The tour group meets at 400 Castro Street, corner of Castro/Market Streets. For more information on the tour, go to Trevor Hailey’s Web site, <www.purpleroofs.com/cruisinthecastro-ca.html>.

If you are reading this column, you must be at least somewhat interested in sexuality research – and so I (Jennifer) cannot resist an opportunity to tell you about my book, A Courtship After Marriage: Sexuality and Love in Mexican Transnational Families. The book explores generational changes in love, marriage, and sexuality in Mexican families living in rural Mexico and the Southeastern U.S., and makes a case for the importance of ethnographic research on sexuality to help us understand transformations in reproductive health. Check it out at <www.ucpress.edu/books/pages/9361.html>.

Finally, if you are interested in organizing sexuality-related panels or workshops at future Annual Meetings, or if you have any other ideas for the Sexuality Task Force, please join us at our upcoming meeting this fall during the 2003 Annual Meeting. Check the program for time and place. We hope to see you there!

Management/Sustainability Task Force

Chair Erica Fishman, Director of Community Outreach, MCH Training Program, School of Public Health, University of Minnesota, 1300 So. 2nd St., Suite 300, Minneapolis, MN. 55454 Phone: (612) 625-4891 E-mail: erica.fishman@epi.umn.edu

During these times of budget reductions and shifting public health priorities, it is important to share lessons so that we are able to continue to meet the public health goals in this area. We are looking forward to meeting at APHA. Please check with Task Force members, at APHA’s Web site or at the Section Meeting for the exact time and location.

The Management/Sustainability Task Force serves as a means to increase communication on management and sustainability issues, with a particular focus on sharing experiences between those members working internationally and those working domestically. At the Task Force meeting at APHA, we will be discussing topics of importance both internationally and domestically and planning for the 2004 meeting. I invite you to submit any suggestions for the task for to me (contact information provided above) and hope that you will join our meeting in San Francisco.

Men and Reproductive Health Task Force

Co-Chairs Robert Becker, Associate Vice President of Education and Training, Planned Parenthood of New York City, 26 Bleecker Street, New York, NY 10033 Phone: (212) 274-7336 Fax: (212) 274-7300 E-mail: Robert.becker@pphyc.org, and 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

Reaching Men to Improve Reproductive Health for All Conference

A three-day international conference, "Reaching Men to Improve Reproductive Health for All" was held Sept. 15-18, 2003, at Washington Dulles Airport in Virginia to examine state-of-the-art programming for constructive male involvement in reproductive health. The conference was organized by USAID’s Interagency Gender Work Group, Men & Reproductive Health Task Force; EngenderHealth; the Program for Appropriate Technologies in Health (PATH); and the Population Reference Bureau (PRB).

The conference was a multi-agency collaboration that was guided by an advisory group of senior developing-nation experts. A primary objective of the conference was to provide models of programs that have successfully engaged men in reproductive health in ways that have improved the health of their partners and children as well as their own health. It provided state-of-the-art tools and approaches for implementing gender-equitable strategies to involve men in reproductive health as mandated by the 1994 International Conference on Population and Development (ICPD).

The goal of the conference was to ensure constructive male involvement in reproductive health programs; the objectives were to increase participants' (a) knowledge about concrete and effective strategies to work with men on reproductive health issues from a gender-equity perspective; (b) commitment to implementing these strategies; and (c) skills and access to tools for implementing these strategies.

The main conference themes included programs, interventions or training on:

  • influencing gender norms and socialization in adolescent males;

  • working with men on family planning and reproductive health from a gender equity perspective;

  • working with men on dual protection in prevention of HIV/AIDS/STIs and pregnancy;

  • involving men as partners in maternal and child health;

  • working with men to address gender-based violence;

  • targeting specific male groups about gender equity issues with regard to reproductive health -- MSM, uniformed services, refugees, and incarcerated men; and

  • program models of monitoring and evaluation, especially for measuring changes in gender norms.



Participants included program implementers, researchers and evaluators, donors, representatives of NGOs from the South and North as well as governmental bodies, professionals in the sexual and reproductive health and HIV/AIDS communities, USAID Cooperating Agencies, and women's health advocates. Intensive efforts were made to reach out beyond the current roster of interested agencies to new constituents (such as major international youth agencies, national and multinational uniformed services, refugee agencies).

