UNITED NATIONS POPULATION INFORMATION NETWORK (POPIN)
UN Population Division, Department of Economic and Social Affairs,
with support from the UN Population Fund (UNFPA)

95-09: Dispatches -- News from UNFPA, No. 1, September 1995

DISPATCHES -- NEWS FROM UNFPA, THE UNITED NATIONS POPULATION FUND



NUMBER 1, SEPTEMBER 1995



DISPATCHES is a monthly bulletin dedicated to the activities of the

United Nations Population Fund (UNFPA). It is published in English,

French, and Spanish by the Information and External Relations

Division and is available free of charge from UNFPA offices

worldwide.



The designations employed and presentation of material in

DISPATCHES do not imply the expression of any opinion whatsoever on

the part of UNFPA concerning the legal status or authority of any

country, territory, city, or area or the determination of its

frontiers or boundaries. Views expressed are the authors' and

sources' own and do not necessarily reflect the opinions or policy

of the Fund. All material is checked for accuracy as received from

source; all enquiries should be addressed to the source/further

information address provided at the end of each item. Material may

be freely reproduced; credit and copies of reproduced material

would be appreciated.



We invite colleagues from UNFPA and cooperating organizations to

submit articles about UNFPA-assisted programmes and projects,

accounts of lessons learned from past and ongoing work, and

anecdotes from their country or area of work. These should be sent

to:



DISPATCHES, c/o IERD, UNFPA, 220 East 42nd Street, 23rd floor, New

York, NY 10017, USA. Telephone: (212) 297-5022. Fax: (212)

557-6416. Internet: <aslam@unfpa.org>, <o'haire@unfpa.org>.



==========



In this issue:



Special feature: UNFPA and refugees

Emergency Obstetrics in Bangladesh

South-South cooperation

ICPD follow-up

Top honours from Ecuador



==========



Sadik wins reappointment



New York - Nafis Sadik has been appointed to another term of four

years as UNFPA's executive director by UN Secretary-General Boutros

Boutros-Ghali. In 1987, Dr. Sadik became the first woman to head a

major voluntarily-funded UN agency. Her current term will expire on

29 April 1999.



-Further information from: Information & External Relations

Division, UNFPA, 220 East 42nd Street, New York, NY 10017, USA.

Fax: (212) 557-6416.



==========



Executive Board, ECOSOC: New designations, new essentials



Geneva - Following the recommendation of UNFPA's Executive Board,

the UN Economic and Social Council (ECOSOC) last month endorsed the

agreement between the Fund and the UN Development Programme to

designate UNFPA resident country directors as UNFPA

representatives.



     "Such a change in designation will greatly enhance the

effectiveness and visibility of the Fund at the country level and

will enable UNFPA to carry out more expeditiously its coordination

and resource mobilization and programming roles," Fund Executive

Director Nafis Sadik said.



     ECOSOC further recommended that the General Assembly also

endorse the agreement at its 50th session, beginning this month.



     Among its other decisions, the Executive Board in June also

approved new UNFPA core programme areas: reproductive health,

including family planning and sexual health; population and

development strategies; and advocacy. The new core areas are based

on the ICPD (International Conference on Population and

Development) Programme of Action. While allocating resources in the

new core areas, the Board added, the Fund should "give special

attention to the least developed countries and Africa."



     For its activities in the reproductive health/family planning

core area, UNFPA will support family planning information and

services at all levels of the health care system, primary,

secondary, and tertiary. At the primary health care level, UNFPA

will help provide a range of programmes aimed at the prevention and

treatment of reproductive tract infections; screening and

prevention of infertility and sexually transmitted diseases,

including HIV/AIDS; and screening for other reproductive health

pathologies. It will do so along with the World Health

Organization, UN Children's Fund, World Bank, bilateral aid

agencies, and non-governmental organizations (NGOs).



