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sparsely sparsely Iloodmg, Iloodmg, to to hy hy info, info, are are ~ ~ margl!lallands margl!lallands _I,~IOVl' _I,~IOVl' and and or or future future ( 1 1 ( living living l~ads l~ads are are also also arable arable other other protected protected rainS rainS III III still still FP FP place place must must production production - the the and and and and IK'Opk IK'Opk Trces Trces ;Jrl' ;Jrl' cover cover .. .. and and Ih'illg Ih'illg arc arc towns, towns, llcrrltl llcrrltl of of pressure pressure i.lfli:ctcd i.lfli:ctcd agriculture, agriculture, Pc-opk Pc-opk Whl'n Whl'n liVing liVing families families other other fCltJilty/llla!lY fCltJilty/llla!lY encroachment encroachment help help problems problems earthquakes, earthquakes, support support forest forest no no lands lands health, health, LG~:s LG~:s much much curn.'Ilt curn.'Ilt ages. ages. t(Xl'sts, t(Xl'sts, uncmployed, uncmployed, resources resources largt: largt: families families grl'atcl" grl'atcl" forwanl-Iooking forwanl-Iooking IHgh IHgh barrios, barrios, pcople pcople mOllntalI1S mOllntalI1S and and Devt Devt agricultural agricultural for for 111 111 have have Of Of The The other other ling ling and and be be nutrition, nutrition, Ilcgatively Ilcgatively exports, exports, famllics famllics for for should should sick, sick, large, large, logistics. logistics. fix fix h;l\'c h;l\'c yo yo agriculture. agriculture. IS IS agncuiturailHoduCI10l1 agncuiturailHoduCI10l1 and and erosions, erosions, rall1\\'ater~ rall1\\'ater~ t(Hlli t(Hlli is is farms, farms, popUlation popUlation removing removing -- and and t!',hl'lp t!',hl'lp etc,). etc,). and and onen onen or or a a !esult !esult to to j"or j"or must must the the and and While While It.l!" It.l!" used used J, J, funds funds lIlany lIlany hold hold olkn olkn forcsts. forcsts. III III arc arc old). old). smaller smaller -- assets assets w.~~ w.~~ trees, trees, due due rc~ourcc,1oI rc~ourcc,1oI government government population population lip lip to to lands lands mountains mountains partners partners or or coulJ coulJ has has health health lowland lowland prevent prevent fam1ing fam1ing land land being being areas areas forestlands forestlands OUl' OUl' leaders leaders sll!lahk sll!lahk motlcy motlcy years years study). study). free free like like trees trees scrvices scrvices if if trees trees is is settlements settlements i2 i2 area area other other manpower, manpower, (like (like Scarce Scarce help help growing growing household household population population (. (. FI' FI' Rural Rural !";.1l111\JC~ !";.1l111\JC~ may may !l\orc !l\orc morc morc chtldrcl1 chtldrcl1 marginal marginal Ianushdes Ianushdes !()f !()f Many Many in~_~ in~_~ mountain.s, mountain.s, to to Local Local mountain mountain { { through through other other !;ew !;ew lands lands hOllses, hOllses, UPLB UPLB a a Even Even already already • • ----- poverty poverty youth youth family family ratio, ratio, poverty poverty youth youth migration migration and and and and dependency dependency Large Large pOjlulation/high pOjlulation/high size, size, Population/large Population/large as as to to so so or or are are - at at arc arc IivlIlg IivlIlg hl' hl' t~\I11i1y t~\I11i1y n<:w n<:w living living arc arc lands lands civIl civIl can can that that good good 1 1 might might 10/03 10/03 mighl mighl i()rcsts." i()rcsts." rnountallls rnountallls local local is is will will Issue Issue Population Population other other rural rural of of large large .