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Demography, Population, and Ecology

2012

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Articles 91 - 112 of 112

Full-Text Articles in Medicine and Health Sciences

Country Mapping: Nigeria, Salisu Mohammed Ishaku, Saumya Ramarao Jan 2012

Country Mapping: Nigeria, Salisu Mohammed Ishaku, Saumya Ramarao

Reproductive Health

The Population Council conducted a three-year acceptability study of the progesterone vaginal ring (PVR) in three sub-Saharan African countries. This technical report presents results from Nigeria, laying out the country’s demographics and high fertility rates; describing the family planning program and policy context; and, finally, revealing the stakeholder support thus far with a discussion on how best to proceed with introduction activities. This country mapping confirms the likelihood that the PVR would be well received in Nigeria and fill a large need in family planning. The PVR is a safe, long-acting, user-controlled product that can be easily inserted and removed …


Integration Of Family Planning Into Other Health Services In Ghana: Performance Needs Assessment At Four Facilities In The Ashanti And Eastern Regions, Amos Laar Jan 2012

Integration Of Family Planning Into Other Health Services In Ghana: Performance Needs Assessment At Four Facilities In The Ashanti And Eastern Regions, Amos Laar

Reproductive Health

With support from the Population Council, the Reducing Maternal Morbidity and Mortality Program worked with the Ghana Health Service to conduct a performance needs assessment on family planning (FP) integration in four facilities in two of the country’s regions. The purpose of this endeavor was ultimately to pilot a project to develop and implement interventions that would improve clients’ access to FP at these facilities, based on the current and desired FP service provision levels, from the viewpoint of facility staff themselves, while taking into account client preferences. This midterm survey sought to assess the status of the integration process …


Strengthening The Delivery Of Comprehensive Reproductive Health Services Through The Community Midwifery Model In Kenya, Wilson Liambila, Francis Obare, Chi-Chi Undie, Harriet Birungi, Shiphrah Kuria, Ruth Wayua Muia, Assumpta Matekwa Jan 2012

Strengthening The Delivery Of Comprehensive Reproductive Health Services Through The Community Midwifery Model In Kenya, Wilson Liambila, Francis Obare, Chi-Chi Undie, Harriet Birungi, Shiphrah Kuria, Ruth Wayua Muia, Assumpta Matekwa

Reproductive Health

The overall objective of this project was to strengthen the delivery of family planning/reproductive health and HIV (FP/RH/HIV) services at the community level. The interventions included revision of existing guidelines and protocols for the community midwifery approach, training of providers, provision of equipment and supplies, and creating awareness on the use of community referral cards. In addition, cost analysis of community midwives’ services and willingness-to-pay assessments for various reproductive health services among current and potential users of community midwifery services were undertaken. The results showed that the community midwifery model improved clients’ access to a comprehensive package of RH/HIV including …


The Experiences Of Men Engaged In Transactional Sex With Other Men In Urban Nigeria—A Size Estimation And Qualitative Study, Population Council Jan 2012

The Experiences Of Men Engaged In Transactional Sex With Other Men In Urban Nigeria—A Size Estimation And Qualitative Study, Population Council

HIV and AIDS

Reports on a mixed-method research study to estimate the population size and understand the experiences of a sub-group of men who have sex with men presumed to be at particularly high risk of infection with HIV and other sexually transmitted infections: men who engage in transactional sex with other men.


Prevalence And Correlates Of Hiv Infection In A Cohort Of Male Injection Drug Users In Delhi, Waimar Tun, Vartika Sharma, Mary Philip Sebastian, Ira Madan, Amita Yadav, Meredith Sheehy, Dean Lewis, Ibou Thior, Avina Sarna Jan 2012

Prevalence And Correlates Of Hiv Infection In A Cohort Of Male Injection Drug Users In Delhi, Waimar Tun, Vartika Sharma, Mary Philip Sebastian, Ira Madan, Amita Yadav, Meredith Sheehy, Dean Lewis, Ibou Thior, Avina Sarna

HIV and AIDS

Baseline assessment of HIV infection among male injection drug users to understand the correlates of HIV infection and high risk injection practices and sexual behavior in Delhi, India.


