Digital Commons Network^™

Adolescent Health: Priorities And Opportunities For Rashtriya Kishor Swasthya Karyakram, Sapna Desai

Poverty, Gender, and Youth

The Government of India in 2014 signaled its commitment to adolescent health through introduction of a national strategy, Rashtriya Kishor Swasthya Karyakram (RKSK). Targeting adolescents aged 10–14 and 15–19, the program aims to ensure universal coverage of health information and services for all adolescents—those in and out of school, married or unmarried, and in vulnerable groups. Envisaged as a paradigm shift to address adolescent health beyond sexual and reproductive health, RKSK spans six domains: nutrition, sexual and reproductive health, mental health, injuries and violence including gender-based violence, substance misuse, and non-communicable diseases. This policy brief presents evidence on adolescent health …

Feasibility Of Screening And Referring Women Experiencing Marital Violence By Engaging Frontline Workers: Evidence From Rural Bihar—Policy Brief, K.G. Santhya, Shireen J. Jejeebhoy

Poverty, Gender, and Youth

The Do Kadam Barabari Ki Ore (Two Steps Towards Equality) project sought to support frontline health workers (FLWs) to screen women for their experience of marital violence, inform women about their options in case of such an experience, and provide basic counseling and referral, as appropriate, to women reporting the experience. The Population Council together with partners, the Centre for Catalyzing Change and the London School of Hygiene and Tropical Medicine, with support from UKaid, implemented the project in one district (Patna) of Bihar. This brief describes the intervention and presents evidence on its acceptability and feasibility from the perspective …

Married Adolescent Girls In Rural Assiut And Souhag: Limited Choices And Unfulfilled Reproductive Health Needs, Nahla G. Abdel-Tawab, Doaa Oraby, Omaima El-Gibaly, Manal Darwish, Mirette Aziz, Amira Elgazzar, Heba Mahmoud

Poverty, Gender, and Youth

According to the Survey of Young People in Egypt 2014, a significant proportion of young women residing in rural Upper Egypt were reported to be married before 18. Early marriage deprives a girl of education and employment opportunities and places her at risk of early and repeat pregnancy, gender-based violence, and sexually transmitted infections. The present study examines the sexual and reproductive health needs of married adolescent girls (MAGs) in rural Upper Egypt and identifies key contextual and cognitive factors that could mitigate or exacerbate the effects of early marriage on their sexual and reproductive health. The report finds that …

Project Brief: Understanding The Lives Of Adolescents And Young Adults (Udaya), Population Council

Poverty, Gender, and Youth

The program “Understanding the lives of adolescents and young adults (UDAYA) in Bihar and Uttar Pradesh” is designed to establish the levels, patterns and trends in the situation of younger (10–14) and older (15–19) adolescents in India. UDAYA is funded by the Bill and Melinda Gates Foundation and the David and Lucile Packard Foundation, and the study is conducted by the Population Council, New Delhi. This project brief outlines the UDAYA project, which will explore the extent to which younger and older adolescents have acquired a set of assets that can help them make a healthy, safe, and successful transition …

Bangladesh: Using Strong Evidence And Strategic Collaboration To Increase Access To Menstrual Regulation With Medication, Nancy Termini Lachance, Sharif M.I. Hossain

Reproductive Health

Through close cooperation with the Ministry of Health and Family Welfare of Bangladesh, and other partners, STEP UP generated strong evidence and cultivated ongoing collaboration that contributed to policy changes and program expansions to increase access to menstrual regulation with medication (MRM). Study results demonstrate that MRM is acceptable and effective in Bangladesh, and has thus been legalized and folded into the national FP program and scaled up nationwide. However, ongoing observation and studies are still needed to understand whether the efficacy and acceptability of MRM remains the case when services are delivered at scale on a national level. Furthermore, …

A Systematic Review Of The Treatment And Management Of Pre-Eclampsia And Eclampsia In Bangladesh, Karen Kirk, Amy Dempsey

Reproductive Health

By 2015, at the conclusion of the Millennium Development Goals, Bangladesh had achieved a reduction in maternal deaths, however, despite the progress, there are still between 5,000 and 6,000 maternal deaths every year, with 20 percent the result of pre-eclampsia and eclampsia (PE/E). To fully understand the key challenges, gaps, and interventions related to the prevention and treatment of PE/E at the national level, Ending Eclampsia conducted a systematic review of papers in Bangladesh published between 2000 and 2015 specifically looking at issues around the quality of care, gaps in the evidence, and barriers to accessing PE/E services. The main …