- groups groups pcoph: pcoph: tht'y tht'y to to the the an an "It "It a a areas areas _ _ -~------+--- of of Ihey Ihey leaders, leaders, "There "There tbs, tbs, People People unoccupied unoccupied develop develop y y _. _. these these .. .. in in there there margina margina _ _ limTI." limTI." U U as as not not ______L(;Us, L(;Us, leaders leaders you you more more or or H'lwl H'lwl on on so so have have say: say: in in PopulatJons PopulatJons move move settlements." settlements." and and alL alL is is unused. unused. still still man man Whal Whal say: say: 1 1 influentials, influentials, ooeiety ooeiety LG LG f----- the the . . VerSiOn VerSiOn and and with with ---- -- (e.g. (e.g. and and Youth Youth ( ( near near Regions Regions 3. 3. Bicol, Bicol, Mindanao) Mindanao) forests forests mountain mountain zones zones provinces provinces or or 2. 2. TSAl'-t'P TSAl'-t'P 1------/'Y /'Y \11 \11 of of !'Ish !'Ish in in to to WIth WIth sea sea out out ('nastal ('nastal ( ( low low arc arc of of and and rapidly rapidly have have Farn1 Farn1 In In (assist (assist tide tide nUI11bl'r nUI11bl'r as as sea. sea. deep deep l:utting l:utting ~ ~ i:l') i:l') dL'L"\llllng dL'L"\llllng younger younger which which to to s s red red poorest. poorest. populatIOn populatIOn the the only only oLltmigratL' oLltmigratL' work work and and chances chances would would OIl OIl hatchlllg hatchlllg of of ~row ~row support support out out to to to to the the the the send send ruraL ruraL have have i,.: work work contributing contributing not not {ish {ish of of to to or or can can etc. etc. hC;,llth. hC;,llth. most most ch~Ull ch~Ull shdllish. shdllish. ._~_'hddrl'~,~~)P ._~_'hddrl'~,~~)P (llata (llata better better do do and and can can rlllthl'l" rlllthl'l" flI1d flI1d people people U!/(/j(lI1li1y U!/(/j(lI1li1y school school fnll, fnll, among among anti anti Children Children back back they they food food (a (a inputs inputs low. low. }.:(} }.:(} cities, cities, have have arc arc dCStJ"(lYS dCStJ"(lYS da da ph.:king ph.:king walc] walc] to to segments segments healthy. healthy. kavc kavc he he to to etc. etc. youth youth young young poor. poor. {~\rm {~\rm to to money money Families Families become become !.:.:!11_~~l!.£~~1. !.:.:!11_~~l!.£~~1. number number would would The The .. .. large large t.:ducation t.:ducation for for boats boats aITel'llIl)!, aITel'llIl)!, to to push push opportunities opportunities illcome illcome coastal coastal mostly mostly ~ ~ little little Ill'c\vOOU Ill'c\vOOU the the children children trained. trained. and and rL'lll~llnS rL'lll~llnS go go etc. etc. food, food, swimmers), swimmers), ol-lishermen ol-lishermen funds funds arcas arcas and and l"01111l111l'S l"01111l111l'S Ilshlllg Ilshlllg poverty. poverty. flSh_ flSh_ ailed ailed remIt remIt elllotionally, elllotionally, have have for for Their Their Children Children 1999)_ 1999)_ or or of of for for L'VL'lllllally L'VL'lllllally to to rural rural Youth Youth family family dirt dirt fertility fertility ca]_~_~~)~!y ca]_~_~~)~!y jilrmlruru/ jilrmlruru/ .. .. limited limited employment employment healthy, healthy, in in educated. educated. (Jut (Jut etc. etc. 's 's lamllies lamllies coastal coastal hard. hard. I'lid I'lid hOLlSll1g hOLlSll1g ~IIH.I ~IIH.I nllIro-umi nllIro-umi Pernia Pernia high high hegging}. hegging}. II1I!,rants II1I!,rants Rural Rural dn:ill1l's dn:ill1l's and and fur fur have have resources resources as as .ralll~ .ralll~ and and fish fish SIlt SIlt huy huy assisted assisted -7 -7 • • being being whL're whL're financially. financially. and and to to income income to to have have ovcrlished. ovcrlished. t t trained, trained, families families he he of of and and Rural Rural 1 1 t t ..l. ..l. catch catch Halis(Jc(Jll Halis(Jc(Jll cannot cannot society. society. Low Low [() [() ~ ~ peddling. peddling. have have emotionally, emotionally, schoo1. schoo1. often often shellfISh shellfISh npportu111ties~ npportu111ties~ !