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Full-Text Articles in Medicine and Health Sciences

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Tanzania 2009–2012, Population Council, Tanzania Commission For Aids (Tacaids), Zanzibar Aids Commission (Zac), Unicef Tanzania Jan 2015

The Adolescent Experience In-Depth: Using Data To Identify And Reach The Most Vulnerable Young People—Tanzania 2009–2012, Population Council, Tanzania Commission For Aids (Tacaids), Zanzibar Aids Commission (Zac), Unicef Tanzania

Poverty, Gender, and Youth

“The Adolescent Experience In-Depth: Using Data to Identify and Reach the Most Vulnerable Young People: Tanzania 2009–12” is part of a series of Population Council guides that draw principally on data from the Demographic and Health Surveys to provide decisionmakers at all levels—from governments, nongovernmental organizations, and advocacy groups—with evidence on the situation of adolescent girls and boys and young women aged 10–24 years. The data are presented in graphs, tables, and maps (wherever possible), providing multiple formats to make the information accessible to a range of audiences. Section I is the Foreword. Section II offers brief technical notes specific …


State Agency Promising Practice: Project Gate In Alabama - Creative Sequencing Of Funding, Susanne Freeze, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2015

State Agency Promising Practice: Project Gate In Alabama - Creative Sequencing Of Funding, Susanne Freeze, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Alabama has piloted the Gaining Access to Employment project, a collaborative effort between the state’s Department of Mental Health/ Developmental Disabilities (MH/DD) and its Department of Vocational Rehabilitation (VR). Through this project, known as Project GATE, the two agencies work together to help local service providers use funds to support integrated employment opportunities. MH/DD and VR have a long history of partnering, including joint efforts on a supported employment workgroup, due to the strong relationships between colleagues at each department.


State Agency Promising Practices: New Hampshire’S Employment Data Collection - The Power To Transform Communication, Partnership, And Service Delivery, Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2015

State Agency Promising Practices: New Hampshire’S Employment Data Collection - The Power To Transform Communication, Partnership, And Service Delivery, Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In 2010, when the New Hampshire Bureau of Developmental Services (BDS) received grant funds to strengthen multisystem service delivery, its administrators partnered with area agencies; community rehabilitation providers, or CRPs (employment providers); and other stakeholders to improve and streamline the process of collecting employment data. Originally a multi-system process, BDS continued the data-collection effort when other systems withdrew. BDS’s new data-collection system allows unprecedented access to clear data displays, as well as the ability to run a variety of detailed reports to guide the statewide promotion of integrated employment.


State Agency Promising Practice: Washington’S Investment In Robust Training And Technical Assistance, Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston Jan 2015

State Agency Promising Practice: Washington’S Investment In Robust Training And Technical Assistance, Jennifer Bose, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

In the mid-1980s, the state of Washington was awarded a five-year federal systems change grant to kick-start their supported employment efforts via the Washington State Employment Initiative. Funding from this grant was used to develop training on best practices and to generate high-quality integrated employment supports among agencies. At the end of this five-year period, with state funding and support from state leadership, the Washington State Employment Initiative re-formed as WISE, an independent training and technical assistance (TA) organization. WISE now contracts with the Washington Developmental Disabilities Administration to provide ongoing, high-quality training and TA across the state and to …


Gender Difference When Processing Death By Suicide: Attitudes Amongst Third Level Students Aged 18-25 Attending Cork Institute Of Technology And College Support Professionals, Sandra Conroy Jan 2015

Gender Difference When Processing Death By Suicide: Attitudes Amongst Third Level Students Aged 18-25 Attending Cork Institute Of Technology And College Support Professionals, Sandra Conroy

Masters

Rationale behind research: Survivors of suicide/ suicide bereaved face unique challenges in their grief, resulting in a greater risk of conditions such as complicated grief, PTSD and suicidal ideation developing (Young, Iglewicz, Glorioso, Lanouette, Seay, llapakurti & Zisook, 2012). In dealing with or 'processing' the loss of a loved one by suicide, Wertheimer details that, "suicidal thoughts are not uncommon during the early months of bereavement" (1991: 178). The incidence of young men dying by suicide is notably higher than that of women in this country; a stubborn gender difference persists in Ireland with males representing on average 80% of …


Syphilis: The Forgotten Sexually Transmitted Disease. A Brief Case Report, Amy Burnett, Hatim A. Omar Jan 2015

Syphilis: The Forgotten Sexually Transmitted Disease. A Brief Case Report, Amy Burnett, Hatim A. Omar

Pediatrics Faculty Publications

Syphilis has declined significantly over the last 30 years. Due to that success, many physicians no longer have the skills to recognize its symptoms. We present a case of syphilis as a demonstration of this fact.


