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Timor-Leste . Historical Background. Portuguese colony for over 500 years Occupied by Indonesia for 24 years Declared independence in 1999 and became a country in 2002 Some of the lowest maternal and child health outcomes in the world. Health Statistics (2003).

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Historical background l.jpg
Historical Background

  • Portuguese colony for over 500 years

  • Occupied by Indonesia for 24 years

  • Declared independence in 1999 and became a country in 2002

  • Some of the lowest maternal and child health outcomes in the world


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Health Statistics(2003)

  • Maternal Mortality Rate = 660/100,000 †

  • Infant Mortality Rate = 84/1,000††

  • Neonatal Mortality Rate = 43/1,000 ††

  • Total Fertility rate = 7.8 †† (highest in the world)

  • ANC: 50% ††

† Maternal Mortality 2000: Estimates developed by WHO, UNICEF, UNDPA †† Data Source: Timor-Leste DHS 2003


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Timor-LesteChild Spacing film to address excessive fertility rates

Health Alliance Internationalin cooperation with theTimor-Leste Ministry of Health

presents


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The film promotes the following methods of contraception:

  • The Pill

  • Injection

  • IUD

  • Implants

  • Natural/rhythm methods

  • Breastfeeding

  • Vasectomy

  • Condoms


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  • As of September, 2008, the film has been piloted in 15 villages in 2 sub-districts of Dili (Dili total population ~167,000)

  • Immediate qualitative analysis suggested that the movie was well-received

  • The film has yet to be shown in 6 of the other districts in which HAI currently works

    (cumulative est population of 6 districts~330,000)


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Intervention Study Objectives villages in 2 sub-districts of Dili

To determine if this film has helped increase FP utilization and knowledge about

  • the importance of child spacing

  • effective methods for practicing child spacing

  • available resources for more information about and access to family planning


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General Aims villages in 2 sub-districts of Dili

  • To determine the impact of the film on knowledge

  • To determine the impact of the film on family planning utilization


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Methods villages in 2 sub-districts of Dili

Time period: June-August, 2009

Pre-test post-test survey

  • Create a survey to test knowledge and self-reported FP utilization of individuals in districts where film has been shown/not shown

    Comparison of FP utilization in case and control districts

  • Use available baseline data to determine effects of film on utilization in health centers


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Available data villages in 2 sub-districts of Dili

  • Baseline information about family planning knowledge and utilization for 6 districts in the country was collected in Summer, 2008

  • We have support on the ground now who is in the process of showing the film

  • In-country support is also gathering baseline information about family planning utilization in local health structures

  • DHS survey will be available in January, 2010


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Lingering Questions villages in 2 sub-districts of Dili

  • What would be the best way, if any, to incorporate any DHS data into the results?

  • What information should I be seeking from in-country support with regards to baseline data?

  • As long as we find villages with similar demographic and socioeconomic status, is this a valuable way to establish case and control groups?

  • Better ideas from more experienced, more quantitative-minded people out there?!!!

Comments? Concerns? Suggestions?

Please contact Sarah Hohl: [email protected]


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