-"Ish !-"Ish move move (Orbeta (Orbeta support support of of PollutIon, PollutIon, grounds. grounds. mangroves mangroves to to should should continue continue pDpulalJons pDpulalJons Ill'Coflle Ill'Coflle (sometimes (sometimes income income cong~slcd, cong~slcd, chances chances .~W_l_!~_C(~]_ly.; .~W_l_!~_C(~]_ly.; jobs jobs also also of of areas areas educated, educated, can can 15-24. 15-24. better better helps helps 'alers 'alers needed needed .. .. allectmg allectmg 11s11lng. 11s11lng. catch), catch), i'IShLTllll"n i'IShLTllll"n v v rl'cdlll~ rl'cdlll~ I,nss I,nss li'lhll1g li'lhll1g mangrO\'L', mangrO\'L', hshcrmcn hshcrmcn limited limited c...... ~~~~ c...... ~~~~ Fl' Fl' Coastal Coastal they they { { t~m1iliL's t~m1iliL's (RL:(er (RL:(er children children paylI1g paylI1g as as already already seck seck ages ages Rural Rural members members _hetter _hetter financially, financially, being being Families Families ._ ._ in in in in ~---- ______ ulder. ulder. large large large large they they and and ~ ~ few few a a years, years, are are _. _. a a get get \n \n family" family" .. .. say: say: say: say: few few good good older, older, ______ the the just just populatIons populatIons -' -' population population a a means means poverty poverty family" family" ______ " " people people are are get get mighl mighl might might children children belp belp ______ Just Just this this __ __ the the of of land/fishing land/fishing "" "" youth youth as as populations populations youth youth labunn labunn In In areas areas thev thev areas areas can can they they help help children children ______ . . PopulatIOn, PopulatIOn, coastal coastal resnurces resnurces they they years, years, youth youth number number rural rural What What because because "Large "Large rural rural Large Large as as can can good. good. What What "Large "Large "_ "_ _+::-_,- civil civil ______ ,, ,, 6103 6103 ______ groups groups 611 611 LGUs, LGUs, ~ ~ kaders. kaders. of of leaders leaders --.,.--c--- ______ as as society society int1ucntials. int1ucntials. LGLI LGLI local local Youth, Youth, Version Version youth youth and and " " ( ( Rural Rural ------f--c--- rcginl1s rcginl1s areas areas 4. 4. rs:--Coastal rs:--Coastal TSAP-FP TSAP-FP f TSAP-FP Version as of6116/03 school to work. Poor IClmily health, nutrition and education. ,J.. Coastal populations remain poor Or become even poorer. Loeallcaders need to be It)rward looking and lead in the p\'Otcction of coastal zones. FP is one way to help prevent population encroachment into marginal marshlands and coastal ZOIlt,;S. LGU and nOllgovt partllers should work together to support/provide Fl' r _ .. _ . . .. _.__ ._ .~~~-I--,.--~~~~~___ .~_._ JnJ~o,se.rvices and logis.tics at the c.".mmullit~level. ... __ ~~~~~~~-I 6. Areas ncar LGU leaders, Expanding population • Land use around Metro Manila IS last ehangmg as the metropolIS grows Metro-Manila influentials, civil and limited lalld rapidly. Lands sUItable Itlr agriculture arc converted to lIlc\ustnal and (Bulacall, society groups "Population is growing I~lst rc.-;iuL'ntialuscs. ('ombination or kss agricultural lands, hnVCfl'd farm Region IV) because of migration. We inputs (luW/pOOf fertilizer O[ p~Stlcldl'lISC due to lack of funds) and do not h:J.Vcany fertility mefiiclL'llt agriculture practices ~ low harvests, for Ontncstlc problem." consumptIOn, \'L"-Y' little cxportl:d, might even need to Import (e.g. rice) • Poor mlgr~.mtswho cannot Ix:' absorbed or live 1!1 MdroMantla. ItH..:luding relocated syuattcrs live 1!1 enclaves oi'POVl.'rty In the periphery. Leaders should stress that I:P is a way in which the poor can havc better chances _.. __ . __ (.!f_mnvll1~(~!