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The Narangwal Population Study: Integrated Health and Family Planning Services, Rural Health Research Centernarangwalpunjabindia S

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The Narangwal Population Study: Integrated Health and Family Planning Services, Rural Health Research Centernarangwalpunjabindia S AGENCY FOR INTERNATIONA. DSV-L.M..T FOR AID USE ONLY WASHINGTON, 0. C. 20528 BIBLIOGRAPHIC INPUT SHEET A. PRIMARY 1. SUBJECT Population PCOO-OOOO-G635 CLASSI .. S1140APY FI.TION Family planning--India 2. TITLE AND SUBTITLE The Narangwal population study: integrated health and family planning services, Rural Health Research CenterNarangwalPunjabIndia S. AUTHORIS) Taylor,C.E.; Singh,R.D. 4. DOCUMENT DATE JS. NUMBER OF PAGES 6.ARC NUMBER Ir75465p. ARC 7. REFERENCE AID/ASIA/USAID/INDIA ORGANIZATION NAME AND ADDRESS ". SUPPLEMENTARY NOTES (Sponvaring Ordgnixation, Publiahera, Avallability) 9. ABSTRACT 10. CONTROL NUMBER II. PRICE OF DOCUMENT PN-RAB-701 12. DESCRIPTORS 13. PROJECT NUMBER India Narangwal? I Integrated development? Population growth 14. CONTRACT NUMBER ,Delivery systems Services AID/nesa-435 GTS 15. TYPE OF DOCUMENT AID 590. 14-741 THE NARANGWAL POPULATION STUDY INTEGRATED HEALTH AND FAMILY PLANNING SERVICES RURAL HEALTH RESEARCH CENTER NARANGWAL, PUNJAB, IMIA 1975 FreLDRaSEARCH TEAM Carl E. Taylor and R. D. Singh - Principle investigators and Senyukta Vohra, Inder S. Uberoi, Susheila B. Takulia,, Harbans S. Takulia R.S. Tak, G. Subbulakshmi, K. Sivaram, R.S.S. Sarma, Kailash Sharma, William A. Reinke, Robert L. Parker, A.K.S. Murthy, Colin W. McCord, Norah Masih, Dolores Lalibente, Ranjit Kumar, N. Sengupta Kielmann, Arnfried A. Yielmann, Nandini N. Khosla, D.N. Kakar, Ruth K. Julius, Kamlesh S. Jain, Jeanne A. Griffith, Alice M. Forman, Elsie Ferguson, Donald C. Ferguson, Shridhar Dwivedi, Cecile DeSweemer, R. Bruce Conyngham, Sushum Bhatia, Thomas E. C. Barns, Des Raj Arora. REPORT PREPARATION TEAM Carl E. Taylor, K. Sivaram, R.S.S. Sarma, William A. Reinke,' Robert L. Parker, Jeanne S. Newman, Frederic A. Nass, A.K.S. Murthy, Rinjit Kumar, Arnfried A. Kielmann, Prakash L. Grover, Sushum Bhatia. REPORT PREPARATION ASSISTED BY Martha S. List A. Alla Crawford -Carol A. Buckley PAggy E. Bremer Note.- Names are in reverse alphabetical order for eap group FAMILY HEALTH WORKERS FAMILY PLANNING EDUCATORS Shashi K. Wasti Sukhdev Kaur Veena Verma Nachihatar Kaur Usha Trivedi Harbinder Kaur Sudershan Trikha Darshana Kumari Kanchan Sood Rupinder Brar Vijay Solomon Krishna G. Singla Kamla Sikka FAMILY PLPNNING WORKERS Rajinder Sharma Sarla Sehgal Surjit Singh Kamlesh Sahni Sukhdev Singh Daljit K. Sachdeva Kushdev Singh Mary P. Peter Sukhdev S. Grewal Sheila Patil Gaijan S. Grewal Harjinder Narang Kuldip S. Ghuman Nirmal S. Moudgil Ramesh C. Kaushal Inder Mohini Bayant K. Mayo Zarina D. Masih Veena Masih LABORATORY TECHNICIANS Shanti B. Masih Grace W. Masih Prem Prasser Amarjit Mangat Fazal Masih Vidya W. Malik Vijay Malhotra Peter Ganda Mal FAMILY HEALTH SUPERVISORS Surinder Makkar Surinder Kwatra Savita Sethi Vijay Khera Kamlesh Sahni .Madalsa H. Khera Nirmal Purl Satnam Kaur Promilla M. Nanda Malkit Kaur Jeet Kaur Jagjit Kaur AmarJit K. Gandhi Gurmit Kaur Swam Dogra Gurcharan Kaur Surinder Bala Chitranjan Kaur Amar