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Sex With Sweethearts: Exploring Factors Associated With Inconsistent Condom Use Among Unmarried Female Entertainment Workers In Cambodia, Siyan Yi, Sovannary Tuot, Pheak Chhoun, Khuondyla Pal, Chanrith Ngin, Kolab Chhim, Carinne M. Brody 2017 Touro University California

Sex With Sweethearts: Exploring Factors Associated With Inconsistent Condom Use Among Unmarried Female Entertainment Workers In Cambodia, Siyan Yi, Sovannary Tuot, Pheak Chhoun, Khuondyla Pal, Chanrith Ngin, Kolab Chhim, Carinne M. Brody

College of Education & Health Sciences (TUC) Publications and Research

Background: Despite the success in promoting condom use in commercial relationships, condom use with regular, noncommercial partners remains low among key populations in Cambodia. This study explores factors associated inconsistent condom use with sweethearts among unmarried sexually active female entertainment workers (FEWs).

Methods: In 2014, the probability proportional to size sampling method was used to randomly select 204 FEWs from entertainment venues in Phnom Penh and Siem Reap for face-to-face interviews. Multivariate logistic regression analysis was conducted to examine independent determinants of inconsistent condom use.

Results: Of total, 31.4% of the respondents reported consistent condom use with sweethearts in ...


Imaging In The Lion City: Singapore Radiology Country Report, Lionel Tim-Ee Cheng, Li Hoon Sng, Tchoyoson Choie Cheio Lim, Bien Soo Tan 2016 Singapore General Hospital

Imaging In The Lion City: Singapore Radiology Country Report, Lionel Tim-Ee Cheng, Li Hoon Sng, Tchoyoson Choie Cheio Lim, Bien Soo Tan

The Journal of Global Radiology

Singapore is a small tropical island city-state with limited natural resources that has achieved remarkable healthcare outcomes through effective long-term planning and judicious investment in human resources and technology. A full-range of medical imaging services is available in the country, with integrated care delivered to patients through a network of both government and private hospitals. Training in diagnostic radiology, interventional radiology, nuclear medicine and diagnostic radiography continue to evolve in Singapore, with an aim to further increase the range of subspecialty medical imaging services available and address projected challenges for the healthcare system in the future, such as an aging ...


Quality Of Care Assessment At A Resident-Based Primary Care Hiv Clinic, Amanda Lacue, Marshall Miller, MD 2016 Thomas Jefferson University

Quality Of Care Assessment At A Resident-Based Primary Care Hiv Clinic, Amanda Lacue, Marshall Miller, Md

CWIC Posters

A quality improvement study based in a primary care resident-based HIV clinic, the Kendig Clinic, was conducted within Jefferson Family Medicine Associates. The study objectives were to

• Determine the percentage of the clinic patients meeting each quality measure

• Compare these calculated clinic measures to known national averages

• Use the data to determine areas to target for future quality improvement initiatives.


Decentralization And Health: Case Studies Of Kenya, Pakistan, And The Philippines, Christina E. Lewis, David Clarke, JD, Maryam Bigdeli, PhD 2016 Division of Health Systems Governance, World Health Organization, Geneva, Switzerland

Decentralization And Health: Case Studies Of Kenya, Pakistan, And The Philippines, Christina E. Lewis, David Clarke, Jd, Maryam Bigdeli, Phd

CWIC Posters

Decentralization, defined by the World Bank (2001) as, “the transfer of authority and responsibility for public functions from the central government to intermediate and local governments or quasi-­‐independent government organizations and/or the private sector,” is a movement that has gained much traction in recent history. For many countries undergoing decentralization, a major driver has been a desire to increase the role and participation of local governments in the decision-­‐making space. In doing this, it is hoped to create governance structures that are more accountable and responsive to the people. For health, decentralization has been touted as a ...


Jeffhealth: Helping East Africa Link To Health, Elizabeth Kuhn, Emily Zhang, Naveed A. Rahman, Rebecca Margolis, Savannah Coe 2016 Thomas Jefferson University

Jeffhealth: Helping East Africa Link To Health, Elizabeth Kuhn, Emily Zhang, Naveed A. Rahman, Rebecca Margolis, Savannah Coe

CWIC Posters

JeffHEALTH-Helping East Africa Link to Health is a student-run organization at Thomas Jefferson University dedicated to improving basic medical education and quality of life in Rwanda, which was devastated in 1994 by civil war and genocide. Working in partnership with the Rwanda Village Concept Project, a student organization at the National University of Rwanda, JeffHEALTH seeks to implement sustainable health initiatives in our partner villages. Graduate students from Thomas Jefferson University travel to Rwanda where we taught Community Health Workers from the Villages of Akarambi and Ruli the following topics: Nutrition and Vitamin Deficiencies, Family Planning, Prenatal care, HIV, Sexually ...


