Culturally based goal displacement in an egyptian FP-MCH program
By: FEIRMAN, H.
Contributor(s): LANGWORTHY, N.
Material type: ArticlePublisher: New York : Marcel Dekker, 1989International Journal of Public Administration - IJPA 12, 1, p. 1-17Abstract: The adoption of an integrated family planning-maternal and child health care strategy in a cultural context non-supportive of family planning invites a shift in emphasis in which the means, MCH services, rather than the achievement of the goals, fertility reduction, become the focus of activities. This paper presents a case of such an occurrence of goal displacement. We conclude that without a carefully considered response which addresses the general cultural and organizational influences that affect project personnel, the effectiveness of integrated family planning/MCH programs in reducing fertility rates will be limited.The adoption of an integrated family planning-maternal and child health care strategy in a cultural context non-supportive of family planning invites a shift in emphasis in which the means, MCH services, rather than the achievement of the goals, fertility reduction, become the focus of activities. This paper presents a case of such an occurrence of goal displacement. We conclude that without a carefully considered response which addresses the general cultural and organizational influences that affect project personnel, the effectiveness of integrated family planning/MCH programs in reducing fertility rates will be limited.
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