Developing a culturally appropriate family planning program for the Navrongo experiment

Nazzar, A.; Adongo, P.B.; Binka, F.N.; Phillips, J.F.; Debpuur, C.

Studies in Family Planning 26(6): 307-324

1995


ISSN/ISBN: 0039-3665
PMID: 8826071
DOI: 10.2307/2138097
Document Number: 514255
The first six months of the strategic planning process to develop a culturally appropriate community health and family planning programme for a traditional community in a district of northern Ghana, served by the Navrongo Health Research Centre are described. To explain the context within which fertility decisions are made, the article describes the district's severe ecological, social, economic, and health constraints to family planning. It discusses related programmatic obstacles and presents the strategies developed to respond to them. A system of care has been developed that is closely coordinated with traditional leaders and communication networks. Management systems support outreach workers by emphasizing the importance of peer leadership, supervisory support, and community liaison in the implementation of village-based services. A large-scale experiment will be fielded to test the demographic impact of this approach.

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