BIBLIOGRAPHIC DATA SEET 1. CONTROL NUMBER 2. SUBJECT CLASSIIICATION (695) BIB-~r7LOGRAP -AD DATA SPN AAH-605 PCOO-0000-G570 3. TITLE AND SUPTrtLE (240) Joint IGCC/IFRP East and South East Asia Seminar on Regional Fertility Research, Bangkok, Thailand, 1979 4. PERSONAL AUTHORS (100) 5. CORPORATE AUTHORS (101) Int. Fertility Research Program 6. DOCUMENT DATE (110) 7. NUMBER OF PAGES (120) 8. ARC NUMBER (170) 1979 219p. FA301.32.161 9. REFERENCE ORGANIZATION (130) I FRP 10. SUPPLEMENTARY NOTES (500) 11. ABSTRACT (950) 12. DESCRIPTORS (920) Contraceptives 13. PROJECT NUMBER (150) Fertility Maternal/child health 932053700 Meetings Southeast Asia East AsiaHealth 14. CONTRACT NO.(140 ) 15.CONTRAC TYPEh(G40) Family planning Dealie systems Nutrition Delivery systems AID/pha-C-1172 16. TYPE OF DOCUMENT (160) AID 590-7 (10-79) CONTENTS Page 1. ACKNOWLEDGEMENT ........................ 1 II. INTRODUCTION ............................. 2 III. FOREW ORD ................................. 3 IV. ADDRESSES ................................ 4 Paper 1 (ii) Welcome Address By Dr. Somboon Vachrotai .............. 4 Paper 2 (ii) Opening Address By His Excellency, Dr. Krasae Chanawongse, Deputy Minister of Public Health ......... 5 Paper 3 (iii) Introductory Statement By Dr. Malcolm Potts ................. 6 Paper 4 (iv) Introductory Statement By Dr. L.S. Sodhy ................... 8 Paper5 (v) Closing Remarks By Dr. Somboon Vachrotai ............. 9 V. Paper6 AIDE MEMOIRE ............................... 10 VI. Paper7 AGENDA FOR THE WORKSHOP ................. 12 VII. SUMMARY OF PROCEEDINGS .................. 14 VIII. GROUP SESSIONS ........................... 27 IX. COUNTRY PAPERS ........................... 36 Paper 8 (i) Indonesia ............................ 36 Paper 9 (ii) Malaysia ............................. 45 Paper 10 (iii) Nepal ............................... 54 Paper 11 (iv) Philippines ........................... 59 Paper 12 (v) Singapore ............................ 32 Paper 13 (vi) Horg Kong .... ...................... 63 Paper 14 (vii) Japan ................................ 64 Paper 15 (viii) Korea ............................... 67 Paper 16 (ix) Taiwan .............................. 80 X. DOCUMENTS ................................ 83 Paper 17 (i) Primary Health Care with Special Reference to Nutrition, MCH and Family Planning by Dr. Somboon Vachrotai ............. 83 Paper 18 (ii) Primary Health Care with Special Reference to Nutrition, MCH and Family Planning by Dr. Jae-Mo Yang .................. 85 Paper 19 (iii) Prospective Studies on the Risks and Benefits of Contraception by Dr. David A. Edloman ............... 98 Paper 20 (vi) Retrospective Studies Specially on Depo Provera by Dr. Malcolm Potts ................. 100 Paper 21 (v) Questions and Answers about Depo Provera, The Chiang Mai Experience and AEenw for Irernational Development RL;c1c i1_0! S/-i3 Washington, D.C. 20523 the Recent U.S. FDA Action by Dr. Edwin B. McDaniel .............. 102 Paper 22 (vi) Camps - An Alternative Delivery System for Family Planning Servi'.es by Di. Dibya Shree Malla .............. 106 Paper 23 (vii) Organizations of Clinics/Training/ Effective Referral Systems on Outreach by Mr. Benjamin de Leon .............. 108 Paper 24 (viii) Organizations of Clinics - Training/Effective Referral Systems on Outreach by Dr. Debhanom Muangman ........... 115 Paper 25 (ix) Organization of Clinics - Training/ ,-ffective Referral Systems - Clinic Management by Dr. Johan A. Milek Thambu, Dr. Hamid Arshat and Datin Dr. Nor Laily Aziz ............... 120 Paper 26 (x) Family Planning Services by Traditional Birth Attendants by Dr. J.Y. Peng ..................... 130 Paper 27 (xi) Report of the Panel on the Effects of Steroidal Contraceptives on Asians by Dr. Jose B. Catindig ................ 136 Paper 28 (xii) IPPF-ESEAOR Panel on the Effects of Steroidal Contraceptives on Asian by Prof. Ho-Kei Ma ................... 143 Paper 29 (xiii) Maternity Care Monitoring - Where Next? by Dr. Tina Agoestina ................. 145 Paper 30 (xiv) Maternity Care Monitoring (MCM) - Where Next? by Dr. Roger P. Bernard, Ms. Ellen Kendall, Dr. J.Y. Peng and Dr. Elton Kessel ....... 154 Paper 31 (xv) IsWhat we are offering Acceptable? The Case of Family Planning Acceptance in Indonesia by Dr. Haryono Suyono ............... 179 Paper 32 (xvi) Acceptability of Family Planning in Malaysia by Dr. Azizan Ghazali, Dat*n Dr. Nor Laily Aziz and Ms. Rita Raj Hashim .................. 183 Paper33 (xvii) Incidence and Follow up of Trophoblastic Diseases by Associate Professor Mark C.E. Cheng 189 Paper34 (xviii) Incidence and Follow-up of Trophoblastic Diseases by Prof. Ho-Kei Ma .................... 195 Paper 35 (xix) Incidence and Follow-up of Trophoblastic Diseases by Dr. Takashi Wagatsuma ............. 