PATHFINDER FUND EVALUATION PART IV REGIONAL REPORT FOR AFRICA AND THE MIDDLE EAST. (10/12/78-11/22/78)

IN EGYPT, PF IS DEVELOPING A CADRE OF MEDICAL PRACTITIONERS QUALIFIED TO PROVIDE STERILIZATION SERVICES. THIS WILL BE THE BASE FOR BROADENING THE AVAILABILITY OF SUCH SERVICES. THE DEVELOPMENT OF WELL EQUIPPED, STAFFED, AND OPERATED CLINICS FOR PROVISION OF STERILIZATION SERVICES IS EXPECTED TO LEAD TOBROADER ACCEPTANCE OF STERILIZATION. IT IS RECOMMENDED THAT PF CONTINUE ITS ROLE OF PROVIDING LOW PROFILE SUPPORT TO TRAINING AND PROVISION OF SERVICES THROUGH CLINICS. IN KENYA, PF ACTIVITIES HAVE BEEN WELL CONCEIVED AND HAVE FILLED A NEED. HOWEVER, THERE IS A NEED FOR DEVELOPMENT OF ADDITIONAL STERILIZATION SERVICE POINTS. CONTRACEPTIVE AVAILABILITY COULD BE BETTER, AND THE MOTIVATIONAL PROJECT PROPOSED IN THE MAENDELEO PROJECT WOULD MAKE RURAL WOMEN MORE AWARE OF POSSIBLE SERVICES. A SERIOUS TEENAGE PREGNANCY PROBLEM HAS NOT BEEN ADDRESSED. IT IS RECOMMENDED THAT PF SHOULD REVIEW THE OVERALL KENYAN POPULATION/FAMILY PLANNING SITUATION TO LAY OUT A PRIORITY PLAN. THAT WILL HELP PF TO UTILIZE ITS RESOURCES MOST EFFECTIVELY. ALTHOUGH PF HAS BEEN ACTIVE IN SENEGAL SINCE 1973, THERE IS LITTLE TO SHOW FOR THE EFFORT. THE CLINIQUELA CROIX BLUE IS OPERATING, BUT IT/SCARCELY CAN BE SAID TO BE PROVIDING FAMILY PLANNING SERVICES TO THE ORIGINALLY INTENDED TARGET POPULATION. THE ROLE BEING PLAYED BY PARAMEDICAL PERSONNEL TRAINED UNDER PARAMEDICAL TRAINING PROJECT IS NOT CLEAR. THE OB/GYN AND FAMILY PLANNING CLINIC/DAKAR CENTRAL HAS DISAPPEARED. THE CLINICS WHICH WERE TO HAVE BEEN ESTABLISHED UNDER THE DEVELOPMENT OF MCH/FP CLINIC PROJECT ARE NOT YET IN PLACE, WITH ONLY SOME VERY MARGINAL OPERATIONS ONGOING. IT IS RECOMMENDED THAT PATHFINDER ARRANGE A MEETING WITH USAID TO WORK OUT AGREEMENT ON AREAS OF RESPONSIBILITY IN POPULATION/FAMILY PLANNING IN SENEGAL AND TO DEVELOP AT LEAST AN INFORMAL MECHANISM FOR COORDINATING ACTIVITIES IN THESE FIELDS.