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Full-Text Articles in Medicine and Health Sciences

Kenya: Helping Adolescent Mothers Remain In School Through Strengthened Implementation Of School Re-Entry Policies, Esther Lwanga Walgwe, Nancy Termini Lachance, Harriet Birungi, Chi-Chi Undie Jan 2016

Kenya: Helping Adolescent Mothers Remain In School Through Strengthened Implementation Of School Re-Entry Policies, Esther Lwanga Walgwe, Nancy Termini Lachance, Harriet Birungi, Chi-Chi Undie

Reproductive Health

By applying robust evidence, securing the support of decisionmakers, and engaging stakeholders, STEP UP enabled national and local decisionmakers to better understand the consequences of unintended pregnancy for adolescent girls’ schooling in Homa Bay County, Kenya. STEP UP is playing an important role in informing the implementation of policies within the Kenyan educational sector that will improve educational opportunities for school-age mothers. Through early stakeholder engagement, strong partnerships, the support of implementers and policymakers, effective communication and dissemination strategies, decisionmaker capacity, and the dedication of the adolescent mothers themselves, evidence generated by STEP UP was successfully utilized by key stakeholders. …


Kenya: Community Sensitization Must Precede Alternative Coming-Of-Age Rite, Frontiers In Reproductive Health Jan 2002

Kenya: Community Sensitization Must Precede Alternative Coming-Of-Age Rite, Frontiers In Reproductive Health

Reproductive Health

Female genital cutting (FGC) is practiced as a rite of passage in over half of Kenya’s districts. Kenyan nongovernmental agency Maendeleo Ya Wanawake (MYWO) has long conducted community sensitization focused on discouraging this practice. In 1996, MYWO began implementing the “alternative rite” (AR) intervention in sensitized communities. Girls participating in AR receive family life education in seclusion, followed by a public graduation ceremony recognizing them as adults. They are not cut as part of the ceremony. In 2000, the Population Council carried out an assessment of the AR program that sought to identify the impact of MYWO’s activities on knowledge …


Kenia: Sensibilizar A Comunidades Para Que Realicen Ritos Alternativos De Iniciación Con Las Niños, Frontiers In Reproductive Health Jan 2002

Kenia: Sensibilizar A Comunidades Para Que Realicen Ritos Alternativos De Iniciación Con Las Niños, Frontiers In Reproductive Health

Reproductive Health

La mutilación genital femenina (MGF) se practica como rito de transición en más de la mitad de los distritos de Kenia. Desde hace tiempo, la ONG Maendeleo Ya Wanawake (MYWO) ha sensibilizado a las comunidades de este país con el fin de promover el abandono de esta práctica. En 1996, la MYWO implementó una intervención para realizar un “Rito Alternativo” (RA) en las comunidades sensibilizadas. Las niñas que participan en estos RA reciben educación sobre la vida familiar durante un retiro y posteriormente participan en una ceremonia pública en la que se les reconoce como adultas. Lo más importante es …


South Africa: Providers Should Encourage Sexually Active Youth To Use Condoms, Frontiers In Reproductive Health Jan 2001

South Africa: Providers Should Encourage Sexually Active Youth To Use Condoms, Frontiers In Reproductive Health

Reproductive Health

To assess the effectiveness of youth centers in reaching adolescents with reproductive health information, life skills, and services, the Reproductive Health Research Unit in KwaZulu Natal and the Population Council conducted an assessment of 12 youth centers and their affiliated peer education programs. The centers were run by the KwaZulu Natal Department of Health, the loveLife program, and the Youth and Adolescent Reproductive Health Program. Researchers also examined young people’s use of condoms as protection against pregnancy and HIV/AIDS. Data sources for this study, conducted in 2000, were an inventory of youth center services, interviews with center staff and clients, …


Zambia: Peer Educators Can Promote Safer Sex Behaviors, Frontiers In Reproductive Health Jan 2001

Zambia: Peer Educators Can Promote Safer Sex Behaviors, Frontiers In Reproductive Health

Reproductive Health

Zambian adolescents are at high risk of unwanted pregnancy, sexually transmitted infections (STIs), and HIV infection due to early sexual initiation, low use of contraceptives and condoms, and other high-risk sexual behaviors. During 1996–1998, CARE Zambia and the Population Council conducted a study to test community-based approaches to improve adolescent sexual and reproductive health. CARE Zambia talked to adolescents in four communities outside Lusaka. Using participatory learning and action techniques, researchers identified factors leading to high-risk sexual behaviors, including lack of economic, recreational, and educational opportunities for youth. This information helped to design the study. Two interventions—condom distribution by peer …


Zambia: Los Educadores Juveniles Pueden Promover Comportamientos Sexuales Más Seguros, Frontiers In Reproductive Health Jan 2001

Zambia: Los Educadores Juveniles Pueden Promover Comportamientos Sexuales Más Seguros, Frontiers In Reproductive Health