~~Lr~)Yc.0Y . . -.------+---- ..-~.-. -...--' I'oor couples ill The poor who Ii vo 111 the penphcry oj' the metropolis prOVIde labor I'or outlying areas of industru.:s/tactones in the suhurbs and sen"ice workers for the rich 111 the metropolis, ill exclusive villages in the suburbs. resettlemcnt sites FP is a coping mcch.lnislll that ,,"illallow tht' poor to muve out of ___ .._____ ...._ .._ .__ . _ l~~Y~r!v~.____ . __... __ ._.. __ __ _.... _ .._ 7. Urball poor Urban poor \,,(j Es. urhan poor leaders l lrban areas kem With the urban pour who ltve 111 slum and s4uat1L'r shanties ill metro ~treas couplcs in unoccupied lands, under hridges. along river hanks mechanism. an intt'rVl'ntioll. th~ltwill allow tht.' poor tu IIlI)Ve out of -" - -~ ----- ~--.- 4 ~ 'i"'" AED THE SOCIAL ACCEPTANCE PROJECT Strengthening the Social Acceptance of Family Planning in the Philippines ~ TSAP-FP 'n.t:' NAME: Components ! Inclusive Oates of Trip: Advocacy and Social Reed Ramlow Mobilization June 2 10 12. 2003 I Health Service L ______-'--. ! ~="__Provision __~ ______~ ______ TRIP REPORT Trip Objectives Mr. Reed Ramlow, Futures Group's senior technical coordinator for the TSAP-FP project tra\ekd to \!arllia from May 31 to June 12,2003. The primary purpose orthis trip was to assist the TS ..... P-FP medical team in moving forward and completing major elements of the health prmider component workplan for the second third quarter 2003 and beyond. Mr. Ramlow's trip objectives were as follows: I. To participate in a meeting of the Evidence-Based Reproductive \!edicine :\etwork (EBR\!-:\etl on June 2. 2. To assist the EBlUvl-Net in producing the following EBR1\1 material outputs. with the assistance of a copywriter and advertising agency. -,_.- 3. To discuss EBR.\.1 orientation and interacti\'e workshops for health pro\'idcrs and for phannaceutical company management and detailers. 4. To follow-up opportunities to incorporate EBR;\! into POGS and DOH contracepti\e and family planning service deliYery guidelines. 5. To follow-up opportunities to incorporate EB1\1 into medical school curricula. 6. To follow-up the progress of the baseline survey on health providers knowledge. attitudes. beliefs and practices (KABP). 7. To follow-up the progress of the profiling of health facilities/clinics in convergent sites. Persons and Organizations Met/Places Visited USAID/OPHN Ephraim Despabiladeras, TSAP-FP CTO Nilda Perez, Technical Advisor Neil Hollander, Private Sector Tec1mical Advisor Department of Health Dr. Mila Fernandez, Undersecretary _.Dr. Honorata Catibog, Director, Family Planning Services ,if( I - Commercial Market Strategies (eMS) Project Grace Migallos, Country Representative Delila I. Lojo, Medical Groups Advisor risanto Frianeza, Business Groups Advisor AEO TSAP-FP Team Mark Miebach, Vice-President, Contracts/Grant 1-.lanagement Research Firms ISIS Research: Odette Navarro, Country Manager, and team AC Nielsen: Ma. Beatriz Gobencion, Client Sen'ice Director, and team NFO Trends, Ophelia Ramirez, Associate Research Director, and team UP College of Public Health, Dr. R. Ong, Chairperson, Department ofl!ealth and Promotion. and team National Institutes of Health (NIH) Dr. Jaime Galvez Tan, NIH Executive Director and Vice Chancellor for Research, l"niwrsit\· of the Philippines Philippine Obstetrical and Gynecological Society (POGS) Dr. Lyra Chua, President FriendlyCare Dr. Alberto Romualdez, Jr., CEO