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Population, Reproductive and Sexual Health
Section Newsletter
Fall 2008

Message From The Chair

Section Chair Dr. Karen Hardee, Population Action International, 1300 19th St, NW, Suite 200, Washington, DC:  20036  Phone:  (202) 557-3410  E-mail:  KHardee@popact.org

 

Dear Colleagues:

 

We are coming up to San Diego, and I hope to see many of you there participating in the great program Rebecka Lundgren and Farya Karim put together for our Section.   Putting the annual program together is a lot of work, so many thanks!   Thanks also to all of you who submitted abstracts and who are preparing presentations and posters.  Thanks also to the Section members who served as reviewers of the submissions.   The quality of our Section's program depends on you all.  Thanks also to those who organize the Section meetings, the awards ceremony and the reception.  Those meetings are highlights of the Annual Meeting and give us a chance to meet and mingle and to honor the Section’s awardees.   I am looking forward to seeing you all at those events in San Diego. 

 

When our Section elects a new chair, the “chair elect” is first responsible for putting the program together and then serves the next year as “Section chair,” followed by a year as “immediate past chair.”  Each of these positions has responsibilities.   Currently, Meg Greene is our Section’s immediate past chair, I am the chair and Rebecka is the chair elect.   The roles change after the Annual Meeting.  I am mentioning this because our Section did not have a nominee for chair this year, which means that we do not officially have anyone to organize the Section program for the Annual Meeting next year, or to take over for Rebecka when she has served her term.  We hope to find someone from the Section interested in being the chair – please e-mail me if you are interested!  In the meantime, Meg and I have agreed to organize the program for next year.   One of the other things Meg and I want to work on with Rebecka and Larry Finer, our Webmaster, is to create an archive of materials of our Section and to document Section procedures.    We would love to hear your ideas on how our Section could serve our membership better.

 

As the presidential election season heats up in the United States, I am struck by the salience of the work we do and yet how polarizing the labels are that are used to describe our work, as though the categories are mutually exclusive.  Pro-life vs. pro-choice, abstinence-only vs. comprehensive sex education, population vs. sexual reproductive health and rights, voluntary family planning vs. coercion, evidence-based vs. faith-based.   On one level, we know it is really only political posturing to suggest that comprehensive sex education means that kindergarteners are taught about sex, but we bristle just the same and ask ourselves how the intent of such programs could possibly be so misconstrued.   As the school year started, I just received the “opt out” form for the family life education my 7th grader is to receive in Virginia.  I found myself asking not what is being taught, but what is not being included – and what information I might need to supplement.  We ask ourselves how there could be such disagreement on interpretation of the evidence on sex education.    We also ask how there could still be such high unmet need for a range of reproductive health services around the world – from contraception to safe delivery to comprehensive HIV prevention – and yet such inadequate resources devoted to these programs. We wonder how we could do better at articulating the need for and evidence regarding a range the range of programs we work on.   

 

Regardless of the outcome, I hope the hyperbole of the election will result in a teachable moment for us to reinforce the importance of the work of the members of the Section – whatever we decide the name of the Section will be moving into the future.     

 

Again, I look forward to seeing you all in San Diego.

 

Regards,

Karen

Action Board

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


APHA opposed HHS “Provider Conscience” Regulation

APHA Executive Director Georges Benjamin has written to  U.S. Department of Health and Human Services Secretary Michael Leavitt urging that a proposed “provider conscience” regulation be immediately withdrawn. He wrote:

 

“APHA takes the position that patients’ health and well-being must come first in health care delivery and in the formulation of health policy. The proposed regulation threatens public health by expanding the rights of health care institutions and individuals to deny health information and services while providing no protections for the rights of patients to access the full range of health information and services.”

 

Benjamin’s letter outlined the potential harm to patients seeking family planning services, HIV/AIDS prevention counseling and other key aspects of reproductive health care, warning that low-income, uninsured and under-insured Americans would be disproportionately affected. The letter will be posted on APHA’s Web site.

 

APHA Policies Matter!

The ability of APHA to quickly and assertively respond to the proposed HHS regulation depended, in part, on the existence of strong APHA policies drafted by members of our Section in the past, and adopted by the Governing Council. This year, more proposed policies will be up for adoption at the APHA Annual Meeting in San Diego. Read the proposed 2008 policies (posted in the Advocacy Section of the APHA Web site) and let our Section leadership know what you think about them.  You can e-mail lois@mergerwatch.org.  

