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Articles 2371 - 2400 of 5617
Full-Text Articles in Entire DC Network
Explaining The Gender Wage Gap In Rural And Urban China, Wei Gu
Explaining The Gender Wage Gap In Rural And Urban China, Wei Gu
Electronic Theses and Dissertations
The gender wage gap is a long-standing and worldwide issue. Since the equality sense towards gender role are difference between rural and urban China, this paper will (1) compare the gender wage gap in rural and urban settings; (2) examine how the associated factors (such as education, occupation, and housework involvements) affect the wage; (3) assess and compare gender discrimination in the rural and urban labor markets. This paper utilizes the survey data from China Health and Nutrition Survey in 2011. The methods of descriptive statistics, correlation, and stepwise multiple regression models are applied in analyzing the data. The results …
The Association Of Comorbid Chronic Physical Conditions And Psychological Illness With Health Care Utilization In Middle-Aged And Older People, Allison Houston
The Association Of Comorbid Chronic Physical Conditions And Psychological Illness With Health Care Utilization In Middle-Aged And Older People, Allison Houston
Legacy Theses & Dissertations (2009 - 2024)
Abstract
Viral Suppression Among Older Persons Living With Diagnosed Hiv Infection (Plwdhi) With Multimorbidity : The Role Of Healthcare Setting, Health Literacy, And Health Knowledge (Mmp 2009-2014), Doris Ogechukwu Maduka
Viral Suppression Among Older Persons Living With Diagnosed Hiv Infection (Plwdhi) With Multimorbidity : The Role Of Healthcare Setting, Health Literacy, And Health Knowledge (Mmp 2009-2014), Doris Ogechukwu Maduka
Legacy Theses & Dissertations (2009 - 2024)
For persons living with diagnosed HIV infection (PLWDHI) 50 years of age and older, in addition to living with diagnosed HIV infection, they are also at risk for age-related chronic conditions. Optimal management of these conditions in addition to HIV is needed if they hope to achieve positive health outcomes such as achieving durable viral suppression, which is the goal for persons receiving HIV treatment. For these patients, having adequate health related information, and the ability to access and navigate the healthcare system, would help them stay engaged and maintain adherence to HIV care. Factors that have been found to …
Essays On Health Disparities And Income-Related Health Inequality In Sub-Saharan Africa, Marshall Makate
Essays On Health Disparities And Income-Related Health Inequality In Sub-Saharan Africa, Marshall Makate
Legacy Theses & Dissertations (2009 - 2024)
This dissertation comprises of five empirical essays. Essay one assesses the impact of prenatal care quality and its components on child mortality using nationwide data from the Zimbabwe Demographic and Health Surveys (ZDHS), 1999-11. Results indicate that increasing prenatal care quality by one unit improves neonatal, infant and under-five survival by about 42.33, 30.86, and 28.65%, respectively and all statically significant at the 1% level.
Adolescent Girls Initiative-Kenya: Health And Life Skills Audio Training Script, Wajir, Population Council
Adolescent Girls Initiative-Kenya: Health And Life Skills Audio Training Script, Wajir, Population Council
Poverty, Gender, and Youth
The Adolescent Girls Initiative project-Kenya (AGI-K) helps young, vulnerable adolescent girls build their social, health, and economic assets. AGI-K tests combinations of interventions in health, violence prevention, wealth creation, and education to determine which package of interventions delivers the most impact and at what cost. The project was led by Population Council and implemented in two marginalized areas 1) Kiberain Nairobi and 2) Wajir County in Northeastern Kenya by Plan International and Save the Children, respectively. This scripted guide was designed to support the delivery of the health, life skills, and nutrition sessions in Wajir in response to challenges with …
Adolescent Health: Priorities And Opportunities For Rashtriya Kishor Swasthya Karyakram (Rksk) In Uttar Pradesh [Hindi], 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 …
Ensuring Adolescents In Uttar Pradesh Stay—And Learn—In School, Sapna Desai, Neelanjana Pandey
Ensuring Adolescents In Uttar Pradesh Stay—And Learn—In School, Sapna Desai, Neelanjana Pandey
Poverty, Gender, and Youth
The Government of India has invested in improving education through two key programs for universal access to, and retention in, secondary education. In Uttar Pradesh, the Population Council found high levels of enrollment among younger adolescents, with limited gender disparity. Retention beyond elementary school, however, was low, and learning outcomes—literacy and numeracy—were poor. This policy brief focuses on two challenges to preparing Uttar Pradesh’s adolescents for the future: universal enrollment and retention in secondary school. The brief outlines recommendations that the government invest in secondary schooling, improve school facilities, support and evaluate quality teaching inputs and curriculum changes, remove economic …
