Population, Reproductive and Sexual Health
MESSAGE FROM THE CHAIR
Section Chair Young-Mi Kim, Center for Communication Programs, 111 Market Place, Suite 310, Baltimore, MD 21202 Phone: (410) 659-6258 E-mail: email@example.com
We live and work in an ever-changing political and social environment, which can be challenging. The more challenges we encounter, the more optimism we need in order to persevere. Over the past year, our Section members have made some suggestions and expressed a few concerns about our Section in particular and APHA in general. In response to these concerns, our Section members have been working hard since the last APHA meeting in Philadelphia and have accomplished several important goals, which shows our strengths and commitment. I’d like to briefly highlight a few of those accomplishments.
Lois Uttley has encouraged our members to be part of APHA’s advocacy effort to communicate with their Congressional representatives. For example, many of our members wrote or called their senators to support the bill to restore more than $7 billion in funding for vital public health, reproductive health, and health education programs in the FY07 federal budget. Thank you very much to those who offered your support, and we look forward to your future participation.
Thanks also to Lourdes Riviera and Lisa Maldonado who led the review and updating of APHA policies related to our Section.
It is so exciting that we have two student liaison members (Sarah Kelley, Sara Netzer) this year, who initiated several good strategies for involving more students in our Section.
We are fortunate to have enthusiastic members and Section leaders who have arranged telephone conference calls several times this year and who have planned a meeting on July 18, in both D.C. and N.Y., which will be linked via video. With the assistance of The Guttmacher Institute, Lawrence Finer helped us find video conference facilities in both locations, from 10 a.m. to 1 p.m. EST. During the latter part, we will open the meeting to others members and Section leaders who would like to join us via telephone. Please send an e-mail to Lawrence Finer (firstname.lastname@example.org) and me (email@example.com) if you are interested in taking part in the meeting/call. Furthermore, Lisa Maldonado and Lawrence Finer have also been working on a more efficient way for our members to communicate through a listserv.
Some members offered suggestions for improving our Section. The three improvement areas I want to highlight are not only important for this year by should remain a commitment in years to come.
Engaging new or younger members. How do we attract new members as well as younger professionals, including student members, to our Section, and how do we encourage/support them in their first years in our Section?
Lourdes Rivera, Paula Tavrow and Erica Fishman have excellent suggestions. Strategies include greeting new members during social hours, mentoring new conference participants, conducting a recruiting brigade at the Annual Meeting, and student assembly liaisons. We look forward to your help to improve our efforts to reach new and younger members.
Mentoring/networking. While informal networking/mentoring among our members is currently happening, some members would like to be more involved in professional exchanges. We can make more structured and expanded opportunities for mentoring and networking available to our members whether they are newcomers, young professionals or veterans. With the advancement of technology, we can be more connected throughout the year. Some concrete proposals and requests for your involvement will be discussed in the July meeting, and we will be sending out a more formal request for your involvement soon.
Special thanks to Susanna Binzen who puts together our Section’s newsletters, which keep us connected between meetings.
Leadership. Members have expressed two concerns about leadership. One concern is that our Section lacks significant representation in APHA leadership, which reduces our influence on policy matters. Lois and Lourdes have done a wonderful job recommending some of our Section members to APHA leadership positions. However, the other concern, which also affects the first, is that too few of our Section members want to be nominated to our own leadership. We do have excellent candidates for this year’s election thanks to Timothy Williams. Attracting candidates for the Chair, however, has proved difficult. We will be discussing how to share the job, among several people, of putting together the annual program. Currently, a chair-elect automatically becomes a program chair, which involves a significant time commitment. Our Section needs to look for strategies for sharing the chair-elect’s responsibility of programming with other Section leaders. Task force leaders and members of Section councils are possibilities. Perhaps if the onus of chairing a program is lessened, more members will be willing to get involved.
Thank you all who have been involved in the progress. Please let me know if you would like to be involved or have any suggestions.
And finally, thanks to Margaret Greene, chair-elect. We look forward to the wonderful program she put together for the meeting in Boston
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NOMINATIONS COMMITTEE REPORT
Chair Tim Williams, John Snow Inc., 1616 N. Fort Myer Drive, 11th Floor, Arlington, VA 22209 Phone: (703) 528-7480 Fax: (703) 528-7480 E-mail: firstname.lastname@example.org
The time has come (and now gone) once again to vote for new leaders for our Section. We again had an outstanding slate of candidates for Chair, Secretary, Governing Council, and Section Council to help us advance our goals over the next few years; they are listed below. Electronic voting was available through the APHA voting site: https://www.escvote.com/publichealth2006. We hope you participated in this important Section activity. Election results should be available soon.
Many thanks to all who agreed to run, and good luck to all!
