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The Bohol Project (1975-1979) sought to improve maternal and child health and to increase the use of family planning among a rural Philippine population of 400,000. Research indicated that maternal and child health (MCH) services did become more available during the Project period and coverage of the priority populations improved. Family planning (FP) use, particularly of less effective methods, increased and fertility declined although some change could have been expected even without the Project. Deaths due to neonatal tetanus were almost eliminated but mortality rates did not decline for a number of reasons, including the fact that services were probably not tailored closely enough to local health problems, especially respiratory diseases. The Project showed that it was possible to increase health and family planning services by using low-cost strategies (such as setting up community drug stores) and by employing paramedical workers, in this case, midwives. Preventive MCH-FP services were not overwhelmed by curative services as had been feared. Perhaps the most significant contributions of the Project were the lessons learned about delivering health and family planning services and conducting evaluation research. In general, if developing countries could maintain well-evaluated field laboratories for working out health and family planning delivery approaches before going nationwide, it is likely that time and money would be saved in the long run. [ABSTRACT FROM AUTHOR]

This paper evaluates a Singapore experiment to test the Shettles ‘rhythm and douche’ method of sex control. The clinic was set up in the hope that if couples could have the son they desired, they would keep their families small in accordance with the goverment's strong commitment to population control. From March 1975 to July 1977, 10,000 newly-wed women were invited to attend the clinic. A thousand women, not all newlyweds, attended at least once. Of the 31 women who had definite sex preferences, who attempted to follow the method, and who gave birth between March 1975 and November 1977, all wanted boys. By chance alone, one would expect about sixteen to have boys. In fact, fourteen had boys. Only six of the 31 women reported using the method completely correctly.Women attending the clinic at least once were more likely to have an outside job, to have a husband with a professional or managerial job, and to be of Chinese origin compared with the Singapore population. Clients coming either had fertility problems and had no sex preferences or wanted a boy. Of those coming at least once, 70% had no previous children; the rest had had 403 girls and 58 boys.To test this sex control technique adequately, one would need a large sample of highly committed couples who are given intensive counselling and follow-up. This particular method appears to be impractical on a mass basis, apart from questions about its effectiveness. Other sex control methods currently under research may prove more practical and effective. A better solution would be to discourage boy preference and improve the opportunities for girls. [ABSTRACT FROM PUBLISHER]