Philippine League of Gonrnment Midwives Inc, (PLGMI) -'ecille Banca Santos, President Findings Mr. Ramlow completed his Scope of Work during his TOY in the Philippines. EBRl\I-Net Meeting There was a two-thirds membership quomm at the EBRM-Net meeting at the Traders Hotel in '.Ianila on June 2. Attendees were as follows: I. Mario R. Festin, 1\10 - EBRNI-Net leader/coordinator. graduate of \IS Clinical Epidemiology, Obstetrician Gynecologist at the PGH, former Executive Director of the National Institutes of Health and Vice-Chancellor of Research at the College of Medicine, Uni\'ersity of the Philippines (UP), '.Ianila 2. Blanca F, de Guia, MO - graduate of MS Clinical Epidemiology, Obstetrician G~llecologist at the Philippine General Hospital (PGH) , reproductive endocrinology specialist 3, Bernadette 0, Cruz, MO - graduate of MS Epidemiology, Obstetrician G:-llecologist at PGH, trophoblastic disease specialist 4. Ditas Oecena, MO - graduate of Masters in Public Health, Obstetrician G~llecologist at the University of Santo Tomas Hospital 5, Joseline Ferrolino, MO - Obstetrician Gynecologist at De La Salle L:ni\'ersity Hospital. active contributor to the Clinical Practice Guidelines and Consensus of the PS\IFM 6. Jose Marcos, MO - Obstetrician Gynecologist at the Cagayan Valley "'Iedical Center. Tuguegarao City 7. Ma, Virginia S, Abalos, 1\10 - Obstetrician Gynecologist at Chong Hua Hospital in Cebu City, with - training in OB-GYNE infections in Japan Ohstetrician G\llecologist at 8. Lora G. Tansengco, MD - graduate student ofMS Clinical Epidemiology, PGH, with training in Perinatology and OB Gyne Ultrasound 9. Elmer Chua, 1\10 - Obstetrician Gynecologist in Davao City PGI-1. reproductive cndocrinollogv and 10. Enrico Gil C. Oblepias, MD - Obstetrician GYl1ecologist at the family planning specialist Team (Dr. Ric Gonzales and Reed Ramlow) Dr. Mario Festin, the EBRM-Net leader, and the TSAP-FP Medical learned" for the initial set ofCriticall\· co-facilitated the meeting. The EBRM-Net members reviewed "lessons a second set of C.-\ Ts. Proposed topics Appraised Topics (CATs) that they developed. and agreed to de\clop members were in\itcd to submit their own win be circulated and assigned to the EBRM-Net members although proposed topics. The following issues were also discussed: and the Philippines Obstetrical and • Institutional linkages to the National Institutes of Health (NIH) Gynecological Society (POGS) • Permanent access to medical journal articles for critical re\·iews • EBIUv! orientations and interactive workshops for other health providers EBRM Materials CATs are as follows: Thirteen CATs are ready for design and production. The approwd Tubal Ligation 1. Interval Tubal Sterilization has No Effect on Sexual Interest and Pleasure. 2. Tubal Ligation Reduces the Risk of Abnonnal Menstrual Bleeding. When Csing Bipolar Salpingectomy 3. The Risk of Ectopic Pregnancy after Tubal Sterilization is Lowest _ and Methods Other Than Bipolar Coagulation. Vasectomy 4. Vasectomy Docs Not Affect Sexual and Marital Satisfaction Among ~Iarried ~len. Natural Family Planning 5% with Perfect L-se and 12°0 with 5. The Probability of Pregnancy Using the Standard Days Method is Typical Use. IUDs (IUDs) are Due to Pre 6. The Primary Mechanisms of Action of Various Intra-Uterine Devices Fertilization Effects. DMPA Cancer. 7. Women Who Use DMPA Are Not At Increased Risk of Cervical Oral Contraceptive Pills Risk of Breast Canccr. 8. Use of Oral Contraceptive Pills Does Not Lead to an Increased That Follow Previous Use of Oral 9. There is No Increased Risk of Down's S)udrome in Pregnancies Contraceptives. Increased Risk ofStrokc. 