Kaura Sudesh Kanta FAIILY PLANNING SUPERVISOR Amarjit Kakaria Mavis Jatiram NeenaK. Narula Surinder K. Grewal Gurmail K. Dhillon Sarla Devi Pushpa Dawar Kamini W. Dass Roselyne R. Daniel Veena Chopra Urmila Chopra Raj K. Chib Virbala Chhabra Sheela Chand Swaran Chadha Shakti B. Chadha Raj D. Babbar Surinder K. Arora Sampuran Arora Harinder K. Arora FELD INTERVIWER AND IESTIGAaORS DATA PROCSING S2'AF Arpana Wattas Sukhwant K. Walia Kailash Verma Surinder S. Wadyal Darshan S. Surah Jatinder K. Wadyal Harnek S. Su-nda Jagdish Verma Sunita Sood Sushma Uberoi Manjula Sood Verna Singh Surjit Singh RuLda Singh Mewa Singh Mukhtiar Singh Jaswant Singh Mohan Singh Harnek Singh Malkiat Singh Gobind Singh Gurcharaw Singh Darchan Singh S.B. Lal Sherry Balwant Singh A.K. Seth Baldev Singh filu Sapra S.D. Sikri R.K.V. Rao Usha Sharma Kulwant Rai R.D. Sharma Neela Murthy Kusum L. Sharma Shashi Mannan J. P. Sharma Shivcharan K. Mangat Bindu Saxena V.K. Malhotra Surinder Saini Manohar Khosla Shashi Sabharwal Kulwant Kaur Bela Rani Ramesh C. Kashyap Nirmal Puthia Indra Kakar Ramesh Mongia D.C. Joshi Tajinder Manocha Surjit S. Grewal Prem Malik R.C. Gupta Manohar L. Sharma A.K. Gupta Madan Khosla Usha Goyal Sukhdev L. Kaushal D.C. Garg Surjit Kaur Vinod Dhir Sukhwant Kaur Philip Dayal Mkanjit Kaur Madan Chakravarty Gurmat P. Kaur Indu Bhatia Balwinder Kahlon Krishna Bhambri Cameron James Iftikhar Baig Jagmohan S. Hans Sushman Gupta Nirmal Gupta FIELD SUPERVISORS klanjit Grewal Jaswant S., Grewal Amrik M. Seerha Gurmail K. Grewal Satinder Prabhaka' Harveen Goindi Manjit A. Kumar Gawari Baljit J. 11ns Rita K. Gang Reena Gandhi B.B. Rajeshwari Dwivedi Suman Dhir Shobha Clhhabra Salilesh Darslan Parminder Cheema Hardeep Chadha Kanta Bhatia' Adarsh Bhatia ________ ....... __ : SOCIAL SCIENTISTS-EcONOHISTt - BIOCHEMISTS-IVUTRITIONXSTS I _'______ _____ . ___ .... G. Subbulaksbmi Harbans S. Takulia N. Sengupta Kielmann R.S. Tak Bimla D. Arora Alan L. Sorkin R.D. Singh Jeanne S. Newman PUBLIC HEALTH NURSES Ranjit Kumar Inderjit Walia D.N. Kakar Senyukta Vohra Swaran s. Gupt Norah Hasih Prakash L. Grover DoloresHarbhajan Laliberte YK.Malhotra DonaldShridhar C. Dwivedi Ferguson Ruth K. Julius Jagdish Bhatia Alice ouman Des Raj Arora Shirley M. Bohnert STATISTICIANS-PROGRAMMERS PISICIANS K. Sivaram Inder S. Uberoi R.S.S. Sarma Carl E. Taylor Satya P. Sangal Sushiela B. Taklvia William A. Reinke Nirmal Sharma Thomas Palmer Kailash Sha-mia Frederic A. Nvss Hari Shanklr A.K.S. Murthy Robert L. Patrker Kamlesh S. Jain Charlotte Neumann George Immerwahr Alfred K Neumann Elsie eBguson Colin W. McCord William J. Blot Arnfried A. Kielmann Nandini N. Khosla Jasbir Kaur ADMINISTTORS Harjinder Kaur Shamsher Singh Alfred M. Haynes Jamison Meredith Kamlesh Gupta Ramesh Mannan Jeanne A. Griffith Julia Detato Cecile DeSweemer Colvin Dayal R. Bruce Conyngham Sam A. David Sushum Bhatia K.G. Bhambri Thomas E.C. Barns Joseph D. Alter Note: Although the many other administrative and supportive services staff are not li3te by name; we would like to recognize their important contribution to the project. These individuals include secretaries, clerical and accounts staff, construction and maintenance staff; watchmen, village attendants, drivers, mechanics and others. Names are all listed in reverse alphabetical order within each group. TAbLE'-Ok