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Browse POLICY Project (1995-2006) Materials

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  • The 1994 ICPD in Cairo shifted family planning program attention from a focus on achieving demographic targets to meeting individual needs of women for family planning and reproductive health services. Several governments in developing countries are responding by placing increased emphasis on program quality, meeting the expressed needs of clients, and placing less emphasis on achieving quantitative indicators of program performance. This report summarizes some of the changes in performance monitoring taking place in selected countries. There is considerable variability in how countries are making this transition. While Indonesia has been one of the most successful developing countries to meet its demographic objectives, it has recently made great strides in shifting the focus of its family planning program from a target-driven program to one based on the concept of understanding and fulfilling the needs and preferences of the family. Work is now underway to operationalize the policy at the field level, incorporate the approach in national and local planning, and devise strategies for collecting information that will allow assessment of its success. • In the Philippines, focus is placed on improving maternal and child health and meeting the reproductive intentions of women. Work is proceeding to improve the national MIS, make better use of existing data from a variety of sources to produce an annual status report for the Philippine Family Planning Program, as well as to strengthen monitoring systems at the local level. There is currently a lot of variability in capabilities by local government unit (LGU). While pilot approaches are being tested in a few LGUs, it is unclear to what extent these will be endorsed by either the Department of Health or other LGUs. • In Zimbabwe, greater attention is being paid to reproductive health in service provision, particularly STD treatment and prevention. A new report form is being tested to ascertain more clearly the quality of care provided and patterns of method switching. The next five-year plan, to be developed during 1996, is expected to formalize the new reproductive health strategy. • Increased emphasis is being placed on reproductive health in Mexico, although it's too early to know how the performance monitoring system will evolve to address these new concerns. While experience is beginning to accumulate, shifting from advocacy for a reproductive health approach to program implementation at national, subnational, and local levels will require much new work to obtain timely, accurate information for planning, implementation, and monitoring of reproductive health programs.