10. Women with Migraine Who Use Oral Contraceptives Have an the Risk of Cervical Cancer in II. Short-Term Oral Contraceptive Use « 5 Years) Does Not Increase Tenn Use (> 5 years) Does Increase the Risk. _ Women with Human Papillomavirus Infection, but Long Offers an Owrall Decreased Risk of 12. The Condom Remains as the Only Contraceptive l'.lcthod That or D,,\PA is Associated with a Acquiring a Sexually Transmitted Disease (STD). The Use ofOCPs Decrease in the Risk of Some STDs. for ""ulliparous Women Compared 13. OC Pills and Short-term IUD Use Offer Quicker Return to Fertility to Long-Tenn IUD Use. including: An action plan has been developed for the production of other EBRc\\materials. • Quarterly newsletter • EBM user guide • Evidence-based guidelines for contraceptive methods EBRM Orientation and Interactive Workshops will schedule. de\'elop and organize at least The TSAP-FP Medical Team, Dr. Mario Festin and the EBRl\\-Net quarter ~003 among the following groups: five EBRM orientation and interactive workshop sessions in the third 1. OB/GYNs, in conjunction with POGS \'lidwi\es Inc. (PLG\'\I) 2. Midwives, in conjunction with the Philippine League of Go\'ernment in conjunction with the Commercial 3. Pharmaceutical company and DKT management and detailers. Market Strategies (CMS) project with the Philippine 4. Occupational physicians and nurses (in the Industrial Zones). in conjunction Health '-.'urses .-\ssociation of the College of Occupational Medicine (PCOM) and the Occupational Philippines (OHNAP) of Municipal Health Officers of the 5. Municipal health officers, in conjunction with the Association Philippines (AMBOP) (in conjunction with provincial 6. Local government unit (LGU) physicians, midwi\'es and nurses health officers) officers (in conjunction with the DOH 7. Department of Health (DOH) hospital providers and regional training officer and OB:G)l1 chairnlan) visit of Dr. Fred Tudiver. scheduled for (Note: Some of these workshops will be conducted during the return to schedule as many workshops as possible September 29 to October 10,2003, but the operative mode will be in the third quarter 2003.) Family Planning Sen-ice Delivery Guidelines Mila Fernandez and Family Plalming Services The TSAP-FP Medical Team met with DOH Undersecretary Dr. Planning Clinical Standards 1\lanual. which Director Dr. Honorata Catibog to discuss the updating of the Family was agreed that TS.-\P-FP will organize and will incorporate evidence-based contraception guidelines. It manage a task force to complete this task. Dr. L)Ta Chua to discHss linkages between In addition, the TSAP-FP Medical Team met with POGS president technical assistance for the development POGS and the EBRM-Net on a number of fronts, including providing with the Philippine Board for of evidence-based guidelines for contraception. working in collaboration )bstetrics and Gynecology. '-'f-" EBM in Medical School Curricula to incorporate EB~! EBR-\! into medical The TSAP-FP Medical Team and the EBRM-Net will initiate efforts of Family Planning at Southwestern 'chool curricula. This effort will begin by contacting the Department with EBRT\I-Net member Dr. Virginia _.niversity's College of Medicine in Ccbu. possibly in conjunction Abalos, who is based in Cebu. Health Providers !