POPULATION ADVISOR PROJECT MINISTRY OF PUBLIC HEALTH ...

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2 aspects of family planning with the national maternal and child health program through a series of strategies and activities. In discussions with the Director General of the MOPH it was agreed that the principal areas of concentration that would lead to an explicit family planning policy included activities in: 1. Law and Policy 2. Training 3. Demographic Data Collection and Analysis 4. Information, Education and Communication 5. Contraceptive Procurement 6. Chadian Family Planning Association 7. First International Family Planning Conference It was fortunate that during the two years that the Population Advisor spent in Chad there were additional resources through the Sahel Population Initiatives Project and through centrally-funded projects. By tapping into these resources the Population Advisor maximized available funding that would support each of the abovementioned activities. During the two years she brought over one million dollars worth of project activities into Chad, while providing 250 Chadians with short-term training in the various aspects of family planning.
<strong>PROJECT</strong> ACTIVITIES - RATIONALE AND ANALYSIS I. Law and Policy (Buy-in to the Options Project) In 1986 the Director General of the Ministry of Public Health requested technical assistance in helping to draft replacement legislation for Chad's Pharmacy Law No. 28 of 1965, where articles 95 through 100 forbade the use, distribution and advertisement of contraceptives. He felt a need to be cautious and insisted that before any service activities could begin in family planning the law needed to be repealed. This strong insistence on changing the law before USAID could import contraceptives was, and remained, a top priority for the family planning project and all training activities during the first year of the project revolved around this request. In mid-1987 a consultant from the Options Project spent three weeks in N'Djamena researching the legal situation with regard to changing the 1965 law. A document was prepared entitled, "Review of the Legal Situation in Chad Regarding Contraception," which described the legal mechanisms to repeal the law in Chad. Unfortunately, the first report did not address the Government's request and a second report was requested. This second report was also rejected by REDSO, the mission and the GOC. The delay in waiting for the draft legislation contributed greatly to the loss of all political momentum gained during the first 10 months of the project. In-country, family planning activities would not be permitted, nor would the importation of contraceptives, without the draft of the new legislation. The most disappointing and significant loss due to the delay in waiting for the new draft was the cancellation of the proposed seminar on Law and Policy planned and approved by the MOPH during the first year following the drafting of the new law. Instead, it was proposed that both seminars (the second one entitled "Family Health and Child Spacing" aimed at managers, administrators and clinicians) be integrated into one conference. We had thus lost the opportunity of focusing the fundamental issues involved in developing a strategic seminar on Population Law and Policy - an important and basic step in developing policy formulation for family planning and health care in general. A third and final document was finally prepared by the Population Advisor at the request of REDSO/West entitled "Proposal to Change Chadian Laws Concerning Contraception." This document was edited and approved by the Ministries of Justice and Public Health and is presently at the Council of Ministers awaiting the 3
Page 1 and 2: POPULATION ADVISOR PROJECT MINISTRY
Page 3 and 4: ACKNOWLEDGEMENTS A successful proje
Page 5 and 6: e) Mr. Drew Factor: A kind, warm an
Page 7: INTRODUCTION At the end of November
Page 11 and 12: In fact, the HIID/USAID project not
Page 13 and 14: initiating any action on the distri
Page 15 and 16: Much has been written about the imp
Page 17 and 18: D. Major Outcomes of the Conference
Page 19 and 20: planning service delivery system, m
Page 21 and 22: ._EpUBLIOUE DU TCHIAD UNITE TRAVAIL
Page 23 and 24: L'UTILISATIOU DES METHODES IRREVERS
Page 25 and 26: - TOUS CEUX VIUI AUROnIT PRESCRIT A
Page 27 and 28: FORMATION EN PLANIFICATION FAMILIAL
Page 29 and 30: FORMATION EN BIEN ETRE FAMILIAL ANN
Page 35 and 36: NOM ET PRENOM 1. Dr. DJimaed6 K'Bal
Page 39 and 40: ET PRENOM Mr. Mahamat Adjid Oumar (
Page 41 and 42: REPUBL.OLIE DL TCHAD UNITE - THAVA]
Page 43 and 44: REMEFRCIEflENTS Houe tesnoniz A ren
Page 45 and 46: EOUIPP DEC C(-rUFPCATr.uR myt. Mir.
