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HISTORY
AND STRUCTURE OF THE NATIONAL FAMILY PLANNING BOARD (NFPB)
The
National Family Planning Board is a government statutory body which
falls under the Ministry of Health (MOH).
In
February 2002 the NFPB is underwent a re-structuring exercise. Among
the recommendations of a management audit were that there should
be three departments. These are reflected below. The audit suggested
the names of the departments be changed to reflect the new direction
of the organisation.
ORGANISATIONAL
CHART
Policy
Formulation, Evaluation and Monitoring
The functions of the
Unit are, to:
- Monitor
and evaluate the progress of national family planning programmes
- Identify
family planning issues for attention
- Maintain
all operating policies and procedures manuals.
- Provide
information on reproductive health.
Outreach
Programmes
The
functions of the Unit are, to:
- Procure
and distribute contraceptives
- Develop
and co-ordinate training programmes
- Develop
information dissemination strategies to address family planning/reproductive
health issues.
Finance
/ Human Resource and Administration
- The
Unit is responsible for the personnel and financial management
of the organisation, its annual planning process and administration.
History
of the National Family Planning Board
Emergent
Phase (1930s to 1966)
Family Planning Services were first available in Jamaica in the
1930s through the efforts of a number of committed individuals.
In the 1950s, services were strengthened when social work associations
and interest groups collaborated and established the Jamaica Family
Planning Association. In 1963, the Government of Jamaica officially
recognized problems associated with population growth and the need
for family planning. Consequently, the Government initiated services
in selected hospitals, and established a special unit in the Ministry
of Health (MOH) to give direction to and cooperate with non-governmental
organizations (NGOs). The Bureau of Health Education, which began
providing educational materials and training for family planning,
enhanced these initiatives.
Development Phase (1967 to 1980)
In 1967, the GOJ created the National Family Planning Board (NFPB).
Throughout the 1970s, Family planning gained greater visibility
and importance for Jamaica's development agenda. The NFPB, empowered
by the National Family Planning Act (1970), became the Government
agency responsible for preparing, implementing, coordinating, and
promoting family planning services in Jamaica.
The 1970s were also landmark years for program implementation: Family
Life Education (FLE) teacher training workshops began, a scheme
for the commercial distribution of condoms and oral contraceptives
(Panther and Pearle) was initiated, and mass media (radio, television,
billboards, and print) became an important information dissemination
channel for launching the "Two Child Family" campaign.
In 1974, the GOJ officially integrated family planning services
with the MOH primary health care programme, thereby greatly increasing
the number of health centers offering family planning. By the end
of the decade, an island-wide network of family planning clinics
was operating and birth rates had decreased from 34 per 1,000 in
1970 to 28.
Expansion
Phase (1981 to 1995)
Throughout the 1980s, the family planning programme began to soar
quickly as a result of several benchmark events. The NFPB established
specialized family planning clinics in underserved areas, and international
donors accelerated support for clinical and counseling services
in public clinics. The GOJ officially adopted the National Population
Policy (1983), which reinforced political commitment to the reduction
of fertility and the expansion of family planning services for all
men and women of reproductive age. Multiple public and private sector
projects increased the availability of family planning and introduced
alternative approaches to service delivery. Highlights from this
decade included establishing the following:
- Male
responsibility programmes;
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Community-based distribution of contraceptives in rural areas;
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An adolescent fertility resource center;
-
The Parish Liaison Officers Programme;
- Mobile
units integrating family planning into nutrition programmes; and
Services designed for teenagers in urban areas.
Since
1990, the programme has focused on increasing consumer access, improving
service quality, and achieving financial sustainability. Between
1992 and 1995, surveys and special studies helped to define unmet
needs, legal and regulatory constraints to programme expansion,
and strategies for increasing private sector participation in family
planning service provision. New technologies were introduced, including
NORPLANT , female sterilization (mini-laparotomy) under local anaesthesia,
and no-scalpel vasectomy for men. A commercialized initiative, Personal
Choice, introduced a wide range of safe, low-dose oral contraceptive
pills and contraceptive injectables at prices affordable to many
more Jamaicans. In 1994, the Government assumed greater financial
responsibility for public sector contraceptive procurement due to
dwindling donor resources and the growing need for family planning
services among Jamaicans.
Thus,
during the expansion phase, the family planning programme significantly
increased consumer awareness and service access, expanded contraceptive
choices, and consolidated into a cohesive national programme encompassing
a large number of public and private sector organizations
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