If you have a policy idea that you would like to propose next year, a good first step would be to attend the session entitled “How to Write a Good Policy,” at the Annual Meeting in San Diego. The session (3101) will take place on Monday, Oct. 27, from 8:30-11 a.m.

Membership Committee Report

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


Over the years we have kept a steady core of members, gaining and loosing some each month!  As of June 30, 2008, our Section has 695 individuals for whom this is their primary Section.  This represents 2.59 percent of the total APHA membership.  We are very interested in finding creative ways to increase our membership!  If you are interested in finding a time in San Diego to meet to be part of this effort, contact Erica Fishman. 


For those people who attend the APHA Annual Meeting, our Section is an invaluable resource for information regarding population, family planning and reproductive health-related sessions.  It also provides an opportunity to meet informally with people who do similar work domestically and internationally.  There are many ways at the APHA meeting to become involved in our Section. You are welcome to join us for Task Force meetings, business meetings, Section meetings and of course the social hour on Monday evening.  Please stop by the Section booth in the exhibit hall too to talk informally with a Section member. 

 

For more information, please contact Erica Fishman at erica.fishman@state.mn.us.

Abortion Task Force

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, Urban Public Health Program, Hunter College, City University of New York, 425 E. 25th St, Box 807, Rm. 714 New York, NY 10010 Phone: (212) 481-5073 E-mail: diana.romero@hunter.cuny.edu  

 

The Abortion Task Force (ATF) re-formed in 2006 and began a project to review all of the abortion-related policies in the APHA policy database. This resulted in development of a comprehensive access database with each policy number, year, name, brief description, etc. This spring, the policy review process continued as part of an independent study project of an MPH student (Jessica Silk) at Hunter College (City University of New York), in conjunction with Diana Romero. This analysis has resulted in a report summarizing an in-depth review of the policies, including whether active policies are still relevant, outdated, or in need of updating, and a set of specific recommendations for the ATF to consider in that regard. The ATF will now begin developing policies addressing the gaps identified.

 

Last fall the ATF submitted a late breaking policy entitled "The Need for State Legislation Protecting and Enhancing Women's Ability to Obtain Safe, Legal Abortion Services without Delay or Government Interference." This policy was provisionally approved in 2007 and is now under full review and will be considered for approval at the 2008 Annual Meeting. 

 

The ATF also has subcommittees focusing on communications and scientific sessions. Join us at our meeting on Sunday, Oct. 26, 4:00–5:30 pm in room 27A of the San Diego Convention Center.  To get involved in the Task Force, please e-mail lmm9@earthlink.net or diana.romero@hunter.cuny.edu

Adolescent Health Task Force

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 Ave., B-2, New York, New York 10032   Phone: (212) 304-5634   Fax: (212) 305-7024  E-mail: js2637@columbia.edu Iris Meltzer, Children’s Hospital Medical Center of Akron, One Perkins Square, Akron, OH 44308  Phone: (330) 543-8914   E-mail: imeltzer@chmca.org and Susan Newcomer, DBSB/CPR/NICHD, 6100 Executive Blvd, Building 61E, Room 8B13, Bethesda, MD 20892-7510 Phone: (301) 496-1174 E-mail:  newcomes@mail.nih.gov 

 

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

Task Force discussions have considered a broad array of topics including comprehensive sexuality education and its application to global health of adolescents, the role of evaluation research in program implementation, laws on 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 globe. 

 

Discussions at the Annual Meeting in the past few years have focused on U.S federal policies designed to promote abstinence until marriage and  restricting information on contraception and other aspects of human sexuality.  In 2006, the Task Force successfully developed an APHA position statement on “Abstinence and U.S. Abstinence-Only Education Policies: Ethical and Human Rights Concerns” which is now APHA policy.  In April 2008, Drs. Benjamin and Santelli from APHA along with representatives of the American Academy of Pediatrics and the Institute of Medicine testified before Rep. Henry Waxman’s Committee on Oversight and Government Reform about the problems with the federal abstinence only program. 