Page 47 and 48: cte Cerquctcz C~ata. o c-t dugic .I
Page 49 and 50: Izz. ?IETHODLoLOOE Cett& t-tud& occ
Page 51 and 52: 1. La bage de condacae ay S61ection
Page 53 and 54: e) H~ethadt? dlchntl1lonnago La mis
Page 55 and 56: Le queetlonnalre a encuite 4tqt- te
Page 57 and 58: Lee.quotac thboi-lquear et. ceum ri
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IV. RESULTATS 1. EJEOUETE OUAH'TTTA
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NlvcIau dl6ducntion AS XA dec feirm
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T A P!.' CARACTERISTZOUM-2 SOC1O-LD
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CLASSEE Nom~nbj-r Par- claccei (IPf
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TAELEAU ITT Nombre moyen do grococe
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ITT. PRATIQUE9 [DU P013T - PARTUJM
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IV. PLAU TL!TCA. 4 011 _-j~ 4A 21/%
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TAFE FAIJ IV rD*.z±- do rotcur ",c
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TAB.LEAU V connaiccanco ot ut±.lac
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1.1 eict n~coccaii-e doanc', au vu
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VI. !7Af4TF~ ?ATrR!JirLLr A .1*acca
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On a det-3 par.1.5 PIuc haut doc ta
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VIT. SAIETI T1PA14T TIF NCIucSV0nC
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- Oil ot c-v UlSC Y0Ji1 3t i(011 cf
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Atsr4 'it agog d Ui- nia I I c. :4
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Lc-i-,n ant c t u ejt Ic u rir r, a
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coolc'toC tchadiconne' Mlc ci 4o1jt
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,r.1 la mr- XC "1 .at :- c- 1 ' nfc
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'a pi.1ull don-n~z6 du catsc c-r i
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Lec courlcoc d'Inforrnation cur- 14
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) Programme de. precot atlon do zer
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POPULATION ADVISOR PROJECT APPENDIX
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SONNAIRE PAGE INTRODUCTION 2 POURQU
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3 Une institution tridimensionnelle
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I. POURQOUI LE BIEN-ETRE FAMILIAL A
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5 Ce secteur, priv6 defini comme un
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7 Au nIveau des services Portant d'
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- encourager l'inclusion de I'allai
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11 BIBLIOGRAPHIE 1. OMS ALMA-ATA 19
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(Projet) ASSOCIATION TCHADIENNE POU
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15 Article 71 Les convocations port
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17 Article 241 Le Prdsident arbitre
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Article 40: Lea frais de transport
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21 N'Djamena, le 26.11.1967 Prolet%
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23 CHAPITRE PREMIER& DE L'ORGANISAT
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25 Article 141 Le Bureau Prefectora
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27 b). Le Secr'taire Q&nral coardon
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29 Article 38i En can de dissolutio
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UNCLASSIFIED NJAMIENA 6 17 VZCZCCNA
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UNaTK$''ECTION (62 OF " NDJAMENA 64
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UN CVA*SES, CTZON 5 0 NUJAMINA 0641
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AIDAC ABIDJAN FOR REDSO/WCA RPO NAI
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AIDAC ABIEJAN ?OR RYFDSO/WCA RPO NA
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DIMANCHE 16 OCTOBRE -2- lOhOO-13h00
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MARDI 18 OCTOBRE 08h00-08h15 08h15-
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MERCREDI 19 OCTOBRE -6- 08h00-0815
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- 8 12h15-12h45 PLENIERE: Le ROl
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- 10 - Presentateurs : 10h15-10h45
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- 12 15h00-15h30 Questions/Repon
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- 14 - CLOTURE OFFICIELLE 16h00-17h
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Pr~eident COMITE D'ORGANISATION POU
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SECRETARIAT DE REDACTION POUR LA CO
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KENYA 36. Mme Beth n. Mbaka Charg.e
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MINISTERE DE LA SANTE PUBLIQUE 48.
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75. Mme Mahamat Tabane Jeanne Sage-
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102. Dr. Maurice Michel MIdecin P~d
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12 MINISTERE DES AFFAIRES ETRANGERE
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ASSEMBLEE CHRETIENNE 147. Pasteur A
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