Document Detail


The effect of operations research on program changes in Bangladesh.
MedLine Citation:
PMID:  8714305     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This article is based on the ten-year experience of an operations research project in Bangladesh. It assesses how, and under what circumstances, research-based advice and results of pilot projects contribute to change in large-scale public programs. It discusses project research on issues facing the national family planning program: recruitment and training of field-workers; delivery of injectable contraceptives; management information; field-workers' use of service registers; field supervision; satellite clinics; and contraceptive user fees. These issues are used to illustrate the advantages and disadvantages of a long-term institutionalized project, and to describe the diversity of means for communication with policymakers. The analysis shows that research, policy decision, and implementation can occur in any sequence. Policy advice that disrupts long-standing power relationships and organizational culture takes a great deal of effort to implement. Operations research can produce useful changes in organizational behavior, even when large-scale problems remain.
Authors:
J G Haaga; R M Maru
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Studies in family planning     Volume:  27     ISSN:  0039-3665     ISO Abbreviation:  Stud Fam Plann     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1996-10-17     Completed Date:  1996-10-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7810364     Medline TA:  Stud Fam Plann     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  76-87     Citation Subset:  IM; J    
Affiliation:
Committee on Population, National Academy of Sciences/National Research Council, Washington, DC 20418, USA.
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MeSH Terms
Descriptor/Qualifier:
Bangladesh
Condoms / utilization
Contraceptive Agents, Female / administration & dosage
Developing Countries*
Family Planning Services*
Female
Health Knowledge, Attitudes, Practice
Health Policy
Humans
Injections, Intramuscular / utilization
Male
Operations Research*
Patient Satisfaction
Pilot Projects
Quality Assurance, Health Care*
Chemical
Reg. No./Substance:
0/Contraceptive Agents, Female

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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