Chair (vote for 1):
Secretary (vote for 1):
- Barbara Seligman, MA, MPP
- Rebecca Dineen, MS
Governing Council (vote for 3):
- Lisa Maldonado, MPH
- Michele Burger, MA
- Daniel Grossman, MD
- Nicole Gray, MPH, MPP, MA
Section Council (vote for 1):
- Catharine McKaig, DrPH, MS
- Rebecka Lundgren, MPH
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Student Section liaisons are an important APHA initiative to get more students involved and recognized in their Sections. The student liaisons also work to get students involved in leadership roles in their Section and in the Student Assembly. Go to http://www.apha.org/sections/students/index.htm to get more information and learn how to sign up for this program.
We have two liaisons this year, Sarah Kelly and Sara Netzer. Here is a message from one of our two new Section liaisons:
I am Sarah Kelly, a first year MPH student at UMDNJ-New Brunswick/Piscataway in the Environmental and Occupational Health program. I attended Douglass College, Rutgers University as an undergraduate and have my BA in women’s and gender studies. I am interested in reproductive rights and comprehensive sexual education advocacy. As one of the student Section liaisons for the Population, Family Planning and Reproductive Health Section, I am interested in bridging the gap between the student and professional members of the Section. I also am interested in finding ways for the Section to help students in their academic and professional lives. I am interested in hearing from anyone and can be contacted by e-mail at email@example.com. Please contact me if you have any questions or ideas. I also will be in touch with the student members by e-mail shortly.
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Chair, Erica Fishman, Minnesota Department of Health, P.O. Box 64882, St. Paul, MN 55164-0882 Phone: 651-201-5899 E-mail: firstname.lastname@example.org
Many of us enjoy the benefits of being a member of our Section, including an informative newsletter. 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. Throughout the year, our Section has members whose membership lapses, and we also gain new members. At the end of March we had 756 individuals for whom this is their primary section. This is slightly up from last year, but lower than in years past. We would like assistance with encouraging lapsed members to renew and also with recruiting new members, especially students. If you would like to assist us or would like more information, please contact Erica Fishman at email@example.com.
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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: firstname.lastname@example.org (Terri) and email@example.com (Craig)
Since the last Section newsletter, a number of important legislative and policy developments have occurred in Washington-most notably the release of the President’s fiscal year 2007 budget request, approval of the FY 2007 foreign operations appropriations bill by the House, introduction of pro-active legislation supportive of family planning, and the issuance of judges’ rulings in the two lawsuits challenging the constitutionality of the anti-prostitution pledge requirement regarding U.S. HIV/AIDS assistance.
FY 2007 Budget
In the President's FY 2007 budget request for foreign assistance programs released in early February, $1.433 billion is requested for the Child Survival and Health Programs (CSH) Fund, administered by the U.S. Agency for International Development, to address "critical health, HIV/AIDS, nutrition, and family planning needs worldwide." The FY 2007 request level for CSH represents a $136 million cut from the 2006 enacted level of $1.569 million.
Proposed family planning and reproductive health (FP/RH) funding within the CSH account is cut to $294 million-a $77 million reduction from the amount appropriated by Congress last year within CSH ($371.3 million), and more than half of the cut proposed for the CSH account overall in order to pay for new presidential initiatives to combat malaria and avian influenza. The toll on USAID FP/RH programs, primarily in sub-Saharan Africa and South Asia, could climb even higher and reach $100 million if the President’s proposal that any contribution for the United Nations Population Fund (UNFPA) be siphoned off from CSH is accepted by Congress, further squeezing the scarce financial resources available to USAID to help the women of Africa, Asia, and Latin America.
In addition, the budget documents omit -- for the first time during the Bush administration -- a top-line number for overall international family planning funding from all bilateral accounts, including funds designated for politically important nations and countries in Eastern Europe and the former Soviet Union. (It is important to note that the SEED and FSA accounts that fund those nations are slated for a combined $151 million cut, dramatically reducing the pool of funds available to support FP/RH activities in those regions and increasing the difficulty for USAID for meeting the overall FP/RH earmark.) In its last five budget requests, the Bush administration has requested a total level of $425 million, which Congress routinely increases during the appropriations process (see table).
After no overall request level was specified in budget documents released on Feb. 7, the Bush administration was forced to put out a top-line number for bilateral family planning funding from all foreign aid accounts in response to persistent inquiries by the New York Times. An administration spokesman confirmed on Feb. 15 a request level of $357 million, a $79 million or 18 percent cut from the FY 2006 appropriated level of $436 million, revealing the unprecedented size of the cut.
To view the International Family Planning & Reproductive Health Assistance Chart, please click on the link at the end of the article.
