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2017

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Articles 16321 - 16350 of 16622

Full-Text Articles in Medicine and Health Sciences

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 Jan 2017

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 …

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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 Jan 2017

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 …

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Adolescent Girls Empowerment Program (Agep): Adapting The Safe Spaces Model In Rural Settings, Population Council Jan 2017

Adolescent Girls Empowerment Program (Agep): Adapting The Safe Spaces Model In Rural Settings, Population Council

Poverty, Gender, and Youth

The Adolescent Girls Empowerment Program (AGEP) was implemented with over 10,000 vulnerable adolescent girls aged 10–19 between 2013 and 2016 in five rural and five urban sites in Zambia. Safe Spaces was the core program element in AGEP, and was adapted based on prior programs implemented mainly in urban and peri-urban areas in East and Southern Africa. Given the key differences in the living environments and demographic data for adolescent girls in urban as compared to rural areas in Zambia, one key programmatic learning question for AGEP was if the Safe Spaces model could be adapted and successfully implemented in …

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Adolescent Health: Priorities And Opportunities For Rashtriya Kishor Swasthya Karyakram (Rksk) In Uttar Pradesh, Sapna Desai Jan 2017

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 …

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Characteristics Of Married Adolescent Girls In Egypt [Arabic], Nahla G. Abdel-Tawab, May Gadallah, Doaa Oraby Jan 2017

Characteristics Of Married Adolescent Girls In Egypt [Arabic], Nahla G. Abdel-Tawab, May Gadallah, Doaa Oraby

Poverty, Gender, and Youth

Despite increases in the average age at marriage in Egypt, and laws mandating minimum marriage age, early marriage remains an issue, particularly in rural areas of the country where up to 33 percent of women marry before the age of 18. This brief describes characteristics of married adolescent girls, including health implications of early marriage on pregnancy and childbirth, risk of dangerous complications, and increased exposure to domestic violence.

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Ensuring Adolescents In Uttar Pradesh Stay—And Learn—In School, Sapna Desai, Neelanjana Pandey Jan 2017

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 …

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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 Jan 2017

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 …

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Indigenous Adolescent Girls' Empowerment Network (Imagen), Kelly Hallman, Stephanie Martinez Jan 2017

Indigenous Adolescent Girls' Empowerment Network (Imagen), Kelly Hallman, Stephanie Martinez

Poverty, Gender, and Youth

The Population Council has developed and tested a cache of tools—which can be modified by and for Native communities—for organizations seeking to more intentionally serve girls. The tools allow programs to systematically gauge within their own communities the barriers and opportunities that exist for Native adolescent girls. This realization and opportunity sparked the creation of the Indigenous Adolescent Girls’ Empowerment Network (IMAGEN). The Network was conceived as a means of bringing together Native American–serving organizations that have the enthusiasm and capacity to adopt, document, and share evidence from programs that build on Native girls’ innate talents, while addressing the multiple …

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More Than Brides Alliance: Baseline Report, India, Sharmistha Basu, Rajib Acharya, Andrea J. Melnikas, Sajeda Amin Jan 2017

More Than Brides Alliance: Baseline Report, India, Sharmistha Basu, Rajib Acharya, Andrea J. Melnikas, Sajeda Amin

Poverty, Gender, and Youth

The More Than Brides Alliance seeks to improve the lives of adolescent girls and includes activities across multiple domains (reproductive health, education, gender norms, and livelihoods, to name a few). The Population Council conducted surveys of adolescent girls and young women aged 12–19 in nine districts in four states in India to examine girls’ experiences, including education, marriage and relationships, literacy and numeracy, livelihoods, and gender-equitable attitudes. The study found that few girls were currently involved in any programs, despite demonstrated vulnerabilities (e.g., more than half of the sample was currently out of school) suggesting that there is a clear …

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Immunohistochemical Assessment Of The Peri-Implant Soft Tissues Around Different Abutment Materials : An Experimental Study In Human, Sirikarn Thongmeearkom Jan 2017