 

At our Task Force meeting in San Diego, we plan to provide updates on a number of key issues related to abstinence-only programs:

  • Over half the 50 states have now refused federal Title V funding for abstinence-only education.  This appears to represent widespread rejection of this approach by the public health community in the states, based on concerns with the efficacy and accuracy of abstinence only programs. 
Important changes where made in PEPFAR program, changing the requirements for abstinence only programs in that key foreign aid program. 
  • Almost half the states are now requiring “medical accuracy” in sexuality education, one response to concerns about scientific inaccuracies in abstinence only programs. 
  • Continued concerns have been voiced about medical accuracy of condom information in commonly used abstinence curricula.  

    We will review these issues and review new research that has been published in the past year on abstinence-only programs. 

    Please join us for a spirited discussion! 

  • Emerging Reproductive Technologies Task Force

    Chair Emily Galpern, Project Director, Reproductive Health, Rights & Justice, Generations Ahead, 1404 Franklin Street, Suite 240, Oakland, CA 94612, Phone: (510) 832-0852 ext. 306 E-mail:  egalpern@generations-ahead.org


    The Emerging Reproductive Technologies Task Force has organized a great panel for this year's meeting:

    Reproductive Tourism: Ethical and Health Concerns
    Tuesday, Oct. 28, 2008: 10:30 a.m.
    Session 4115
    http://apha.confex.com/apha/136am/webprogram/Session23361.html

    The surge in reproductive tourism in our increasingly globalized world requires close attention by public health advocates. This panel will provide an overview of reproductive tourism around the world today, articulate why reproductive tourism is a public health issue, explore the notion of exploitation and its relationship to reproductive tourism, and describe the current state of regulation around the world. Panelists are Susan Berke Fogel, Emily Galpern, Lisa Ikemoto, and Judy Norsigian.


    The business meeting of the Task Force will take place Sunday Oct. 26 from 4-5:30 p.m. (session 280). If you are interested in the public health implications of new and emerging genetic and reproductive technologies, please come meet with us!


    For more information, please contact Emily Galpern at

    egalpern@generations-ahead.org

    Management and Sustainability Task Force

    Co-Chairs  Lisa A. Hare , Coordinator for Country Programs, DELIVER - JSI, 1616 North Fort Myer Drive, 11th Floor, Arlington, VA 22209  Phone: (703) 528-7474   E-mail: lhare@jsi.com and Erica Fishman, Minnesota Department of Health, P.O. Box 64882, St. Paul, MN 55164-0882 Phone: (651) 201-5899 E Mail:  erica.fishman@state.mn.us

     

    This 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.  The co-chairs reviewed many abstracts this year, and we are pleased to be sponsoring several panels that focus on sustainability of programs.

     

    Please join us for the Task Force meeting on Tuesday, Oct. 28, from 6:30-7:30 p.m.  At the meeting, you will have the opportunity to share experiences and ideas in a small informal setting.  We will also review activities from the past year, discuss activities for the coming year and discuss possible sessions for the 2009 conference.  The Task Force welcomes new and current members to join us.  Please feel free to submit suggestions at anytime to the co-chairs.

     

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

    Section Name Change Task Force

    Chair Lisa Maldonado, Reproductive Health Access Project, P.O. Box 21191, New York, NY  10025  Phone: (917) 586-3260,  E-mail:   lmm9@earthlink.net

     

    It seems as if we are forever discussing our Section’s name.  This summer and fall our Section participated in a two-part process to select our Section’s name.  The results of the final Section vote are in.  Our Section’s name is………..

     

    You’ll just have to come to our Section’s business meeting on Sunday, Oct. 26, 2008 at 6 p.m. (session # 290.0) to find out!

     

    In the meantime, please thank our Section Name Change Working Group – the brave souls who took on this hot issue and doggedly and thoughtfully developed and implemented a fair process to see it through to its conclusion.

     

    Section Name Change Working Group:

    Lisa Maldonado, Meg Greene, Sarah Kelly, Stan Becker and Jenny Higgins.

    Sexuality Task Force

    Sexuality Task Force

    Chair Jenny Higgins, Office of Population Research & The Center for Health & Wellbeing Princeton University, 218 Wallace Hall, Princeton, NJ 08544 Phone: (609) 258-6961 E-Mail: jennyh@princeton.edu

     

    Please come out and avail of the Sexuality Task Force in San Diego!  We hope once again that our sponsored sessions will proffer some of the most engaging and lively presentations of the conference.

