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Evaluation Review, Vol. 26, No. 2, 190-212 (2002)
DOI: 10.1177/0193841X02026002003

The Impact of an Integrated Family Planning Program in Russia

Liese Sherwood-Fabre

Department of Health and Human Services

Howard Goldberg

Centers for Disease Control and Prevention

Valentina Bodrova

All-Russian Centre for Public Opinion and Market Research

In 1995, the U.S. Agency for International Development implemented an integrated program offamily planning education and services in six Russian cities to increase physicians' and women'scontraceptive knowledge and change current contraceptive use. Large population-based surveysof women ages 15-44 were carried out at the beginning of project implementation (in 1996)and 3 years later in two project sites and a comparison site. Results from these surveys indicatethat project activities affected women's knowledge of family planning methods, and causedwomen to have more favorable attitudes toward modern contraception. In addition, abortionrates decreased in project sites while remaining virtually unchanged in the comparison site.Because of uneven implementation of project interventions in the demonstration sites, however,the intervention's actual impact on abortion rates remains unclear.

Key Words: family planning • international • Russia • abortion • contraceptive use • evaluation


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