The Relationship Between Adhd And Trait Facets Of The Five-Factor Model, Todd William Bennett Jan 2015

The Relationship Between Adhd And Trait Facets Of The Five-Factor Model, Todd William Bennett

PCOM Psychology Dissertations

Facets of the Five-Factor Model (FFM) were examined in order to understand its interaction with Attention Deficit Hyperactivity Disorder (ADHD)-symptoms. By utilizing archival data, in a correlational design, adults between the ages of 18-66 were tested for the presence of ADHD, which was then compared with data gathered from the NEO-PI-R. Comorbid psychiatric conditions often associated with ADHD were accounted for in the design. Results partially supported the hypotheses, specifically, that altruism was inversely related to Impulsivity, as predicted. However, other findings largely did not support a relationship between other specific NEO-PI-R facets and ADHD. Other significant relationships that were …


Impacts Of Objective And Subjective Social Inclusion On The Quality Of Life Of Individuals With Schizophrenia Spectrum Disorders And Major Depressive Disorder, Katie A. Johanning-Gray Jan 2015

Impacts Of Objective And Subjective Social Inclusion On The Quality Of Life Of Individuals With Schizophrenia Spectrum Disorders And Major Depressive Disorder, Katie A. Johanning-Gray

PCOM Psychology Dissertations

Increased social inclusion and enhanced quality of life for individuals with severe mental illnesses (SMIs) are goals of the recovery movement. The present study examined the differences in reported subjective social inclusion (SubSI) and objective social inclusion (ObjSI) between individuals diagnosed with schizophrenia spectrum disorders (SSDs) and those diagnosed with Major Depressive Disorder (MDD). Furthermore, the amount of variance in quality of life (QOL) which can be predicted by type of diagnosis, SSDs or MDD, symptom severity, and SubSI and ObjSi was determined. An archival data set was used. Participants were 337 individuals whose primary diagnosis was an SSD or …


Gender-Biased Sex Selection In South Asia: The Situation And Promising Approaches To Restore Balance, Population Council Jan 2015

Gender-Biased Sex Selection In South Asia: The Situation And Promising Approaches To Restore Balance, Population Council

Poverty, Gender, and Youth

This project summary indicates that sex ratios at birth in South Asia vary considerably. While the sex ratios at birth in Bangladesh and Pakistan have been normal at the country level (103 and 102.5 males per 100 females, respectively), Nepal is showing signs of disturbed sex ratios at birth, with a sex ratio of 106 males per 100 females, and the situation in India is particularly adverse, with a sex ratio at birth of 110 males per 100 females. In all of these countries, preconditions for a deterioration of the sex ratio at birth are evident. Preferences are expressed for …


Detecting Well-Being In Digital Communities: An Interdisciplinary Engineering Approach For Its Indicators, Margeret A. Hall Jan 2015

Detecting Well-Being In Digital Communities: An Interdisciplinary Engineering Approach For Its Indicators, Margeret A. Hall

Interdisciplinary Informatics Faculty Publications

In this thesis, the challenges of defining, refining, and applying well-being as a progressive management indicator are addressed. This work's implications and contributions are highly relevant for service research as it advances the integration of consumer well-being and the service value chain. It also provides a substantial contribution to policy and strategic management by integrating constituents' values and experiences with recommendations for progressive community management.