Filles Eveillées : Programme Pilote Pour Adolescentes Migrantes Employées De Maison Au Burkina Faso Urbain, Sarah Engebretsen, Gisele Kaboré, Leah Jarvis Jan 2012

Filles Eveillées : Programme Pilote Pour Adolescentes Migrantes Employées De Maison Au Burkina Faso Urbain, Sarah Engebretsen, Gisele Kaboré, Leah Jarvis

Poverty, Gender, and Youth

Les jeunes Burkinabè n’ont guère de débouchés économiques, en particulier dans les milieux ruraux. En 2010, le Population Council a mené une recherche formative dans le but de mieux comprendre la situation des adolescentes migrantes employées de maison au Burkina Faso urbain. L’étude révèle qu’arrivées à la ville, ces filles vivent généralement chez leurs employeurs et travaillent de longues journées laborieuses. Il leur reste très peu de temps pour aller à l’école, développer des réseaux sociaux et acquérir les compétences nécessaires à la vie adulte. Il s’avère du reste que les programmes destinés à cette population interviennent en majorité après …


Challenges Facing The Egyptian Education System: Access, Quality, And Inequality, Caroline Krafft Jan 2012

Challenges Facing The Egyptian Education System: Access, Quality, And Inequality, Caroline Krafft

Poverty, Gender, and Youth

This brief analyzes and summarizes young people's responses to the 2009 Survey of Young People in Egypt (SYPE) to identify the greatest challenges facing the Egyptian educational system, focusing specifically on primary through secondary schooling. Results show that access to school has improved, but some youth, especially females in rural Upper Egypt, remain outside the school system and are increasingly marginalized. The Egyptian school system is delivering low-quality education that is irrelevant to the labor market and has problems with repetition, absenteeism, and drop out which reduce the efficiency of the education system. Unequal distribution of resources in the education …


Youth Perspectives On Entrepreneurship In Egypt: Barriers To Entrepreneurship As A Means To Combat Youth Unemployment, Maia Sieverding Jan 2012

Youth Perspectives On Entrepreneurship In Egypt: Barriers To Entrepreneurship As A Means To Combat Youth Unemployment, Maia Sieverding

Poverty, Gender, and Youth

This brief examines a range of factors that Egyptian youth perceive to be barriers to starting their own business, including high risk, limited access to finance, complexity of micro-credit schemes, lack of business and marketing training, and the need for connections in order to succeed. According to results from the Survey of Young People in Egypt, these factors combine to create the view among many youth that entrepreneurship is not a viable means of labor-market entry. Rather, youth see entrepreneurship as either a supplemental income-generating activity while also having a “regular” job, or as a later-life employment option once they …


Is Early Childhood Care And Education A Good Investment For Egypt? Estimates Of Educational Impacts, Costs, And Benefits [Arabic], Caroline Krafft Jan 2012

Is Early Childhood Care And Education A Good Investment For Egypt? Estimates Of Educational Impacts, Costs, And Benefits [Arabic], Caroline Krafft

Poverty, Gender, and Youth

This summary details the impact of early childhood education in Egypt. The results show that early childhood care and education has an impact on educational attainment that is both statistically significant and sizeable. Such interventions increase overall educational attainment by approximately one year, primarily due to decreased primary and preparatory drop out. The impact on educational attainment is reflected in improved school performance, such as higher test scores, decreased grade repetition, and improvements in school tracking, during the early years. Investments in early childhood education can be a powerful approach to improving educational outcomes, and the research suggests that increases …


Challenges Facing The Egyptian Education System: Access, Quality, And Inequality [Arabic], Caroline Krafft Jan 2012

Challenges Facing The Egyptian Education System: Access, Quality, And Inequality [Arabic], Caroline Krafft

Poverty, Gender, and Youth

This brief analyzes and summarizes young people's responses to the 2009 Survey of Young People in Egypt (SYPE) to identify the greatest challenges facing the Egyptian educational system, focusing specifically on primary through secondary schooling. Results show that access to school has improved, but some youth, especially females in rural Upper Egypt, remain outside the school system and are increasingly marginalized. The Egyptian school system is delivering low-quality education that is irrelevant to the labor market and has problems with repetition, absenteeism, and drop out which reduce the efficiency of the education system. Unequal distribution of resources in the education …


A Life Course Perspective On Social Protection Among The Working Poor Of Egypt, Maia Sieverding Jan 2012

A Life Course Perspective On Social Protection Among The Working Poor Of Egypt, Maia Sieverding

Poverty, Gender, and Youth

This paper employs a generational comparison to examine how increasing labor market informality has affected how poor households in Egypt gain access to and rely on social protection schemes. The results indicate that among the generation of Egyptians approaching retirement, the expansion of public employment and a policy allowing easy access to survivors’ benefits among female dependents served as important means of increasing social insurance coverage. However, many young households do not have even one member enrolled in the public pension system. Labor market instability and informality have also lowered the perceived value of social protection among this generation. The …