Conveners and planners are assessing how successfully the planned outcomes were achieved. The planned outcomes were as follows:

  • Resources for concrete effective strategies for working with men in reproductive health that will be compiled into an Implementation Guide (IG) of "how to" lessons learned. This IG will complement the Orientation Guide produced by the Men and RH Subcommittee of the USAID Interagency Gender Working Group (IGWG);

  • A database with contact information and project summaries of existing field-based activities;

  • Literature review that includes published and unpublished documents (research and action) about priority topics; and

  • Consensus recommendations for donor technical assistance priorities for 2003-2004.



Penn State and the Men's Health Network Announce 2004 National Conference On Men's Health

A National Conference on Men's Health, sponsored by Penn State and in partnership with the Men’s Health Network, will be held in Arlington, Va., May 20-22, 2004. Dr. Timothy Johnson, medical editor for ABC News, will be the keynote speaker. Dr. Georges Benjamin, Executive Director of APHA, will participate on a panel at the conference. The goals of the program are to focus national attention on the health concerns facing America's men; to present current research that addresses the clinical, psychosocial/behavioral, and injury and safety health issues of men; to disseminate evidence-based best practices in the provision of community health services and programs to men; and to examine policy issues surrounding the health crisis of America's men. Submission guidelines for the call for papers can be found on the conference Web site at <www.outreach.psu.edu/C&I/MensHealth>. Questions about paper submissions and the conference can be directed to Dr. Chris Dufour at (814) 863-5100 or <cpd1@outreach.psu.edu>.

Adolescent Task Force

Co-Chairs Geri Lynn Peak, Two Gems Consulting Services, Baltimore, MD Phone: (410) 323-7212 Fax: E-mail: gpeak@charm.net and Lindsay Stewart, Senior Advisor on HIV/AIDS and Family Planning, Latin America and Caribbean Bureau, # 5.9-101 RRB, USAID Phone: (202) 712-4964 Fax: (202) 216-3262 E-mail: lstewart@usaid.gov, and John Santelli, Division of Reproductive Health, Mail Stop K-22, Centers for Disease Control and Prevention, Atlanta, GA 30333 Phone: (770) 488-5611 Fax: (770) 488-6291 E-mail: JSantelli@cdc.gov

The Adolescent Task Force of the Population, Family Planning and Reproductive Health Section of APHA met on November 10, 2002 in Philadelphia. As is its custom, the Task Force looked at both the domestic and international work being done on adolescent sexual and reproductive health. Presentations included:

(1) Kay Armstrong's on "The Local Perspective: Adolescent Reproductive Work in Philadelphia;"

(2) John Santelli's on "The National Perspective: New Centers for Disease Control and Prevention (CDC) Activities in Preventing Teen Pregnancy;" and

(3) Kent Klindera and Lydia Bosire's on "The International Perspective: Youth Involvement at the International Level: Report from the Barcelona AIDS Conference and Plans for Follow-Up."

The Task Force also discussed issues of concern to the group and possible agenda items for the 2003 meeting in San Francisco. The Task Force will be finalizing plans for the 2003 meetings within the next two months and welcomes suggestions for agenda items from its members.

The Task Force also welcomes new members. Anyone wishing to be placed on the email list for the Task Force (or to change an existing e-mail address) and/or to make suggestions should contact: Lindsay Stewart at <lstewart@usaid.gov>.

Did you hear about the study that showed that…?

The Annual Meeting abounds with intriguing facts, new research with implications for improving services or health, descriptions of the varied influences on reproductive choices among different nationalities, updates on new technologies, and more. If you attend the Annual Meeting this year, please make a note of the items you see or hear that you find most interesting, and then send them in to <SBinzen@cdc.gov>. We’ll include them in the Highlights from the 2003 Annual Meeting feature in the Spring newsletter. And thank you!