     

    On Monday, Oct. 27, from 2:30-4 p.m., the Sexuality Task Force will present “Promoting pleasure: Incorporating positive approaches to sexuality into sexual health research and programming” (session 3220.0).  Co-sponsored by the HIV/AIDS Section, panelists in this session will generate ideas about how to better integrate sexual pleasure and sex-positive approaches into their own sexual health research, programs and services. 

     

    The business meeting for the Sexuality Task Force will take place in Sunday, Oct. 26, from 2-3:30 p.m. (session 247.0).  We are always looking for new members, especially those who can help us make connections with other APHA Sections.  We hope to see you there.

     

    If you have questions, please contact Jenny Higgins at jennyh@princeton.edu.

    Other Committees and Task Force Information

    Men and Reproductive Health Committee

    Co-Chairs Michele Burger, International Consultant, New York, N.Y., E-mail: mburger11@aol.com and Fabio Castaño,  International Consultant, Phone: (917) 671-6413 E-mail: fcastano99@yahoo.com, Alternate E-mail: fabiocastano@socialempowerment.net

     

    Nominations Committee

    Chair, Margaret GreenePopulation and Social Transitions, International Center for Research on Women, 1717 Massachusetts Avenue, NW, Suite 302 Washington, D.C.  20036   Phone:  (202)797-0007  E-mail: mgreene@icrw.org

     

    Resolutions Committee

    No contact information available

    From The Hill

    Craig Lasher, Senior Policy Analyst, Population Action International, 1120 19th St., NW, Suite 550, Washington, DC 20036  Phone: (202) 659-1833  E-mail: clasher@popact.org

     

    Enmeshed in larger election year politics, foreign assistance spending legislation remains unresolved with no definitive timetable for final action at press time.  The annual fiscal year (FY) 2009 State-foreign operations appropriations bill will eventually have to be enacted into law in some fashion, but timing remains uncertain.  However, a reauthorization of the President’s Emergency Plan for AIDS Relief (PEPFAR) has been enacted.  In addition, there has been an important legal victory that will block enforcement of the anti-prostitution pledge requirement for U.S. recipients of U.S. government HIV/AIDS assistance, at least temporarily.

     

    FY 2009 Appropriations Process

     

    Since the last Section newsletter, in mid-July, congressional appropriators in the House and Senate approved their respective versions of the FY 2009 State-foreign operations appropriations bill that represent significant gains and important victories for international family planning and reproductive health (FP/RH) programs.  Most noteworthy are the historic funding increases proposed in the House bill for both bilateral and multilateral programs and policy changes allowing a U.S. contribution to the UN Population Fund (UNFPA) contained in both bills.

     

    With the approval on July 16 of their bill, the House State-Foreign Operations Appropriations Subcommittee took a major step forward in addressing the family planning needs of millions of women and couples in poor, developing nations that currently lack access to contraceptive services. The $600 million allocated is the largest total amount ever recommended for international family planning programs (not accounting for inflation) and the largest one-year dollar increase in these programs on record.  When the Senate Appropriations Committee adopted a full repeal of the Mexico City Policy/Global Gag Rule during full committee markup of its version of the bill on July 17, Senate family planning supporters continued to register their opposition to this harmful presidential policy.  And both the House and Senate appropriators went on record in favor of resuming a U.S. contribution to UNFPA, notwithstanding the so-called Kemp-Kasten legislative restriction.

     

    The passage of a continuing resolution to fund most federal government programs, including foreign assistance, in the absence of enacted appropriations bills after the start of the new fiscal year on Oct. 1 is all but inevitable.  Given the desire of members of Congress running for re-election to go home to campaign and the projected increases in the Democratic majorities in both the House and Senate as a result of the election, the Democratic leadership is expected to opt for approval of a "continuing resolution" to fund most, if not all, of the federal government until the new year.  Regardless of which party wins the White House, congressional Democrats appear to be calculating that deferring final action on FY 2009 appropriations bills will provide them with a greater opportunity to gain approval of bills more reflective of their federal spending priorities early in 2009.  As a result, the funding increases and positive policy changes for FP/RH in draft bills are significant as they will establish the parameters and lay down markers for the negotiations over the funding level and policy directives to be included in the final FY 2009 spending bill sometime next year.

     

    A detailed discussion of the specific provisions in the two bills arranged by issue areas follows below.

