Abstract

PIP: The Integrated Project (IP) was started in Zambia in 1984 by the International Planned Parenthood Federation (IPPF) Africa Bureau in connection with the Zambia Flying Doctor Service (ZFDS) and the Planned Parenthood Association of ZAMBIA (PPAZ). The project was begun in 3 areas, Kabushi, Fiwale, and Kapata. Its 1st major task was a survey of parasite infestation, nutritional status, and family planning knowledge and practice. This was done between 1985 and 1987. Also at this time field educators carried out many activities. A PPAZ evaluation of the Kabushi project in 1987 found that although family planning knowledge was fairly widespread, there was no accompanying increase in practice. There is a downward trend in parasitosis in Fiwale and Kapata but no reduction in Kabushi. However, there were variations in sampling, so these results are questionable. Environmental sanitation measures are being taken. The prevalence of malnutrition is around 26% in each. Community participation is essential. Women's clubs have been formed in all 3 areas where family planning and other matters can be discussed. In 1987 the ZFDS trained traditional birth attendants (TBAs). 23 TBAs have also been trained in family planning. The Japanese Organization for International Cooperation in Family Planning (JOICFP) provided project guidelines. Numerous problems have been experienced in the 1st 3 years of the project. The IP National Steering Committee (NSC) has had to deal with 3 separate agencies (IPPF, PPAZ, and ZDFS). The project has worked well with ZFDS. 1 of the problems is personnel. Some of the personnel need specific training and orientation. Parasite control activities could be improved. A more active family planning program is being planned. It is recommended that during the remaining 3-year pilot period PPAZ should take on financial monitoring, and the staff should have an overall plan and more detailed annual plans.