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Full-Text Articles in Social and Behavioral Sciences

Understanding Married Women's Vulnerability To Hiv Infection In Egypt: An Exploratory Study, Doaa Oraby, Nahla G. Abdel-Tawab Jan 2016

Understanding Married Women's Vulnerability To Hiv Infection In Egypt: An Exploratory Study, Doaa Oraby, Nahla G. Abdel-Tawab

Reproductive Health

This study examines the behavioral, sociocultural, economic, programmatic, and legal factors that aggravate Egyptian women’s vulnerabilities to HIV/AIDS. The study concludes that in low-prevalence settings like Egypt, targeted interventions are the most strategic and cost-effective: for example, HIV awareness-raising with a special focus on the preventive role of consistent, correct condom use, and creating a cadre of peers that could provide psychosocial support and HIV counseling to migrant workers. Furthermore, premarital and antenatal care programs should include HIV awareness-raising and provider-initiated counseling and testing after screening of women to identify those at risk for HIV infection. Concurrently, efforts should be …


Landscape Analysis Of The Family Planning Situation In Pakistan—District Profile: Peshawar, Population Council Jan 2016

Landscape Analysis Of The Family Planning Situation In Pakistan—District Profile: Peshawar, Population Council

Reproductive Health

This district profile of Peshawar is part of the Landscape Analysis of the Family Planning Situation in Pakistan. The factsheet provides a detailed picture of use of antenatal and delivery care services; other socioeconomic indicators; availability of health facilities, pharmacies, and lady health workers; distribution of public static and private facilities by cadre; provision of specific family planning methods by sector; and presence and provision of family planning services/products. The factsheet concludes with a review of consumers’ perspectives on barriers to use of family planning and a chart listing district-specific donors, projects, and implementing partners. The analysis, conducted by the …


The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From Swaziland (Brief #3), Population Council Jan 2016

The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From Swaziland (Brief #3), Population Council

Reproductive Health

Nearly half of girls aged 13–24 in Swaziland suffer some form of sexual violence, according to the country’s 2007 Violence Against Children (VAC) survey. About 10 percent of girls reported experiencing sexual and gender-based violence (SGBV) in school in particular. The Swaziland Action Group Against Abuse (SWAGAA) is recognized as Swaziland’s leading SGBV prevention, response, and advocacy organization. This Learning Brief describes how SWAGAA is tackling SGBV in schools in three different ways: 1) helping girls take more control of their school experience through a new self-efficacy module in the Girls’ Empowerment Clubs; 2) encouraging girls, and giving them the …


The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From Uganda (Brief #6), Population Council Jan 2016

The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From Uganda (Brief #6), Population Council

Reproductive Health

Sexual and gender-based violence (SGBV) in humanitarian contexts is recognized by the UN Refugee Agency as a global concern and as a priority in its programming. Crisis-affected populations often face multiple forms of SGBV at multiple time periods (during conflict, during flight from conflict, and within post-conflict settings). The Africa Regional SGBV Network, set up in 2006, is addressing SGBV in humanitarian contexts in East and Southern Africa. This Learning Brief is one in a series of two that share critical findings on effective responses to the issue in Uganda. This brief notes that relatively higher screening, disclosure, referral, and …


Barriers To Fistula Repair In Uganda: A Formative Study, Population Council Jan 2016

Barriers To Fistula Repair In Uganda: A Formative Study, Population Council

Reproductive Health

This brief describes a formative research study conducted in Uganda by the Population Council, building on the results of a systematic review, to better understand the barriers and enabling factors for fistula repair care delivery and access. Understanding how Ugandan women living with fistula decide to seek care, identify and reach medical centers, and receive adequate and appropriate care is integral and continues to influence the design of a larger implementation pilot. This study focuses on Fistula Care Plus project-supported treatment facilities where fistula camps are routinely held. Results show that while it is difficult to measure the relative influence …


Landscape Analysis Of The Family Planning Situation In Pakistan—District Profile: Karachi, Population Council Jan 2016

Landscape Analysis Of The Family Planning Situation In Pakistan—District Profile: Karachi, Population Council

Reproductive Health

This district profile of Karachi is part of the Landscape Analysis of the Family Planning Situation in Pakistan. The factsheet provides a detailed picture of the use of family planning; use of antenatal and delivery care services; other socioeconomic indicators; availability of health facilities and lady health workers; distribution of public static and private facilities by cadre; provision of specific family planning methods by sector; and presence and provision of family planning services. The factsheet concludes with a review of consumers’ perspectives on barriers to use of family planning. The analysis, conducted by the Population Council, was supported by the …