     

    Funding — Bilateral & Multilateral

     

    The House subcommittee-approved bill recommends a total of $600 million for bilateral and multilateral funding for the FP/RH programs of the U.S. government.  Of the total $600 million, $540 million is to be administered by the U.S. Agency for International Development, and $60 million is to be allotted for a U.S. contribution to UNFPA.  [For the UNFPA contribution, $25 million is to be provided out of the International Organizations & Programs (IO&P) account along with the voluntary contributions to other UN agencies and $35 million from the Child Survival and Health Programs Fund].  The $600 million in the House bill marks a 28 percent increase above the current FY 2008 level and an 83 percent increase above the President’s budget request of only $327 million.

     

    The Senate Appropriations Committee-approved bill allocates $475 million for the bilateral FP/RH programs of USAID and an additional $45 million for a U.S. contribution to UNFPA drawn from the IO&P account for a total bilateral and multilateral funding level of $520 million.  While not as large as the historic increases approved by its House committee counterparts, the higher levels signal the Senate's support for finding additional resources for these critical health services as the appropriations process unfolds.

     

    UNFPA

     

    Both the House and Senate bills include similar amendments that would allow U.S. funds to be provided to UNFPA — notwithstanding a negative Kemp-Kasten determination — directing this assistance only to targeted projects, such as safe childbirth and emergency obstetric care, contraceptives to prevent unintended pregnancy and the spread of sexually transmitted diseases, prevention and treatment of obstetric fistula, combating harmful traditional practices, and the provision of maternal health services in disaster areas, in any of the more than 150 countries — other than China — where UNFPA works.  Although the text of the House bill is not yet available, both are thought to also contain some elements of standard appropriations bill restrictions on UNFPA's use of U.S. funds, such as a dollar-for-dollar reduction in the contribution for any amount UNFPA spends in China.

     

    For the last seven years, President Bush has withheld the U.S. contribution UNFPA by employing an overly broad interpretation of the Kemp-Kasten amendment, which prohibits funding to any organization that "supports or participates in the management of a program of coercive abortion or involuntary sterilization," and by pointing to the presence of UNFPA country program in China, where human rights abuses have occurred, as grounds for denying funding.  The determination to withhold the FY 2008 contribution was just issued on June 26, along with a veiled threat to expand the application of the Kemp-Kasten amendment to other organizations working in China.

     

    Global Gag Rule

     

    The Senate bill also includes an amendment that would repeal the Mexico City Policy/Global Gag Rule, which renders ineligible for U.S. family planning assistance any foreign nongovernmental organization that provides abortion services, counsels or refers for abortion, or lobbies for abortion law reform with non-U.S. government funds.  The House version of the bill is silent on the topic.

     

    PEPFAR Reauthorization

     

    On July 30, President Bush signed the PEPFAR reauthorization bill (H.R. 5501), which authorizes $48 billion in U.S. international HIV/AIDS assistance for prevention, treatment and care programs, as well as funds for fighting TB and malaria, over the next 5 years—$18 billion more than proposed by the Bush administration and $33 billion more than the current authorization level.

     

    In exchange for supporting the higher funding level, the White House and congressional Republicans insisted on dropping any of the pro-family planning references that had been include in earlier versions of the bill.  For example, language endorsed by advocates of evidence-based prevention interventions that would have encouraged the role of FP/RH services within HIV/AIDS programs, such as prevention of mother-to-child transmission (PMTCT) activities, was deleted.

     

    In addition, rather than completely striking PEPFAR’s abstinence mandates, requiring that one-third of all HIV/AIDS prevention funding be spent on “abstinence-until-marriage” programs, the final bill imposes a burdensome reporting requirement on countries that spend less than 50 percent of their funds for the prevention of sexual transmission on these unproven abstinence programs.  In the field, RH advocates worry that what has been portrayed as an enhanced reporting requirement will be transformed into a de-facto spending earmark for abstinence programs again.

     

    Also, the anti-prostitution pledge requirement on U.S. HIV assistance grantees was not removed or modified.  However, an important ruling by a federal district court judge in New York on Aug. 8 blocked enforcement in proposed Department of Health and Human Services regulations to implement the pledge requirement as an unconstitutional infringement of the free speech rights of the plaintiffs in the AOSI-Pathfinder case.  Significantly, the judge also dramatically expanded the coverage of the injunction to all of the organizational members of InterAction and the Global Health Council, who were added as plaintiffs in the lawsuit.