The Public Health Crisis In Greece And Its Ties To A Failing Economy, Anna M. Carleen 2016 Thomas Jefferson University

The Public Health Crisis In Greece And Its Ties To A Failing Economy, Anna M. Carleen

CWIC Posters

In 2009 the Greek government admitted that the numbers it had been reporting to the European Union about its national budget deficit were artificially small. The deficit was actually huge, way larger than what the EU requires of member countries if they want to reap the benefits of being in this financial network. A benefit of being in the EU is that it makes it much easier for governments to take out large loans, because lenders trust that a member country will make good on its debts due to the security it has from being part of the union. This ...


Public Health Considerations And The Culture Of Alcohol In Vietnam, Daniel Baquet 2016 Thomas Jefferson University

Public Health Considerations And The Culture Of Alcohol In Vietnam, Daniel Baquet

CWIC Posters

The problem of alcohol in Vietnam is interesting when considering the culture surrounding alcohol throughout the country, particularly amongst men. In 2010, Vietnamese men drank 12.1 liters of pure alcohol per capita, while women drank only 0.2 liters (WHO, 2014). The WHO Global Status Report on Alcohol and Health stated, “Vietnam’s national drinking patterns … are among the most fatal with the highest possible score for alcohol-attributable years of life lost,” a metric which includes liver cirrhosis, road traffic crashes, and the prevalence of alcohol use disorders and alcohol dependence (WHO, 2014). In addition, domestic alcohol production in ...


Barriers To Care Amongst Rural Indigenous Mayans In Guatemala’S Western Highlands, Nirali Butala 2016 Thomas Jefferson University

Barriers To Care Amongst Rural Indigenous Mayans In Guatemala’S Western Highlands, Nirali Butala

CWIC Posters

Information presented here is based on 5-week volunteering experience at Primeros Pasos clinic in the rural Palajunoj Valley outside the city of Quetzaltenango, Guatemala. Almost all of the patient population is rural, indigenous Quiche Maya. Guatemala has a relatively high GDP and patient-doctor ratio (1000:1) compared to its neighboring Latin American countries, but these resources are extremely localized to its capital, Guatemala City, where 70% of the country’s physicians work.

Only the wealthy are able to utilize private clinics and hospitals that are known to provide the highest quality care. At these clinics, patients pay out-of-pocket. Indigenous, rural ...


An Interactive Curricula Experience (Ice) For Latino Immigrant Health, Kevin Molyneux, Ellen Plumb, MD, Martha Langley Ankeny, MEd 2016 Thomas Jefferson University

An Interactive Curricula Experience (Ice) For Latino Immigrant Health, Kevin Molyneux, Ellen Plumb, Md, Martha Langley Ankeny, Med

CWIC Posters

The Interactive Curricula Experience (iCE) is an educational platform intended for interactive education utilizing multiple forms of media. It is being utilized at Thomas Jefferson University (TJU) in various classes, among them Global Health.

One of the pertinent global-health-at-home topics at TJU relates to Latino immigrant health. Latino immigrants number more than 20,000 in Philadelphia. They are located throughout the city, although the highest concentrations are in North and South Philadelphia. With respect to health care, Latino immigrants are less likely to have a regular health care provider than non-immigrant Latinos.

Education to provide culturally sensitive care to Latino ...


Water Crisis In Vietnam, Jordan M. Zaid 2016 Thomas Jefferson University

Water Crisis In Vietnam, Jordan M. Zaid

CWIC Posters

• Immediately after the Vietnam War ended in 1975, Vietnam experienced economic turmoil and famine as the roots of industrialization began to grip the nation.

• In 1986, the government declared a rapid transition from a planned to a market economy would take hold. The ensuing change caused further increased industrial development and a subsequent growth of the emerging market economy. 1

• To this day, Vietnam’s GDP is rising yearly at a rapid rate.

• For this reason, much of Vietnam has been developed in a relatively short amount of time (since the end of the war) but much of it has ...