Adolescent Friendly Health Corners (Afhcs) In Selected Government Health Facilities In Bangladesh: An Early Qualitative Assessment, Sigma Ainul, Iqbal Ehsan, Tasmiah Tanjeen, Laura Reichenbach

Reproductive Health

With high rates of early marriage, especially among girls, a significant proportion of adolescents in Bangladesh need sexual and reproductive health services (SRH), including contraceptive information. To address this gap and ensure that adolescents throughout the country, including unmarried adolescents, have access to SRH services through public health facilities, the Maternal and Child Health Services Unit of the Directorate General of Family Planning, with financial and technical assistance from development partners, has begun establishing Adolescent Friendly Health Corners (AFHCs) at selected government facilities at district and union levels. The Evidence Project/Population Council was asked to assess the implementation of the …

Adolescents In Bangladesh: A Situation Analysis Of Programmatic Approaches To Sexual And Reproductive Health Education And Services, Sigma Ainul, Ashish Bajracharya, Laura Reichenbach, Kate Gilles

Reproductive Health

The health of Bangladesh’s 29.5 million adolescents, who make up nearly one-fifth of the country’s total population, is critical to the country’s future, but issues surrounding adolescent sexual and reproductive health (ASRH) remain taboo. ASRH initiatives have been implemented by both the Government of Bangladesh and nongovernmental organizations, but with limited coordination, documentation, or evaluation, making it difficult to know what worked well and what did not. This report presents findings from a comprehensive review and situation analysis of ASRH programming in Bangladesh, carried out by the Evidence Project/Population Council, with financial support from USAID/Bangladesh, as part of a larger …

Assessment Of The Implementation And Achievements Of The 3d Approach In Senegal’S National Family Planning Action Plan—Part 2: Summary Report, Fatou Mbow, Leslie Dubent, Nafissatou Diop, Fatou Ndiaye Turpin, Bocar Mamadou Daff, Babacar Mane

Reproductive Health

Senegal’s 2012–15 National Family Planning Action Plan (NFPAP) is based on the 3D approach (Democratization, Demedicalization, and Decentralization). As the plan came to an end and a new one was being developed, the Evidence Project/Population Council conducted a study to document the implementation and achievements of the 3D approach in relation to the NFPAP. The study documents the approach using a desk review and qualitative research. It describes lessons learned from the implementation of the approach, and shares good practices that can be adopted by other countries, particularly those of the Ouagadougou Partnership. Finally, the study provides evidence for decisionmaking, …

Child Marriage In Zambia, Population Council

Reproductive Health

In 2015, following the 2013–14 Zambia Demographic and Health Survey, the Population Council and UNFPA conducted a study to establish the areas where child marriage is most likely to occur in Zambia. Findings reaffirm that child marriage is very high in Zambia and that child marriage affects more girls than boys. Protecting girls from child marriage is a national priority in protecting girls’ rights and achieving progress in national development. The brief recommends that government efforts be accelerated and effectively supported to reduce and eventually eradicate child marriage. Recommended actions include: harmonizing statutory laws and customary laws on marriage, engaging …

Evaluation Of The Effectiveness Of The Herhealth Model For Improving Sexual And Reproductive Health And Rights Knowledge And Access Of Female Garment Factory Workers In Bangladesh, Md. Irfan Hossain, Abdullah Al Mahmud Shohag, Ashish Bajracharya, Ubaidur Rob, Laura Reichenbach

Reproductive Health

The Population Council, under its USAID-funded Evidence Project, partnered with Bangladesh’s Business for Social Responsibility program to conduct operational research to evaluate the effectiveness of the HERhealth model for improving female factory workers’ health, and to find ways to optimize program inputs and processes to support future scale-up of the intervention. This report presents findings from a pre- and post-intervention quantitative study of female factory workers from 10 factories; a qualitative study with factory managers, service providers, and implementing partners; and self-administered retention assessments of the Peer Health Educators from six factories in Dhaka, Gazipur, and Narayanganj districts. Findings from …

Evaluation Of The Herhealth Intervention In Bangladesh: Baseline Findings From An Implementation Research Study, Md. Irfan Hossain, Abdullah Al Mahmud Shohag, Ashish Bajracharya, Ubaidur Rob, Laura Reichenbach

