HEALTH AND POPULATION PERSPECTIVES AND ISSUES

India (New Delhi) 29

1994 - VOLUME 17, NUMBER 3-4

96.29.1 - English - P. DURGAPRASAD and S. SRINIVASAN, HRD, NIRD, Hyderabad 500 030 (India) Health users' opinions on impact of health schemes: Analysis of issues and lessons for Inter-sectoral coordination for improved grassroots health delivery (p. 122-136)

This article presents an examination of health care service users' opinions on the impact of various health programmes. The authors attempt, more specifically, to describe the ways in which these health services are used with reference to the philosophy behind primary health care systems (the available, accessible, adapted and cheap services). By explaining the current mechanisms for inter-sectorial coordination for improving the management of the primary health care system, they emphasise the necessity of making the programmes' objectives and actions correspond to the needs felt by the users. (INDIA, HEALTH SERVICES, PRIMARY HEALTH CARE, PROGRAMME EVALUATION)

96.29.2 - English - V. K. SINGH, National Institute of Health and Family Welfare, New Mehrauli Road, Munirka, New Delhi-110 067 (India) Content analysis of film messages on family welfare and audience reactions (p. 145-155)

The author attempts to highlight the messages relating to family welfare which are contained in documentary films dealing with this topic and to comprehend how these messages are understood by the public in a village in Puri district (Orissa). His research contained two facets: an analysis of the messages and one of the public's reactions. It dealt with four film and 60 spectators drawn at random. Films of this kind tend to lay more emphasis on economic and socio-cultural issues than they do on agricultural, demographic or health matters. (INDIA, FAMILY WELFARE, FILMS, MESSAGE)

96.29.3 - English - B.K. PATTNAIK, Department of Education and Training, National Institute of Health and Family Welfare, New Delhi (India) Marketing and price determination of contraceptives - An economic analysis (p. 156-164)

The intensity and continuity of contraceptive use are an integral part of fertility determinants. Amongst contraceptive technique, the most widespread one is surgical sterilization. Social marketing of the IUD, the pill and the condom is, therefore, an urgent requirement if fertility is to decline. Even if social marketing of contraceptives has led to an increase in demand in some developing countries, their continued use in the long term is not a foregone conclusion. An economic analysis of price determination and the creation of a demand for contraceptives, particularly in developing countries, is one of the basic elements of health economics. (DEVELOPING COUNTRIES, CONTRACEPTIVE PREVALENCE, SOCIAL MARKETING)

96.29.4 - English - S. BHATNAGAR, Nutan P. JAIN and Jaishree GUPTA, Department of Planning and Evaluation, National Institute of Health and Family Welfare, New Mehrauli Road, Munirka, New Delhi-110 067 (India) A community study on contraceptive gap in periurban women of south Delhi (p. 165-177)

In order to estimate the proportion of women who use one contraceptive method or another amongst those who are at risk of conceiving a local study was undertaken in a Southern suburn of Delhi, using 764 women who had given birth up to two years previously. It was noted that contraceptive use was greatly "delayed" compared to the risk of conceiving and that delay got worse with time. (INDIA, CONTRACEPTION CONTINUATION)

96.29.5 - English - S. BHATNAGAR, Nutan P. JAIN and Jaishree GUPTA, Department of Planning and Evaluation, National Institute of Health and Family Welfare, New Mehrauli Road, Munirka, New Delhi-110 067 (India)

Does breast feeding prevent pregnancy? Perception and practices of breast feeding with special reference to colostrum in peri-urban women of south Delhi (p. 178-189)

Interviews were carried out on 1,200 women from various social strata, all having in common that they had a child under two years of age. The questions dealt with breastfeeding and its role in preventing pregnancies. Only 16.4% of these women believed that breastfeeding had a contraceptive effect and 31.7% had no opinion on the subject. Mothers tended, in general, to give their babies colostrum, but without having any precise knowledge of its properties. Furthermore, the return of menstruation is recognised as being a sure sign of fecundability, independently of breastfeeding. It is therefore necessary to promote the use of colostrum for feeding newborn babies and to convince women that there is a link between the return of menstruation and fecundability. (INDIA, BREAST FEEDING, FECUNDABILITY, EDUCATION OF WOMEN)

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