Feasibility Of Screening And Referring Women Experiencing Marital Violence By Engaging Frontline Workers: Evidence From Rural Bihar, Shireen J. Jejeebhoy, K.G. Santhya, Santosh Kumar Singh, A.J. Francis Zavier, Neelanjana Pandey, Rajib Acharya, Komal Saxena, Aparajita Gogoi, Madhu Joshi, Sandeep Ojha
Feasibility Of Screening And Referring Women Experiencing Marital Violence By Engaging Frontline Workers: Evidence From Rural Bihar, Shireen J. Jejeebhoy, K.G. Santhya, Santosh Kumar Singh, A.J. Francis Zavier, Neelanjana Pandey, Rajib Acharya, Komal Saxena, Aparajita Gogoi, Madhu Joshi, Sandeep Ojha
Poverty, Gender, and Youth
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 Do Kadam Barabari Ki Ore (Two Steps Towards Equality) project in rural areas of Patna district in Bihar, India. The project engaged frontline workers (FLWs) to screen women for their experience of marital violence, inform them about their options in case of such an experience, and provide basic counseling and referral to women reporting the experience. Overall, the findings from the implementation of the Do Kadam program have been encouraging. They suggest that interactions …
Girls Creating Opportunities For A Brighter Tomorrow: Integrated Curriculum Guide (8 To 17 Years Old)—Two-Year Cycle (Adapted For Belize), Cecilia Garcés, Paola Broll
Girls Creating Opportunities For A Brighter Tomorrow: Integrated Curriculum Guide (8 To 17 Years Old)—Two-Year Cycle (Adapted For Belize), Cecilia Garcés, Paola Broll
Poverty, Gender, and Youth
In 2004, the Population Council in Guatemala launched the “Abriendo Oportunidades” (AO) Program with the purpose of supporting indigenous girls in reaching their maximum potential to overcome the cycle of poverty. The program compiled many valuable lessons, often from young mentors working directly with girls and adolescents. Constant dialogue among the Council’s team led to the current version of the curriculum guide. This is the third version of the AO curriculum guide, designed as a tool to foster reflection and dialogue, sisterhood, and critical thinking among adolescent girls. The guide is promoted as a valuable tool for programs seeking to …
Understanding The Lives Of Adolescents And Young Adults (Udaya) In Uttar Pradesh, India (2015–16), K.G. Santhya, Rajib Acharya, Neelanjana Pandey, Ashish Kumar Gupta, Shilpi Rampal, Santosh Kumar Singh, A.J. Francis Zavier
Understanding The Lives Of Adolescents And Young Adults (Udaya) In Uttar Pradesh, India (2015–16), K.G. Santhya, Rajib Acharya, Neelanjana Pandey, Ashish Kumar Gupta, Shilpi Rampal, Santosh Kumar Singh, A.J. Francis Zavier
Poverty, Gender, and Youth
The goal of the program of research titled “Understanding the lives of adolescents and young adults (UDAYA) in Bihar and Uttar Pradesh” is to establish the levels, patterns, and trends in the situation of younger (10–14) and older (15–19) adolescents and to assess factors that influence the quality of transitions they make. The study is designed to provide robust insights on how investments in adolescents influence their life course by the time they reach young adulthood; enable evidence-based decisions on the types of programs worthy of scale-up; and furnish important baseline indicators against which the long-term impact of programs can …
Understanding The Lives Of Adolescents And Young Adults (Udaya): Bihar, Population Council
Understanding The Lives Of Adolescents And Young Adults (Udaya): Bihar, Population Council
Poverty, Gender, and Youth
Understanding the lives of adolescents and young adults (UDAYA) is a program of research conducted by the Population Council which seeks to: explore the situation and needs of younger (10−14 years) and older (15−19 years) adolescents; describe changes in their situation and needs over time; and assess factors that determine the quality of their transitions from adolescence to young adulthood. UDAYA, implemented from 2015 to 2020, uses community-based repeated cross-sectional surveys, panel surveys, and qualitative methods. With its geographical focus on Bihar and Uttar Pradesh, in India, UDAYA illustrates the lives of every fourth adolescent in that country and every …
The Relationship Of Assimilation On The Health Behaviors, Health Beliefs, And Use Of Health Care Services Of The Samoan Immigrants In The United States, Miliama Bracken
The Relationship Of Assimilation On The Health Behaviors, Health Beliefs, And Use Of Health Care Services Of The Samoan Immigrants In The United States, Miliama Bracken
Wayne State University Theses
This study accepts the null hypothesis that there is no relationship between assimilation and the health behaviors, health beliefs, and use of health care services of the Samoan immigrants in the United States. The target population included Samoans who immigrated from Samoa or American Samoa and were 18 or more years of age. A total of 150 questionnaires were distributed and 126 respondents were included in the study. The respondents were asked how often they visited the doctor during the year. Would they seek the help of a medical doctor if they were sick, or a Samoan healer? They were …
A Foe More Than A Friend: Law And The Health Of The American Urban Poor, David Ray Papke, Mary Elise Papke
A Foe More Than A Friend: Law And The Health Of The American Urban Poor, David Ray Papke, Mary Elise Papke
Fordham Urban Law Journal
No abstract provided.
