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Dr. j melgar family planning and development
1. Global Rationales & Actual Benefits of Family Planning Junice L.Demeterio-Melgar Training of Medical Educators in Family Planning Silliman University, May 2010
2. Some early FP technology pig intestine condoms Crododile dung pessary weasel’s testicles Oral mercury Gold/silver diaphragm lemon Ian Fortey, Cracked.com
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4. Pop theory: too many people consume resources, destroy environment
18. NORPLANT VASECTOMY INJECTABLE FSTERILIZN TCu380AIUD POPbreastfeeding LAM6mos OCP CONDOM DIAPH+SPERMCID FAB FCONDOMS SPERMCID NO METHOD 0-1: Always very effective 2-9: Effective as common- Ly used. Very effective when used correctly & consistently. 10-30: Only somewhat effective as commonly used. Effective when used correctly & consistently (0-1) (2-9) (10-30) Pregnancies per 100 Women in 1 st 12 mos Use Modern Contraceptives: Very Effective WHO, USAID, Bloomberfg, Family Planning A Global Handbook , 2007 COR CON USE TYP USE .1 .15 .3 .5 .8 1 2 6-8 14 20 20 21 26 85 .1 .1 .3 .5 .6 .5 .5 .1 3 6 1-9 5 6 85
19. Contraceptives: in WHO Core List of Essential Medicines Minimum medicine needs for a basic health care system, listing the most efficacious, safe and cost-effective medicines for priority conditions. Priority conditions are selected on the basis of current and estimated future public health relevance, and potential for safe and cost-effective treatment. http://www.who.int/medicines/publications/essentialmedicines/en/
25. Goal: enable couples and individuals to decide freely and responsibly no.& spacing of their children Ensure informed free choice, is essential to long-term success of FP programs. Coercion, incentives and disincentives, targets & quotas have not worked Governmental goals for FP should be defined in terms of UNMET NEED for information and services. ICPD POA 7.12 FP Program principles
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28. Comparative Cost-Effectiveness of FP Intervention Cost $ per DALY saved Insecticide-treated bednets 3-20 Malaria prevntn for pregnant women 29 TB treatment (epidemic sitns) 6-60 Modern contraceptive methods 62 ARV treatment India 150 ARV treatment Sub-Saharan Africa 252-547 BCG vaccination of children 48-203 Oral rehydration therapy 1,268 Cholera immunization 3,516 Guttmacher Institute and UNFPA, Adding it Up: The Costs and Benefits of Investing in Family Planning and Maternal and Newborn Health, 2009