Health Literacy Proficiency, Sources Of Health Information, And Perceived Barriers To Health Literacy Among Selected Members Of The Hmong Community In Minnesota, Amanda Vang Jan 2015

Health Literacy Proficiency, Sources Of Health Information, And Perceived Barriers To Health Literacy Among Selected Members Of The Hmong Community In Minnesota, Amanda Vang

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of this study was to determine health literacy proficiency, sources of health information, and perceived barriers to health literacy among selected members of the Hmong community in Minnesota. Data for this cross-sectional study were collected using the Short Assessment on Health Literacy-English (SAHL-E) screening tool and a questionnaire. The SAHL-E screening tool and a questionnaire were distributed to 40 Hmong residents in the St. Paul/Minneapolis in Minnesota. When combining the numbers of health literacy scores, a mean of 15.5 was reported. The overall findings of this research assessed that the Hmong community in Minnesota has adequate health literacy …


The Effect Of Evaluating A Quality Improvement Initiative On Reducing Hospital Transfers Of Nursing Home Residents, Denise Eileen Jarboe Jan 2015

The Effect Of Evaluating A Quality Improvement Initiative On Reducing Hospital Transfers Of Nursing Home Residents, Denise Eileen Jarboe

Walden Dissertations and Doctoral Studies

The Effect of a Quality Improvement Initiative on Reducing Hospital Transfers of Nursing Home Residents

by

Denise Eileen Jarboe

MSN, Walden University, 2010

BS, University of Maryland, 1981

Project Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

February 2015

Nursing homes (NH) in the 21st century provide skilled healthcare services for resident populations who are older, frailer, and often suffering from multiple incurable chronic medical conditions. Nurses practicing in this setting must be keen observers and effective communicators with the ability to recognize and report subtle changes in health status …


Autonomy In The California Disability Services System, Lisa Ann S. Carbone Jan 2015

Autonomy In The California Disability Services System, Lisa Ann S. Carbone

Walden Dissertations and Doctoral Studies

Legislation concerning California residents with intellectual and developmental disabilities (ID/DD) requires recipients of services to be treated as independent individuals while emphasizing self-determination. At the same time, under regulatory procedures, recipients are considered dependent on the delivered services and not self-determinant. Neither the California Department of Developmental Services nor the trade associations representing community service providers have established a unified, systematic practice to support self-determination. This phenomenological study explored the experience of adults with ID/DD working toward self-determination.

Specifically, it explored how medical and social models contribute to shaping and actualizing the independence of this population. Interviews with eight adults …


Jessie Huey Laurence Papers - Accession 5, Jessie Huey Laurence Jan 2015

Jessie Huey Laurence Papers - Accession 5, Jessie Huey Laurence

Manuscript Collection

The Jessie Huey Laurence Papers primarily consist of correspondence, but also included are speeches, program notes, minutes, financial records, photographs, clippings, and scrapbooks relating to her role in the South Carolina Federation of Women’s Clubs (1928-1937); her promotion of a compulsory school attendance bill for South Carolina (1934-1936); the formation of the South Carolina Council for the Common Good (1935); Works Progress Administration (WPA) and Public Works Administration (PWA) projects in South Carolina; and her interest in the Catawba Indians of York County, as chairman of Indian Affairs Committee for the Catawba Chapter of the Daughters of the American Revolution. …


Panel Survey Of Young People In Egypt (Sype) 2014: Generating Evidence For Policy, Programs, And Research, Rania Roushdy, Maia Sieverding Jan 2015

Panel Survey Of Young People In Egypt (Sype) 2014: Generating Evidence For Policy, Programs, And Research, Rania Roushdy, Maia Sieverding

Poverty, Gender, and Youth

The Panel Survey of Young People in Egypt (SYPE), first conducted in 2009 among Egyptian youth aged 10–29, focuses on education, employment, health, family formation, migration, reproductive health, social issues, and civic/political participation. This second round, SYPE 2014, was conducted in the wake of two youth-led revolutions (2011 and 2013). SYPE 2014 attempts to understand changes that occurred among Egyptian youth over the period between the two rounds through targeting the same group of respondents of the 2009 survey in 2014 to accurately document changes and progress in the status of these young people. Preliminary findings indicated: a slight decrease …


Urban Adolescents' Needs Assessment Survey In Bangladesh: Summary, Bied, Bracu, Population Council Jan 2015

Urban Adolescents' Needs Assessment Survey In Bangladesh: Summary, Bied, Bracu, Population Council