Analyzing The Building Blocks Of Resilience: Findings From A Baseline Survey Of The Tuungane Population, Health, And Environment Project In Western Tanzania, Kristin Bietsch, Reshma Naik, Kristen P. Patterson, Cara Honzak, Mustafa Kudrati, Hellen Magige, Cheryl Margoluis, Laura Subramanian, Christopher Hale, Carolyn Lamere, Sebastiaan Hess, Craig Leisher Jan 2016

Analyzing The Building Blocks Of Resilience: Findings From A Baseline Survey Of The Tuungane Population, Health, And Environment Project In Western Tanzania, Kristin Bietsch, Reshma Naik, Kristen P. Patterson, Cara Honzak, Mustafa Kudrati, Hellen Magige, Cheryl Margoluis, Laura Subramanian, Christopher Hale, Carolyn Lamere, Sebastiaan Hess, Craig Leisher

Reproductive Health

Although the value of population, health, environment (PHE) programs is appreciated by the development community and the conceptual linkages they incorporate are sound, little evidence exists to demonstrate their short- and long-term impacts—particularly the role that the family planning (FP) component of PHE projects plays in building resilience, improving livelihoods, and helping people adapt to climate change. To contribute to filling this gap, the Evidence Project collaborated with Tuungane, a PHE project jointly implemented by The Nature Conservancy and Pathfinder International, to conduct further analysis of their existing data and examine the evidence base around integrated PHE programming, FP, climate …


Ending The Medicalization Of Female Genital Mutilation/Cutting In Egypt [Arabic], Sarah Ghattass, Nahla G. Abdel-Tawab, Salma Abou Hussein Jan 2016

Ending The Medicalization Of Female Genital Mutilation/Cutting In Egypt [Arabic], Sarah Ghattass, Nahla G. Abdel-Tawab, Salma Abou Hussein

Reproductive Health

[In Arabic] This policy brief examines the extent of medicalization of female genital mutilation/cutting (FGM/C) in Egypt, the characteristics of girls who were cut by medical personnel, factors that may have contributed to increased medicalization, and potential interventions that could influence both physicians and the public to completely abandon the practice. The data show that younger cohorts of women, those from higher wealth quintiles, higher levels of education, and living in urban regions are more likely to have been cut by medical personnel. More importantly, the analysis shows that despite medicalization being more common among young women with the above-mentioned …


Effectiveness Of A Community-Based Sgbv Prevention Model In Emergency Settings In Uganda: Testing The 'Zero Tolerance Village Alliance' Intervention, Chi-Chi Undie, Harriet Birungi, Francis Obare, George Odwe, Jane Harriet Namwebya, Paul Orikushaba, Prosmolly Ayebale, William Onen, Fiona Nicholson, Rachel Chisinga-Francis, Peter Netshabako, Anne Katahoire, David Apollo Kazungu, Darlson Kusasira, Zahra Mirghani, Joanina Karugaba Jan 2016

Effectiveness Of A Community-Based Sgbv Prevention Model In Emergency Settings In Uganda: Testing The 'Zero Tolerance Village Alliance' Intervention, Chi-Chi Undie, Harriet Birungi, Francis Obare, George Odwe, Jane Harriet Namwebya, Paul Orikushaba, Prosmolly Ayebale, William Onen, Fiona Nicholson, Rachel Chisinga-Francis, Peter Netshabako, Anne Katahoire, David Apollo Kazungu, Darlson Kusasira, Zahra Mirghani, Joanina Karugaba

Reproductive Health

Although sexual and gender-based violence (SGBV) is recognized as a growing problem in emergency settings, and the highest number of forcibly displaced people in recorded history were reported by UNHCR in 2015, evaluations of primary SGBV prevention models in these contexts have remained sparse. This study assessed the effectiveness of implementing a community-based SGBV prevention—the ‘Zero Tolerance Village Alliance’ intervention—in Western Uganda. The study demonstrated that the model is an effective means of fostering SGBV prevention in emergency settings. It proved to be particularly effective in: moderating negative gender attitudes and beliefs related to SGBV; positively changing perceptions of community …


Assessing Maternal And Newborn Health Commodities In Bangladesh, Population Council Jan 2016

Assessing Maternal And Newborn Health Commodities In Bangladesh, Population Council

Reproductive Health

The UN Commission on Life-Saving Commodities for Women and Children aims to increase access to 13 commodities in 50 countries. As part of this global effort, the Population Council conducted a landscape analysis in Bangladesh to review policies, guidelines, availability, and use of these commodities. The landscaping exercise had two objectives: 1) to provide a comprehensive description of maternal and newborn health (MNH) commodity issues from policy to point of care; and 2) to engage stakeholders in rolling out the UN Commission recommendations. Based on its findings the analysis recommends: stronger advocacy with pharmaceutical companies to manufacture a single loading …


