The Integrated MCH-Family Planning Development Project in Mojokerto, East Java: a summary of experiences and results
Anonymous
Technical Report Series, National Family Planning Coordinating Board, Indonesia 29: 61
1981
Document Number: 397143
The paper summarizes the experiences and results of a project designed to assess the feasibility of an integrated maternal and child health and family planning pogramme in rural areas of developing countries. The project addressed itself to administrative, personnel, and implementation problems. A basic assumption was that there are mutual benefits to be derived from linkage of maternal and child health and family planning services: family size limitation and greater spacing have positive health implications, and a health programme is an effective vehicle for delivering family planning education. The paper describes the project area and the integrated delivery system in the area; evaluates the functions of the health sub-centre and the results of the project; and considers community participation and community health practice and contraceptive use. The national workshop held in Java in 1979 concluded that: sub-centre systems enhance health coverage, multi-purpose health workers are effective, local participation was important for smooth functioning, there was positive commmunity motivation, the referral system did not function adequately, and the recording and reporting system was cumbersome. Health nurses can be used effectively. Equipment and facilities for sub-centres are expensive and increase the unit cost of the service, but are necessary for successful operation.