U.S. Contribution to UNFPA
The budget request proposes that up to $25 million be made available to UNFPA from the CSH account "if not otherwise prohibited" (e.g. if the Kemp-Kasten prohibition is invoked), rather than funded out of the International Organizations and Programs (IO&P) account, along with all of the voluntary contributions for other UN agencies. [The Kemp-Kasten restriction prohibits funding to organizations that are judged to “support or participate in the management of a program of coercive abortion or involuntary sterilization,” which has been overinterpreted by the Bush administration to withhold the UNFPA contribution due to its presence in China.]
This is the second year in a row that the Bush administration has requested a UNFPA contribution in this manner, reversing its practice in the budgets for FY 2003 through 2005 of not including a line-item for UNFPA at all.
Requesting a specific amount for UNFPA is positive. However, by moving the UNFPA contribution to CSH account from the IO&P account where it more properly belongs, USAID will be required to reserve $25 million worth of CSH funds and will not be able to program those funds for other bilateral health activities - most likely those designated for FP/RH - until later in the fiscal year. At that point, congressional appropriators may choose to ignore the President's proposal and earmark a UNFPA contribution from the IO&P account as they did in the FY 2006 foreign operations bill. In the meantime, the programmatic difficulties will be compounded by budgetary shortfalls resulting from the significant reduction in the overall request for the CSH account.
FY 2007 Appropriations
On June 9, the House overwhelmingly adopted its version of the FY 2007 foreign operations bill, the annual legislation which funds U.S. development and humanitarian assistance programs including FP/RH, by the wide margin of 373 to 34. The House approved a funding level for FP/RH programs of $432 million from all bilateral accounts - $350 million of which is to be provided through USAID's CSH account.
The budget climate for foreign aid programs has proven difficult since international affairs was the only budget function besides defense and homeland security to receive increases in the President’s budget request, making foreign aid a tempting target for budget writers given funding cuts proposed for politically popular domestic programs. As a result, appropriators had $2.4 billion less than the President requested overall to allocate among foreign assistance programs and sectors.
Given the difficult budgetary environment and the fact that the President had requested only $357 million for FP/RH programs, restoring funding almost back to the current level should be viewed positively. The reduction in the amount allocated for FP/RH within the CSH compared to the current level remains a cause for concern but, nevertheless, is $56 million more than the $294 million the President's requested. [The amount within CSH is considered more significant because the USAID Office of Population and Reproductive Health exerts greater control over how the funds are spent.]
Family planning champions on the Foreign Operations Subcommittee, in particular Ranking Member Nita Lowey, D-N.Y., are to be commended for rejecting the steep cuts proposed by the President and for their efforts to restore funding to these critical programs.
The bill also earmarks $34 million for a U.S. contribution to the United Nations Population Fund - $22.275 million to be derived from the IO&P account with the remainder coming out of the CSH account. The President's budget request had proposed that funding for a UNFPA contribution of up to $25 million was to come solely from the CSH account and not IO&P, the account from which all other U.S. voluntary contributions to UN agencies are made. The House fortunately chose to ignore the President's ill-advised proposal for the second year in a row.
The likelihood that the Bush administration will invoke the Kemp-Kasten restriction and deny funding to UNFPA for the fifth year in a row led UNFPA advocates to offer an amendment during consideration of the bill by the full Appropriations Committee on May 25. Rep. Carolyn Kilpatrick, D-Mich., sponsored an amendment that would provide funding to UNFPA - even if the President withholds UNFPA's contribution under the Kemp-Kasten provision - but only for the prevention and treatment of obstetric fistula in the 38 countries where UNFPA operates such programs. The amendment was defeated by margin of 23 to 30.
Reflecting its growing political salience, the bill provides $7 million for efforts to address the problem of obstetric fistula. During the floor debate, Rep. Lowey called upon Rep. Chris Smith, R-N.J. - the scourge of FP/RH programs and an ardent promoter of fistula repair - to join her in working to expand fistula prevention efforts including "contraceptive coverage" and family planning services.
Senate work on its version of the foreign operations bill is on a slower track. While consideration of the bill in the Appropriations Committee is expected in July before the month-long August recess, final action may not occur before the election. Given the desire of members of Congress running for reelection to go home to campaign by early October, the conventional wisdom suggests that only a few appropriations bills - namely those dealing with defense and homeland security - are expected to be enacted into law prior to November.
Pro-Family Planning Legislative Initiatives
A number of pro-active pieces of legislation have been introduced in the House and proponents continue to seek sponsors for companion Senate versions. Here are brief descriptions of the main introduced and pending bills:
Anti-Prostitution Pledge Lawsuits
In June 2005, the Bush administration expanded to U.S. organizations the requirement that recipients of U.S. government HIV/AIDS assistance have an official organizational policy opposing prostitution and sex trafficking in order to be eligible to receive funds. Based on a 2003 provision in the authorizing legislation creating the President's Emergency Plan for AIDS Relief (PEPFAR), the requirement for an official policy had previously been applied only to foreign NGOs.