196 Paper36 (xx) Incidence and Follow-up of Trophoblastic Diseases in Taiwan by Prof. Pei-Chuan Ouyang ............... 202 XI. ROSTER OF THE SEMINAR ...................... 210 ACKNOWLEDGEMENT The IGCC/iFRP wishes to acknowledge with thaniks the and assisted the Secretariat from the early start of the prepara­ time taken off by H.E. The Deputy Minister of Public Health, tion of the Seminar and also for the preparation of the pro­ Thai;and, Dr. Krasae Chanawongse, from his busy schedule to ceedings. give his welcome address and to perform the Opening Cere­ mony for this Joint Workshop. Thanks are also due to Dr. Johan A.M. Thambu, our Rapporteur-General, and to all members of the Steering Com­ Thanks are due to the enormous assistance rendered by mittee, Resource Persons, especially those who contributed Dr. Somboon Vachrotai, Director General of Public Health, personal papers together with their dedicated roles as speakers Thailand, and his staff for assisting the IGCC Secretariat with aid session-coordinators. the overall details of all the administrative arrangements (in­ cluding the utilization of this office equipment, typing, pur- Last but not least we also like to acknowledge the active chase of sationery, ctc. etc.). Though he haslust come out of participation, valuable cooperation, assistance and contri­ hospital, ha was able to take up the chairmanship, and was bution of the Participants from the six IGCC member coun­ also active as Resource Person and member of the Steering tries, namely, Indonesia, Malaysia, Nepal, Philippines, Singa­ Committee. pore, Thailand, and participants from Japan, Korea, Hong Kong, Taiwan and from IPPF-ESEAOR, Kuala Lumpur. Our grateful thanks are also extended to the USAID, Identification No. AID/PHA-C-1172, for providing funds for Not to be forgotten to be acknowledged are the Observers the meeting, without which the seminar would not have taken from the Population Council Bangkok, PIACT Asia, UNFPA place. Bangkok, UN-ESCAP Bangkok, IDRC Singapore, WHO Pro­ gramme Coordinator Bangkok, ICARP ASIA, 2 other Repre­ We are profoundly grateful to Dr. J.Y. Peng, Associate sentatives from Taiwan and the Chairman FFPAM FPA Kedah, Director for International Activities of IFRP, who supported Malaysia. INTRODUCTION 1. The Joint IGCC/IFRP East and South East Asia Seminar 3. The proceedings consisted of both Plenary and Group on Regional Fertility Research was held at the Ambassa- Sessions. A total of 9 (nine) country papers and 19 related dor Hotel, Bangkok, Thailand, from 18-20 July 1979. documents were presented at the Seminar proceedings. The Seminar was sponsored by the International Fertility 4. The Seminar was officially opened by H.E. The Deputy Research Program, Triangle Park, North Carolina, U.S.A. Minister of Public Health, Thailand, Dr. Krasae Chana­ wongse, preceeding the introduction of Dr. Somboor 2. The meeting was attended by participants from ten (10) Vachrotai, the Director General of the Department of countries namely, Indonesia, Malaysia, Nepal, Philippines, Health, Thailand. Dr. L.S. Sodhy, Secretary General of Singapore, Thailand, Hong Kong, Japan, Korea, and the IGCC Secretariat and Dr. Malcolm Potts, Executive Taiwan.There were a total of 47 participants and Resource Director of the IFRP both delivered the Introductory State- Persons and 11 Observers. ments respectively. 2 FOREWORD of disciplines: 1973 until now 5 workshops have been jointly ness to the participants (who came from avariety Since in Health on Family Plan­ between IGCC and IFRP. Much research has been health researches and administrators organized current projects, capabilities in the IGCC region with assistance from the IFRP. The ning) of IFRP's accomplishments, done and plans. IGCC has taken on the task to coordinate this comparative and future priorities programme in the field of Reproductive Systems research the Regional needs in contra­ contraceptives, sterilization, pregnancy termination) in the It has also assisted to define (on and the introduction of new techno- Region. ceptive safety research logy in maternity health research. We must now find ways and means of meeting these unmet needs. This 3-day Seminar on Regional Fertility Research has helped not only to provide and establish aforum for exchange Dr. L.S. Sodhy of experiences of studies and -esearches done or still on-going Secretary General, in the participating countries, but also to bring greater aware- IGCC Secretariat. 3 PAPER 1 WELCOME ADDRESS Dr. Somboon Vachrotai Distinguished Participants, Ladies and Gentlemen: We are honoured today to have with us His Excellency the Deputy Minister of Public Health, Thailand, Dr. Krasae Chana- It ismy great pleasure to participate in this East and South wongse, known