CONTENTS - PREFACE SUMAY OF, FINDINGS A. Description of Initial Situation 1. socioeconomic Patterns 2. Demographic Patterns B.' impact of services 1. Family Planning Utilization 2. Changes in Fertility 3. Changes in Attitudes and Beliefs 4. Health Services Utilization 5. Health Benefits from Service Programs. C. Services and Resources Required to Achieve Program Effects SECTION I INTRODUCTION AND BACKGROUND A. Background of Relationships Between Health, Population and Nutrition 1. Specific Objectives 2. Origins of the Narangw. Research Project 3. Other Research on These Subjects 4. Background Information About the Punjab 5. Population Project Report 6. What We Have Learned About Field Research B. Description of Services Provided in the Narangwal Population Study 1. Children's Services 2. Women's Services 3. Family Planning 4. Staffing of the Service Programs 5. Background, Selection, and Role of' Different' Staff Categories 6. Other Program Components SECTION II GENERAL INFORMATION ON VILLAES A. Demographic and Socioeconomi.c Background 1. Methods and Data Base 2. Demographic Characteristics 3. Socioeconomic Characteristics 4. Summary B. Prevailing Fertility Patterns and Trends Before 1969 1. Fertility Experience of Village Women in the Punjab and in Narangwal Villages 2. Trends in Age at Marriage and Age at'Consumiatiop 3. Prevailing Family Size and Age Patternsof Fertility CO4 TS 2 SECTION II - continued C. Attitudes and Beliefs 1. Development of Survey Forms 2. Selection and Training of Field Investigators 3. Data Gathering 4. Supervision and Quality Control 5. Analysis of Attitudes and Beliefs D. Knowledge and Use of Different Methods of Family Planning 1. Conventional Contraceptives 2. Oral Pill 3. Intrauterine Device 4. Injectable Depo-Provera 5. Non-Device Methods 6. Sterilization 7. ' Abortion 8. Other Methods 9. Reliability of Data E1. Village Profiles Map Showing Location of Punjab State in India Map Showing Location of Ludhiana District in Punjab Map Showing Location of Experimental Groups of Villages Within Three Community Development Blocks of Ludhiana 1. FP+WS+CC Experimental Group of Villages 2. FP+WS Experimental Group of Villages 3. FP+CC Exr, Lmental Group of Villages 4. FP-Ed Experimental Group of Villages 5. CONT-P Experimental Group of Villages 6. NUT Experimental Group of Villages 7. IDC Experimental Group of Villages 8. CONT-N Experimental Group of Villages SECTION III MEASUREMENT OF SERVICE INPUTS AND ACTIVITIES Background A. Work Sampling 1. Methods 2. Findings and Analysis B. Service Records Analysis 1. Methods 2. Findings and Analysis C. Health Service Utilization Surveys 1. Methods 2. Findings and Analysis V*D Cost Analysis l. Methods 2. Findings and AnalySis Innovations in Training, -Supervision andi t e Dt6velopment of Field Manuali TABLE OF CONTENTS - 3 SECTION IV ACHIEVF!ENTS IN FZ&MILY PLANNING, FERTILITY AND HEALTH Summary of Achieverents A. Acceptance and Practice of Family Planning 1. Recipients of Family Planning Services 2. Ever-users of Family Planning 3. Continuing Users of Family Planning 4. Effectively Protected Users of Family Planning 5. Age, Parity, and Pregnancy Order of Family Planning Acceptors 6. Use of Family Planning Methods 7. Popularity of Different Methods 8. Transition
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