Vulnerability And Inevitable Inequality, Martha Albertson Fineman
Vulnerability And Inevitable Inequality, Martha Albertson Fineman
Faculty Articles
The abstract legal subject of liberal Western democracies fails to reflect the fundamental reality of the human condition, which is vulnerability. While it is universal and constant, vulnerability is manifested differently in individuals, often resulting in significant differences in position and circumstance. In spite of such differences, political theory positions equality as the foundation for law and policy, and privileges autonomy, independence and self-sufficiency. This article traces the origins and development of a critical legal theory that brings human vulnerability to the fore in assessing individual and state responsibility and redefining the parameters of social justice. The theory arose in …
彩園健康食譜 : 下集 = Lingnan Garden Healthy Recipes : Part Two, 香港嶺南大學服務研習處, 嶺南彩園, 群芳文化研究及發展部, 香港嶺南大學文化研究系
彩園健康食譜 : 下集 = Lingnan Garden Healthy Recipes : Part Two, 香港嶺南大學服務研習處, 嶺南彩園, 群芳文化研究及發展部, 香港嶺南大學文化研究系
OSL Students' Service-Learning Project Output: Booklet
嶺南彩園項目於2014年9月22日正式啟動,項目由群芳文化研究及發展部下屬的「文化與可持續生計組」主辦,同時得到文化研究系及多個合作夥伴的支持,關注可持續發展、和平、文化、生態、生計等議題,在校園內幾處場地種植有機蔬菜植物。於2016-2017年的下學期,服務研習處與彩園合作,組織社區長者及選修服務研習課程的大學生,善用彩園的有機蔬菜植物為食材,一同設計及製作名為「彩園健康食譜」的書籍,推動社區健康飲食及健康生活。製作食譜的工作於2017年二月底至四月中順利進行,透過超過十小時的服務研習活動及交流會,學生和老友記交流健康烹飪及飲食心得、種植經驗、對彩園植物的識知及食用方法,發揮長幼共融及知識傳遞的精神。
彩園健康食譜 : 上集 = Lingnan Garden Healthy Recipes : Part One, 香港嶺南大學服務研習處, 嶺南彩園, 群芳文化研究及發展部, 香港嶺南大學文化研究系
彩園健康食譜 : 上集 = Lingnan Garden Healthy Recipes : Part One, 香港嶺南大學服務研習處, 嶺南彩園, 群芳文化研究及發展部, 香港嶺南大學文化研究系
OSL Students' Service-Learning Project Output: Booklet
嶺南彩園項目於2014年9月22日正式啟動,項目由群芳文化研究及發展部下屬的「文化與可持續生計組」主辦,同時得到文化研究系及多個合作夥伴的支持,關注可持續發展、和平、文化、生態、生計等議題,在校園內幾處場地種植有機蔬菜植物。於2016-2017年的下學期,服務研習處與彩園合作,組織社區長者及選修服務研習課程的大學生,善用彩園的有機蔬菜植物為食材,一同設計及製作名為「彩園健康食譜」的書籍,推動社區健康飲食及健康生活。製作食譜的工作於2017年二月底至四月中順利進行,透過超過十小時的服務研習活動及交流會,學生和老友記交流健康烹飪及飲食心得、種植經驗、對彩園植物的識知及食用方法,發揮長幼共融及知識傳遞的精神。
Stand Clear Of The Closing Doors, Please: Transit Equity, Social Exclusion, And The New York City Subway, Taylor Novick-Finder
Stand Clear Of The Closing Doors, Please: Transit Equity, Social Exclusion, And The New York City Subway, Taylor Novick-Finder
Pitzer Senior Theses
The history of transportation planning in New York City has created disparities between those who have sufficient access to the public transportation network, and those who face structural barriers to traveling from their home to education, employment, and healthcare opportunities. This thesis analyzes the legacy of discriminatory policy surrounding the Metropolitan Transportation Authority (MTA) and city and state governments that have failed to support vital infrastructure improvement projects and service changes to provide multi-modal welfare to New York’s working poor. By exploring issues of transit equity as they pertain to the New York City subway system, this thesis raises the …
Quality Improvement Initiative To Reduce Fall Risk In The Snf, Ramona C. Lancaster
Quality Improvement Initiative To Reduce Fall Risk In The Snf, Ramona C. Lancaster
Walden Dissertations and Doctoral Studies
Residents who fall in SNF either sustain significant decline to quality of life or die from their injuries. The average fall costs about $34,000 per incident. On average, 19.8% of residents fall at least once per month. The purpose of this project was to assess, identify, and advance nursing practice to decrease falls by evaluating current facility standard of practice, fall policy, procedures, and protocol. The objective was to create actions that would close the communication gap between clinicians and residents. This project encourages clinicians to intertwine resident feedback and strategies into the plan of care to help reduce fall …
17th Legislative Session, 2017-2019 File, Texas Silver-Haired Legislature
17th Legislative Session, 2017-2019 File, Texas Silver-Haired Legislature
Texas Silver-Haired Legislature
17th Legislative Session 2017-2019 File . The first file in the folder, information on the orientation session, is the primary document on this record and the additional documents inside the file are attached to this record as additional files. See list below for additional files contents.