Immunohistochemical Assessment Of The Peri-Implant Soft Tissues Around Different Abutment Materials : An Experimental Study In Human, Sirikarn Thongmeearkom

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective To evaluate the effect of 4 different types of abutment material, which are titanium, zirconium oxide, gold alloy, and zirconia-coping cemented on titanium-base, on the surrounding soft tissues. Material and Methods Twenty dental implants in posterior edentulous area were randomly divided into 4 groups and inserted 4 types of abutment materials; Titanium, zirconia, gold-alloy, and titanium-base, on the implant installation surgery day. Eight weeks after implant surgery, peri-implant soft tissues around experimental abutments were harvested and split according to implant side; buccal, lingual, mesial, and distal. The specimens were processed through immunohistochemical preparation and stained with CD3, CD20, CD68, …

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Induction Of Interleukin-1 Receptor Antagonist (Il-1ra) By Porcine Reproductive And Respiratory Syndrome Virus (Prrsv), Teerawut Nedumpun Jan 2017

Induction Of Interleukin-1 Receptor Antagonist (Il-1ra) By Porcine Reproductive And Respiratory Syndrome Virus (Prrsv), Teerawut Nedumpun

Chulalongkorn University Theses and Dissertations (Chula ETD)

Porcine respiratory and reproductive syndrome virus (PRRSV) is one of the major pathogens affecting pig production industry worldwide. Impaired innate and adaptive immune responses are evidenced through the course of PRRSV infection. Several evidences indicate that PRRSV suppresses host immune responses via several immune evasion strategies. Interleukin-1 receptor antagonist (IL-1Ra) is known as an early inhibitory cytokine that suppresses innate immune functions and T lymphocyte responses. The aims of this study were to explore the induction of IL-1Ra by PRRSV and the negative immunomodulatory effects of PRRSV-induced IL-1Ra on porcine immune responses. In this study, the previous monocytes-derived dendritic cells …

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Caregivers’ Malaria Preventive Practice For Under Five Children And Its Association In Ngapudaw High-Risk Township, Ayeyarwady Region-Myanmar, Ei Phyu Htwe Jan 2017

Caregivers’ Malaria Preventive Practice For Under Five Children And Its Association In Ngapudaw High-Risk Township, Ayeyarwady Region-Myanmar, Ei Phyu Htwe

Chulalongkorn University Theses and Dissertations (Chula ETD)

Malaria is a life-threatening disease. Among children under 5 have more chance to get infection, illness and death due to severe malaria in high transmission areas of malaria. This study aimed to describe the characteristics and malaria preventive practices among caregivers of under-five children and to find out the associations between them in high-risk areas of Ngapudaw Township, Ayeyarwady Region-Myanmar. A community based cross-sectional study was conducted among 422 caregivers of children under five in April 2018. Data was collected using interviewer-administered questionnaires and entered by double entry. Data analysis was done using excel and SPSS version 22 by Chi-square …

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A Randomized Controlled Trial On The Effectiveness Of Court-Type Traditional Thai Massage Versus Topical Diclofenac To Treat Frozen Shoulder, Puangpaka Tankitjanon Jan 2017

A Randomized Controlled Trial On The Effectiveness Of Court-Type Traditional Thai Massage Versus Topical Diclofenac To Treat Frozen Shoulder, Puangpaka Tankitjanon

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aims to evaluate the effectiveness of the court-type traditional Thai massage (CTTM) in treating patients suffering from frozen shoulder in comparison with topical diclofenac (TD). A randomized controlled trial was conducted at the Thai Traditional Medical Service Center, Sukhothai Thammatirat University, Nonthaburi province. The participants of idiopathic frozen shoulder were diagnosed by the orthopedic doctor. Sixty female patients aged were randomly assigned to receive CTTM (treatment group, n=30) and TD (control group, n=30). CTTM was performed for 12 sessions during a 1-6 week period, and followed up at week 8th, 10th. TD was administered 5 g three times …