In August 2005, DKT International, a USAID-funded contraceptive social marketing grantee denied funding for a condom distribution project in Vietnam after refusing to comply with this anti-prostitution loyalty oath, filed a lawsuit in Washington seeking an injunction blocking implementation of the policy as an unconstitutional infringement on its right to free speech. Another lawsuit was filed in New York by the Alliance for Open Society International, later joined by Pathfinder International in September of last year.
Within days of each other in May 2006, the judges in both cases issued decisions declaring that the anti-prostitution loyalty oath imposed on U.S. organizations receiving HIV/AIDS assistance from the U.S. government violates their First Amendment rights and granting injunctive relief blocking enforcement of the pledge requirement on the plaintiffs.
The potential significance of these rulings extend beyond U.S. government support for HIV/AIDS programs. It confirms the frequently asserted contention of family planning supporters that the Mexico City Global Gag Rule would be ruled unconstitutional if the government sought to apply the gag rule to U.S organizations and should give pause to those in the Bush White House who may entertain thoughts of extending the reach of the gag rule to U.S. NGOs.
It is important to note that while the judges’ rulings technically only applies to the plaintiffs in these cases, they do provide a precedent for other organizations receiving U.S. HIV/AIDS funds if they choose to explore their legal options. It is also important to note that foreign organizations must still comply with the anti-prostitution loyalty oath as a condition of receiving U.S. HIV/AIDS assistance.
Appeals of the judge’s ruling by the government are possible in either or both cases. Nevertheless, discussion of how the legal application of these positive rulings might be expanded to cover other U.S. organizations similarly situated are underway.
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.
Members of APHA are urged to join the PAI action network to keep up with political developments in Washington. Go to http://populationaction.org/action/getinvolved.htm to sign up.Related Files:Family Planning & Reproductive Health Assistance Chart
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COMMITTEE AND TASK FORCE INFORMATION
Chair Paula Tavrow, Director, Bixby Program in Population and Reproductive Health, School of Public Health, UCLA, Box 951772, Los Angeles, CA 90095-1772 Phone: (310) 794-4302 E-mail: firstname.lastname@example.org .
Board Representative Lois Uttley, Education Fund of Family Planning Advocates of NYS, 17 Elk Street, Albany, NY 12207 Phone: (518) 436-8408 Fax: (518) 436-1048 E-mail: Lois@mergerwatch.org
The Abortion Task Force maintains a listserv hosted by NAF. To be added to the discussion list, please e-mail email@example.com. If you're interested in serving as a chair of the Task Force, please contact PFPRH Section Chair Young-Mi Kim at firstname.lastname@example.org
Adolescent Reproductive Health
Co-Chairs John Santelli, Professor of Clinical Pediatrics and Clinical Population & Family Health, Heilbrunn Department of Population & Family Health, Mailman School of Public Health, Columbia University, 60 Haven Avenue, B-2, New York, New York 10032 (212) 304-5634 Fax: (212) 305-7024 E-mail: email@example.com and Susan Newcomer, DBSB/CPR/NICHD, 6100 Executive Boulevard, Building 61E, Room 8B13, Bethesda, MD 20892-7510 Phone: (301) 496-1174 E-mal: firstname.lastname@example.org and Iris Meltzer, Children’s Hospital Medical Center of Akron, One Perkins Square, Akron, OH 44308 Phone: (330) 543-8914 E-mail: email@example.com
Management/Sustainability Task Force
Co-Chairs Erica Fishman, Asthma Program Coordinator, Minnesota Department of Health, P.O. Box 9441, Minneapolis, MN 55440-9441 Phone: 612-676-5213 E-mail: firstname.lastname@example.org and Lisa A. Hare, Senior Policy Advisor, DELIVER - JSI, 1616 North Fort Myer Dr., 11th Floor, Arlington, VA 22209 Phone: (703) 528-7474 E-mail: email@example.com
Men and Reproductive Health
Héctor Sánchez-Flores, Center for Reproductive Health Research and Policy, University of California, San Francisco, Box 0936, San Francisco CA 941143-0936 Phone: (415) 476- 3375 Fax: (415) 476-0705 E-mail: firstname.lastname@example.org
Sexuality Task Force
Co-Chairs Jennifer Hirsch, Associate Professor, Dept. of Sociomedical Sciences, Mailman School of Public Health, Columbia University, 722 West 168th Street, New York, NY 10032 Phone: (212) 305-1185 E-mail: email@example.com and Leslie Kantor, Kantor Consulting, 600 Prospect Street, Maplewood, NJ 07040 Phone: (973) 763-3904 E-mail: LKantor@KantorConsulting.com and Dina J. Feivelson, 141 E. 33rd St., #9J, New York, NY 10016 Phone: (212) 532-4724 Fax: (212) 305-3702 E-mail: firstname.lastname@example.org
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ANNUAL MEETING PROGRAM, 2006
Chair-Elect Margaret Greene, Department of Global Health, School of Public Health and Health Services, George Washington University, 2175 K Street, N.W., Suite 810, Washington, DC 20037, Phone: (202) 416-0095, E-mail: email@example.com
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Long-time APHA and PFPRH Section member Felicia Hance Stewart, 63, a nationally reknown women's health expert who championed the emergency contraception drug known as Plan B, died of cancer April 13 at her home in San Carlos, Calif.
