A Case Study of Contraceptive Introduction: Domiciliary Depot-Medroxy Progesterone Acetate Services in Rural Bangladesh

  • James F. Phillips
  • Mian Bazle Hossain
  • A. A. Zahidul Huque
  • Jalaluddin Akbar
Part of the Reproductive Biology book series (RBIO)


The question of how to deliver contraceptive services effectively under difficult social economic and ecological conditions represents a critical issue in Bangladesh. Social support for contraceptive practice is fragile, and development has languished, hampering efforts to organize rural health and family planning services. This paper examines the role of new contraceptive technology in this setting and presents a synopsis of the experience of providing the injectable contraceptive depot-medroxy progesterone acetate (DMPA) as a domiciliary service. The experiences of two rural studies are compared, each of which provides contrasting operational contexts for contraceptive introduction.


Family Planning Female Worker Oral Contraceptive Pill Family Planning Service Contraceptive Practice 
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  1. Akbar, J., M.A. Koenig, and J.F. Phillips 1988 The use-efFectiveness of depot-medroxy progesterone acetate in Mat- lab, Bangladesh. Unpublished manuscript.Google Scholar
  2. Bhatia, S., W.H. Mosley, A.S.G. Faruque, and J. Chakraborty 1980 The Matlab Family Planning Health Services Project. Studies in Family Planning 11(6):202–212.PubMedCrossRefGoogle Scholar
  3. Hossain, M.B., and J. Phillips 1984 A Factor Analysis of Economic Status Indicators from Four Rural Thanas of Bangladesh. Paper presented at the Annual Meeting of the Bangladesh Population Association, Dhaka, Bangladesh. August.Google Scholar
  4. Jonas, E., M.A. Koblinsky, Z. Huque, and D. Balk 1986 An overview of injectable contraceptives with special application to Bangladesh. Working Paper no. 6. MCH-FP Extension Project, Dhaka, Bangladesh. Unpublished manuscript.Google Scholar
  5. Moulton, L.H., S.L. Zeger, and K.-Y. Liang 1989 Some generalized regression models for longitudinal data. In J.H. Dwyer and F. Fienlieb, eds., Statistical Models for Longitudinal Models for Health Oxford: Oxford University Press. Forthcoming.Google Scholar
  6. Mozumder, A.B.M. K. Alam, J.F. Phillips, D. Leon, and M.B. Hossain 1986 The Sample Registration System: A Microcomputer System for Monitoring Demographic Dynamics and Health and Family Planning Service Operations in Rural Bangladesh. Paper presented at the Annual Meeting of the Population Association of America, San Francisco, April 3–5.Google Scholar
  7. Phillips, J.F. 1988 Translating pilot project success into national policy development: Two projects in Bangladesh. Asia-Pacific Population Journal 2(4):3- 28.Google Scholar
  8. PhUlips, J.F., W. Stinson, S. Bhatia, M. Rahman, and J. Chakraborty 1982 The demographic impact of the Family Planning Health Services Project in Matlab, Bangladesh. Studies in Family Planning 13(5): 131–140.CrossRefGoogle Scholar
  9. Phillips, J.F., R. Simmons, G. Simmons, and M.D. Yunus 1984 Transferring health and family planning service innovations to the public sector: An experiment in organization development in Bangladesh.Studies in Family Planning 15(2):62–73.PubMedCrossRefGoogle Scholar
  10. Phillips, J.F., R. Simmons, M.A. Koenig, and J. Chakraborty 1988 The determinants of reproductive change in a traditional society: Evidence from Matlab, Bangladesh. Studies in Family Planning. Forthcoming.Google Scholar
  11. Simmons, R., M.A. Koblinsky, and J.F. Phillips 1986 Client relations in South Asia: Programmatic and societal determinants. Studies in Family Planning 17(6):257–268.PubMedCrossRefGoogle Scholar
  12. Simmons, R., L. Baqee, M. A. Koenig, and J.F. Phillips 1988 Beyond supply: The importance of female family planning workers in rural Bangladesh. Studies in Family Planning 19(l):29–38.PubMedCrossRefGoogle Scholar
  13. Smith, C., A.A. Zahidul Huque, M.A. Koblinsky, F. Rahman, A.A. MoUa, M. Alam, M. Rahman, W. Kamal, and K.M. Rahman 1986 Domiciliary Injectable Contraceptive Programme in Abhoynagar and Sirajganj Upazilas. Operations Research Paper no. 54. International Centre for Diarrhoea! Disease Research, Dhaka, Bangladesh. Unpublished manuscript.Google Scholar
  14. Zeger, S.L., K.Y. Liang, and S.G. Self The analysis of binary longitudinal data with time independent co- variates. Biometrika 72:31–38.Google Scholar

Copyright information

© Plenum Press, New York 1989

Authors and Affiliations

  • James F. Phillips
  • Mian Bazle Hossain
  • A. A. Zahidul Huque
  • Jalaluddin Akbar

There are no affiliations available

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