Kris Heggenhougen

This book profiles the history, the present condition, and the future prospects of Tanzanian community health workers. Based on collaborative research and extensive surveys and interviews conducted by the authors from 1980 to 1983, this comprehensive work details the successes and shortcomings of Tanzania's program of primary health care, and provides a valuable example for the establishment of similar, and particularly larger, health care programs in East and South Africa and throughout the developing nations of the world. Primary health care professionals and students of public health administration will value this timely assessment of the state of Tanzania's community health services.

"This volume presents the highlights of current global thinking about sexual and reproductive health. Major changes have taken place in the last 15 years in the way decision-makers think about the subject and the manner in which programmes deliver comprehensive sexual and reproductive health services. The turning point was the International Conference on Population and Development (ICPD) held in Cairo, Egypt, in 1994. ICPD was a watershed for several reasons. First, more than in any of the preceding United Nations population conferences, the issue of population was clearly placed as being central to sustainable development. Second, the narrow focus on population growth ("the population bomb") which had been a neo-Malthusian concern and preoccupation ever since the Club of Rome published its 1972 report Limits to Growth, was replaced by the comprehensive concept of (sexual and) reproductive health. Third, and linked to the definition and introduction of the reproductive health concept, was the strong call for a paradigm shift away from a policy environment driven by demographic considerations (sometimes to the point of using coercion in family planning services in order to reach demographic targets) to an environment that recognized the right of individuals to make their own choices. And, last but not least, ICPD as well as the Fourth World Conference on Women (FWCW) held the following year in Beijing, People's Republic of China, strongly emphasized that the rights of women and men to good sexual and reproductive health are firmly grounded in universal human rights"--Provided by publisher.