Read the April 16 obituary that ran in the Washington Post at http://www.washingtonpost.com/wp-dyn/content/article/2006/04/15/AR2006041501060.html?sub=new and the April 19 obituary from the Los Angeles Times at http://www.latimes.com/news/printedition/california/la-me-stewart19apr19,1,2954113.story?coll=la-headlines-pe-california .
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Pathfinder International has published a new document, Preventing Mother-to-Child Transmission of HIV in Kenya: Pathfinder International's Experience: 2002-2005. As many as 60,000 infants are infected with HIV during pregnancy, labor and delivery, and infant feeding each year in Kenya. This document details Pathfinder's successes and challenges delivering integrated prevention of mother-to-child services in facilities and communities over the last three years, outlining lessons learned and suggestions for the way forward. Copies are available by contacting firstname.lastname@example.org, or the document may be viewed and downloaded from the web at http://www.pathfind.org/publications Pathfinder also announce the publication of a new report, Promoting Change in the Reproductive Behavior of Youth, Pathfinder International’s PRACHAR Project, Bihar, India. The PRACHAR Project offers unique lessons in how to improve the health and welfare of young mothers and their children by changing traditional customs of early childbearing. Copies are available by contacting email@example.com , or the document may be viewed and downloaded from the Web at http://www.pathfind.org/publications .
Family Health International/YouthNet is pleased to announce: Adolescents: Orphaned and Vulnerable in a Time of AIDS, Youth Issues Paper 6, with a companion brief, YouthLens No. 18. These publications address the needs of adolescent orphans, including secondary education, livelihood training, and reproductive health and HIV education and services. Even though the majority of orphans are adolescents, their needs are often neglected by programs working with orphans and vulnerable children. The 30-page issues paper includes analysis, program summaries, four case studies, and recommendations for action. It is available at http://www.fhi.org/en/Youth/YouthNet/Publications/YouthIssuesPapers.htm. New YouthLens Issues, the four-page research brief series that synthesizes information on critical topics related to youth reproductive health and HIV prevention, are available at http://www.fhi.org/en/Youth/YouthNet/Publications/YouthLens+English.htm.
YouthLens 15. Early Marriage and Adolescent Girls. Girls at risk of child marriage and those already married experience greater disadvantages compared to unmarried girls or married young women. Even so, most programs addressing adolescent reproductive health and HIV prevention have focused primarily on unmarried youth. YouthLens 16. Boys and Changing Gender Roles. A growing number of projects recognize the importance of working with boys and young men to change gender norms and at the same time affect behaviors related to reproductive health and HIV/AIDS. YouthLens 17. Creating Youth-Friendly Pharmacies. Research indicates that youth prefer pharmacies for contraceptive services, but more training and other efforts are needed to expand youth-friendly pharmacies beyond pilot projects in selected countries.
For printed copies of any of these publications, please send a request to firstname.lastname@example.org. YouthNet, coordinated by Family Health International, is a global program to improve reproductive health and prevent HIV/AIDS among young people ages 10-24. For more information, please visit http://www.fhi.org/youthnet.
The following new publications on family planning from the World Health Organization's Department of Reproductive Health and Research are now available online:
1. Evidence-based guidelines on contraceptive use now available in French, Portuguese, Spanish, and Russian (soon to be available in Arabic).
2. Publication of the Decision-Making Tool for Family Planning Clients and Providers.
3. Fact sheet on emergency contraceptive pills.
4. Statement on hormonal contraception and bone health.
5. Statement on carcinogenicity of combined hormonal contraceptives and combined menopausal treatment. http://www.who.int/reproductive-health/family_planning/ .
The Association of Reproductive Health Professionals is pleased to announce the release of the http://www.arhp.org/curriculum">Reproductive Health Model Curriculum, 2nd Edition, a free comprehensive seven-module resource, an adaptable teaching tool that can be used in medical schools, nursing schools, physician assistant programs, residency training programs, or as an inservice training tool to strengthen the reproductive health services of practicing health care providers. The second edition includes late-breaking information and updated medical content, including links to thousands of articles and Web sites, educational tools, and organizations. The Curriculum modules are: Implementation Guide, Psychosocial Factors, Communication, Sexually Transmitted Diseases, Primary Care for Infertility, Contraception, and Abortion. For more information, contact Jen Hurlburt, ARHP program manager, at email@example.com (202) 466-3825.
