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FHI's Quarterly Health Bulletin, Network

NetworkCopyright Family Health International, 1998, 1999, 2000, 2001, 2002. 
Network is reprinted with permission from Family Health International.

Network: Qualitative Research
Vol. 22, No. 2, 2002 

The use of qualitative research to improve reproductive health is the focus of this issue of Network. Such research is guiding research and program design, complementing findings from quantitative studies, and exploring issues that have received little study. 

Network: Reproductive Life Stages
Vol. 22, No. 1, 2002

Various stages of a woman’s reproductive life — characterized by different priorities for contraception and disease protection, as well as different needs for reproductive health information — are highlighted in this issue of Network. Adolescents, for example, need information about both abstinence and the use of contraceptive methods. Women in their peak childbearing years need to understand that contraceptive use will not jeopardize their fertility, but that sexually transmitted infections (STIs) can. Meanwhile, women approaching menopause need to be aware of their continuing risks for unplanned pregnancy and STI infection.

Network: Sexual Health
Vol. 21, No. 4, 2002

Sexuality, gender socialization, partner communication, social relationships, and cultural norms all influence sexual health, defined by the World Health Organization as "integration of the physical, emotional, intellectual, and social aspects of sexual being in ways that are enriching and that enhance personality, communication, and love." The current issue of Network seeks to increase awareness of these important and often overlooked dynamics, and to help readers identify social and programmatic barriers to optimal sexual health. A special package of articles in the issue also clarifies the complex relationship between contraception and induced abortion, citing evidence that increased use of effective contraception leads to declines in induced abortion rates.

Network: Improving Reproductive Health Services
Vol. 21, No. 3, 2002

Throughout the world, many women are denied contraceptive methods due to health concerns that — in fact — have no scientific basis. Youth continue to face various reproductive health dangers, many of which are tied to behaviors related to sexuality. Meanwhile, reproductive health programs in developing countries struggle to provide quality care with limited resources. However, various initiatives, tools, and research are addressing these ongoing problems, according to the current issue of Network.

Network: Ethics and Reproductive Health
Vol. 21, No. 2, 2001

An essential element of good reproductive health research, as well as service delivery, is that it be performed in an ethical manner. This issue of Network covers the evolution of basic ethical principles, ethical dilemmas that service providers regularly face, distinctions between informed choice and informed consent, and emerging reproductive health technologies that raise ethical concerns.

Network: Emergency Contraceptive Pills
Vol. 21, No. 1, 2001

Emergency contraceptive pills can prevent pregnancy after unprotected intercourse, method failure, or incorrect method use. This issue of Network includes an overview of emergency contraception: how it works, when it should be used, proper dosage, effectiveness, safety, and side effects. Other articles discuss efforts to improve emergency contraception, why many women needing the method do not use it, and ways to increase access. Also explored in the issue is the feasibility of HIV treatment shortly after being exposed to HIV (postexposure prophylaxis).

Network: Family Planning and STIs
Vol. 20, No. 4, 2001

Many family planning clients need services related to sexually transmitted infections (STIs). This issue of Network includes an article about ways to provide dual protection, against both pregnancy and STIs. Other articles address the needs of HIV-positive women, ways to reach youth and men, and a contraceptive method table that compares each method's ability to protect against STIs.

Network: Adolescent Reproductive Health
Vol. 20, No. 3, 2000

Sex education and other services for young adults help reduce their risks of an unplanned pregnancy or infection from a sexually transmitted disease. The issue includes examples of programs for adolescents in Jamaica, Mali, Uganda, Zambia, Egypt, South Africa and India.

Network: Female Barrier Methods
Vol. 20, No. 2, 2000

Female barrier methods include the diaphragm, female condom and spermicides. A number of experimental devices and microbicidal products are under development. In general, female barrier methods are not as effective in preventing pregnancy as other modern methods, but provide a degree of protection against sexually transmitted diseases. Correct and consistent use of the male latex condom offers the best barrier protection against infections.

Network: Intrauterine Devices
Vol. 20, No. 1, 2000

Today's intrauterine devices (IUDs) offer safe and reversible long-term contraception, requiring little effort on the part of users once they are inserted. However, while popular in some countries, IUDs are not widely used in other countries because of reluctance among users and health providers, or a lack of supplies and trained staff.

Network: New Contraceptive Users
Vol. 19, No. 4, Summer 1999

First-time contraceptive users are a diverse group that includes young adults who have recently become sexually active and older couples who initiate use after the births of their children.

Network: Community-based Distribution
Vol. 19, No. 3, Spring 1999

Community-based distribution programs take contraceptive methods to people where they live, rather than requiring people to visit clinics or other locations for services. Articles examine recent research involving programmatic issues and profile services, highlighting Peru, Bangladesh and Zimbabwe.

Network: Contraception and Chronic Conditions
Vol. 19, No. 2, Winter 1999

Major chronic diseases or conditions affect many people worldwide, and have important implications for making contraceptive choices. A chart summarizes how specific chronic diseases influence method choice.

Network: Improving Service Quality
Vol. 19, No. 1, Fall 1998

Ways to improve the quality of family planning services include better staff training and client counseling, as well as offering clients a range of methods from which to choose. Also in this issue of Network, a contraceptive update reviews how different methods affect menstrual bleeding, an important consideration when selecting a method.

Network: Family Planning and Women's Lives
Vol. 18, No. 4, Summer 1998

Family planning use affects women's lives in many ways, including their opportunities for paid employment or a better education, their sense of self-esteem, and a variety of other "quality of life" concerns. This issue of Network reports research findings from FHI's Women's Studies Project in 10 developing countries, which sought a better understanding of how contraceptive use or non-use influenced women's lives.

Network: Men and Reproductive Health
Vol. 18, No. 3, Spring 1998

Encouraging male responsibility for family planning requires services that protect the reproductive health of both men and women. Articles discuss male responsibility for reproductive health, men's reproductive health risks, surveys from developing countries that suggest a strong interest in family planning among men, and topics involving existing and experimental male contraceptives.

Network: Evaluating Family Planning Costs
Vol. 18, No. 2, Winter 1998

Because financial resources are limited, those who manage family planning services must often face difficult choices about competing priorities. Decisions about the use of resources require careful comparison of costs for each service, and those costs may be influenced by a variety of factors. Articles discuss the use of client fees, the role of private-sector services, ways to reduce costs and the integration of family planning services with related health-care programs, such as prevention of sexually transmitted diseases.

For more information, see Family Health International's website at http://www.fhi.org

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