Findings From Landscape Analysis In Ebonyi On Pre-Eclampsia/Eclampsia, Population Council Jan 2016

Findings From Landscape Analysis In Ebonyi On Pre-Eclampsia/Eclampsia, Population Council

Reproductive Health

Maternal and newborn deaths due to pre-eclampsia and eclampsia (PE/E) are preventable, yet in Nigeria this is the most significant direct cause of maternal deaths. To appreciate the enormity of this problem at country and state levels, a landscape analysis was conducted by the Population Council in 2015 on PE/E in seven states in Nigeria. This brief presents results for the landscape analysis in Ebonyi which identified the gaps in facilities’ and providers’ capacities for preventing, detecting, and managing PE/E; assessing community awareness, beliefs, and experiences of PE/E; and determined priority areas for research and programs to improve access to …


Scaling Up Family Planning In Zambia—Part 2: The Cost Of Scaling Up Family Planning Services, David Collins, Colin Gilmartin Jan 2016

Scaling Up Family Planning In Zambia—Part 2: The Cost Of Scaling Up Family Planning Services, David Collins, Colin Gilmartin

Reproductive Health

This costing study is Part 2 of a broader implementation research study designed to establish the feasibility of integrating successful interventions and lessons from the Scaling Up Family Planning (SUFP) project into Zambia’s health system at the conclusion of the project, and to contribute to the global learning on scaling up family planning services. The main contribution of the costing study was to examine the cost implications in determining the scope and pace of scale up. Challenges experienced during the project reportedly included lack of equipment and limited space in some facilities, government staff shortages, and irregular access to supplies …


The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From Kenya (Brief #2), Population Council Jan 2016

The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From Kenya (Brief #2), Population Council

Reproductive Health

Data from 130 public health facilities supported by LVCT Health—a Kenyan organization with a goal of reducing HIV infections to zero—indicate that over 60 percent of rape survivors attended to from 2011 to 2014 were children below the age of 18. The Africa Regional Sexual and Gender Based Violence (SGBV) Network, set up in 2006, is addressing violence against children (VAC) in four countries. This Learning Brief is one in a series of five that share critical, initial understandings of VAC that will help us respond more effectively to the problem. Initial findings highlight a post-rape care system in Kenya …


Introducing The Progesterone Contraceptive Vaginal Ring In Sub-Saharan Africa, Population Council Jan 2016

Introducing The Progesterone Contraceptive Vaginal Ring In Sub-Saharan Africa, Population Council

Reproductive Health

To bridge the gap between the demand for innovation and access to novel contraceptive options for breastfeeding women, the Population Council and its partners conducted three distinct Willingness to Pay research initiatives to estimate the effect of price on demand for the Progesterone Vaginal Ring (PVR) in sub-Saharan Africa, where unmet need is outpacing the ability to provide timely, cost-effective access to new methods. Additionally, changes in the resource landscape have prompted governments to explore “Total Market” solutions. The Total Market Approach is defined as a coordinated approach that serves all clients in a country—from those requiring free or highly …


Introducing Contraceptive Methods In Low-Resource Settings: New Opportunities In Senegal, Population Council Jan 2016

Introducing Contraceptive Methods In Low-Resource Settings: New Opportunities In Senegal, Population Council

Reproductive Health

This factsheet outlines the Delivering Contraceptive Vaginal Rings project, awarded by USAID to the Population Council in October 2013 to foster the introduction of two contraceptive methods. The objectives of this project are to: 1) improve availability and affordability of a three-month Progesterone Vaginal Ring for postpartum breastfeeding women, and 2) facilitate regulatory approval and introduction of a one-year contraceptive vaginal ring containing Nestorone® and ethinyl estradiol—a long-acting method for non-breastfeeding women that is in the late stages of development. The factsheet identifies milestones achieved and new opportunities in Senegal to implement activities in the year ahead.