Reproductive Health

The Business for Social Responsibility's (BSR) HERproject is a collaborative initiative that strives to empower low-income women working in global supply chains in 14 countries worldwide. One of the HERproject’s three pillars is HERhealth, which seeks to improve the health-related knowledge and behaviors, and access to health services and products, of low-income working women. In Bangladesh, HERhealth specifically addresses reproductive health and family planning needs. BSR asked the Evidence Project/Population Council to conduct an implementation science study assessing the effectiveness of BSR’s HERhealth model in Bangladesh. This study is one of the first studies of female garment workers in Dhaka …

Garment Sector Health Interventions In Cambodia: A Comprehensive Review, Molyaneth Heng, Ashish Bajracharya

Reproductive Health

As part of the WorkerHealth project, the Evidence Project/Population Council conducted a comprehensive review of garment sector health interventions, particularly reproductive health (RH) and family planning (FP)–focused projects, in Cambodia during the last five years. The results from the review support WorkerHealth’s objective of enabling evidence-based decisionmaking and programming related to the health and well-being of female garment factory workers in Cambodia, by documenting the range of garment sector health interventions and identifying best practices and gaps in programming and evaluation. This review identified a number of priority actions for current and future garment sector health interventions to consider in …

Modeling And Mapping Of Girls' Female Genital Mutilation/Cutting (Fgm/C) In The Context Of Economic, Social, And Regional Disparities: Kenya Demographic And Health Surveys 1998-2014, Ngianga-Bakwin Kandala, Damaris Kinyoki, Ahmed Sarki, David Gathara, Paul Komba, Bettina Shell-Duncan

Reproductive Health

The aim of this research study is analysis of successive household data for estimating and revealing trends, similarities, and differences in geographic patterns for the burden of female genital mutilation/cutting (FGM/C) and related risk factors among girls ages 14 and younger in Kenya. This Evidence to End FGM/C study, from a coalition led by the Population Council, is intended to contribute to a deeper understanding of the recent burden of FGM/C among the girls within this very young age group, and to enhance knowledge of the geographic distribution of this practice over time. The report will inform current elimination efforts …

Results From Systematic Literature Review On Pe/E In Bangladesh, Karen Kirk, Amy Dempsey

Reproductive Health

By 2015, at the conclusion of the Millennium Development Goals, Bangladesh had achieved a reduction in maternal death from 550 per 100,000 live births in 1990, to 170 maternal deaths per 100,000 live births in 2015. Despite this progress, there are still between 5,000 and 6,000 maternal deaths every year in Bangladesh, where 20 percent are the result of pre-eclampsia and eclampsia (PE/E). This systematic review of peer-reviewed literature published between January 2000 and July 2016 identified interventions adopted to manage PE/E throughout Bangladesh. Specifically, it looked at issues around quality of care, gaps in the evidence, and barriers to …

Workplace Health And The Garment Sector In Cambodia, Bunmey Yat, Carolyn Rodehau, David Wofford, Ashish Bajracharya

Reproductive Health

In Cambodia, there has been considerable investment in improving the well-being of factory workers. Understanding the key stakeholders and their roles in improving worker health is essential for policy change and ensuring that interventions achieve sustainable, long-term impact in and around the workplace. This policy brief presents selected findings from a stakeholder and situational analysis undertaken by the Cambodia Worker Health Coalition (WorkerHealth) to understand the stakeholder landscape and policy environment for women’s health in the garment industry in Cambodia, with the objective of identifying leading stakeholders and their relationships, as well as strategies and opportunities for collaboration. Collaboration and …

The Benefits And Concerns Of Veganism In Women's Health, Elisa R. Hester

Senior Honors Theses

There are many health benefits of consuming a vegan diet. It is associated with a decreased incidence of obesity, cardiovascular disease, type two diabetes, and a variety of cancers. Despite its numerous benefits, there are several concerns for consumers of a vegan diet, including nutrient deficiency and cardiovascular risk associated with consumption of coconut oil. However, many nutrients of highest concern, such as calcium and protein, are not needed in as high amounts as is commonly believed and recommended. Moreover, it is possible for vegans to obtain adequate nutrition with proper education despite restriction of animal products. Coconut oil consumption …

Holistic Health In Osteoarthritis: An Ayurvedic Approach, Krishna Malagi Dr, Madhusudhana Kamath Dr

Manipal Journal of Nursing and Health Sciences

The holistic approach exposed the link between ill-health and socio-economic conditions. It revealed how diet and lifestyle factors combine, to relieve the disease manifestations like osteoarthritis. Objectives: The objective of the study was to observe a holistic approach in the management of osteoarthritis and to establish significance of association between disease, diet, and lifestyle. Material and methods: The chosen strategy is suitable for preventive, curative, and promoted actions in relation to osteoarthritis. In present study, non-randomized, prospective case series methodology is adopted. The study group comprised of 20 men and women and was categorized by large similarity in the total …

South Africa: Combatting The Rise Of Hiv In Adolescents, Ryan Northrup

Posters

Describes a global health learning experience in South Africa in 2017, focused on educating teenagers in schools about sexual health and AIDS prevention.