Annual Meeting Program Plans

San Francisco, California November 15-19, 2003

Chair-Elect Dr. Claire Brindis, Institute for Health Policy Studies, 3333 California St. Suite 265
San Francisco, CA 94143 Phone: (415) 476-5255 E-mail: brindis@itsa.ucsf.edu


The program this fall appears to be an outstanding combination of program and research-oriented sessions, with both domestic and international perspectives. There has been tremendous interest by other APHA Sections in co-sponsoring sessions. There will be a number of sessions devoted to emergency contraception, the role of pharmacies, results from several national initiatives in the area of couples ("The Partners Project: A Couple-Based Initiative to Reduce Sexual Risk-Taking"), abortion and post-abortion care, teenage pregnancy prevention (Lessons learned from the CDC Teen Pregnancy Demonstration Project), as well as social disparities and reproductive health.

Given the demand for time slots, unfortunately, we have had to continue to schedule Task Force meetings at early hours (certainly convenient to our out-of-town guests from the Midwest and the East coast). We hope that the chairs of each of these rask forces contact their members and, if the slotted time does not work, that other arrangements can be made.

The Section Social Hour will be held at the Moscone Convention Center on Monday, Nov. 17, from 6:30-8:00 following the Business and Award Meeting. The Social will be held in Room 300.

Again, I would like to thank everyone who has submitted an abstract, as well as the Review Committee which had the challenging task of whittling down the numbers of potential abstracts for the available time slots. Clearly a challenge for our Section will be how to attract new members (and retain our present membership) in order to be able to have additional sessions
allocated to this field.

To view our Section’s program, go to <www.apha.org/meetings>. Click on "Scientific sessions" and then select "Search the online program." Scroll down to “Browse by Sponsor,” and click on Population, Family Planning, and Reproductive Health. This will provide you with a list of our Section's sessions in chronological order by date and time, and includes the four-digit session number and titles.

For a more detailed looked at our Section's program, including presentation titles and authors, all in one document, go to the text/pdf document below.

Related Files:
03PFPRH.doc

Reception and Tour of The UCSF Women's Health Center

The UCSF National Center of Excellence in Women's Health and the Center for Reproductive Health Research and Policy, University of California, San Francisco invite you to a:

Reception and Tour of The UCSF Women's Health Center

Tuesday, Nov. 18

5:30-7:30 p.m.

Buses will depart at 5:15 and will return you to the Moscone Center. Please RSVP by Nov. 1, 2003, to Dixie Horning at <dixieh@itsa.ucsf.edu> so that bus transportation can be scheduled.

UCSF Medical Center has created a new model of expanded and integrated services for women by designating an eight-story clinical building on the Mount Zion campus as the UCSF Women's Health Center. In March of 2002, the opening of the UCSF Women's Health Center marked a centralization of services, enhancing the Center's ability to provide multi-disciplinary care to women. The UCSF Women's Health Center houses OB/Gyn, Primary Care, Women's Imaging, Continence Center, Comprehensive Fibroid Center, and the Women's Health Resource Center. The practices in this Center will link to a robust network of specialty services on the Mount Zion Campus, including breast and gynecologic cancer, mental health, and osteoporosis treatment.

This expansion and centralization of services allows UCSF specialists to treat patients through every stage of life. The geographic proximity encourages clinical collaborations among many women's health practices and overcomes the historical fragmentation of care for women. Among the multiple services available on site is the UCSF National Center of Excellence in Women's Health (CoE). The UCSF CoE, one of 13 such centers in the nation, employs a multi-disciplinary approach to improving women's health, and recognizes the importance and interdependence of clinical care, research, education, leadership development and community involvement. The UCSF Center of Excellence is advancing new research for women and translating this knowledge into clinical care. The Center for Reproductive Health Research and Policy is a multi-disciplinary research center whose goals are to advance knowledge through basic and applied research, provide education and training opportunities, conduct policy analyses and their implications for service providers, public officials, and other stakeholders, and conduct collaborative activities in population and family planning and related activities at UCSF and other institutions.