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Characteristics Of Hiv-Infected Children At Enrollment Into Care And At Antiretroviral Therapy Initiation In Central Africa, A Adedimeji, A Edmonds, Donald R. Hoover, Qiuhu Shi, J Sinayobye, M Nduwimana, P Lelo, D Nash, K Anastos, M Yotebieng Jan 2017

Characteristics Of Hiv-Infected Children At Enrollment Into Care And At Antiretroviral Therapy Initiation In Central Africa, A Adedimeji, A Edmonds, Donald R. Hoover, Qiuhu Shi, J Sinayobye, M Nduwimana, P Lelo, D Nash, K Anastos, M Yotebieng

NYMC Faculty Publications

BACKGROUND: Despite the World Health Organization (WHO) regularly updating guidelines to recommend earlier initiation of antiretroviral therapy (ART) in children, timely enrollment into care and initiation of ART in sub-Saharan Africa in children lags behind that of adults. The impact of implementing increasingly less restrictive ART guidelines on ART initiation in Central Africa has not been described. MATERIALS AND METHODS: Data are from the Central Africa International Epidemiologic Databases to Evaluate AIDS (IeDEA) pediatric cohort of 3,426 children (0-15 years) entering HIV care at 15 sites in Burundi, DRC, and Rwanda. Measures include CD4 count, WHO clinical stage, age, and …

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Role Of Dual Energy Computed Tomography Imaging In The Diagnosis Of Gout, Divya Jayakumar, S Sehra, S Anand, Gary Stallings, A Danve Jan 2017

Role Of Dual Energy Computed Tomography Imaging In The Diagnosis Of Gout, Divya Jayakumar, S Sehra, S Anand, Gary Stallings, A Danve

NYMC Faculty Publications

Gout is a well-known inflammatory arthritis and affects four percent of the United States population. It results from the deposition of uric acid crystals in joints, tendons, bursae, and other surrounding tissues. Prevalence of gout has increased in the recent decade. Gout is usually seen in conjunction with other chronic comorbid conditions like cardiac disease, metabolic syndrome, and renal disease. The diagnosis of this inflammatory arthritis is confirmed by visualization of monosodium urate (MSU) crystals in the synovial fluid. Though synovial fluid aspiration is the standard of care, it is often deferred because of inaccessibility of small joints, patient assessment …

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Investigation Of Sandwich Generation Caregiver Perceptions And Factors Of Caregiving Strain, Samantha Marie Young Jan 2017

Investigation Of Sandwich Generation Caregiver Perceptions And Factors Of Caregiving Strain, Samantha Marie Young

Masters Theses

The Sandwich Generation caregiver is responsible for caring for their children and parents simultaneously (Miller, 1981). In this study, stressors, burdens, and strains were analyzed in relation to caregiver demographics and the following variables: caregiving relationship quality, caregiving roles, communication, and resources (time and finances). The purpose of this study is to investigate the factors that contribute to perceived strains in Sandwich Generation caregivers. The Sandwich Generation Caregiver Survey was distributed through social media (Facebook, Instagram, Twitter, and LinkedIn), email, listservs, and word of mouth through a nonprobability snowball approach (Creswell, 2012). The researcher used frequency counts, percentages, and mean …

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Exercise Is Medicine: The Exercise Habits And Attitudes Towards Exercise Counseling Of Medical Practitioners, Zoë Roberts Jan 2017

Exercise Is Medicine: The Exercise Habits And Attitudes Towards Exercise Counseling Of Medical Practitioners, Zoë Roberts

Masters Theses

The purpose of this research was to examine the exercise habits of practicing physicians, physician assistants (PA), and nurse practitioners (NP) in Illinois to better understand their attitudes towards counseling their patients on exercise, and to analyze the frequency that these health care providers incorporate exercise counseling into their practices. Current data has revealed the exercise habits of physicians and how it has influenced the physicians' exercise counseling behaviors. But PAs and NPs have not been included in research collectively as a medical team on the topic using exercise counseling and prescription for patient care and treatment. The research was …