A Secondary Analysis In Support Of The Community Health Needs Assessment For Oasis Free Clinics, Jillian Wheeler

Muskie School Capstones and Dissertations

Oasis Free Clinics offer free medical and dental services to uninsured, low income adults living in Sagadahoc County, Maine (with the exception of the town of Richmond) and the towns of Brunswick, Freeport, and Harpswell in Cumberland County and Durham in Androscoggin County. Oasis has filled a critical need in providing affordable health care to the working poor with the absence of Medicaid expansion in the state of Maine. The clinic offers wellness checks, women's wellness, prenatal care, chronic disease management, limited mental health counseling, a prescription assistance program and dental care.

Oasis Free Clinics will conduct a Community Health …

Factors Associated Hypertension Among Pregnant Women In Dili Municipality Timor Leste, Estela Laot Perpetua Ana Mery

Chulalongkorn University Theses and Dissertations (Chula ETD)

Purpose: Hypertension in pregnancy is one main cause of maternal morbidity among pregnant women worldwide and is also a significant public health concern. This study aimed to find factors associated with hypertension among pregnant women in Dili municipality of Timor Leste. Design/Methodology/approach: A cross-sectional study was conducted among 438 pregnant women at the Five Community Health Centre in Dili municipality, Timor Leste between April and May 2018. Face to face interview was conducted. Descriptive analysis, bivariate analysis, and multivariate analysis logistic regression were performed by SPSS version 22.0 were used to analyze the data. Findings: The prevalence of hypertension among …

Prevalence Of Salmonella Spp. Contamination In Hen Egg And Relationship Among Sociodemographic Knowledge And Behavior Of The Egg Consumer In Bangkok Thailand, Pollawat Sriruengsuk

Chulalongkorn University Theses and Dissertations (Chula ETD)

Hen egg is the main of protien source in food ingredient and frequently contaminated by Salmonella spp. This research was aimed to study about the prevalence of Salmonella in egg sold in Sukhumvit area and the relationship between socio-demographic knowledge and behavior of the egg consumer in Bangkok, Thailand. This study was collected the egg samples of each grade such as Ordinary, Salmonella free and Chemical free grades that being sold in fresh market or supermarket in Sukhumvit area. Then all samples were isolated to detect Salmonella spp. according ISO6579 method. For the second part to find the relationship between …

Ethnic Differences In Risk Factors For Obesity Among Adults In California, The United States, Liang Wang, Jodi L. Southerland, Kesheng Wang, Beth A. Bailey, Arsham Alamian, Marc A. Stevens, Youfa Want

ETSU Faculty Works

Little attention has been given to differences in obesity risk factors by racial/ethnic groups. Using data from the 2011-2012 California Health Interview Survey, we examined differences in risk factors for obesity among Whites, Latinos, Asians, and African Americans among 42,935 adults (24.8% obese). Estimates were weighted to ensure an unbiased representation of the Californian population. Multiple logistic and linear regression analyses were used to examine the differences in risk factors for obesity. Large ethnic disparities were found in obesity prevalence: Whites (22.0%), Latinos (33.6%), African Americans (36.1%), and Asians (9.8%). Differences in risk factors for obesity were also observed: Whites …

Utilizing The Social Ecological Model To Address Drinking Behaviors Among College Students Participating In Ncaa Division I Non-Revenue Generating Sports, Andrew M. Smith

Theses and Dissertations--Educational Policy Studies and Evaluation

College students between the ages of 18 and 24 are considered high-risk for alcohol-related negative consequences due to drinking at high-risk levels (Barry, Howell & Salaga, 2015). Within that population, varsity student athletes are considered at even greater risk for those issues (Druckman, 2015; Wechsler, 2002).