     

    For more information on this legal victory, see the Web site of the Brennan Center for Justice at NYU School of Law —

    http://www.brennancenter.org/content/resource/aosi_v_usaid/

     

    What You Can Do

     

    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.  Educate yourself and your friends, families and colleagues on the positions of your members of Congress.  Please let them know what you think about any or all or all of these policies.

    2008 Annual Meeting Program Plans

    San Diego , Oct. 25-29, 2008

     

    Chair-Elect Rebecka Lundgren, Institute for Reproductive Health, Georgetown University, 4301 Connecticut Ave, Suite 310, Washington, DC 20008 Phone: (202) 697-1392 E-mail: lundgrer@georgetown.edu

     

    We have a diverse program planned featuring all of our core topics from adolescent reproductive health to quality of care. In keeping with this year’s theme, “Public Health without Borders,” you will find sessions which focus on the intersections between reproductive and sexual health here in the United States and around the world. Also look for sessions which challenge conceptual and political borders to promote health for all. To whet your appetite, here are the titles of a few of our oral sessions:

     

    -          Addressing Reproductive Health Needs in California

    -          Moving Oral Contraceptives Over the Counter

    -          Sexual Behavior: A life course perspective

    -          Abstinence in Teen Sexuality Education

    -          Reproductive Health along the U.S.-Mexico Border

    -          Bridging Linguistic and Cultural Gaps

    -          Promoting Abortion Rights Across Borders

     

    Our poster sessions include:

      

          -          Influence of Gender, Culture and Age on Sexual and Reproductive Health

          -          Reproductive Health and Family Planning in Diverse Populations

          -          Reproductive Health and HIV/STI Issues

          -          Adolescent Health: International Perspectives

          -          Contraceptive Use Worldwide

     

    For the first time this year, we look forward to recognizing the accomplishments of our student members through a student poster session, on Monday, Oct. 27, from 2:30-3:30 p.m. This will be a great opportunity to meet the student members. Prizes for the top three posters will be given at our awards ceremony.

     

    We would like to invite you to the Section Business and Task Force Meetings.  Please join us at our Section Business Meeting on Sunday, Oct. 26, at 6 p.m. to discuss ways to improve the technical leadership and advocacy of our Section. This is a great way to get involved in our Section and find out what APHA has to offer you.

     

    We also encourage you to attend the meetings of our Section Task Forces to receive updates on cutting edge issues important to our Section. The following Task Forces will be meeting on Sunday, Oct. 26:

     

    ·         Adolescents

    ·         Men and Reproductive Health

    ·         Sexuality

    ·         Abortion

    ·         Emerging Reproductive Technologies

    On Tuesday, Oct. 28, the following task forces will be meeting:

    ·         HIV/STDs/Teen Pregnancy Prevention Task Force

    ·         Management and Sustainability

     

    Please join us in recognizing our award recipients this year at the awards ceremony which is followed by a reception on Monday, Oct. 27 at 4:30. This year our Section is honoring:

     

    ·       Jill Sheffield, Family Care International, for the Carl Schultz Lifetime Achievement Award

    ·       S. Marie Harvey, Oregon State University, for the Carl Schultz Lifetime Achievement Award

    ·       Tracy Weitz, University of California San Francisco for the Felicia Stewart Award for Advocacy

    ·        Destiny Lopez, ACCESS/Women’s Health Rights Coalition, for the Outstanding Young Professional Award

     

     

    The following link provides a detailed Section program: http://apha.confex.com/apha/136am/webprogram/PFPRH.html

     

    Section Member News

    Dr. Barbara A. Anderson, associate dean of the Seattle University College of Nursing, was recently a speaker for the Peru National Nurse Recognition Day. She spoke on the global health care professional work force shortage and its impact on the health of women around the world. Dr. Anderson was also the keynote speaker at the International Congress of Public Health Professionals. She addressed the impact of the work force shortage on progress toward the Millennium Development goals with the health of mothers and children.

    In Memoriam

    This issue we pay tribute to three people who made important contributions to the Population and Reproductive Health field.