Poverty, Gender, and Youth

The Urban Adolescents’ Needs Assessment Survey in Bangladesh was designed to provide a general overview of the experience of urban adolescents, along with specific policy recommendations for adolescent programs. The Population Council, in collaboration with the BRAC Institute of Educational Development, developed this study as part of a broader needs assessment to inform several urban adolescent programs aimed at improving educational outcomes, providing better access to sexual and reproductive health information, and providing counseling and mental health support. The findings have implications for existing and future program strategies to promote adolescent well-being. This document provides a snapshot of the survey …


Adolescent Girls Empowerment Program (Agep): Program Overview, Population Council Jan 2015

Adolescent Girls Empowerment Program (Agep): Program Overview, Population Council

Poverty, Gender, and Youth

For Zambian girls, social isolation, economic vulnerability, and lack of appropriate health information and services are critical problems that prevent a healthy transition from girlhood to womanhood. The challenges that girls are confronted with—high rates of gender-based violence, unsafe sex that puts girls at risk for unwanted pregnancy and HIV infection, school dropout, lack of economic resources and income-generating options, lack of agency and participation—are linked together through their root causes. Therefore, the solutions must be interconnected as well. Through the Adolescent Girls Empowerment Program (AGEP), the Population Council and partners are implementing a social, health, and economic asset-building program …


Baseline Survey Instruments: Adolescent Girls Initiative–Kenya, Population Council Jan 2015

Baseline Survey Instruments: Adolescent Girls Initiative–Kenya, Population Council

Poverty, Gender, and Youth

This document contains various AGI-K survey instruments, including: Household Characteristics Survey (English), Respondent’s Schooling History (English), Respondent’s Work in Last Year (English), Respondent’s Spending in Last Year (English), Respondent’s Savings in Last Year (Kiswahili), Respondent’s Savings in Last Year (English).


Building Assets Toolkit: Developing Positive Benchmarks For Adolescent Girls—Instruction Guide, Judith Bruce, Sarah Engebretsen, Kimberly Glazer Jan 2015

Building Assets Toolkit: Developing Positive Benchmarks For Adolescent Girls—Instruction Guide, Judith Bruce, Sarah Engebretsen, Kimberly Glazer

Poverty, Gender, and Youth

The Building Assets Toolkit is an approach for developing programs for specific segments of girls that will prepare them to better face the challenges of growing up. It will help program managers understand the needs of the girls in their community, engage stakeholders at different levels and with different viewpoints, and build concrete and meaningful programming for adolescent girls. The toolkit contains all the materials needed to help make a preliminary assessment of the assets a girl should acquire and the age by which she should acquire them. This document contains the Building Assets Toolkit’s List of Contents and Instruction …


Participatory Research Results From Training With The Mabinti Tushike Hatamu Out-Of-School Girls Program: Tanzania 2015, Kelly Hallman, Ilan Cerna-Turoff, Neema Matee Jan 2015

Participatory Research Results From Training With The Mabinti Tushike Hatamu Out-Of-School Girls Program: Tanzania 2015, Kelly Hallman, Ilan Cerna-Turoff, Neema Matee

Poverty, Gender, and Youth

The Mabinti Tushike Hatamu (Girls let’s be leaders!) program is designed to test and evaluate strategies for reducing the vulnerability of out-of-school adolescent girls in Tanzania aged 10–19 years to HIV/AIDS, pregnancy, and unfavorable life outcomes. MTH is led by the Tanzania AIDS Commission, implemented by Restless Development, and supported by UNICEF. The Population Council developed a strategy for Restless Development to capture the richness of its activities. The Council designed a training session and a companion toolkit in participatory action research for community volunteers, aged 19–23 years, to use within their girl groups. This report describes the findings from …


Building Assets Toolkit: Developing Positive Benchmarks For Adolescent Girls—Resource Manual, Judith Bruce, Sarah Engebretsen, Kimberly Glazer Jan 2015

Building Assets Toolkit: Developing Positive Benchmarks For Adolescent Girls—Resource Manual, Judith Bruce, Sarah Engebretsen, Kimberly Glazer

Poverty, Gender, and Youth

This document contains the Building Assets Toolkit’s Resource Manual, which includes valuable information about building meaningful program content as well as detailed notes on each asset for use in the toolkit’s “Asset Building Exercise.” This exercise is designed to involve multiple stakeholders in determining what assets girls need in order to survive and thrive. The Building Assets Toolkit is an approach for developing programs for specific segments of girls that will prepare them to better face the challenges of growing up. It will help program managers understand the needs of the girls in their community, engage stakeholders at different levels …