Sexual And Reproductive Health In Rwanda, Emily Zhang 2016 Thomas Jefferson University

Sexual And Reproductive Health In Rwanda, Emily Zhang

CWIC Posters

KEY MESSAGES

  • Empowerment (women, youth, communities)
  • Inclusion (age + gender)
  • Prevention/Early Detection

PROGRAM RECOMMENDATIONS

  • Partner with Rwandan medical students to improve program delivery
  • Communicate monthly with local leaders
  • Partner with Community Health Center

FUTURE INTERVENTIONS

  • Partner with Rwandan medical students to improve program delivery
  • Communicate monthly with local leaders
  • Partner with Community Health Center




Diminished Quality Of Life Among Women Affected By Ebola, Jessi Hanson, Alexis Decosimo, Megan Quinn 2016 University of Pittsburgh

Diminished Quality Of Life Among Women Affected By Ebola, Jessi Hanson, Alexis Decosimo, Megan Quinn

Journal of Social, Behavioral, and Health Sciences

This article analyzes data collected from Liberian women afflicted by the Ebola virus disease, survivors of the virus and noninfected persons living in Ebola-affected homes. This research is one of the first statistical analyses examining factors diminishing quality of life: negative experiences, stigma, and psychosocial symptoms among females affected by the virus after the outbreak. The research presents a thorough literature review, including research related to other infectious diseases like HIV/AIDS, to inform the gap in studies on Ebola’s effects on quality of life. Women who are Ebola virus disease survivors demonstrate significant differences in stigma and psychosocial ...


Perceived Risks Associated With Contraceptive Method Use Among Men And Women In Ibadan And Kaduna, Nigeria, Hilary Schwandt, Joanna Skinner, Luciana E. Hebert, Abdulmumin Saad 2016 Western Washington University

Perceived Risks Associated With Contraceptive Method Use Among Men And Women In Ibadan And Kaduna, Nigeria, Hilary Schwandt, Joanna Skinner, Luciana E. Hebert, Abdulmumin Saad

Hilary Schwandt

Research shows that side effects are often the most common reason for contraceptive non-use in Nigeria; however, research to date has not explored the underlying factors that influence risk and benefit perceptions associated with specific contraceptive methods in Nigeria. A qualitative study design using focus group discussions was used to explore social attitudes and beliefs about family planning methods in Ibadan and Kaduna, Nigeria. A total of 26 focus group discussions were held in 2010 with men and women of reproductive age, disaggregated by city, sex, age, marital status, neighborhood socioeconomic status, and—for women only—family planning experience. A ...


Are Text Messages A Feasible And Acceptable Way To Reach Female Entertainment Workers In Cambodia With Health Messages? A Cross-Sectional Phone Survey, Carinne M. Brody, Sukhmani Dhaliwal, Sovannary Tuot, Michael Johnson, Khuondyla Pal, Siyan Yi 2016 Touro University California

Are Text Messages A Feasible And Acceptable Way To Reach Female Entertainment Workers In Cambodia With Health Messages? A Cross-Sectional Phone Survey, Carinne M. Brody, Sukhmani Dhaliwal, Sovannary Tuot, Michael Johnson, Khuondyla Pal, Siyan Yi

Michael Johnson

Background: Despite great achievements in reducing the prevalence of HIV, eliminating new HIV infections remains a challenge in Cambodia. Entertainment venues such as restaurants, karaoke bars, beer gardens, cafes, pubs, and massage parlors are now considered important venues for HIV prevention efforts and other health outreach interventions. Objective: The purpose of this study was to explore phone use and texting practices of female entertainment workers (FEWs) in order to determine if text messaging is a feasible and acceptable way to link FEWs to health services. Methods: This cross-sectional phone survey was conducted in May 2015 with 97 FEWs aged 18 ...


Cervical Cancer Infrastructure, Knowledge And Attitudes In Kabale, Uganda, Nicole Robertson 2016 University of Louisville

Cervical Cancer Infrastructure, Knowledge And Attitudes In Kabale, Uganda, Nicole Robertson

Posters-at-the-Capitol

Cervical Cancer Infrastructure, Knowledge and Attitudes in Kabale, Uganda

Nicole Robertson1, ShaCoria Winston2, Kara Miller3, Julia Hanebrink4

1University of Louisville 2Washington University in St. Louis 3University of California Riverside 4Christian Brothers University, Department of Anthropology

Cervical cancer has increasing prevalence in southwestern Uganda and is the most common cancer among women in sub-Saharan Africa. Despite this increased prevalence, the biomedical infrastructure in Uganda lacks support for cervical cancer screening and treatment. At the same time, cervical cancer carries a stigma as an incurable sexually transmitted disease similar to the history of HIV ...


Curbing Migration Of Talent In Africa: Initiatives For Collaborative Action, Leah C. Keino, Ria Van Wyk, Suzanne Hendrich, Gary Phye, Ann Thompson 2016 Iowa State University

Curbing Migration Of Talent In Africa: Initiatives For Collaborative Action, Leah C. Keino, Ria Van Wyk, Suzanne Hendrich, Gary Phye, Ann Thompson

Suzanne Hendrich

In an effort to address migration of talent from sub-Saharan Africa, a number of higher education institutions are attempting to strengthen or develop graduate programs in several areas. These institutions see the potential for emerging digital technologies to provide new and exciting opportunities for collaboration with Western institutions. Examples of these institutions include University of Stellenbosch in South Africa and Iowa State University, which collaborated on a needs assessment for collaborative action to build faculty capacity through the development of shared Internet-based courses. This article describes this initiative. (Contains a list of 3 resources.)