     

    Legendary demographer Calvin L. Beale was a consummate expert on rural America. He is best known for identifying the new trend of people moving to rural areas in the late 1960s, reversing 150 years of rural to urban migration in the U.S. He joined the U.S. Department of Agriculture’s Economic Research Service in 1953 and was still working there when he died of cancer at age 85. He had traveled to nearly 2,500 of the nation’s 3,141 counties (at his own expense) and had a prodigious knowledge of rural life. His photos of county courthouses can be found at:

    http://www.ers.usda.gov/briefing/population/photos/. Beginning with his work at the Census Bureau in the late 1940s, Calvin Beale was one of the pioneers in the new field of demography.

     

    Roy B. Morgan was the leader of several advocacy groups, including Zero Population Growth (now Population Connection), the National Family Planning and Reproductive Health Association, and Americans for the Environment. He also worked for the Department of Health, Education and Welfare (now Health and Human Services) and the United Cerebral Palsy Associations. As an activist and organizer, he championed many worthy causes, including union organizing and economic development in Dominica. He died of cancer at the age of 72.

     

    Stewart R. Mott, a generous funder and promoter of population and family planning programs, died of cancer at age 70. As head of the Stewart R. Mott Charitable Trust, he supported numerous U.S. and international population and family planning agencies, including those working on controversial issues and at the forefront of political debates. He deserves much credit for raising the profile of population and family planning work. He was also known for his support of liberal political causes and candidates.

    New Resources

    The latest issue of Population Reports, from the Johns Hopkins Bloomberg School of Public Health, concerns "Vasectomy: Reaching Out to New Users." Program managers need to consider client volume, human resources and available equipment when they decide where and how to offer vasectomy. Family planning program managers can use the 24-page report to:

    • Address the barriers that discourage men from choosing vasectomy.
    • Compare and assess different approaches to offering vasectomy services.
    • Plan how to introduce and scale up safe and effective vasectomy services.

    Health care providers can use the companion issue of INFO Reports, "Vasectomy: Tools for Providers,"  to review important elements in providing good-quality services to vasectomy clients. The report also offers tools for counseling clients and helping them understand the vasectomy procedure. For a listing of all Population Reports issues online, go to http://www.populationreports.org.

    Pathfinder International is pleased to announce the publication of Evidence-Based Planning for Sustainability of Government Reproductive Health Services, a manual designed to prepare local government health teams to use evidence-based methods and develop long-term plans to strengthen their reproductive health programs. The content includes a trainer’s guide and participants’ handouts.  Hard copies are available by contacting tech-comm@pathfind.org

     

    The Centers for Disease Control and Prevention recently published Reproductive, Maternal and Child Health in Central America: Health Equity TrendsEquity in utilization of health care services and differentials in health outcomes according to wealth quintiles are key areas of interest to governments and international donor organizations. Analyzing data from four Central American countries — El Salvador, Guatemala, Honduras, and Nicaragua — this CDC report provides information on changes over time in a set of key health indicators categorized by wealth quintiles. It is currently available in English, and a Spanish translation is in process.

     

    Also, the newly published Reproductive Health Survey report for Nicaragua 2006/07 (Spanish) is now available on CD by request.

     

    Free Reproductive Health Survey reports and datasets are available by request online at the CDC Web site.

     

    MEASURE DHS has released The Effect of Family Size and Composition on Fertility Desires, Contraceptive Adoption, and Method Choice in South Asia by Anuja Jayaraman, Vinod Mishra and Fred Arnold.  The authors examine the influence of family size and composition on reproductive behavior in three South Asian countries — Nepal, India, and Bangladesh — that are known for strong son preference. The authors conclude that son preference remains widespread in all three countries, and it has a major influence on reproductive behavior. Reducing such preference would require a change in social norms and attitudes of the people and an improvement of the status of women within the household.

     

    Additional MEASURE DHS reports of note include:

    HIV/AIDS in Haiti: Key Findings of the Mortality, Morbidity, and Utilization of Services Survey EMMUS-IV 2005-2006 (English, French)   

    Numbers of Women Circumcised in Africa: The Production of a Total

    HIV Prevalence Estimates from the Demographic and Health Surveys

    Free copies of the following Malaria Indicator Survey (MIS) Reports are now available online:

    Senegal 2006 (French)

    Angola 2006 (Portuguese)

     

    Free copies of the following Demographic and Health Survey (DHS) Reports are now available online:

    2006-07 Pakistan

    2006-07 Swaziland

    2006 Mali (French)

    2007 Liberia

    2006 Azerbaijan

     

    MEASURE Evaluation Project announces several new publications: 

    Measurement of HIV Prevention Indicators: A Comparison of the PLACE Method and a Demographic Health Survey in Rwanda.  Survey results from Priorities for Local AIDS Control Efforts (PLACE) and the Rwanda Demographic and Health Survey are compared to provide program managers and other stakeholders working in HIV/AIDS comprehensive information on knowledge, attitudes and practices in both the general population and specific subgroups.