Social Protection In Egypt: A Policy Overview, Maia Sieverding, Irene Selwaness Jan 2012

Social Protection In Egypt: A Policy Overview, Maia Sieverding, Irene Selwaness

Poverty, Gender, and Youth

The need to address the shortcomings of Egypt’s current social protection system as part of a broader process of developing a new social contract between the Egyptian government and its citizens has been noted for a number of years. With a new government recently put in place, Egypt is now at a potential turning point in terms of implementing unfinished reforms to the system or proposing alternative ones. The aim of this paper is therefore to provide an overview and assessment of current public social protection mechanisms and suggest directions for new policy measures. The social and health insurance systems …


Evaluation Of The Population-Level Impact Of The Maternal Health Voucher Program In Uganda, Reproductive Health Vouchers Evaluation Team Jan 2012

Evaluation Of The Population-Level Impact Of The Maternal Health Voucher Program In Uganda, Reproductive Health Vouchers Evaluation Team

Reproductive Health

This report is based on an evaluation of the population-level impact of the maternal health voucher program in Uganda focusing on targeting of beneficiaries, health service utilization (four or more antenatal care visits, facility delivery, and postnatal care), out-of-pocket expenses, and equity. It further reviews the findings from an independent verification of the program that was conducted by PricewaterhouseCoopers Limited in 2010. The impact of the program on the outcomes considered is determined through a simple comparison of changes in proportions between intervention and comparison groups before and after the program started as well as estimation of multilevel random-intercept logit …


Testing The Feasibility Of Police Provision Of Emergency Contraception In Malawi, Malawi Human Rights Resource Centre, Malawi Police Service, Ministry Of Health Jan 2012

Testing The Feasibility Of Police Provision Of Emergency Contraception In Malawi, Malawi Human Rights Resource Centre, Malawi Police Service, Ministry Of Health

Reproductive Health

Violence against women and children remains a major public health and human rights challenge in the world. This report provides information on a project evaluating the feasibility of having trained police officers safely and effectively provide emergency contraception (EC) to survivors of sexual assault as a means of broadening access to comprehensive care in Malawi. The effort capitalized on findings that the majority of survivors of sexual assault in Malawi report to the police first. Results from the project, implemented by the Malawi Human Rights Centre and Malawi Police Service, demonstrate that it is feasible to implement police provision of …


Policy Brief: Designing And Implementing High-Quality Voluntary Family Planning Programs [Arabic], Population Council Jan 2012

Policy Brief: Designing And Implementing High-Quality Voluntary Family Planning Programs [Arabic], Population Council

Reproductive Health

Voluntary high-quality family planning programs reduce poverty and improve women’s and children’s health by speeding fertility declines. They are one of the most cost-effective health and development investments available to governments. But, today, more than 200 million women worldwide lack access to modern contraception. If this unmet need for family planning could be met, 54 million unintended pregnancies, 26 million abortions, more than 79,000 maternal deaths, and 1.1 million infant deaths could be prevented each year. This policy brief states that global interest in family planning is growing as the benefits of family planning programs are becoming increasingly evident. However, …


Baseline And Endline Findings Of Filles Eveillées ('Girls Awakened'): A Pilot Program For Migrant Adolescent Girls In Domestic Service. Cohort 1 (2011–2012), Bobo-Dioulasso, Sarah Engebretsen Jan 2012

Baseline And Endline Findings Of Filles Eveillées ('Girls Awakened'): A Pilot Program For Migrant Adolescent Girls In Domestic Service. Cohort 1 (2011–2012), Bobo-Dioulasso, Sarah Engebretsen

Poverty, Gender, and Youth

Burkina Faso has the tenth youngest population in the world, with 45 percent of the population below the age of 15. Young people in Burkina Faso, especially adolescent girls, have few economic opportunities, particularly in rural areas. This drives migration to urban areas in search of employment. On their own, girls are physically and economically vulnerable and many are at heightened risk for gender-based violence. The Population Council conducted formative research in 2010 to better understand the situation of migrant adolescent girls in domestic service in urban Burkina Faso, and subsequently designed a safe spaces intervention. The Filles Éveillées (“Girls …


The Sexual And Reproductive Health And Rights Of Young People In India: A Review Of The Situation, K.G. Santhya, Shireen J. Jejeebhoy Jan 2012

The Sexual And Reproductive Health And Rights Of Young People In India: A Review Of The Situation, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

This paper summarizes the sexual and reproductive health situation of young people in India, sheds light on those sub-populations of young people who are most vulnerable to adverse sexual and reproductive outcomes, and assesses the barriers that compromise the sexual and reproductive health and rights of young people at the individual and family levels, as well as at the health system level.


