CONTRACEPTIVE DISTRIBUTION

SMALL-SCALE TESTING OF THIS PARTICULAR HDS HAS BEEN COMPLETED IN EUIRYUNG GUN (KOREA),TAIWAN,EGYPT,BANGLADESH,TUNISIA; THIS PROJ WILL TEST APPLICATN OF THE HDS TO A LARGER POPULATN,DETERMINE ITS COST-EFFCTVNSS & DEMOGRAPHIC IMPACT & CONSIDER NATNL & WORLDWIDE,RURAL APPLIC OF SYS. EWPI COLLECTED BASELINE DATA FOR THIS PROJ UNDER AN EXISTING CONTRACT & HAS OVERALL IMPLMNTATN & EVAL RESPONSIBILITY IN THIS PROJ. DONG-A UNIV(DAU),KOREAN INSTIT OF FAMILY PLNNG(KIFP) WILL CARRY-OUT OPERATIONS RSRCH & SRVC COMPONENTS,RESPCTVLY. COST-EFFCTVNSS RATIOS WILL BE DETRMND FOR ACCEPTORS,COUPLE-YEARS OF PROTCTN & BIRTHS AVERTED IN TERMS OF INPUTS(COSTS & MANPOWER) & OUTPUTS(CHANGES IN CONTRACEPTV BEHAVIOUR & FERTILITY). COMPARISON WILL BE MADE BETWEEN COST-EFFCTVNSS OF THIS HDS & THE ROK"S NATNL FP PROGR,CONTRASTING CHEJU"S RESULTS WITH THOSE OF A MAINLAND CNTRL AREA,HAPCHUN GUN. BOTH DELIVERY SYS WILL BE INTENSVLY EVAL THRU BEFORE & AFTER SURVEYS OF CONTRACPTV PREVALENCE & BIRTH RATES & RESULTS OF SRVC STATISTICS. PROJ WILL BE EXPLAINED TO LOCAL COMMUNITY LEADERS,HOUSEHOLD CANVASSERS TRND & PROJ AREA MAPPING CARRIED-OUT. CANVASSERS ARE PAID SMALL SALARY PLUS INCENTIVE PAY ON BASIS OF NUMBER OF CONTRACPTVS DISTRIB. IF SYS ACEPTABLE TO HOUSEHOLD,PILLS OR CONDOMS WILL BE SUPPLIED FREE,WHILE RESUPPLY FROM DEPOTS MAY REQUIRE AN AS YET UNDETERMINED,BUT MODEST PRICE; IF ANOTHER METHOD IS DESIRED BY THE HOUSEHOLD,COUPONS WILL BE DISTRIBUTED & CLINICAL SERVICES MADE AVAILABLE THROUGH A HOUSEHOLD REFERRAL SYSTEM. AFTER 3 YEARS OF OPERATION,THE PROJECT"S SERVICE DATA WILL BE ANALYZED TO DETERMINE IF CONTRACEPTIVE USE IS SUFFICIENT TO EXPECT FERTILITY RATE CHANGES,AND IF SO, FERTILITY RATE SURVEYS WILL BE CONDUCTED IN BOTH HAPCHUN & CHEJU. RESULTS OF THIS SURVEY WILL BE USED TO DETERMINE IF THE HDS DELIVERY SYSTEM RESULTS IN COST-EFFECTIVENESS RATIOS THAT WARRANT CONTINUING & EXPANDING THE PROGRAM THROUGHOUT SOUTH KOREA.