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Ford Foundation Annual Report 1992







will also help encourage smaller families. Addressing underlying social, economic, and cultural factors that affect reproductive health will also have positive effects on women's lives generally, improving their access to education and employment opportunities, and enabling them to participate more fully in the life of their communities.

With these realities in mind, the Foundation has for the past two years focused on the social, economic, and cultural factors that affect reproductive health. The program works in three interrelated areas: social science research to increase knowledge about the factors influencing reproductive health; helping women in particular, but also men and the larger community, to participate in decisions and policies aimed at improving reproductive health; and promoting a public dialogue to define ethical and legal frameworks for reproductive health and rights appropriate to each society.

The focus of the program varies according to circumstances in each country. Activities include encouraging reproductive health policies and services that are sensitive to women's needs and open to community participation, improving access to and the quality of reproductive health services, focusing on sexually transmitted diseases and particularly on HIV/AIDS, documenting and increasing awareness of the poor status of reproductive health, and addressing the needs of particularly vulnerable groups, like adolescents and poor women.

In 1992 the Reproductive Health and Population program granted a total of $16.7 million.

Social Science Research and Training

An important component of the program has been to strengthen national and regional social science research and training centers and research networks to promote multidisciplinary research on reproductive health problems. Funds have been granted to institutes in the West Indies, Bangladesh, Brazil, Egypt, India, Indonesia, Mexico, and Senegal. Research networks are being supported in China, Egypt, Francophone Africa, Nigeria, India, Indonesia, and Mexico. These projects address a range of reproductive health issues, including women's perceptions of their own health needs and priorities. Several networks and individual research projects are also addressing underlying issues of sexuality and interpersonal relations.

Empowering Women

Another major focus of the Reproductive Health and Population program has been support for women's organizations. The aim is to promote their increased participation in policy discussions, in the design of programs and services, and in community-based research on reproductive health. Although there are examples of effective collaboration among women's