     UNFPA will give special attention to the reproductive health

of adolescents and women in emergency situations. The Fund will

also work to lower the rate of abortion and will provide assistance

for the management of consequences of abortion.      For the

population policy core area, UNFPA will treat population policy as

an integral component of sustainable development. The Fund will

finance data collection and analysis, research on population

linkages, and research on how to monitor the impact of the ICPD

programme.



     For advocacy, the Fund, drawing on its mandate to build up

knowledge and promote awareness of population issues in developing

and industrialized countries, will convey the major messages of

ICPD, including the need to maintain the political commitment and

mobilize additional finances. Using the media, NGOs, special

events, seminars, and parliamentarians' forums, the Fund will

advocate meeting the ICPD Programme of Action's goals and

increasing resources for UN system-wide initiatives on population

and related issues such as human rights, poverty eradication, food

security, sustainable development, and sustained economic growth. 



    In an address to the Executive Board, Dr. Sadik said that

within each of the core areas, support will be given for research,

training, awareness-creation, and information dissemination on

gender concerns. She also reported that UNFPA's programme delivery

grew dramatically in 1994, the year of ICPD, as project expenditure

increased by 50 per cent. By contrast, administrative and programme

support costs rose by less than one per cent. She said that income

for 1995 was estimated at US$312 million, an increase of 17.6 per

cent over total income in 1994, which amounted to US$265.3 million.



-Further information from: Executive Board, United Nations Liaison,

and External Relations Branch, Information & External Relations

Division, UNFPA, 220 East 42nd Street, New York, NY 10017, USA.

Fax: (212) 557-6416.



==========



ICPD Follow-up: Gender, Population, Development Panel makes

recommendations



New York - The UNFPA Ad Hoc Advisory Panel on Gender, Population,

and Development has urged the Fund to continue its lead role in

ensuring that all UN agencies, multi- and bilateral donors, and

national governments place gender equity and equality and women's

empowerment at the centre of their development activities. The

Panel, which includes experts from governments, non-governmental

organizations (NGOs), and academic institutions, recommended that,

among other things:



>    UNFPA assist governments in formulating gender sensitive

action plans to implement the International Conference on

Population and Development (ICPD) Programme of Action in close

collaboration with NGOs, particularly women's NGOs, at all stages

of design, implementation, monitoring, and evaluation; 



>    women's NGOs be represented in structures set up by

governments to implement the ICPD Programme of Action;



>    UNFPA support activities to strengthen the capacity of local

NGOs to implement the ICPD Programme of Action, particularly in the

areas of advocacy and the provision of reproductive health and

family planning information and services; 



>    UNFPA identify and strengthen lead NGOs at the country level

and promote technical cooperation among NGOs at the intra-regional

and inter-country levels; 



>    adequate resources be provided for programmes designed to

promote women's empowerment and gender equity and equality; and



>    UNFPA-assisted information, education, and communication

activities pay due attention to messages encouraging men to be

responsible partners in reproductive health and family planning.



     The panel noted the importance to UNFPA of mainstreaming

gender issues in the Fund's three programme areas. It stated,

however, that there remains a critical need for special attention

to specific areas such as capacity building and networking for

women's NGOs; extending UNFPA's policy on assistance to women in

emergency situations to migrant women; and skill and leadership

training for women NGOs with the ultimate goal of mainstreaming

women's issues.



-Source/further information from: Virginia Ofosu-Amaah, Chief,

Gender, Population, and Development Branch, Technical and

Evaluation Division, UNFPA, 220 East 42nd Street, New York, NY

10017, USA. Fax: (212) 297-5145.



==========



Jamaica: Taking a small investment a long way



Kingston - Folk drama is a particularly effective means of

stimulating public discussion and mobilizing public concern in

Jamaica. The country's socially conscious drama community has long

used plays to explore issues and convey messages on a host of

population- and development-related issues. The Planning Institute

of Jamaica (PIOJ) and UNFPA teamed up to support the effort, and

discovered that a little investment goes a long way.



     The belief at the heart of the latest folk theatre hit is that

although life in the inner city can be difficult for a young woman

on her own, she can help other young women to cope with the

pressures of growing up by sharing her experiences.  