Injectable Contraceptives: Perspectives And Experiences Of Women And Health Care Providers In India, Shireen J. Jejeebhoy, A.J. Francis Zavier Jan 2012

Injectable Contraceptives: Perspectives And Experiences Of Women And Health Care Providers In India, Shireen J. Jejeebhoy, A.J. Francis Zavier

Poverty, Gender, and Youth

This report is the result of a study that aimed to shed light on the feasibility and acceptability of making injectable contraceptives more widely available to women in India. The study focused on injectable contraceptive users, new method adopters, and healthcare providers drawn from the facilities of a range of reproductive health. Healthcare providers were, for the most part, in favor of offering injectable contraceptives, however, they argued strongly for certain prerequisites, such as comprehensive and sensitive counseling and effective follow-up. Findings further suggest that there is a demand for injectable contraceptives among women, and that both women and healthcare …


Increasing Opportunities To Delay Marriage And Promote Schooling: Results From A Baseline Survey In Rural Tanzania, Eunice N. Muthengi, Annabel Erulkar Jan 2012

Increasing Opportunities To Delay Marriage And Promote Schooling: Results From A Baseline Survey In Rural Tanzania, Eunice N. Muthengi, Annabel Erulkar

Poverty, Gender, and Youth

This research brief describes girls' experience of early marriage, education, and sexual behavior in the Tabora region of Tanzania. Research shows that a considerable proportion of girls married early, have only limited discussions on health issues with their spouses, experience intimate partner violence, and have high unmet need for family planning. Tabora Development Foundation Trust, in partnership with the Population Council, is implementing strategies—including community awareness, support to get girls back into school and keep them there, and conditional transfers—to increase marriage age in the rural Tabora region. The goal is to identify effective, sustainable, and cost-effective approaches to increase …


The Reproductive Health Of Young People In Egypt, Nahla G. Abdel-Tawab, Noha Roushdy, Maia Sieverding Jan 2012

The Reproductive Health Of Young People In Egypt, Nahla G. Abdel-Tawab, Noha Roushdy, Maia Sieverding

Poverty, Gender, and Youth

This Population Council brief presents results from the Survey of Young People in Egypt (SYPE) on reproductive health (RH). The SYPE results underscore the need for: the assessment of state and civil society initiatives to transmit RH information; a national, comprehensive, age-appropriate reproductive health module to be integrated into the educational program; a national campaign on HIV/AIDS and other sexually transmitted infections that targets young people of reproductive age; the integration of female circumcision into a broader approach to youth reproductive health and bodily rights; specialized reproductive health services for married adolescent girls; and further research on sexuality and reproductive …


Who Is Covered And Who Under-Reports: An Empirical Analysis Of Access To Social Insurance On The Egyptian Labor Market, Rania Roushdy, Irene Selwaness Jan 2012

Who Is Covered And Who Under-Reports: An Empirical Analysis Of Access To Social Insurance On The Egyptian Labor Market, Rania Roushdy, Irene Selwaness

Poverty, Gender, and Youth

This working paper investigates the dynamics and determinants of having access to social insurance coverage on the Egyptian labor market among wage and non-wage workers. The results show that men, older, married, better educated, and white collar highly skilled workers are more likely to have social insurance coverage. Access to social insurance is more likely to exist in the public sector and in large private enterprises. Furthermore, acquiring social insurance coverage in the private wage work sector does not often come at first entry; but it takes some time to gain such access. In contrast, experience is not important for …


An Ethnographic Study Of Injecting Drug Users And Men Who Have Sex With Men In Selected States In Nigeria, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme Jan 2012

An Ethnographic Study Of Injecting Drug Users And Men Who Have Sex With Men In Selected States In Nigeria, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme

HIV and AIDS

An ethnographic pre-assessment study of the behavioral dynamics of men who have sex with men (MSM) and injecting drug users (IDU) was conducted in 2009 as an integral part of the 2010 Integrated Biological and Behavioural Surveillance Survey (IBBSS). The study took place in Northern and Southern Nigeria and provided rich contextual information on the logistic and scientific factors that would aid successful conduct of the IBBSS and secure buy-in for it among study respondents. The study utilized a combination of rapid assessment procedures that were suitable to prevailing time exigencies and could foster preliminary understanding of the local contexts …