Action Board News

Board Representative Sallie Craig Huber, Principal Program Associate, Management Sciences for Health, 165 Allandale Road, Boston, MA 02130 Phone: (617) 524-7766 E-mail: Shuber@msh.org

Abortion Policy Review
Immediate Past Chair and Co-Chair of our Resolutions Committee, S. Marie Harvey, and a volunteer group of Section members undertook a review of all existing APHA policies on abortion to determine which ones might be archived -- either because they had been overtaken by more current policies or because of other events (changes in the law, the issue covered by the policy was outdated, etc). The recommendations resulting from this review have been posted on the APHA Web site for comment, <www.apha.org/private/policies/2003_proposed_archiving.htm>, before they are presented for a vote to the APHA Governing Council at this year's Annual Meeting in San Francisco.

APHA's E-Advocacy Tool
In January APHA purchased its first e-advocacy tool to help mobilize its members to send letters to their members of Congress electronically. In the last six months, APHA has organized several advocacy efforts through the system. In June, APHA used its e-advocacy tool to rally more than 1,500 public health professionals to send electronic letters to their members of Congress. As members become comfortable with this tool, APHA anticipates that these numbers will dramatically increase. APHA's new advocacy tool has many great features that all members and public health professionals are encouraged to use when advocating on behalf of a public health issue. These resources include:

  • Mega Vote <www.capwiz.com/apha/megavote/>: Sign up to receive a weekly e-mail on how your Senators and Representative voted during the week on important issues. APHA provides this resource through our e-advocacy site.

  • Elected Official Finder <www.capwiz.com/apha/dbq/officials/>: Find biographical information on elected officials including the president, members of congress, and agency heads.

  • Issues and Legislation<www.capwiz.com/apha/issues/>: In this section you will find Capitol Hill Basics, pending public health legislation, and key public health votes.

  • Media Guide <www.capwiz.com/apha/dbq/media/>: Send electronic letters to the editor on issues important to public health directly to your local media outlets with APHA's media advocacy tool.

  • Legislative Action Center <www.capwiz.com/apha/home/> : See the latest APHA Action Alerts. Send e-mails to your members of Congress on legislation important to APHA.


Check out this new tool if you haven't done so already.

Join APHA's Legislative Network
APHA staff work hard to ensure that public health is being fairly represented on Capitol Hill. More than ever, this is a critical time for public health, and as public health professionals APHA needs your help to ensure that our needs and accomplishments are being recognized on Capitol Hill. The most powerful message a member of Congress receives comes from a constituent in his/her home district. That is why it is essential that APHA have a legislative advocacy network. APHA has a strong membership base and it is paramount to show our association's power by intensifying our advocacy efforts. Having a network of public health professionals willing to take action is essential to ensuring that the legislative priorities of APHA are addressed. While APHA will continue to request that its membership as a whole take action on issues affecting public health, the legislative network will serve as the "grasstops" of APHA’s entire Advocacy network. Join Now! Members of APHA can view an in-depth legislative update, revised weekly, on APHA's Web site.

Action Board
APHA's Government Relations staff works very closely with the Action Board on advocacy efforts within Sections. The Action Board is made up of a representative from each Section, a member at large, and three Affiliate members. This year the Action Board divided up into three work groups to address APHA's three priority areas: health disparities, access to health care, and infrastructure. If you are interested in getting more involved in APHA advocacy efforts through our Section, please contact me at the address above.

Join the Section ListServ!

The Population, Family Planning, and Reproductive Health Section has a listserv for its Section members. Join the listserv – and use it! Let other Section members know about:
  • the latest developments in our field;

  • job postings;

  • grants that are available;

  • action alerts;

  • new projects;

  • upcoming conferences;

  • releases of new publications;

  • and any other information you think might be of interest to the Section memberhship.

    To subscribe, send an e-mail to <pop-hlth-l@liststar.apha.org>
    (note: use the lower-case letter L and not the number one)
    In the subject line of the e-mail, type subscribe pop-hlth-l
    Leave the body of the message blank
    See <www.apha.org/group.htm> for more information on the listserv.