     "Coming in from the Cold," a play, tells the story of Opal, a

teenage girl from the countryside who comes to the city with the

hope of becoming a nurse. Through Opal's physical and spiritual

journey, the play explores such issues as the status and abuse of

the girl child, teenage pregnancies, the roles and attitudes of

young people in general and young men in particular, the

consequences of risky reproductive behaviour, the improvement of

women's status, urbanization, and the environment.  



     The play was performed to critical and popular acclaim all

over the country and at the famous Ward Theatre in the capital,

Kingston, in June 1993. 



     The following June, it garnered a special award for "Most

Promising First Play for Didactic Theatre" and was nominated for

Best Set Design by the International Theatre Institute.



     With the award under their belt, the cast and crew set to work

on adapting the stage production for television. The resulting TV

mini-series was launched by the Jamaica Broadcasting Corporation to

mark UNFPA's 25th anniversary. The premier broadcast was

accompanied by public service announcements on topics related to

the International Conference on Population and Development (ICPD),

UNFPA, and the Fund's activities in the Caribbean. The mini-series

appeared in half-hour episodes over five weeks.



     By these measures alone, UNFPA's partnership with PIOJ and

small allocation of US$5,000 under its local umbrella project to

support the video production have yielded impressive results. But

there is far more at stake than theatrical acclaim and publicity.

"Coming in from the Cold" speaks to aspects of Jamaica's current

situation.  



     Jamaica has a population of around 2.4 million people,  some

46 per cent of them living in rural areas. Like Opal, many are

leaving the countryside for the city; by 2025, according to UN

projections, fewer than 30 per cent will live in rural areas. In

the same period, the population of Kingston alone is expected to

double, to around 2.3 million. And like Opal, many of the people

doing the moving are young.  



     The play's treatment of adolescent sexuality and pregnancy are

key in a country where one in four births is to a teenage mother,

according to the National Family Planning Board.



     Addressing some of these issues has been an awakening

experience for the play's audiences and cast members, whose ages

range from 19 to 40.  



     "The play was a good learning experience," said actress

Fluerette Harris-Forrest. "It was a good eye-opener for me. It was

revealing for those not exposed to certain

sociological realities "especially in relation to child-abuse...and

incest. Facing these issues in the play made it an almost true-to-

life experience for me."  



     Karen Harriet, who played the lead role of Opal, said: "The

play was a very real one. It touched everybody in a positive way.

It was entertaining but made them think. It has a positive message

for young people."



     For Harriet, Opal "was a real person. I liked how Opal dealt

with the story in a real way. Maybe the strong stage portrayal was

a result of the script or of the actress' interpretation. I'm glad

I got the chance to play her "not because this was the lead role

but because of the young woman's experience."



     The future of "Coming in from the Cold" seems bright. PIOJ is

considering a proposal to copy and sell the video version to

educational institutions in the country and around the world. The

organization is also looking into collaborating with the Ministry

of Education, Youth, and Culture to produce an educational workbook

and comic book to accompany the video. Demand for these products is

expected to be high in the formal education system as well as among

community, youth, church, and inner-city groups and family planning

clinics.



-Source: Carmen Miller, IEC Specialist, Population Unit, Planning

Institute of Jamaica and K.V.R. Moorthy, UNFPA Director for the

Caribbean. Further information from: UNFPA, 1 Lady Musgrave Road,

Kingston 5, Jamaica. Fax: (809) 927-9103.



==========



Bangladesh: Promoting emergency obstetric care



Dhaka - In a bid to reduce some of the world's highest rates of

death from causes related to pregnancy and childbirth, UNFPA is

working with the government of Bangladesh to improve the country's

capacity to deal with obstetric emergencies.  



     Project BGD/91/P02, "Strengthening of MCH-FP Services at

Mother and Child Welfare Clinics (MCWCs) in Bangladesh," aims to

reduce maternal mortality to 450 deaths per 100,000 live births by

year's end, from an officially estimated 500, and reduce infant

mortality to 80 per 1,000 live births, from around 110.  