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Survellience System For Child Abuse: Bridging The Gap Between Actual And Hidden Cases., Maryam Pyar Ali Lakhdir, Yasmin Parpio, Salima Farooq Jan 2017

Survellience System For Child Abuse: Bridging The Gap Between Actual And Hidden Cases., Maryam Pyar Ali Lakhdir, Yasmin Parpio, Salima Farooq

Community Health Sciences

The dynamics of child abuse have been recognised as a global emerging social issue which is highly associated with child humiliation. The Government of Pakistan has taken many initiatives for addressing issues regarding child abuse and neglect and has designed laws to protect children against exploitation, abuse and violence; however, most of them are not enforced at all or poorly implemented due to lack of proper definition of child abuse and related terms, and different ways of reporting child abuse cases. Most of the non-governmental organisations (NGOs) in Pakistan target extreme cases of child sexual abuse such as child rape …

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Barriers Or Gaps In Implementation Of Misoprostol Use For Post-Abortion Care And Post-Partum Hemorrhage Prevention In Developing Countries: A Systematic Review, Amirali Samnani, Narjis Rizvi, Tazeen Ali, Farina Abrejo Jan 2017

Barriers Or Gaps In Implementation Of Misoprostol Use For Post-Abortion Care And Post-Partum Hemorrhage Prevention In Developing Countries: A Systematic Review, Amirali Samnani, Narjis Rizvi, Tazeen Ali, Farina Abrejo

Community Health Sciences

Background: Around 303,000 maternal deaths occur every year; most of these are preventable (World Health Organization), ICD-10: International classification of diseases and related health problems, 10th revision. Volume 2: Instruction manual, 2010). Ninety-nine percent of these maternal deaths occur in developing countries. PPH contributed 35 % (35%) of total maternal. Several interventions being done to reduce the number of maternal deaths. It has been noted that a simple low cost intervention of providing misoprostol timely could prevent these deaths.
Objectives: The objectives of this systematic review was to identify barriers/gaps in the implementation of misoprostol use for prevention of …

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Role Of Mhealth Applications For Improving Antenatal And Postnatal Care In Low And Middle Income Countries: A Systematic Review, Anam Shahil Feroz, Shagufta Perveen, Wafa Aftab Jan 2017

Role Of Mhealth Applications For Improving Antenatal And Postnatal Care In Low And Middle Income Countries: A Systematic Review, Anam Shahil Feroz, Shagufta Perveen, Wafa Aftab

Community Health Sciences

Background: From 1990 to 2015, the number of maternal deaths globally has dropped by 43%. Despite this, progress in attaining MDG 5 is not remarkable in LMICs. Only 52% of pregnant women in LMICs obtain WHO recommended minimum of four antenatal consultations and the coverage of postnatal care is relatively poor. In recent years, the increased cellphone penetration has brought the potential for mHealth to improve preventive maternal healthcare services. The objective of this review is to assess the effectiveness of mHealth solutions on a range of maternal health outcomes by categorizing the interventions according to the types of mHealth …

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Vaccination Status And Factors For Non- Vaccination In Children At A Tertiary Care Hospital, Shiyam Sunder Tikmani, Tufail Soomro, Sumera Aziz Ali Jan 2017

Vaccination Status And Factors For Non- Vaccination In Children At A Tertiary Care Hospital, Shiyam Sunder Tikmani, Tufail Soomro, Sumera Aziz Ali

Community Health Sciences

Immunization is a very effective strategy to prevent against common infectious disease. The objectives of the study were to determine the immunization status and reasons for non-vaccination of children coming to Civil Hospital Sukkur. This cross-sectional study was conducted pediatric OPD at Civil Hospital Sukkur from January 1, 2013, to June 30, 2013. Parents of children under five years of age brought their child to Outpatient Department of Civil Hospital Sukkur for any illness were asked to participate in the study. Parents who gave informed consent were included in the study. Data were collected using a small questionnaire by the …