Panel Survey Of Young People In Egypt (Sype) 2014: Generating Evidence For Policies And Programs—Summary Report, Rania Roushdy, Maia Sieverding Jan 2015

Panel Survey Of Young People In Egypt (Sype) 2014: Generating Evidence For Policies And Programs—Summary Report, Rania Roushdy, Maia Sieverding

Poverty, Gender, and Youth

This document contains the Summary Report to the Panel Survey of Young People in Egypt (SYPE) 2014: Generating Evidence for Policy, Programs, and Research. SYPE, which was first conducted in 2009 among Egyptian youth aged 10–29, focuses on education, employment, health, family formation, migration, reproductive health, social issues, and civic/political participation. The second round, SYPE 2014, was conducted in the wake of two youth-led revolutions (2011 and 2013). SYPE 2014 attempts to understand changes that occurred among Egyptian youth over the period between the two rounds through targeting the same group of respondents of the 2009 survey in 2014 to …


Las Adolescentes Indígenas: Una Prioridad De Hoy Para Un Mejor Futuro Nacional En El 2015, Population Council Jan 2015

Las Adolescentes Indígenas: Una Prioridad De Hoy Para Un Mejor Futuro Nacional En El 2015, Population Council

Poverty, Gender, and Youth

Esta hoja informativa detalla los problemas prioritarios que enfrentan los adolescentes guatemaltecos y presenta las acciones recomendadas para un mejor futuro nacional. Las áreas prioritarias incluyen la educación primaria y secundaria, la salud reproductiva y los medios de vida. La hoja incluye un ejercicio de cobertura—una herramienta simple, rápida y económica que permite entender a quién están llegando los servicios. Permite además identificar problemas comunes entre organizaciones, comprender el acceso diferenciado, identificar vacíos programáticos y modificar el alcance de los programas.

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This fact sheet details the priority problems facing Guatemalan adolescents and presents recommended actions for a better national …


Panel Survey Of Young People In Egypt (Sype) 2014: Generating Evidence For Policy, Programs, And Research—Appendix, Rania Roushdy, Maia Sieverding Jan 2015

Panel Survey Of Young People In Egypt (Sype) 2014: Generating Evidence For Policy, Programs, And Research—Appendix, Rania Roushdy, Maia Sieverding

Poverty, Gender, and Youth

This document contains the Appendix to the Panel Survey of Young People in Egypt (SYPE) 2014: Generating Evidence for Policy, Programs, and Research, consisting of 39 Indicator Tables. SYPE, which was first conducted in 2009 among Egyptian youth aged 10–29, focuses on education, employment, health, family formation, migration, reproductive health, social issues, and civic/political participation. The second round, SYPE 2014, was conducted in the wake of two youth-led revolutions (2011 and 2013). SYPE 2014 attempts to understand changes that occurred among Egyptian youth over the period between the two rounds through targeting the same group of respondents of the 2009 …


Understanding Factors Influencing Adverse Sex Ratios At Birth And Exploring What Works To Achieve Balance: The Situation In Selected Districts Of Nepal, Mahesh Puri, Anand Tamang Jan 2015

Understanding Factors Influencing Adverse Sex Ratios At Birth And Exploring What Works To Achieve Balance: The Situation In Selected Districts Of Nepal, Mahesh Puri, Anand Tamang

Poverty, Gender, and Youth

The goal of this study is to identify programs and sociocultural factors underlying disparities in sex ratios at birth in some parts of Nepal, by comparing the situation in districts with high and normal sex ratios at birth and among under-5 children. Findings are expected to inform the design of programs intended to raise the value of girls in general and counter the practice of gender-biased sex selection in particular. The study was conducted in two adjoining hill districts of the western development region of Nepal, namely Kaski (where sex ratios are adverse) and Tanhaun (where sex ratios are normal). …


Is Agep Building Assets For Vulnerable Girls In Zambia? Preliminary Research Findings, Population Council Jan 2015

Is Agep Building Assets For Vulnerable Girls In Zambia? Preliminary Research Findings, Population Council