     It is hoped that the combination of improved maternal and

reproductive health and greater confidence that children will

survive their infancy will help raise the contraceptive prevalence

rate to 50 per cent of married women of reproductive age by year's

end, up from around 40 per cent, and in turn help to slow

population growth, estimated at around 2.4 per cent per year.



     In full swing since 1993, the project has refurbished 13

district-level MCWCs in one of the country's five divisions,

Rajshahi, picking up where funding from the World Bank group's

International Development Association trailed off. The emphasis has

been on functional amenities, from equipment for anaesthesia right

down to elbow taps for scrubbing.



     At the same time, teams of doctors, nurses, and health workers

all over the country are being trained in everything from emergency

procedures to clinic housekeeping and how to maintain an operating

theatre. Clinic and health service managers are being trained to

improve supervision, service monitoring, planning, and logistical

support. The training curricula were developed locally, in

collaboration with the government, local medical colleges and

training institutions, and other UN agencies. Clear lines of

referral from MCWCs to hospitals at district level and above also

have been established.



     Only 5-6 per cent of deliveries take place in hospitals, hence

the focus on MCWCs. Officials express optimism that the strategy

will pay off in improved early diagnosis and treatment of the

leading obstetric emergencies, including post-partum haemorrhage,

obstructed labour, eclampsia, infection, and complications from

incomplete, incorrect, or unhygienic abortions.



     The process has its challenges, however. Often, it is

difficult to reach referral hospitals. Where transport is not a

problem, the questions are: Who pays for the transport, and who

donates the blood needed for emergency surgery? And although the

project deals with the immediate causes and symptoms of obstetric

emergencies, wider problems such as iron deficiency and poor

nutrition remain major causes of anaemic pregnancy and the risk of

cardiac failure during delivery.



-Source/further information from: Dr. Zafar Ulah Gill, MCH-FP

Adviser, c/o UNFPA, G.P.O. Box 224 Dhaka 1000, Bangladesh. Fax:

(880-2) 813196.



==========



South-South: Population partners take initiative



Jakarta - Ghana, Malawi, and Tanzania have teamed up with Indonesia

in a new initiative of the 10 Partners in Population and

Development.  



     Under the initiative, organized by BKKBN, Indonesia's Family

Planning Coordinating Board, and supported by UNFPA, the three

African countries are observing the Indonesian family planning

programme and applying its lessons at home through study tours,

internships, and technical assistance.  



     BKKBN has long offered study tours and training opportunities,

but this project is being designed specifically to meet the needs

of the countries taking part. Staffers from the BKKBN training

programme were accompanied by a consultant from UNFPA on a planning

mission to Accra, Lilongwe, and Dar es Salaam, and the project will

work closely with the UNFPA offices in these capitals and in

Jakarta.  



   Delegates from the three African countries also are being given

the opportunity to work out a "partnership plan" involving their

Indonesian counterparts in aspects of their own national family

planning programmes.



     Indonesia secured funding for exchange activities for an

initial period of two years from UNFPA through multi-bi funding

arrangements with the Dutch government. The funds will cover 36

fellowships for study tours and another 12 for three-month

internships, and up to a month's worth of technical assistance from

Indonesian experts for each of the three African countries.



     The 10 Partners in Population and Development are: Bangladesh,

Colombia, Egypt, Indonesia, Kenya, Mexico, Morocco, Thailand,

Tunisia, and Zimbabwe.



- Source/further information from: UNFPA, P.O. Box 2338, Jakarta

10001, Indonesia. Fax: (62-21) 327-902.



==========



Ecuador:   Top honours



Quito - The Ministry of Health has bestowed upon UNFPA a decree and

medal of merit for exceptional services rendered in public health.