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Unintended Pregnancies Among Married Women In Sindh Pakistan: Role Of Lady Health Workers, Sumera Aziz Ali, Unaib Rabbani Jan 2017

Unintended Pregnancies Among Married Women In Sindh Pakistan: Role Of Lady Health Workers, Sumera Aziz Ali, Unaib Rabbani

Community Health Sciences

Background: Unintended pregnancies, which pose substantial risks to both mothers and children, account for 24% of all pregnancies in Pakistan. Door to door visits and service provision by lady health workers (LHWs) may be related to the reduction of such pregnancies, particularly in rural areas. This study aimed to determine the association of knowledge about Lady Health Visitors (LHWs) and door to door visits by LHWs with unintended pregnancies among rural women.
Methods: We conducted a community-based, nested case-control study of 800 pregnant women, identified from the database of an active surveillance mechanism, which registers and follows all pregnant women …

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The Effect Of Breastfeeding On The Cognitive And Language Development Of Children Under 3 Years Of Age: Results Of Balochistan-Early Childhood Development Project, Meesha Iqbal Iqbal, Ghazala Rafique, Sumera Aziz Ali Jan 2017

The Effect Of Breastfeeding On The Cognitive And Language Development Of Children Under 3 Years Of Age: Results Of Balochistan-Early Childhood Development Project, Meesha Iqbal Iqbal, Ghazala Rafique, Sumera Aziz Ali

Community Health Sciences

Background: Breastfeeding is known to be an important factor in the overall growth and development of children. Breastfeeding is thought to lead to enhance cognitive and language development of a child. However, this association has not yet been scientifically and statistically established. This study aimed to explore this association in children under 3 years of age.
Methods: This was a secondary data-analysis of the baseline data of “Balochistan – Early Childhood Development Project”. The final sample comprised of 604 children less than 3 years of age. The children were selected by three-stage stratified random sampling from three districts of Balochistan …

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Predictors Of Modern Contraceptive Usage Among Women In Rural Pakistan: Physical Access To Services Stills A Major Barrier, Sumera Aziz Ali, Zafar Fatmi Jan 2017

Predictors Of Modern Contraceptive Usage Among Women In Rural Pakistan: Physical Access To Services Stills A Major Barrier, Sumera Aziz Ali, Zafar Fatmi

Community Health Sciences

Background: The predictors of contraceptive use may vary in urban and rural areas. Studies have largely focused on the factors predicting contraceptive usage in urban areas. We studied the predictors of contraceptives in one of the rural districts of Pakistan.
Methods: A nested case-control design was used on The Global Network’s Maternal Newborn Health Registry (MNHR) in district Thatta Pakistan between June 2011 to July 2012. Pregnant women before their index pregnancy, who did not use (n = 200 cases) and those used any modern contraceptive method (n = 600 controls), were compared. Logistic regression was used to as certain …

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Can Right To Health Help Policy Makers To Address Maternal Mortality?: A Short Communication, Sumera Aziz Ali, Nadir Suhail, Savera Aziz Ali Jan 2017

Can Right To Health Help Policy Makers To Address Maternal Mortality?: A Short Communication, Sumera Aziz Ali, Nadir Suhail, Savera Aziz Ali

Community Health Sciences

No abstract provided.

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Relationship Between Individual Differences In Functional Connectivity And Facial Emotion Recognition Abilities In Traumatic Brain Injury, Arianna Rigon, Michelle W. Voss, Lyn Siobhan Turkstra, Bilge Mutlu, Melissa Duff Jan 2017

Relationship Between Individual Differences In Functional Connectivity And Facial Emotion Recognition Abilities In Traumatic Brain Injury, Arianna Rigon, Michelle W. Voss, Lyn Siobhan Turkstra, Bilge Mutlu, Melissa Duff