The Population Reference Bureau has produced a CD-ROM: Abandoning Female Genital Mutilation/Cutting: Information From Around the World (August 2005). This CD-ROM, in English and French, is a collection of data and research on female genital mutilation/cutting (FGM/C) from a wide variety of sources. It is a direct response to the findings of a 2004 survey, undertaken by PRB with four collaborating partners, in which respondents said that serious information gaps on FGM/C exist. The CD-ROM includes material on various approaches used by organizations working toward abandonment of FGM/C, as well as on statistics, training efforts, and policy aspects. To order a copy of the CD-ROM, please contact PRB at firstname.lastname@example.org; by phone at 202-483-1100; or by fax at 202-328-3937. PRB also presents The World’s Youth 2006 data sheet, which provides a comprehensive portrait of the well-being of youth ages 10-24 across the globe, including such indicators as the current and projected size of youth populations, educational enrollments, labor force participation, marriage and fertility, health behaviors, and use of health services. The data sheet is available on PRB’s Web site at http://www.prb.org/pdf06/WorldsYouth2006DataSheet.pdf and copies can be requested by sending an e-mail to email@example.com . Copies are free of charge to those working in developing countries.
The Population Council is pleased to announce the publication of A Client-centered Approach to Reproductive Health: A Trainer's Manual, a novel framework for training providers to deliver client-centered reproductive health services. The essence of the approach is to bring about behavior change in providers by making them more receptive and responsive to client needs. Known by the acronym SAHR, this approach involves four interconnected steps: Salutation, Assessment, Help, and Reassurance. The manual is written in fairly generic terms and can be used, with slight modifications, in any setting or country. The manual has three sections. Section One, the introduction, is an overview of the contents. Section Two, the trainer's guide, comprises the training modules. Each module describes the individual components of client-provider interaction and includes learning objectives, key learning points, a schedule, and a list of materials required. Trainer notes and step-by-step instructions for each activity are included within each module. Section Three contains support materials to help trainers prepare for the sessions. The manual can be downloaded in PDF format at http://www.popcouncil.org/pdfs/CCA_TrainersManual.pdf.
Looking for technical overviews on health? Global Health Technical Briefs summarize the most important information on a timely reproductive health topic in two pages, and pinpoint the implications for public health programs. Five new Global Health Technical Briefs are now available at http://www.maqweb.org: New Global Health Technical Briefs are posted regularly on MAQWeb at http://www.maqweb.org/techbriefs/index.shtml. Currently, the site offers 24 technical briefs on Family Planning, Healthcare Programming, Maternal and Child Health, and Malaria. The INFO Project produces Global Health Technical Briefs for the Maximizing Access and Quality Initiative. Several recently published briefs in the series: Family Planning for Married Adolescent Girls: http://www.maqweb.org/techbriefs/tb25maradol.shtml and First Aid for Women and Newborns: Where Home Birth is Necessary or Common: http://www.maqweb.org/techbriefs/bt26homebirth.shtml .
Family Health International is pleased to announce a new module, Contraception for Women and Couples with HIV. It is available on FHI’s Web site at http://www.fhi.org/en/RH/Training/trainmat/ARVmodule.htm. The module contains guidance for providers who offer contraception to clients with HIV, including those on ARV therapy, and contains specific information about contraceptive options for clients with HIV, possible interactions between hormonal contraceptives and ARVs, decisions clients with HIV may have to make, and advice about how to counsel them. Recommendations are compiled from a number of sources, including the Medical Eligibility Criteria for Contraceptive Use (WHO, 2004). Guidelines for using the materials for either independent, self-paced study or group presentations are included. Electronic files can be downloaded to facilitate adaptation of the materials for selected audiences. Although designed for providers in the east and southern Africa region, the materials can be readily adapted for use in other regions. For more information, contact: firstname.lastname@example.org .
