Study findings from Malab MCH-FP interventions demonstrated that family-planning programme can be successful even under unfavorable socioeconomic conditions. Particularly critical to the success of the Matlab experiment is the client-oriented services delivered through the female community health workers (CHW), with supportive supervision. In addition, experiences from the project suggest that the introduction of an organizational culture based on qualification and quality of care has succeeded in raising the performance of the CHWs to levels much higher than those of the Government program. The pattern of self-referral in Matlab MCH-FP areas strongly suggests that if quality emergency obstetric services are available, substantial numbers of people will use them, even.