With football and men’s basketball being considered the only revenue-generating NCAA Division I sports, non-revenue-generating sports consist of the majority of student athletes (NCAA, 2016). This study is designed to examine high-risk drinking as well as alcohol-related consequences among non-revenue-generating student athletes attending a National Collegiate Athletic Association (NCAA) Division I school.

The sample …

Preparing For Florida’S Older Adult Population Growth With User-Friendly Demographic Maps, Kathryn Hyer, George Macdonald, Kathy Black, Adrian N.S. Badana, Scott Patrick Murphy, William E. Haley

Florida Public Health Review

The older adult population of the United States is growing rapidly. For 40 years Florida has remained the state with the highest percentage of older adults and has experienced robust growth. It may be a model for other states that will witness an increase in their own older adult populations. This article provides links to publicly available, free interactive Web-based maps developed by the University of South Florida displaying colorful maps depicting projected older adult population growth in Florida from 2010 to 2040 at the county level, stratified by sex, race, and ethnicity, and with options for focusing on 65+ …

Co-Constructing Food Access Issues: Older Adults In A Rural Food Environment In West Virginia Develop A Photonarrative, Lauri Andress, Sunah Hallie

Faculty & Staff Scholarship

This photovoice study examined the hypothesis that photos and narratives produced by older adults would facilitate the co-construction of a shared narrative about the food access issues in a rural county in West Virginia. For older adults, living in rural areas, several factors decrease access to healthy, nutritious food relative to the general population of older adults. Methods: Qualitative data from interviews, written narratives, dialogues, and photos from older adults living in a rural county of West Virginia. Was collected. Using directed content analysis, transcripts of written data were broken down into meaningful quote segments. All written data and …

Exercise And Cancer-Related Fatigue In Adults: A Systematic Review Of Previous Systematic Reviews With Meta-Analyses, George A. Kelley, Kristi S. Kelley

Faculty & Staff Scholarship

Background

Conduct a systematic review of previous systematic reviews with meta-analysis to determine the effects of exercise (aerobic, strength or both) on cancer-related-fatigue (CRF) in adults with any type of cancer.

Methods

Systematic reviews with meta-analyses of previous randomized controlled trials published through July of 2016 were included by searching six electronic databases and cross-referencing. Dual-selection and data abstraction were conducted. Methodological quality was assessed using the Assessment of Multiple Systematic Reviews (AMSTAR) instrument. Standardized mean differences (SMD) that were pooled using random-effects models were included as the effect size. In addition, 95% prediction intervals (PI), number needed-to-treat (NNT) and …

Effects Of Egg And Egg Replacers On Consumer Acceptability Of Chocolate Cake, Stormey R. Trayter

Williams Honors College, Honors Research Projects

Egg allergies are very common, and affect 1% to 2% of all children (Savage, 2007). For this reason, egg replacers that can be easily used by home cooks are an important area of research. In this experiment, a simple egg replacer of flour, oil, baking soda, and water was added to a standard cake mix, with variables consisting of a control product and a product made with no eggs using the egg replacer. The null hypothesis was rejected; removing eggs and adding the egg replacer has an effect on the ability for consumers to discriminate between samples in a triangle …

Wellness Wednesday: Community Nutrition Education, Autumn M. Laurito

Williams Honors College, Honors Research Projects

Wellness Wednesday is a interdisciplinary health education program for residents of the Akron Metropolitan Housing Authority (AMHA) funded by the Area Health Education Center. The program aims to provide knowledge and resources to support healthy lifestyles within an underserved population. An original nutrition education curriculum has been developed as part of this program. Group activities, cooking demonstrations, and education materials have been integrated into the curriculum. The topics for discussion were determined by the residents; therefor presentations were catered to specific concerns of the population. The materials have been presented at three different AMHA buildings each month for six total …

A Systematic Review: The Prenatal And Postnatal Events Associated With Infant Mortality Rate (Imr), Ariel L. Thomas, Sarah A. Awwad, Briana E. Clark

Williams Honors College, Honors Research Projects

Infant mortality rate (IMR) is an indication of overall population health, maternal and child health, accessibility and quality of primary health care, and the availability of community resources. The current IMR in the United States is high despite advances made in the medical field. The purpose of our systematic review is to describe and critically appraise research about prenatal events, postnatal events, and increased infant mortality rate and to give nursing practice recommendations to help decrease the rate. We used CINAHL, Medline and PubMed to find 20 research articles. Overall, the research stated that going to prenatal visits had a …