Save the Children has released its seventh annual State of the World's Mothers report. By focusing on the 60 million mothers in the developing world who give birth every year with no professional help and the 4 million newborns who die in the first month of life, the report helps to bring attention to the urgent need to reduce infant mortality around the world. The report also identifies countries that are succeeding in improving the health and saving the lives of mothers and babies, and shows that effective solutions to this challenge are affordable - even in the world's poorest countries. http://www.savethechildren.org/publications/SOWM_2006_final.pdf
MEASURE Evaluation is pleased to announce the publication of Priorities for Local AIDS Control Efforts: A Manual for Implementing the PLACE Method. This is a tool to monitor local HIV prevention program coverage. PLACE uses available data to identify "priority prevention areas" and then assesses HIV prevention program coverage among persons in these areas with highest rates of new sexual or needle sharing partnerships. Using a venue-based approach, the PLACE Method lays out a step-by-step method for monitoring AIDS prevention among most-at-risk populations. It is designed for implementation within a short period of time by local personnel equipped with a word-processing program and freely available data entry, analysis, and mapping programs such as Epi-Info. The method includes participatory feedback workshops to ensure that results are used to tailor local interventions. Visit http://www.cpc.unc.edu/measure">www.cpc.unc.edu/measure to request a copy of the PLACE Method manual or download a PDF version of the guide. MEASURE Evaluation offers more than 250 other publications related to monitoring and evaluation of population, health, infectious disease, and nutrition programs.
The Frontiers in Reproductive Health Program (FRONTIERS) announces new publications on the topics of safe motherhood and systematic screening along with recently published journal articles on sexually transmitted infections: Safe Motherhood: This study developed and tested an improved an integrated antenatal care (ANC) program for public sector clinics in the Ulundi District of KwaZulu-Natal (KZN) Province of South Africa with the goal of increasing the range and quality of services received by pregnant women and improve their reproductive health behavior and status. The proportion of ANC clients receiving STI and/or HIV services doubled in the intervention clinics. However, less than one-third of pregnant women were informed about PMTCT and VCT, despite rollout of the national PMTCT program. Interventions that rely heavily on training staff in new ways of organizing and providing services must develop and use training and supervisory strategies or systems that are explicitly designed to incorporate relatively rapid rates of staff turnover. Final Report: Feasibility of introducing a comprehensive package of antenatal care services in rural public clinics in South Africa
Systematic Screening: This is a technique for improving the integration of services at the provider level, which is defined as the proactive offer of additional services during client visits. In systematic screening, providers use a checklist to screen clients for unmet service needs. The identified services are then offered to the client at the same visit, a subsequent visit, or a referral if the desired service cannot be provided at the same facility. The ultimate goal of systematic screening is to reduce unmet health service needs among program clients. The technique has been successful in increasing services per visit. Final Report: Use of systematic screening to increase the provision of reproductive health services in Bolivia; Final Report: Systematic screening as a strategy to increase services integration and revenues in Honduras; Final Report: Systematic screening to integrate reproductive health services in India; Final Report: Using systematic screening to increase integration of reproductive health services delivery in Senegal
FRONTIERS also announces the publication of three new reports on research in Bolivia, Guatemala, and South Africa, as well as journal articles on gender-based violence and HIV, involving men in maternity care, and female genital cutting: Rural Bolivia: Making Health Services Culturally Appropriate. The goal of this project was to increase women's health and reproductive health services by offering culturally appropriate services. Final Report: Cross-cultural Adaptation of Reproductive Health Services in Bolivia Rural Guatemala: Increasing Access to IUDs: This study tested a model to train nurse auxiliaries at health centers and posts in Guatemala and to determine whether these providers could effectively provide IUD services. Final Report: Increasing Access to Long-term Contraceptives in Rural Guatemala through the Ministry of Health South Africa: Nursing Staff Dynamics: The term "nursing staff dynamics" encompasses a range of human resource processes including staff turnover, absenteeism, average length of stay in a facility, vacancy rates, and workload. This study, carried out in three provinces of South Africa, aimed to document nursing staff dynamics in maternal health services and to explore the factors associated with these dynamics. Final Report: Nursing staff dynamics and implications for maternal health provision in public health facilities in the context of HIV/AIDS (in South Africa) Two recent articles from the South African journal Agenda: Special Focus on Gender, Culture, and Rights: Interventions linking gender relations and violence with reproductive health and HIV: Rational, effectiveness and gaps;
Involving men in maternity care: Health service delivery issues A recent article from The Lancet: Reaching the tipping point against female genital mutilation FRONTIERS also announces new publications on Male Involvement in Maternity Care in South Africa:
South Africa: Antenatal couples counseling is feasible but challenging. Couples counseling for antenatal care in South Africa was feasible but challenging. Given marital and work patterns of women and partners, counseling generated few significant changes in reproductive health risk behavior. Increasing men's involvement in reproductive health will likely require a broad effort to increase knowledge of sexually transmitted infections, including HIV/AIDS, and sexual risk behaviors. OR Summary (2 pp.): http://www.popcouncil.org/frontiers/orsummaries/ors58.html">South Africa: Antenatal couples counseling is feasible but challenging Full report: http://www.popcouncil.org/pdfs/FRONTIERS/FR_FinalReports/SA_MIM.pdf">Involving men in maternity care: South Africa Related article: http://www.popcouncil.org/pdfs/frontiers/journals/Agenda_Mullick05.pdf">Involving men in maternity care: health service delivery issues FRONTIERS also has articles on male involvement in Bangladesh and India: Bangladesh: Reproductive health services for men were successfully integrated into formerly female-focused services without compromising the quality of care. OR Summary (2 pp.): http://www.popcouncil.org/frontiers/orsummaries/ors47.html">Bangladesh: Offering reproductive health services for men improves clinic utilization Full report: http://www.popcouncil.org/pdfs/frontiers/FR_FinalReports/Bangladesh_Male Involvement.pdf" href="http://www.popcouncil.org/pdfs/frontiers/FR_FinalReports/Bangladesh_Male%20Involvement.pdf">Integration of reproductive health services for men in health and family welfare centers in Bangladesh India: An intervention during prenatal consultations to increase men's involvement in their partners' maternal care increased couples' discussion and use of contraception and improved knowledge about pregnancy and family planning. OR Summary (2 pp.): http://www.popcouncil.org/frontiers/orsummaries/ors45.html">India: Men's involvement in partner's pregnancy yields health benefits Full report: http://www.popcouncil.org/pdfs/frontiers/FR_FinalReports/Indi_MIM.pdf">Involving men in maternity care in India In the area of Capacity Building in Reproductive Health Programs, FRONTIERS presents a publication entitled Building capacity to utilize operations research: Strategies and lessons learned. Many donors and international health agencies are placing more emphasis on the utilization of research results for policy and program development. Yet, while there is a long tradition of training researchers to produce research, there are few lessons on how to teach managers to request and use research results for making program decisions. Addressing this gap has been a major strategy of the FRONTIERS Program, which has supported a variety of capacity building activities since 1998 to increase the number of program managers and researchers who can understand and conduct OR and utilize the resulting findings. This Program Brief presents lessons learned through FRONTIERS capacity building work in fostering the increased use of operations research by family planning and reproductive health programs. Program Brief No. 5 (8 pp.): http://www.popcouncil.org/pdfs/frontiers/pbriefs/Bldg_Cap_brf.pdf">Building capacity to utilize operations research: Strategies and lessons learned
A new report from the Guttmacher Institute, named Abortion in Women’s Lives, reveals that not all women have benefited from the increase over the past three decades in access to modern contraceptives and safe, legal abortion. From the 1980s to the mid-1990s, women of all income groups became more likely to use contraceptives and less likely to experience unintended pregnancies. But since 1994, unplanned pregnancy rates among poor women have increased by 29%, while rates among higher-income women have decreased by 20%. Today, a poor woman is four times as likely to experience an unplanned pregnancy as a higher-income woman. The report, by Heather D. Boonstra, Rachel Benson Gold, Cory L. Richards and Section member Lawrence B. Finer, pulls together the most recent data and analysis on abortion and unintended pregnancy in the United States into one comprehensive resource. The report can be viewed at
UNFPA and YouthNet announce the publication of two new tools in the Youth Peer Education Toolkit. The first, Standards for Peer Education Programs provides a framework of essential components for any peer education program, as well as tips and examples from around the world. This tool is organized to be user-friendly for various readers and purposes, and includes a booklet and a four-page version for managers to take with them on site visits. The second tool, Theatre-Based Techniques for Youth Peer Education: A Training Manual, is intended for program managers and youth peer educators who are interested in adding a theater component to their reproductive health and HIV prevention activities or in strengthening a theater component that is already part of a program. It contains four peer theater training workshops, a series of theater games and exercises that can be used in trainings, and information on developing and building a peer theater program. Both of these tools resulted from a collaboration between the United Nations Population Fund (UNFPA) and Family Health International. To view the Standards for Peer Education Programs and Theatre-Based Techniques for Youth Peer Education, please visit http://www.fhi.org/en/Youth/YouthNet/Publications/peeredtoolkit/index.htm. To request a printed copy, please send your name, organization, and complete mailing address to email@example.com .
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Section Web Site
The Population, Family Planning, and Reproductive Health Section Web site can be accessed at http://www.pfprh.org or at http://www.apha.org/sections/sectwww.htm. Thanks go to Section Council member Larry Finer, who developed the site.
You can find general information about the Section and its leadership; information on our standing committees, task forces, Section awards, and listserv; current and past newsletters; links to other sites of interest; Section contact information; and more.
If you have suggestions for further improvements or can help to maintain the Web site, please contact Cynthia Green at firstname.lastname@example.org .
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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, Sept. 8, 2006 to:
Division of Reproductive Health, MS K-35
Centers for Disease Control and Prevention
4770 Buford Highway, NE
Atlanta, GA 30341
Phone: (770) 488-6273
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Population, Reproductive and Sexual Health Newsletter Archives