ASSESSMENT OF THE RESPONSIBLE PARENTHOOD PROGRAMS OF THE PERUVIAN CHRISTIAN FAMILY MOVEMENT AND ASSOCIATION OF LAYWORK FOR THE FAMILY (9/10/73-9/23/73)

FPIA IS ADMINISTERING & SUPERVISING THE PROJ. 2 CONSULTANTS FROM THE AMER PUBLIC HLTH ASSOC PERFORMED THE EVAL. THE CONSULTANTS WORKED IN LIMA FROM 9/11-9/21/73 & VISITED 12 OF THE 43 CLINICS. ALTHOUGH BOTH ORGANIZATIONS MADE EVERY EFFORT TO ASSEMBLE THE REQUESTED INFO, MUCH OF THE DATA WAS NOT READILY AVAILABLE. EQUIPMNT & SUPPLIES SCHEDULED IN FY73 WERE NOT RECEIVED. (A SEVERE SHORTAGE OF SPECULA CONTRIBUTED TO UNSANITARY CLINICAL PRACTICES.) A VISITING FPIA PROJ OFFICER STATED THAT WHILE ORDERS HAD BEEN PLACED WITH GSA,AS FAR AS HE COULD DETERMINE THE COMMODITIES WERE NOT PURCHASED MUCH LESS SHIPPED TO PERU. UNFORTUNATELY,THE LEADERSHIP OF ATLF (WHICH BROKE AWAY FROM MFC) WAS LED TO BELIEVE THAT THEIR PROG IS SUPERIOR TO MFC. MORE UNFORTUNATE IS THE FACT THAT MFC ALSO BELIEVES IT. AUTHORS CONCLUDE THAT WHILE THE MFC IS HANDICAPPED BY ITS SMALLER STAFF & BUDGET,BOTH PROGS HAVE ROOM FOR IMPROVEMENT. RECENTLY APPROVED BUDGETS COVER 10/01/73-9/1/74. AUTHORS RECOMMEND AT LEAST 5 YRS OF ASSIST. CONT"D FINANCING SHOULD NOT BE BASED ON THE NUMBER OF CONTRACEPTORS MCF/ATLF ARE ABLE TO ATTRACT. MFC & ATLF SHOULD BE ENCOURAGED TO PROMOTE GOVT FINANCING OF FP SERVICES NATION-WIDE. AUTHORS ALSO RECOMMEND ASSIST TO MFC/ATLF EDUC COMPONENTS SUPPORTING FORMAL TRNG OF OUTREACH WORKERS & PROVISION OF A/V EQUIP,PUBLICATIONS & MATERIALS. BOTH MFC & ATLF NEED TECH ASSIST IN DEFINING STATISTICAL REQUIREMENTS FOR USE IN SETTING REALISTIC TARGETS,ASSESSING CLINICAL LOAD & PERFORMANCE,DETERMINING STAFFING REQUIREMENTS & MAKING MODIFICATIONS TO PATIENT REGIMENS. DONORS SHOULD SEE THAT MFC & ATLF HAVE THE AMT & TYPES OF ORAL CONTRACEPTIVES REQUESTED. (BREAK-THROUGH & OTHER PROBLEMS OCCURRED BECAUSE OF A CHANGE IN THE TYPE OF ORALS SUPPLIED.) REPORT NOTES THAT MANY IMPROVMNTS COULD BE MADE TO THE CLINIC FACILITIES WITH RELATIVELY SMALL INVESTMNTS BY MFC & ATLF. FINALLY,COMMUNICATION BETWEEN MFC & ATLF MUST BE INCREASED