Elsewhere at APHA

How does the global economy affect health status and disparities in health status, public health systems and policy, access to coverage within private and public health care systems, occupational health and safety, injury control, environmental health, and access to pharmaceuticals and to safe water, and social and economic equality? What do international trade agreements have to do with public health? Members of the APHA Network on Globalization and Public Health will address these and other issues during the APHA Annual Meeting in November 2003. A Town Hall meeting on Nov. 16 from 2 to 4 p.m. in San Francisco's Moscone Convention Center will offer brief presentations, and a chance to network with some local and national research and advocacy groups based in the Bay Area. The meeting will include observers from the upcoming September meeting of international trade ministers, which will be convened in Cancun, Mexico by the World Trade Organization, and members of international public health associations. Join the planning with an e-mail to Ellen Shaffer, <ershaffer@cpath.org>. (Please see final schedule for exact room location.) For more information on this network and its activities, please see the previous two Population, Family Planning, and Reproductive Health newsletters.

New Resources

EngenderHealth has issued a limited printing of an innovative and practical set of job aids, entitled Choices in Family Planning: Informed and Voluntary Decision Making, as a work in progress in December 2001. An updated edition of the document is now available in print and PDF formats. The toolkit, as it is known, is designed to help policy makers, managers of health care programs, health care workers, and community leaders support individuals in making informed and voluntary decisions about their sexual and reproductive health. This updated edition incorporates modifications to address users' feedback based on their experience in applying the tools in field-based service programs. The PDF version ofChoices in Family Planning: Informed and Voluntary Decision Making can be viewed or downloaded at <www.engenderhealth.org/res/offc/ic/choices/>. For more information, contact:
Carrie Svingen, EngenderHealth, 440 Ninth Avenue, New York, NY 10001; 212-561-8538; e-mail: <csvingen@engenderhealth.org>.

The Institute for Reproductive Health, part of Georgetown University's School of Medicine, conducts research to develop natural methods of family planning and test them in service delivery settings. They have two new materials available: Resources for Service Providers, available at <http://irh.org/resources.html>, and The Efficacy of the Standard Days Method, available at <www.irh.org/pdf/contraception.pdf>. For more information, please contact <irhinfo@georgetown.edu>.

The POLICY Project is pleased to announce the launch of a new resource that documents safe motherhood interventions that work. This publication – the first in a series entitled What Works: A Policy and Program Guide to the Evidence on Family Planning, Safe Motherhood, and STI/HIV/AIDS Interventions – presents a comprehensive review of the interventions (with supporting evidence) that have been shown to enhance maternal health in developing countries. Some of the major topics include labor and delivery, postnatal care, care during pregnancy, and pre-pregnancy care. This document helps public health officials and decision makers answer the question "What should we do?" when trying to figure out how to improve maternal health. It is also a tool to help maternal health advocates demonstrate that safe motherhood programs save lives, benefit societies and communities, and are effective and feasible, even in resource-constrained settings. The Safe Motherhood Module is available online at <http://www.policyproject.com/abstract.cfm?ID=1295>. Forthcoming modules will focus on addressing STIs/HIV/AIDS and reducing unintended pregnancies.

The POLICY Project is also releasing several other new publications:
1) Policies for Orphans and Vulnerable Children: A Framework for Moving Forward
presents a summary of the global OVC situation and identifies policy-level gaps in national responses to the growing crisis. The report proposes a country-level OVC "policy package" and offers recommendations to guide future policy dialogue and action. Adopting laws that protect the rights of all children, encouraging multisectoral collaboration, placing a special emphasis on educational opportunities, and establishing systems to identify the most vulnerable children are all crucial aspects of a comprehensive OVC policy response. Visit <www.policyproject.com/abstract.cfm?ID=1398> (English) and <www.policyproject.com/abstract.cfm?ID=1399> (French).
2) Moments in Time: HIV/AIDS Advocacy Stories is a collection of stories highlighting some of the key advocacy moments of our time as told from the unique perspective of those who are engaged in advocacy work in communities around the world. Despite the availability of several excellent guides to advocacy, no group or individual has developed a manual that offers a tapestry of stories as a practical resource for advocacy training, reflective learning and strategic planning. This manual begins a process of documenting HIV/AIDS policy advocacy stories as a means of preserving them and making them available to others as more and more people become involved in HIV/AIDS advocacy issues. We encourage you to share your story with us to include in future editions of this publication, <http://www.policyproject.com/stories>. Available in English. French and Spanish versions will be available soon.
3) HIV/AIDS in the Mekong Region provides a concise overview of the current situation; analyzes the future course and impact of HIV/AIDS in the region; outlines recommendations for responding to the epidemic; and highlights promising programs that are already underway. The report is designed as a user-friendly tool to help both government policymakers and civil society advocates encourage policy dialogue and commitment to address HIV/AIDS throughout the region. Focusing on the HIV/AIDS situation in Cambodia, the People's Democratic Republic of Laos, Thailand, and Viet Nam, the report also draws attention to six issues that are of particular concern in the region: 1) Women and HIV/AIDS; 2) Children Affected by HIV/AIDS; 3) Health Care Delivery and Costs; 4) Implications for Development; 5) Cross-border Issues; and 6) HIV/AIDS and Tuberculosis. Promoting an enabling policy environment, responding to the entire continuum of care (including prevention, care, and mitigation), and empowering vulnerable groups are among the strategies that are noted as central to an effective HIV/AIDS response in the Mekong Region. <http://www.policyproject.com/abstract.cfm?ID=1396>.