     UNFPA assistance to Ecuador began in 1970 in the form of a

fellowship in population census techniques. Since then, most of the

Fund's resources have been directed at improving the health of

women and increasing contraceptive use. Maternal mortality fell

from 211 deaths per 100,000 live births in 1975 to 156 per 100,000

in 1988. Infant mortality fell from 82 deaths per 1,000 live births

in 1975-80 to 61 per 1,000 live births in 1989.



     Current assistance is aimed at meeting the urgent health care

needs of rural, marginal urban, and adolescent populations living

in the country's poorest regions.  



     Reducing adolescent pregnancy and abortion also are priorities

in a country where some six in ten people are younger than 24 and

an estimated one in three births is to women aged 15-24. A project

in the cities of Esmeraldas and Riobamba is providing Integrated

Youth Services at centres located near public schools. These

services include reproductive health information and counselling;

education on sexuality and interpersonal relationships; information

on women's rights; legal assistance; and income-generating

activities.



- Sources: UNFPA Country Director Juan Esteban Aguirre and the

UNFPA Latin America and the Caribbean Information Kit. Further

information from: UNFPA, Casilla 17-03-4731, Quito, Ecuador. Fax:

(5932) 500-552/500-553.



==========



Nicaragua: Twenty-three years later, a census



Managua - The results of Nicaragua's first census after decades of

civil war and destabilization are being analyzed.



     Last year's Population and Housing Census taken by INEC, the

National Institute of Statistics and Censuses, with support from

UNFPA and the UN's Department for Economic and Social Information

and Policy Analysis, was the country's first in 23 years. Its

findings will inform the government's bid to stem the rising tide

of poverty, shore up the economy, and manage diminishing national

resources.



     UNFPA provided training and technical assistance throughout

the census process; provided basic equipment for INEC's offices;

and coordinated a nationwide publicity campaign to encourage people

to participate in the census.



- Source: Programme documents. Further information from: Marisela

Padron, Chief, Latin American and Caribbean Division, UNFPA, 220

East 42nd Street, New York, NY 10017. Fax: (212) 297-4906.



==========



Cuba: Pill plant construction boosted



Havana - UNFPA has boosted its support for the construction and

equipping of Cuba's first oral contraceptives manufacturing plant.



     The Fund and the Cuban government in June signed an agreement

bringing UNFPA's support to the plant to over US$1 million. The

plant will produce contraceptive pills to international standards.

It is expected to meet domestic demand and generate a new export.



     IUDs (intra-uterine devices) and diaphragms are available free

of charge, but Cuban women must pay for the pill. Nevertheless, it

remains their method of choice. Contraceptive shortages -- brought

on, in large part, by a United States-imposed embargo -- have led

to a slump in contraceptive usage and an increase in the incidence

of abortions.



     Despite shortages of even basic medical supplies such as

sutures, Cuba has become one of fewer than 25 countries, most of

them industrialized, whose infant mortality rates (IMRs) are below

10 deaths per 1,000 live births. Health ministry officials

attribute this success to the "family doctor" primary health care

system, which provides medical coverage to 98 per cent of the

population. Another important factor was the introduction of

special perinatal care units, where women with high-risk

pregnancies are given intensive care, and neonatal intensive care

units for premature or particularly vulnerable newborns.



-Sources: Rainer Rosenbaum, UNFPA Country Director; Granma

International; Inter Press Service. Further information from:

UNFPA, Apartado postal 105-39, 11581 Mexico D.F., Mexico. Fax:

(525) 254-7235.



==========



Albania:   Waiting for a CD



Tirana - Prime Minister Aleksander Meksi has expressed delight that

UNFPA is seeking Executive Board approval to appoint a Country

Director to Albania and its neighbours. Speaking at the

inauguration of Albania's first national workshop on follow-up to

last year's International Conference on Population and Development

(ICPD), he expressed his full support for translating the ICPD

Programme of Action into "Albanian reality."



- Source/further information from: Peter Schumann, United Nations

Resident Coordinator, Deshmoret E4, Shkurtit Street, Villa No. 35,

Tirana, Albania. Fax: (355-42) 32075/34448.