(APB Study KAPB stud\·. Two firnls haH' been Four research finns presented their proposals for the health providers decision and award by June 17. s,:lected for final negotiation. The TSAP-FP Team anticipates a final Profiling oflndustrial Zone Health Clinics l\ledical Team needs to travel to the The indnstrial zone health clinic profiling is ongoing. The TSAP-FP expected to be completed in July 2003. Pampanga industrial zone to complete the profiling. The profiling is - Issues/Recommendations strategy document, which will be Issues and recommendations are contained in the health provider component lbmitted separately. -Next Steps Health Provider Component Work Plan 3rd Quarter 2003 Timingj Activity --'-_-----1 EB"I-F"P'---c_--c--~~_--c---c ______Criticalll' Appraised Topics (CATs) ! Sept 1 I) Produce second set of CATs. EBM-FP Materials July I) CATs Spiral Notebook .\f('{hods a) Title: El"idence-Based ,\fedieille: Key Fill(hngs 011 Cumracer(J\'c b) Copies: 50.000 c) Content Para(/igmfor .\fedietll Practict? i) Description ofEBM titled: fl'idence-Based ,\ledicille. A Sew use Ii) Description of need for EBRL\t to expand modem family planning l'se of Fam!Z\' P!ll1P!lng (1) Title: Evidence-Based Afedicine j-'Z the Plll"hpl'incs. Expantiirlg (2) Problem:need statement rate arrxmg the hlghest lD ..\5Ia. (a) Philippines has unacceptably high population gro\\1h ratt?, fertihty etc. contracerti\"C5 (b) Side efTect fears and health concerns are barriers to use of modem methods (c) Philippines EBR1.1-Net formed to e\'aluate safety of contraceptive ,\fethod5 (3) Sunmlary of CATs titled: Critically Appraised Toplcs on Gmtraceptil"t! method (4) CATs (13 total): Should be grouped and tabbed by contraceptiw (a) Tubal Ligation (3) (b) Vasectomy (I) (c) Natural Family Planning (I) (d) IUDs (I) (e) DMPA (I) (I) Oral contraceptives (6) Bibliography & Resources (5) Aug 2) Evidence-Based Medicine User Guides should be developed for ditTerent clas.ses of EB\t a) Evidence-Based ;\fedicine A/ode Easy: Different user guides pharmaceutical detailers FP orientation participants, including doctors. nurses, midwives and r~~~~~=7~~~~~~~~~~==~==~~~==~~~~~~------~---- EBM-FP Orientalioll and [nteraeti,'e Workshops and EBRM-Net members schedule. develop and In collaboration with the TSAP-FP Medical Team, Dr. Fred Tudiver sessions among the follo\'\ing groups. organize at least five EBRi\1 orientation and interactive workshop of the lIealth Sector: Presentations and July I) NIH Science and Technology Week: EBM as a Social Responsibility Reactions Aug and detailers, in conjunction with the CommercIal .\1arket Strategies I 2) Pharmaceutical company and DKT management (eMS) project Inc. (PLG~II) Aug in conjunction with the Philippine League of Govemment :-lidwi"es 3) :-.\idwives, Sept I 4) OBiGYNs, in conjunction with POGS teaching skills and systematic reviews workshop I 5) EBR.\1-Net Oct of Deans and Principals of Colleges ofl\'ursing II, 6) ~urses, in conjunction with the Association in conjunction with the Philippine College of TBD 7) Occupational physicians and nurses (in the Industrial Zones). Association of the Phihppmes (Ofi'\AP) Occupational Medicine (PCOM) and the Occupational Health :-;urses Officers of the Philippines TBD 8) Municipal health officers, in conjunction with the AssociatIOn of MUllIclpalllealth (AMHOP) TBD (,in conjunction with pro\-incial health officers) " J) Local government LUllt (LGU) phYSicians, midwives and llLUses (in conjunctIOn With the DOH training officer TIm '""rIO) Department of Health (DOH) hospital providers and regional officers i and OB(Gyn chairman) Timing CtiYity July Social Jfarketilrg o[EBM-FP II Media Relations fomut and 5uQn--;.it for team to package CA Is in reader-friendly R \\'ork with TSAP~FP communications an ad\-enorial series (ould a) tIle material. tabloids. (If publications do not accept publication in leading dailies and be considered.) .-\ug 2) Newsletter Series "/ ) Senes 011 F 11,... /' . I Y / ~ .