Poverty, Gender, and Youth

The Adolescent Girls Empowerment Program (AGEP) is a randomized controlled trial that evaluates a multisectoral program intended to increase girls’ social, health, and economic resources. AGEP involves over 10,000 vulnerable girls aged 10–19 in Zambia. The girls participate in weekly girls’ group meetings (safe spaces), receive vouchers for health services, and open savings accounts. AGEP operates in ten sites—five urban and five rural—across four provinces in Zambia. The AGEP evaluation is based on the randomization of girls to participate in one of four arms of the program: 1) safe spaces only, 2) safe spaces + health voucher, 3) safe spaces …


Anneau Vaginal À Progestérone: Évite Les Grossesses, Population Council Jan 2015

Anneau Vaginal À Progestérone: Évite Les Grossesses, Population Council

Reproductive Health

Cette fiche de renseignements fournit des informations sur l’utilisation de l’anneau contraceptif vaginal à la progestérone pour prévenir la grossesse. L'anneau vaginal à progestérone (AVP) offre une nouvelle manière de fournir un moyen de contraception. Il a été prouvé qu'il s'agit d'une méthode contraceptive sûre et efficace pour les femmes qui allaitent. Utilisé par ces femmes, l'AVP évite les grossesses en inhibant la croissance folliculaire et, par conséquent, empêchant l'ovulation; renforçant les effets inhibiteurs de l'allaitement maternel sur l'ovulation; étendant l'aménorrhée post-partum; et épaississant la glaire cervicale, et donc en empêchant les spermatozoïdes d'atteindre l'ovule. L'AVP donc étend la gamme …


Delivering Contraceptive Vaginal Rings, Population Council Jan 2015

Delivering Contraceptive Vaginal Rings, Population Council

Reproductive Health

To bolster sustainable contraceptive delivery and use, USAID recently proposed a renewed focus, articulating five key areas to address unmet need for family planning: Method Choice, Total Market Approach, Family Planning Workforce, Social and Behavior Communication Change, and Strengthened Supply Systems. In its Delivering Contraceptive Vaginal Rings project, the Population Council has entered into a cooperative agreement with USAID to introduce two new modern contraceptive methods in developing markets: the progesterone contraceptive vaginal ring (PCVR), a three-month ring designed specifically for spacing while breastfeeding, and an investigational one-year contraceptive vaginal ring—the Nestorone®/EthinylEstradiol contraceptive vaginal ring (NES/EE CVR)—that can be used …


Marie Stopes International's Sifpo Project—Strengthening International Family Planning Organizations, October 2010–September 2015, Population Council Jan 2015

Marie Stopes International's Sifpo Project—Strengthening International Family Planning Organizations, October 2010–September 2015, Population Council

Reproductive Health

The Population Council was a partner in the Strengthening International Family Planning Organizations (SIFPO) project implemented by Marie Stopes International. SIFPO’s mandate was to increase use of voluntary family planning (FP) services globally by strengthening selected international FP organizations with global reach and an extensive, multicountry network of FP clinics for achieving maximum program impact and synergies. This report outlines the Council’s role within the project: evaluate effectiveness of MSI’s FP programs to identify successful best practices and approaches; assist MSI to disseminate the findings of some or all evaluations; strengthen MSI’s internal research and metrics capacity with thematic workshops …


Union Health And Family Welfare Centers In Chittagong And Munshiganj: Are They Ready To Provide 24-Hour Normal Delivery Services? (Brief), Population Council Jan 2015

Union Health And Family Welfare Centers In Chittagong And Munshiganj: Are They Ready To Provide 24-Hour Normal Delivery Services? (Brief), Population Council

Reproductive Health

To date, the Directorate General of Family Planning (DGFP) of Bangladesh’s Ministry of Health and Family Welfare has established approximately 3,900 Union Health and Family Welfare Centers (UHFWCs) in rural areas providing: family planning; menstrual regulation; vaccinations; and general, reproductive, and maternal health services six days a week. About 1,500 UHFWCs have been upgraded with the necessary staff and equipment to provide normal delivery services round-the-clock in rural areas. In rural areas, public-sector health facilities, including UHFWCs, contribute to only 12 percent of institutional deliveries. Until now, Family Welfare Visitors (FWVs) posted at UHFWCs performed only 0.3 percent of deliveries. …