==========



Special Feature:



The reproductive health of refugees: UNFPA's role



-----

by Daniel Pierotti, UNFPA Senior Adviser for Emergency Relief

Operations -----



     Twenty years ago, there were 2.5 million refugees in the

world. Today, there are 23 million, with another 26 million

internally displaced persons. In total, some 50 million people --

roughly the equivalent of the population of Spain and Portugal

combined --have been forced from their homes by disasters wrought

by nature and humans.      



     If the world seems powerless to prevent the disasters that

displace people, it has learned fast how to bury the dead, heal the

wounded, and set up the humanitarian machinery needed to help the

survivors of these nightmares. But the public health machinery is

still rudimentary, and the reproductive health machinery is still

being invented.



     The traditional public health priorities in refugee camps

include providing safe drinking water and food, sanitation, and

measures to prevent or contain outbreaks of infectious disease and

malnutrition. Where people are struggling for basic survival and

disease and deprivation are rampant, reproductive health and family

planning appear at first to be luxuries.



     In fact, birth rates are generally higher in refugee camps

than in the host country, and sexual violence and exploitation are

now recognized as major problems. In many parts of the world, it is

difficult for women and men to find reproductive health services,

let alone high-quality services, and protection from sexual

violence and exploitation. In a refugee camp, it can be virtually

impossible to find safety and services.



UNFPA's response



     Until recently, reproductive health services in refugee camps

were limited to prenatal, childbirth, and postnatal care. Here and

there, condoms were distributed as an AIDS-control measure.

Anything else -- even sanitary napkins -- was virtually out of the

question.



     Things are changing. In June, an agreement on joint activities

was signed by UNFPA and the United Nations High Commissioner for

Refugees (UNHCR). The two agencies teamed up to organize the Inter-

Agency Symposium on Reproductive Health in Refugee Situations, held

in Geneva 28-30 June in collaboration with the UN Children's Fund

and World Health Organization. A key recommendation of the

symposium was to create an inter-agency committee to ensure follow-

up and continuity in the production of a field manual and other

practical tools for reproductive health services. Meanwhile, a

UNHCR reproductive health coordinator has been assigned to Goma,

Zaire and UNHCR and UNFPA will be the catalysts for similar

arrangements elsewhere.



     Although UNFPA had assisted in establishing family planning

services in long-term refugee camps in Thailand and elsewhere, it

turned its full attention to emergency situations last year, when

four major developments took place: 



>    In May, UNFPA policy on emergency relief operations was

introduced. It recognized that refugees and the internally

displaced have the same right to reproductive health as anyone

else. It called on the Fund to work within its mandate and in

collaboration with other specialized agencies to safeguard this

right. 



>    In June, the Fund's Executive Board committed it to providing

emergency assistance in Rwanda.



>    In September, the International Conference on Population and

Development (ICPD) adopted a Programme of Action containing

objectives and broad guidelines for assistance to refugees.



>    In November, UNFPA set up its Emergency Relief Operations

office in Geneva. Tasked with specifying and coordinating

appropriate responses to reproductive health needs in emergency

situations, this unit will promote and reinforce reproductive

health care services for refugees and work with country offices and

Country Support Teams to establish and evaluate projects and

identify operational partners.  Data collected from UNFPA Country

Directors and Country Support Teams show that:



>    35 countries in which UNFPA has programmes of assistance have

international or internal refugees;



>    in 34 of these countries, conflict forced them from their

homes; 



>    UNFPA provides assistance to refugees in 17 of the 35

countries.      



     Projects vary in type, size, and duration. Generally, they

involve medical equipment and contraceptive supplies (usually,

almost exclusively condoms, as in Bosnia); workshops for refugees

and camp staff; or family planning information. In some cases, the

Fund has sought to re-open service-delivery centres closed or

destroyed by armed conflict and to provide counselling to women

traumatized by conflict and sexual violence. As yet, however, there

is no single project that takes a holistic approach.