    Flow Chart of Steps to Conduct a Health Facility Assessment. This flow chart is a step-by-step guide, in visual form, of key stages in the preparation and conduct of a health facility assessment.

     

    Download these and other publications by visiting www.cpc.unc.edu/measure/publications.

     

    Other MEASURE Evaluation Project documents of interest:

    Overview of Issues Concerning Confidentiality and Spatial Data

    Health Facility Assessment Relevant Resources/Supporting Documents and Mapping Resources Annotated Bibliography 

    South Africa OVC Case Studies

    Data Demand and Information Use in the Health Sector: Case Study Series

    PRISM Case Studies: Strengthening and Evaluating RHIS

     

    CARE USA  recently published a working paper titled Community Pathways to Improved Adolescent Sexual and Reproductive Health.  This working paper aims to enhance efforts to improve ASRH program outcomes by presenting an intervention framework for changing community norms and practices as well as enhancing — even amplifying — individual and structural interventions. It is intended as a resource for program planners, evaluators, donors and policymakers who want to strengthen their understanding of how community involvement contributes to ASRH program outcomes, and as a way to encourage greater application and measurement of interventions that focus on community involvement and change.

     

    With support and guidance from the USAID Washington Population & Reproductive Health team, Maureen Norton and Rushna Ravji, the Extending Service Delivery Project has recently revised and updated the Healthy Timing and Spacing of Pregnancy (HTSP) Trainer’s Reference Guide. This guide serves as a resource for trainers in developing in-service training for facility-based health care providers and community health workers who already have some basic experience with and an understanding of RH/FP. This is not a training manual, but a reference guide which can be used and adapted by trainers based on whether the trainees are facility-based or community-based. Please contact Kristen Barba at kbarba@esdproj.org for more information.

     

    The Population Council’s Frontiers in Reproductive Health (FRONTIERS) Program announces The Balanced Counseling Strategy (BCS) Toolkit.  The BCS Toolkit is a practical, interactive, client-friendly counseling strategy that uses three key job aids (visual memory aids) for counseling clients about family planning. The process involves a set of steps to determine the method that best suits the client according to her preferences and reproductive health intentions. The BCS toolkit includes a user’s guide, trainer's guide and job aids or memory tools for use by the provider and client.

     

    The BCS toolkit incorporates the latest international family planning norms and guidance as recommended by the World Health Organization. It is easy to adapt to local contexts, and the toolkit includes instructions for adaptation as well as a CD-ROM with electronic copies of the materials. The BCS toolkit is currently available in English.  French and Spanish versions will be available in September 2008.


    Other recently announced Population Council tools are The Systematic Screening Manual and The BCS+: Integrating HIV and family planning (available Fall 2008).

    To order your copy (or copies), please contact the FRONTIERS at frontiers@popcouncil.org, specifying hard copy or electronic version.

    Call For Highlights from the 2008 Annual Meeting

    Reminder!  If you attend  the 2008 Annual Meeting in San Diego, please send a brief write-up to Danielle Jackson on interesting research findings or new approaches that you encounter.  Also, if you take any photos of memorable moments that would be of interest to fellow PFPRH colleagues, we'd love to see them!  We will share the best of these Annual Meeting highlights in the spring 2009 newsletter.

    Section Web Site

    We encourage you to visit the Population, Family Planning, and Reproductive Health Section Web site at www.pfprh.org.  This site contains 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.

     

    A list of PFPRH sessions for the 2008 Annual Meeting (as well as from the last several meetings) is accessible 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 pfprh@pfprh.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 29, 2009 to:

     

    Danielle B. Jackson, MPH

    Division of Reproductive Health

    Centers for Disease Control and Prevention

    4770 Buford Highway NE, MS K-23

    Atlanta, GA 30341

    Phone: (770) 488-6504 

    E-mail: DBJackson@cdc.gov