Summary There is a general lack of a reliable information base to support the identification, ass... more Summary There is a general lack of a reliable information base to support the identification, assessment and cost-effective treatment of disease and associated social issues in resource-constrained countries in the developing world. Demographic surveillance systems (DSSs) have been used to generate empirical population and health data at the household level in resource - constrained countries. In these systems, geographically-defined populations,
... This article describes thefirst ix months of the strategic planning process to develop a cult... more ... This article describes thefirst ix months of the strategic planning process to develop a culturally ... These constraints were grouped into four general themes, and the strategicplanning com-mittee was invited to identify related programmatic ob-...
This study presents a focus group investigation of reasons why women in a rural, Sahelian communi... more This study presents a focus group investigation of reasons why women in a rural, Sahelian community are reluctant to adopt family planning even when convenient services are made freely available. First, women opting to practice contraception must do so at considerable risk of social ostracism or familial conflict. Implementing individual preference is something that must be done without the support of others. Second, few women view personal decisions about contraceptives as theirs to make. Women and children are the property of the corporate family-kin and community militate against reproductive control. Third, although children are highly valued for a variety of economic, social, and cultural reasons, mortality risks remain extremely high. Low fertility imposes the unacceptable risk that a woman will have no surviving children at the end of her reproductive life. Taken together, these findings attest to the inadequacy of service strategies focused on the contribution of distribution, individual agency, or personal choice. Outreach should also build a sense of community legitimacy for the program, collective health action, and traditional leadership support for family planning behavior.
Summary There is a general lack of a reliable information base to support the identification, ass... more Summary There is a general lack of a reliable information base to support the identification, assessment and cost-effective treatment of disease and associated social issues in resource-constrained countries in the developing world. Demographic surveillance systems (DSSs) have been used to generate empirical population and health data at the household level in resource - constrained countries. In these systems, geographically-defined populations,
... This article describes thefirst ix months of the strategic planning process to develop a cult... more ... This article describes thefirst ix months of the strategic planning process to develop a culturally ... These constraints were grouped into four general themes, and the strategicplanning com-mittee was invited to identify related programmatic ob-...
This study presents a focus group investigation of reasons why women in a rural, Sahelian communi... more This study presents a focus group investigation of reasons why women in a rural, Sahelian community are reluctant to adopt family planning even when convenient services are made freely available. First, women opting to practice contraception must do so at considerable risk of social ostracism or familial conflict. Implementing individual preference is something that must be done without the support of others. Second, few women view personal decisions about contraceptives as theirs to make. Women and children are the property of the corporate family-kin and community militate against reproductive control. Third, although children are highly valued for a variety of economic, social, and cultural reasons, mortality risks remain extremely high. Low fertility imposes the unacceptable risk that a woman will have no surviving children at the end of her reproductive life. Taken together, these findings attest to the inadequacy of service strategies focused on the contribution of distribution, individual agency, or personal choice. Outreach should also build a sense of community legitimacy for the program, collective health action, and traditional leadership support for family planning behavior.
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Papers by Fred Binka