Programme issues



     Given the importance of reproductive health and family

planning services, and the difficulty of providing them during the

scramble for essentials such as shelter and safe water, programmers

need to take advantage of the time lag between exodus, the

establishment of refugee camps, and the introduction of services to

draw up demographic and health profiles of the populations

involved. Rapid needs assessments should be conducted, and the

necessary political and procurement machinery set in motion.



     Since emergency relief projects are usually short-term --

typically running to between three months and a year --

administrative procedures need to be streamlined and specific

budgets established. Since these projects are almost always

executed by collaborators such as government agencies, NGOs, and

other UN or international agencies, UNFPA is establishing a set of

criteria for selecting collaborating agencies and a shortlist of

qualified agencies.      



     Just as in conventional settings, reproductive health and

family planning need to be integrated into overall basic health

programming. It should be made clear that reproductive health care

and family planning cannot be provided one without the other, and

that clinical services must be complemented by counselling. Various

models of integrated service delivery are being discussed,

including a proposal to set up a "house for women" to deal with all

aspects of women's reproductive health --clinical, psychological,

and social.



     Sexual violence and exploitation are among our top concerns.

The severity of the problems have been acknowledged by UNHCR, which

has issued guidelines meant to prevent officials from abusing their

power and enable staff to respond to women's needs. For its part,

UNFPA should include in all its projects measures to prevent sexual

violence and to treat women affected by it.



     Emergency contraception is rarely provided although it is

simple to prescribe, safe, and available at low cost. Yet, for the

victims of sexual violence, it is an essential service.



     Our special focus is on the women and children who make up

more than three-fourths of the world's refugee population. However,

men should not be overlooked. Adolescent men, in particular, also

may be vulnerable to sexual violence; refugee men, like all other

men, need to be brought into family planning and reproductive

health programmes, and need to be encouraged to practise healthy

and responsible sexuality.



- Further information from: Dr. Daniel Pierotti, Senior Adviser for

Emergency Relief Operations, UNFPA, European Liaison Office, Palais

des Nations, CH-1211 Geneva, Switzerland. Fax: (41-22) 979-9016.



==========



Philippines: US$26.7 million projects in place



Manila - Work has begun on implementing five projects worth US$26.7

million as part of UNFPA's fourth programme of assistance to the

government's Population Management Programme.



     The projects focus on providing access to reproductive health

and family planning services; reducing infant, child, and maternal

mortality; bringing about gender equity and equality; improving the

quality of care; addressing the needs of adolescents; enhancing

partnership with non-governmental organizations (NGOs); and

focusing on problems related to sexually transmitted diseases and

AIDS.  



     US$22.6 million has been allocated to strengthening the

management and field implementation of reproductive health and

family planning services by the Department of Health, two other

government agencies, 16 NGOs, and 127 local government units.

Special attention is also being given to gender research aimed at

a better understanding of women's, population, and health issues

and formulating and implementing gender-sensitive policies,

programmes, and projects.      



     Like the Fund's US$35-million Fourth Country Programme

(1994-98), the projects were formulated on the basis of a UNFPA

Programme Review and Strategy Development mission and are

consistent with the government's Medium Term Philippine Development

Plan and President Fidel Ramos's Social Reform Agenda.



- Source/further information from: Satish Mehra, UNFPA Country

Director, P.O. Box 7285, Domestic Airport, Post Office Lock Box,

1300 Domestic Rd., Pasay City, Metro Manila, Philippines. Fax:

(63-2) 817-8616.



==========



PHOTO CAPTION: ALL FOR EQUALITY. Reddouane El Fadil, a 26-year-old

art instructor from Morocco, won the grand prize in the fourth

UNFPA international poster contest with the design pictured here.

El Fadil was among 225 entrants from 56 countries to try their

hands at illustrating the theme "Women's Equality: A Gateway to

Population." The contest was open to entrants six years of age and

older. The first round of judging was done at country level, with

only the designs of the first-plaze winners in each of five age

groups being submitted to UNFPA headquarters for the final judging.



==========


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