
Experimental Programs
Expanding a Successful Health Care Initiative
What is
the best way to help institutions replace poorly functioning policies
and programs with ones that have been shown to work well? “In Ghana, we
are taking mechanisms that work for individual behavior change and
adapting them for the purpose of policy and program change within
institutions,” says Population Council demographer James F. Phillips.
Phillips and his Council colleagues are collaborating with the Ghana
Health Service to help that organization overcome the gap between
research and action.
Experimental Programs
Innovative Strategies Reduce Fertility in Ghana
In the early
1990s, surveys conducted in Ghana showed that people’s desire for family
planning was largely unfulfilled, despite two decades of policies aimed at
making inexpensive family planning services available. Research also
showed that mortality in remote rural areas was substantially higher than
in urban communities. In response to this situation, the Ghanaian Ministry
of Health designed the Community Health and Family Planning experiment at
its Navrongo Health Research Centre, a field station in rural northern
Ghana. The Population Council provided research support and administered
funding for this experiment. “The initial results of the experiment
suggest that in a traditional African society provision of primary health
services in the local community and intensive social mobilization can make
a difference in fertility and ideas and beliefs about reproduction” said
James F. Phillips, one of the Council investigators on the study team.
Programmes Expérimentaux
Stratégies innovatrices pour réduire la fertilité au Ghana
Au début des années 1990, les
recherches effectuées au Ghana ont montré que les souhaits des populations
en matière de planning familial étaient largement insatisfaits, malgré
deux décennies de politiques visant à rendre disponibles des services de
planning familial peu coûteux. Les recherches ont également montré que la
mortalité dans les zones rurales était considérablement plus élevée que
dans les communautés urbaines.
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