The Population, Health and Nutrition Information Project (PHNIP) is excited to release the prototype of its new Data Online for Population, Health and Nutrition (DOLPHN) database. DOLPHN is available at <www.phnip.com/dolphn/>. DOLPHN was created to provide quick and easy access to a select group of commonly used demographic and health data relevant to the management of USAID global health programs. While most of these data are accessible from other Web sites, DOLPHN's principal advantage is to bring specifically filtered data from various sources together in one place to facilitate comparative and trend analyses. Other advantages to USAID users include grouping indicators by USAID focus areas and providing country classifications for sorting purposes. DOLPHN's current capabilities include: user-friendly, customized searches for multiple indicators, year ranges, and countries, including multivariate search capabilities; convenient exporting function of data selections into Excel; historical and the most recently published indicator data from DHS, BUCEN, WHO, CDC, and other sources for USAID-assisted countries; report function, offering the option to print individual PDF-based Country Health Statistics Reports, and more. DOLPHN is a work in progress and several improvements are planned for future releases, including: charting capability to enable users to construct graphs and charts from selected data; new country classifications and definitions of current classifications; and regional averages for selected indicators. If you have questions about the operation of DOLPHN, please contact our Help Desk at <dolphnhelp@phnip.com>.

Family Health International is making available a new publication for conveying HIV/AIDS prevention information to people with low-level reading skills. Designing Materials on HIV/AIDS/STIs for Low-Literate Audiences is available at no charge to users in developing countries. It was produced by Family Health International and the Program for Appropriate Technology and Health (PATH) with funding from the U.S. Agency for International Development through the Implementing AIDS Prevention and Care Project (IMPACT), which is managed by FHI. Recognizing that many concepts in HIV/AIDS are difficult to convey to low-literate or non-literate audiences, this 155-page guide relies heavily on illustrations, is printed in a larger-than-usual typeface, and features clear, easy-to-understand explanations. To request a copy, please send your complete address to <AIDSpubs@fhi.org>. Users in developed countries will be asked to cover postage and shipping costs.

Coinciding with World Population Day 2003, which is dedicated to adolescent sexual and reproductive health and rights, the Population Council's Islamabad office released findings from the first comprehensive survey of Pakistani youth. Adolescents and Youth in Pakistan 2001-2002: A Nationally Representative Survey (AYSP) provides an unprecedented view of young people's experiences with and attitudes about education, employment, families, and marriage. Although adolescents are one of Pakistan's most vital resources, little is known about this important population. The AYSP thoroughly explores the transition to adulthood for Pakistani adolescents and the social and economic forces that shape the transition. To order Adolescents and Youth in Pakistan 2001-2002: A Nationally Representative Survey, contact Khalid Mehmood at <khalid@pcpak.org> or Information Officer, Population Council, House # 7, Street 62, F-6/3, Islamabad - 44000, Pakistan.