Communication Disorders Faculty Research

Although several studies have demonstrated that facial-affect recognition impairment is common following moderate-severe traumatic brain injury (TBI), and that there are diffuse alterations in large-scale functional brain networks in TBI populations, little is known about the relationship between the two. Here, in a sample of26 participants with TBI and 20 healthy comparison participants (HC) we measured facial-affect recognition abilities and resting-state functional connectivity (rs-FC) using fMRI. We then used network-based statistics to ex-amine (A) the presence of rs-FC differences between individuals with TBI and HC within the facial-affect processing network, and (B) the association between inter-individual differences in emotion recognition …

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Adolescent Girls And Young Women’S Perceptions Of Oral Pre-Exposure Prophylaxis Introduction In Tanzania: Findings From Implementation Science Research, Population Council Jan 2017

Adolescent Girls And Young Women’S Perceptions Of Oral Pre-Exposure Prophylaxis Introduction In Tanzania: Findings From Implementation Science Research, Population Council

HIV and AIDS

The Population Council, in collaboration with the National AIDS Control Programme and CSK Research Solutions Ltd., conducted implementation science research in Tanzania to identify key considerations for introducing pre-exposure prophylaxis (PrEP) antiretroviral medication to adolescent girls and young women (AGYW) at substantial risk of HIV infection. This brief presents results from qualitative in-depth interviews and focus group discussions with AGYWs. Based on the findings, the brief recommends including sensitization and education of communities, parents, and male partners of AGYWs in demand-creation activities; training providers to deliver adequate education about PrEP to avoid misperceptions about its intended use, side effects, and …

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Assessing Hiv-Related Outcomes Among Key Populations Accessing Community-Based Test And Start Services In Nigeria, Project Soar Jan 2017

Assessing Hiv-Related Outcomes Among Key Populations Accessing Community-Based Test And Start Services In Nigeria, Project Soar

HIV and AIDS

This activity brief describes a research study Project SOAR is conducting to better understand how to use existing key population community platforms in Nigeria to expand access to HIV treatment, the cost of such care provided outside of clinical health facilities, and the extent to which false positive misclassification may occur in outreach settings. Given the global “treat all” emphasis and the need to effectively scale up test and start services and minimize misclassification rates, these findings will be important in expanding timely antiretroviral treatment coverage in vulnerable communities in Nigeria and elsewhere.

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Assessment Of Comprehensive Hiv-Risk Reduction Programming For Adolescent Girls And Young Women: Implementation Science Research In Zambia, Population Council Jan 2017

Assessment Of Comprehensive Hiv-Risk Reduction Programming For Adolescent Girls And Young Women: Implementation Science Research In Zambia, Population Council

HIV and AIDS

The Population Council is conducting implementation research to build needed evidence to inform decisionmaking around effective implementation of community-based, girl-centered interventions and to assess their effectiveness in reducing HIV vulnerability among adolescent girls and young women (AGYW)—a population in which AIDS is the leading cause of death in the region. Learnings from this study in Zambia and similar ones in Kenya and Malawi will be valuable for informing each country and the region how to implement AGYW programming that goes beyond the health sector to reduce AGYW's vulnerability to HIV.

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Characteristics Associated With Hiv And Hsv-2 Among Adolescents In Malawi, Barbara Mensch, Erica Soler-Hampejsek Jan 2017

Characteristics Associated With Hiv And Hsv-2 Among Adolescents In Malawi, Barbara Mensch, Erica Soler-Hampejsek

HIV and AIDS

The DREAMS (Determined, Resilient, Empowered AIDS-free, Mentored, and Safe) partnership aims to significantly reduce new HIV infections in adolescent girls and young women (AGYW) in Malawi and other sub-Saharan African countries. To better understand the epidemiological context for the DREAMS programming, Project SOAR analyzed previously collected quantitative cohort data from the Population Council’s Malawi Schooling and Adolescent Study to identify the factors associated with the prevalence and incidence of HIV and the herpes simplex virus, commonly referred to as genital herpes. SOAR’s analysis provides a deeper understanding of the epidemiological and gendered context of the HIV epidemic in Malawi. This …

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