Reproductive Health

Los adolescentes de Zambia corren un alto riesgo de embarazos no deseados, infecciones de transmisión sexual (ITS) e infección por el VIH debido a la iniciación sexual temprana, el bajo uso de anticonceptivos y condones, y otros comportamientos sexuales de alto riesgo. Durante 1996–98, CARE Zambia, con el apoyo del Population Council, realizó un estudio para probar estrategias comunitarias para mejorar la salud sexual y reproductiva de los adolescentes. CARE Zambia habló con los adolescentes de cuatro comunidades ubicadas fuera de Lusaka. Los investigadores identificaron, mediante técnicas de aprendizaje y acción participativos, un gran número de factores que producen comportamientos …


Mali: Les Exciseuses Persistent Malgré Les Supplications, Frontiers In Reproductive Health Jan 2000

Mali: Les Exciseuses Persistent Malgré Les Supplications, Frontiers In Reproductive Health

Reproductive Health

No abstract provided.


Mali: Empower Health Workers To Advocate Against Female Genital Cutting, Frontiers In Reproductive Health Jan 2000

Mali: Empower Health Workers To Advocate Against Female Genital Cutting, Frontiers In Reproductive Health

Reproductive Health

The various initiatives to eradicate FGC in Mali over the past two decades have had little impact on this traditional practice. This study assessed the use of health personnel to combat FGC, as recommended by the World Health Organization. Conducted in 1998 by the Association de Soutien au Developpement des Activites de Population, a nongovernmental organization, and the Ministry of Health, the study covered 14 urban and rural health centers in Bamako and Segou. In the eight health centers that served as experimental sites, 59 health providers, including physicians, midwives, nurses, and aides, attended a three-day training course on identifying …


Mali: Pour Une Plus Grande Responsabilisation Des Agents De Santé Dans Le Plaidoyer Contre L'Excision, Frontiers In Reproductive Health Jan 2000

Mali: Pour Une Plus Grande Responsabilisation Des Agents De Santé Dans Le Plaidoyer Contre L'Excision, Frontiers In Reproductive Health

Reproductive Health

No abstract provided.


Egypt: Expand Access To Postabortion Care, Frontiers In Reproductive Health Jan 2000

Egypt: Expand Access To Postabortion Care, Frontiers In Reproductive Health

Reproductive Health

The Population Council has supported a series of studies to improve the quality of postabortion care (PAC) in Egypt. A 1994 pilot study in two Egyptian hospitals showed that upgrading PAC and training physicians in manual vacuum aspiration (MVA), infection control, and counseling led to significant improvements in the care of postabortion patients. The 1997 study, conducted by the Egyptian Fertility Care Society with support from the Population Council, sought to institutionalize improved postabortion medical care and counseling procedures in ten hospitals. Five senior physicians from each hospital attended a five-day training course in MVA, infection control, and family planning …


Egypte: Développer L'Accès Aux Soins Après Avortement, Frontiers In Reproductive Health Jan 2000

Egypte: Développer L'Accès Aux Soins Après Avortement, Frontiers In Reproductive Health

Reproductive Health

No abstract provided.


Mali: Fgc Excisors Persist Despite Entreaties, Frontiers In Reproductive Health Jan 2000

Mali: Fgc Excisors Persist Despite Entreaties, Frontiers In Reproductive Health

Reproductive Health

About 94 percent of Malian women aged 15–49 have experienced female genital cutting (FGC). In Mali, FGC is associated with serious gynecological and obstetric complications. In 1998, the National Center of Scientific and Technological Research of the Mali Ministry of Secondary and Higher Education and Scientific Research conducted an evaluation of programs to eradicate FGC. The study assessed the work of three national nongovernmental organizations working in Bamako and five regions of Mali. These NGOs had attempted to persuade traditional practitioners of FGC (“excisors”) to abandon the practice. All three NGOs employed outreach workers to educate excisors and community members …


The Youth Empowerment Project: Strengthening Ngo Management, Research And Service Delivery Capabilities In Botswana, Mercy Rapelesega, Naomi Rutenberg Jan 1997

The Youth Empowerment Project: Strengthening Ngo Management, Research And Service Delivery Capabilities In Botswana, Mercy Rapelesega, Naomi Rutenberg

Reproductive Health

In an expansion of its efforts to fight a growing HIV epidemic and high teenage pregnancy rates, the Government of Botswana is encouraging nongovernmental organizations (NG0s) to be more active in providing reproductive health (RH) services, and especially HIV/AIDS education and care, to adolescents. NG0s have the potential to assume a larger role as health and education providers as well as implement pilot projects that the public health sector could learn from to increase the availability and quality of RH services for youth. The Africa OR/TA Project II designed and implemented the Youth Empowerment Project (YEP) to assist youth-oriented NG0s …