YouthNet, a program of Family Health International, has new publications available online. Youth Issues Papers are in-depth reviews of critical topics regarding youth reproductive health and HIV/AIDS prevention. They include an analysis of the issue, a literature review, case studies, lessons learned, and ideas about criteria for best practices. Youth Issues Paper 2 - Applying Social Franchising Techniques to Youth Reproductive Health/HIV Services - is now available at
<http://www.fhi.org/en/Youth/YouthNet/Publications/YouthIssuesPapers.htm> .
YouthLens is a series of research briefs that summarize the latest information on key issues regarding reproductive health and HIV prevention among youth ages 10 to 24. YouthNet is pleased to announce that four new YouthLens are now available in Spanish and French - all YouthLens briefs can be found at
<http://www.fhi.org/en/Youth/YouthNet/Publications/YouthLens+English.htm>

The Pan American Health Organization (PAHO) has released Building Better Health: A Handbook of Behavioural Change, by C. David Jenkins. This publication explains how individual and social behaviors greatly influence almost every kind of disease and disability that is a major world problem today. The book blends what needs to be changed to build better health with how to do it. It is aimed at health workers at all levels: public and community health workers, physicians in primary care and family medicine, many specialties of nurses, physicians assistants, health planners, health psychologists, medical social workers, health educators, and students in all these fields. The book also equips teachers at all levels and persons responsible for the health of groups, such as in industries and the military. The publication can be acquired through PAHO sales agents or through PAHO Online Bookstore, at <http://publications.paho.org/English/moreinfo.cfm?Product_ID=690>.

The Division of Reproductive Health (DRH) of the Centers for Disease Control and Prevention (CDC) has recently released Reproductive, Maternal and Child Health in Eastern Europe and Central Asia: A Comparative Report. This report includes data from 16 surveys in 12 countries, and was written in collaboration with ORC Macro. CDC has also recently released, in collaboration with its Guatemalan counterparts, a Reproductive Health Survey: Guatemala: Encuesta Nacional de Salud Materno Infantil, 2002; Informe Resumido (Summary Report in Spanish) . Copies are available at no charge from the Maternal and Infant Health Branch, DRH, CDC, MS K-23, Atlanta, GA 30333; fax: 770-488-6242; e-mail: <vch5@cdc.gov>; Web site: <www.cdc.gov/nccdphp/drh>

Journeyworks Publishing announces the release of nine new sexual health and responsibility pamphlets for young people. Adding to their extensive selection of pamphlets on health and sexuality topics, the new titles include 20 ways to Respond to Sexual Pressure, 50 Things You Need to Know About Birth Control, STDs Testing and Screening, Ten Good Ways to Protect Yourself from HIV and AIDS, and 50 Things Men Need to Know About Sex and Responsibility. Journeyworks has also published over 50 of their most popular titles in Spanish; their latest titles include El humo de segunda mano y su Nuevo bebé; Cőmo decir “no” si ya tuviste relaciones sexuales; and 37 hechos sobre las drogas. Free review copies are available to health professionals and educators by calling (800) 775-1998, sending a fax to (800) 775-5853, visiting the web site at <www.journeyworks.com>, or writing to Journeyworks Publishing, P.O. Box 8466, Santa Cruz, CA 95061-8466. For information on bulk pricing, call (800) 775-1998. Prices start at $16 for 50 pamphlets.

The American College of Obstetricians and Gynecologists Committee on Adolescent Health Care recently released Health Care for Adolescents, a publication composed of updated versions of all previously published ACOG documents on adolescent health care. It also includes two new documents, on eating disorders and screening for chlamydia and gonorrhea. In addition, the Committee recently released Adolescent Pregnancy Facts which presents the latest statistics on adolescent sexual activity, pregnancy, childbearing, and the incidence of sexually-transmitted diseases. These publications (and others) can be ordered through ACOG’s distribution center by calling (800) 762-ACOG or by visiting the Web site at <http://sales.acog.org>. Limited quantities of Adolescent Pregnancy Facts are available at no charge by writing to <adolhlth@acog.org>.