Impact Of Caregiver Depression On Health Of Family Caregivers Of Individuals With Alzheimer's Disease, Poonam Aryal
Impact Of Caregiver Depression On Health Of Family Caregivers Of Individuals With Alzheimer's Disease, Poonam Aryal
All Graduate Theses, Dissertations, and Other Capstone Projects
This study examines the health consequences of being a caretaker of someone with Alzheimer’s disease. Alzheimer’s disease (AD) is the most common type of dementia and is a significant public health problem that will intensify as the population ages. Caring for an individual with Alzheimer’s disease is more stressful than caring for a person with a physical disability; they need increased levels of supervision and personal care as the disease progress. The majority of care is provided at home by family caregivers. Caregivers often help people with Alzheimer’s to manage various issues from activities of daily living to financial management …
Understanding The Lives Of Adolescents And Young Adults (Udaya): Uttar Pradesh, Population Council
Understanding The Lives Of Adolescents And Young Adults (Udaya): Uttar Pradesh, Population Council
Poverty, Gender, and Youth
This factsheet provides a comprehensive picture of adolescents’ situation and needs in Uttar Pradesh. Based on the “Understanding the lives of adolescents and young adults” (UDAYA) program of research conducted by the Population Council, the graphs and charts explore the situation and needs of younger (10−14 years) and older (15−19 years) adolescents; describe changes in their situation and needs over time; and assess factors that determine the quality of their transitions from adolescence to young adulthood. These graphs highlight findings on: education, employability and economic inclusion, agency, community and citizenship, entry into marriage and motherhood, health and nutrition, violence in …
Understanding The Lives Of Adolescents And Young Adults (Udaya) In Bihar, India, K.G. Santhya, Rajib Acharya, Neelanjana Pandey, Santosh Kumar Singh, Shilpi Rampal, A.J. Francis Zavier, Ashish Kumar Gupta
Understanding The Lives Of Adolescents And Young Adults (Udaya) In Bihar, India, K.G. Santhya, Rajib Acharya, Neelanjana Pandey, Santosh Kumar Singh, Shilpi Rampal, A.J. Francis Zavier, Ashish Kumar Gupta
Poverty, Gender, and Youth
The goal of the “Understanding the lives of adolescents and young adults (UDAYA) in Bihar and Uttar Pradesh” program is to establish the levels, patterns, and trends in the situation of younger (10–14) and older (15–19) adolescents and to assess factors that influence the quality of transitions they make. The study is designed to provide robust insights on how investments in adolescents influence their life course by the time they reach young adulthood; enable evidence-based decisions on the types of programs worthy of scale-up; and furnish important baseline indicators against which the long-term impact of programs can be measured. This …
Adolescent Health: Priorities And Opportunities For Rashtriya Kishor Swasthya Karyakram (Rksk) In Uttar Pradesh, Sapna Desai
Adolescent Health: Priorities And Opportunities For Rashtriya Kishor Swasthya Karyakram (Rksk) In Uttar Pradesh, 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 …
Adolescent Health: Priorities And Opportunities For Rashtriya Kishor Swasthya Karyakram, Sapna Desai
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
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
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
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 …
Partnering With The Private Sector To Strengthen Provision Of Contraception, Karen Hardee, David Wofford, Nandita Thatte
Partnering With The Private Sector To Strengthen Provision Of Contraception, Karen Hardee, David Wofford, Nandita Thatte
Reproductive Health
Family planning is most successful when clients have a variety of methods to choose from and a variety of service delivery sites from which to obtain them. The private sector plays a critical role in family planning and can contribute to a total market approach to providing contraceptives. Among private sector service options, social marketing, social franchising, and pharmacies and drug shops most readily contribute to sustainable markets for contraceptive services. Corporate sector workplace programs also show promise for reaching millions of women. This evidence brief outlines a number of policy and program considerations for countries as they move toward …
Bangladesh: Using Strong Evidence And Strategic Collaboration To Increase Access To Menstrual Regulation With Medication, Nancy Termini Lachance, Sharif M.I. Hossain
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
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 …