par Wollast, Elise ;Deschampheleire, I.
Référence Archives belges de médecine sociale, hygiène, médecine du travail et médecine légale, 33, 7-8, page (421-493)
Publication Publié, 1975
Article révisé par les pairs
Résumé : Since 1964 Tunisia has been going to great lengths to curb the population boom by creating a great number of local family planning services. The relative success of this campaign after ten difficult years, seems to be due to the autonomy of these services which are conceived within the frame work of a specific program. In order to avoid the drawbacks of the specific family planning clinics, a project of integrated activities has been proposed to increase the efficiency of birth control activities. An inquiry into the acceptability and the accessibility of the various basic services which are at the disposal of the population, made it possible to determine which services were best adapted to the integration of family planning. Contrary to what had been expected, the maternity centres did not come up to the expectations. The child health centres, on the other hand, proved to be an invaluable link with girls of childbearing age. In 1973, an integrated program of child health care and family planning was set up in the Cap Bon area. Experiments were carried out with an integrated activities scheme and its efficiency was tested during the second year of operation. These tests revealed that, at equal costs, the integrated program has a much wider acceptance and a much better continuity of contraception than specific programs. It also appeared that the average age of mothers attending integrated centres was particularly low, which allowed more efficient birth programs.