Family planning: An expanded role for paramedical personnel

Rosenfield, Allan

doi:10.1016/0002-9378(71)90567-9

Cited by 30 publications

(5 citation statements)

References 29 publications

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“…Checklists were introduced in the 1970s to circumvent the prerequisite for a medical prescription for oral contraceptives, permitting paramedical workers and workers in community-based distribution (CBD) systems to distribute the pill. The nonmedical distribution of the pill in Thailand played a pivotal role in launching the rapid adoption of contraception in that country (Rosenfield 1971;Nortman 1972;Rosenfield and Limcharoen 1972). Unfortunately, even checklists can become a medical barrier.…”

Section: Medical Barriersmentioning

confidence: 99%

Barriers to Fertility Regulation: A Review of the Literature

Campbell¹,

Sahin-Hodoglugil²,

Potts³

2006

Studies in Family Planning

234

195

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The evidence in the demographic and family planning literature of the range and diversity of the barriers to fertility regulation in many developing countries is reviewed in this article from a consumer perspective. Barriers are defined as the constraining factors standing between women and the realistic availability of the technologies and correct information they need in order to decide whether and when to have a child. The barriers include limited method choice, financial costs, the status of women, medical and legal restrictions, provider bias, and misinformation. The presence or absence of barriers to fertility regulation is likely an important determinant of the pace of fertility decline or its delay in many countries. At the same time, barriers inhibit women's ability to avoid unintended pregnancy. Problems of quantifying barriers limit understanding of their importance. New ways to quantify them and to identify misinformation, which is often concealed in survey data, are needed for future research.

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Section: Medical Barriersmentioning

confidence: 99%

Barriers to Fertility Regulation: A Review of the Literature

Campbell¹,

Sahin-Hodoglugil²,

Potts³

2006

Studies in Family Planning

234

195

View full text Add to dashboard Cite

show abstract

“…Whether over-the-counter (OTC) or CBD access to oral contraceptives results in use of this method by sub-stantial numbers of women for whom it is medically contraindicated (FDA 2000), and whether screening for such contraindications is effective and worthwhile are questions that have generated considerable debate during the past four decades (Rosenfield 1971;Rosenfield and Limcharoen 1972;Atkinson et al 1974;Family Planning Perspectives 1975;Huber and Huber 1975;Isaacs 1975). Rosenfield (1971) was one of the first to recognize the impracticality of requiring a medical prescription in rural areas with low physician-to-population ratios and the danger to women in light of the relative risk of maternal morbidity in developing countries. With his advice, in 1969 the Thai government began a pilot program allowing auxiliary midwives to prescribe oral contraceptives (Rosenfield and Limcharoen 1972), which, in turn, led to universal prescriptive rights for midwives using a simple checklist (Rosenfield 1971).…”

mentioning

confidence: 99%

“…Rosenfield (1971) was one of the first to recognize the impracticality of requiring a medical prescription in rural areas with low physician-to-population ratios and the danger to women in light of the relative risk of maternal morbidity in developing countries. With his advice, in 1969 the Thai government began a pilot program allowing auxiliary midwives to prescribe oral contraceptives (Rosenfield and Limcharoen 1972), which, in turn, led to universal prescriptive rights for midwives using a simple checklist (Rosenfield 1971). In 1973, following upon the Thai study and the growing popularity of OCs worldwide, the International Planned Parenthood Federation's Central Medical Committee released a policy statement on OC distribution, declaring that "the limitation of oral contraceptives to doctors' prescription makes the method geographically, economically and sometimes culturally inaccessible to many women.…”

mentioning

confidence: 99%

Over-the-Counter Access, Changing WHO Guidelines, and Contraindicated Oral Contraceptive Use in Mexico

Yeatman¹,

Potter

Grossman

2006

Studies in Family Planning

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This study examines the prevalence of contraindications to the use of oral contraceptives in Mexico by sociodemographic characteristics and by whether this family planning method was obtained with or without a doctor's prescription. Using data on smoking behavior and blood-pressure measurements from the 2000 Mexican National Health Survey, the authors found that, under the 1996 World Health Organization (WHO) medical eligibility guidelines, the prevalence of contraindications is low and that no significant differences in contraindications exist at any level between those who obtain oral contraceptives at clinics and those who obtain them at pharmacies. In 2000, however, WHO substantially revised its criteria regarding the level of hypertension that would constitute a contraindication for oral contraceptive use. Applying the new guidelines, the authors found that 10 percent of pill users younger than 35 and 33 percent aged 35 and older have health conditions that are either relative or absolute (Category 3 or 4) contraindications. The relevance of these findings to the larger debate concerning screening and over-the-counter access to oral contraceptives is discussed.

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“…It has been previously demonstrated that medical auxiliary personnel (non-physician) may have a significant impact on maternal and child health care and family planning in the Third World (Rosenfield 1971). Roles for non-physicians in fertility regulation have been expanded during the past decade (Paxman 1980).…”

Section: Introductionmentioning

confidence: 98%

Implementation of health screening programs using Ethnomedical resources

Micozzi¹

1985

Medical Anthropology

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Family planning: An expanded role for paramedical personnel

Cited by 30 publications

References 29 publications

Barriers to Fertility Regulation: A Review of the Literature

Barriers to Fertility Regulation: A Review of the Literature

Over-the-Counter Access, Changing WHO Guidelines, and Contraindicated Oral Contraceptive Use in Mexico

Implementation of health screening programs using Ethnomedical resources

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