James F. Phillips|Elizabeth B. Jackson|Ayaga A. Bawah|Bruce MacLeod|Philip Baba Adongo|Colin Baynes|John E. Williams
The Long?Term Fertility Impact of the Navrongo Project in Northern Ghana
Columbia University|Columbia University|Columbia University|University of Southern Maine|University of Ghana|Columbia University|Navrongo Health Research Centre
study assesses longterm fertility impact community health family planning project navrongo health research centre ghana addresses policy debates concerning role family planning programs rural africa conducted remote traditional area ghanas northern border study tests hypothesis convenient family planning service delivery induce sustain reproductive change societal context would expected foster demographic transition 1999 results indicated significant fertility decline arose early years project associated combination services provided community nurses social mobilization activities focused men project strategies scaled social mobilization components neglected consequence longterm impact scaledup operations negligible results suggest initial effects met need child spacing without introducing sustained demographic transition