The Population Reference Bureau, in collaboration with its partners in the MEASURE project, announces the publication of Connecting People to Useful Information: Guidelines for Effective Data Presentation. Developed for international audiences and including examples from developing countries, this new guide gives practical advice in the art of presenting data to non-specialist audiences, with a focus on population and health issues in developing countries. The guide contains sections on how to organize and deliver presentations, "dos and don'ts" for preparing slides, and how to prepare seminars and press materials. Two appendices contain sample slides and reference material for preparing presentations using PowerPoint software. The sample slide presentations can be downloaded and modified for personal use. Copies are $15 each, and free of charge for those working in developing countries. The guide can be viewed at <www.prb.org/connectingpeople> and can be ordered from International Programs, Population Reference Bureau, 1875 Connecticut Avenue, N.W. Suite 520, Washington, D.C. 20009 USA; phone: (202)483-1100 ; fax (202) 328-3937; e-mail: <prborders@prb.org>.

Clarity on the Global Gag Rule

Confused about what is and is not allowed under the Global Gag Rule? Also known as the “Mexico City policy,” this restriction was re-imposed by President Bush in 2001. It prohibits U.S. assistance for family planning to be provided to foreign non-governmental organizations that perform abortion, provide counseling and referrals for abortion, or lobby to make abortion legal.

For agencies that receive funding from the U.S. Agency for International Development (USAID), the Gag Rule raises many practical questions:

  • Does this policy rule out assistance to hospitals and private clinics? (It depends on whether they include abortion in their family planning programs.)

  • Can abortion be performed to save the woman’s life or following rape or incest? (Yes, but only in these cases)

  • Can a USAID-funded agency provide postabortion care? (Yes)

  • Can research on the incidence of abortion and the health consequences of unsafe abortion be done? (Yes)

  • Can biomedical research on abortion be done? (No)

  • Can USAID-funded agencies provide emergency contraception? (Yes)


For the definitive word on these and many other issues, consult two brochures issued by Population Action International. They are entitled What You Need to Know about the Global Gag Rule Restrictions and Emergency Contraception and the Global Gag Rule. Both are available at PAI’s website at: <www.popact.org>. You may also order free copies of the brochures in English, French and Spanish at <implement@popact.org>.

By Our Section Members

Section member (and 2002 Outstanding Young Professional Award Winner) Jennifer S. Hirsch has a new book out entitled A Courtship After Marriage: Sexuality and Love in Mexican Transnational Families, published by the University of California Press. The book describes generational and geographic changes in gender, sexuality, and reproduction, arguing that declining fertility in this transnational community must be understood in the context of a redefinition of marriage and sexuality. By comparing the life stories of 13 women who live in Atlanta but are from rural western Mexico with those of their sisters and sisters-in-law in Mexico, as well as by drawing on interviews with these women's mothers and husbands, Courtship explores the changing intimate lives of Mexican men and women. The book explains the changes in marriage, sexuality, and fertility goals through reference to structural factors (migration patterns, increased access to education, and women's greater economic opportunities in the United States) as well as to women's and men's desires to craft specific types of relationships. For public health researchers, medical anthropologists, and demographers, the book shows the fundamental importance of studying gender, marriage, and sexuality in order to understand fertility and contraceptive practices. Courtship also speaks to readers who are not professional scholars. The lively prose and compelling stories of courtship, love, power and desire, as well as the photographs of rural Mexico and the illustrations (provided by the women interviewed) give readers a window into the hearts and minds of America's fastest growing minority. The stories told in Courtship show both how men's and women's lives change with migration, and how even in rural Mexico men's and women's lives are rapidly being transformed both by economic and social change and by their own desires for love, intimacy, and pleasure. A Courtship After Marriage is available directly from The University of California Press, $24.95 paper or $60.00 cloth. Visit the Courtship Web site and read reviews of the book at <www.ucpress.edu/books/pages/9361.html>, or see (and buy) it at the UCPress display in the exhibit hall at the Moscone Center during the Annual Meeting.

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, February 27, 2004 to:

Susanna Binzen
Division of Reproductive Health, MS K-35
Centers for Disease Control and Prevention
4770 Buford Highway, NE
Atlanta, GA 30341
Phone: (860) 232-3262
Fax: (860) 232-6648
E-mail: SBinzen@cdc.gov