Implementation Of Universal Hplc Analysis For Counterfeit Medication: A Partnership Of Purdue University And The Kilimanjaro School Of Pharmacy, Jordyn McCord, Michael Mavity, David Wintczak 2016 Purdue University

Implementation Of Universal Hplc Analysis For Counterfeit Medication: A Partnership Of Purdue University And The Kilimanjaro School Of Pharmacy, Jordyn Mccord, Michael Mavity, David Wintczak

Purdue Journal of Service-Learning and International Engagement

Jordyn McCord and Michael Mavity are 2016 graduates of both biological engineering and pharmaceutical sciences. David Wintczak is a third-year pharmacy doctoral candidate. Here, in their second article published in PJSL, they describe a weeklong study abroad course at the Kilimanjaro School of Pharmacy in Tanzania, designed to engage students in the implementation of methods for detecting counterfeit medications.


Prevention Of Sexual Transmission Of Ebola In Liberia Through A National Semen Testing And Counselling Programme For Survivors: An Analysis Of Ebola Virus Rna Results And Behavioural Data, Moses J. Soka, Mary J. Choi, Christine Wasunna, Jeffrey A. Bailey 2016 Ministry of Health, Monrovia, Liberia

Prevention Of Sexual Transmission Of Ebola In Liberia Through A National Semen Testing And Counselling Programme For Survivors: An Analysis Of Ebola Virus Rna Results And Behavioural Data, Moses J. Soka, Mary J. Choi, Christine Wasunna, Jeffrey A. Bailey

Open Access Articles

BACKGROUND: Ebola virus has been detected in semen of Ebola virus disease survivors after recovery. Liberia's Men's Health Screening Program (MHSP) offers Ebola virus disease survivors semen testing for Ebola virus. We present preliminary results and behavioural outcomes from the first national semen testing programme for Ebola virus.

METHODS: The MHSP operates out of three locations in Liberia: Redemption Hospital in Montserrado County, Phebe Hospital in Bong County, and Tellewoyan Hospital in Lofa County. Men aged 15 years and older who had an Ebola treatment unit discharge certificate are eligible for inclusion. Participants' semen samples were tested for ...


External Validation Of The Dhaka Score And Comparison With The Current Imci Algorithm For The Assessment Of Dehydration In Children With Diarrhoea: A Prospective Cohort Study, Adam C. Levine, Justin Glavis-Bloom, Payal Modi, Sabiha Nasrin, Bita Atika, Soham Rege, Sarah Robertson, Christopher H. Schmid, Nur H. Alam 2016 Warren Alpert Medical School of Brown University

External Validation Of The Dhaka Score And Comparison With The Current Imci Algorithm For The Assessment Of Dehydration In Children With Diarrhoea: A Prospective Cohort Study, Adam C. Levine, Justin Glavis-Bloom, Payal Modi, Sabiha Nasrin, Bita Atika, Soham Rege, Sarah Robertson, Christopher H. Schmid, Nur H. Alam

Open Access Articles

BACKGROUND: Dehydration due to diarrhoea is a leading cause of child death worldwide, yet no clinical tools for assessing dehydration have been validated in resource-limited settings. The Dehydration: Assessing Kids Accurately (DHAKA) score was derived for assessing dehydration in children with diarrhoea in a low-income country setting. In this study, we aimed to externally validate the DHAKA score in a new population of children and compare its accuracy and reliability to the current Integrated Management of Childhood Illness (IMCI) algorithm.

METHODS: DHAKA was a prospective cohort study done in children younger than 60 months presenting to the International Centre for ...


Zika Virus And Global Health Security, Lawrence O. Gostin, James G. Hodge Jr. 2016 Georgetown University Law Center

Zika Virus And Global Health Security, Lawrence O. Gostin, James G. Hodge Jr.

Georgetown Law Faculty Publications and Other Works

Americans are largely apathetic about the risks of Zika virus and Congress cannot agree on preparedness funding. Strategies to counter the spread of Zika by the World Health Organisation (WHO) grossly underestimate the disease’s impact. WHO and member countries lack sufficient resources to respond. Consequences of fiscal apathy can be measured in lives lost and long-term disabilities. Zika prevention is a matter of global health security.

The epidemiologic brunt of Zika in South America falls largely on vulnerable women at heightened risk of exposure through mosquitoes and sexual transmission. Resulting transmission to fetuses and infants will have generational impacts ...


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