Fact Sheet—How Does Quality Of Care Relate To A Rights-Based Approach To Family Planning Programs?, Jan Kumar Jan 2016

Fact Sheet—How Does Quality Of Care Relate To A Rights-Based Approach To Family Planning Programs?, Jan Kumar

Reproductive Health

Because policymakers are challenged by numerous, overlapping definitions of quality of care, with uncertainty about which to adopt, there is a need for common understanding of each construct and its contribution to family planning (FP). This factsheet describes several definitions of quality in health care that are widely accepted. It concludes that improving and assuring quality of care is a legal, ethical, and practical imperative, and is instrumental in achieving outcomes that benefit women, children, and programs. If donors embrace, fund, and hold governments accountable to the fullness of a rights-based approach for FP with an explicit focus on assuring …


Implementation Science Approaches To Family Planning And Reproductive Health: Experiential Learning And Sharing For Implementers, Policy-Makers, Researchers, And Advocates, Laura Reichenbach, Carolyn Rodehau, Emily Peca, John Stanback Jan 2016

Implementation Science Approaches To Family Planning And Reproductive Health: Experiential Learning And Sharing For Implementers, Policy-Makers, Researchers, And Advocates, Laura Reichenbach, Carolyn Rodehau, Emily Peca, John Stanback

Reproductive Health

This is a report on a workshop funded by the United States Agency for International Development (USAID) through the Evidence Project, in collaboration with the TRAction Project. This interactive half-day session provided participants with practical examples of how implementation science (IS) can inform programming and policies related to family planning and reproductive health. Presentations, case studies, and group discussions sought to address the following questions: 1) What are the benefits and challenges or limitations of an IS approach to family planning/reproductive health programming? 2) What is the relationship between evidence and advocacy? 3) How can evidence be best utilized to …


Men As Contraceptive Users: Programs, Outcomes And Recommendations, Karen Hardee, Melanie Croce-Galis, Jill Gay Jan 2016

Men As Contraceptive Users: Programs, Outcomes And Recommendations, Karen Hardee, Melanie Croce-Galis, Jill Gay

Reproductive Health

Knowledge about reaching men as clients of family planning services in today’s programming environment is still limited. This report reviews 47 current activities, programs, and evidence that affect men’s use of contraceptive methods. The review includes three methods that men use directly, namely condoms, vasectomy, and withdrawal, and one that requires their direct cooperation, namely the Standard Days Method. Evidence comes from: a review of published and grey literature documentation of interventions focused on men as users of contraception in low- and middle-income countries; and interviews with organizations and institutions that are conducting programming and research in the area of …


The Private Sector As A Provider Of Family Planning Services In Egypt: Challenges And Opportunities, Nahla G. Abdel-Tawab, Doaa Oraby, Benjamin Bellows Jan 2016

The Private Sector As A Provider Of Family Planning Services In Egypt: Challenges And Opportunities, Nahla G. Abdel-Tawab, Doaa Oraby, Benjamin Bellows

Reproductive Health

The recent increase in Egypt’s fertility rate, following decades of progress in lowering fertility levels, highlights the need for renewed attention to the country’s family planning program. The Ministry of Health is currently the largest provider of family planning in Egypt, serving a diverse population of women, many of whom may not need the free public service. Expanding the role of the private sector in the provision of family planning services and supplies holds great potential to more effectively meet the current and future family planning needs of millions of Egyptian women. This brief examines the role of the private …


Utilization Of National Health Insurance For Family Planning And Reproductive Health Services By The Urban Poor In Uttar Pradesh, India, Arupendra Mozumdar, Kumudha Aruldas, Aparna Jain, Laura Reichenbach, Robin Keeley, M.E. Khan Jan 2016

Utilization Of National Health Insurance For Family Planning And Reproductive Health Services By The Urban Poor In Uttar Pradesh, India, Arupendra Mozumdar, Kumudha Aruldas, Aparna Jain, Laura Reichenbach, Robin Keeley, M.E. Khan

Reproductive Health

In 2008, the Government of India launched the National Health Insurance Scheme, Rashtriya Swasthya Bima Yojana (RSBY), to enable families living below the poverty line in both urban and rural areas to access a range of private health services. The available evidence suggests several limitations and barriers that may affect the utilization of RSBY services and warrants a more in-depth examination of the contexts of family planning/reproductive health (FP/RH) services. The Population Council, under the Evidence project, conducted a study among the urban poor to: 1) determine RSBY awareness and barriers to enrollment; 2) identify barriers and facilitating factors to …


Delivering Contraceptive Vaginal Rings To Breastfeeding Women, Population Council Jan 2016

Delivering Contraceptive Vaginal Rings To Breastfeeding Women, Population Council

Reproductive Health

The Progesterone Vaginal Ring (PVR) is a user-controlled contraceptive that helps breastfeeding women safely and effectively space, delay, or limit their next pregnancy. The Population Council and partners developed the PVR to help address the unmet need for contraception among breastfeeding women. The ring provides a convenient option that adds choices for new mothers and promotes optimal infant nutrition and health. This two-page brief provides fast facts for advancing nutrition and infant health with the PVR.


Programme De Recherche Pour Mettre Fin Aux Mgf/E, Population Council Jan 2016

Programme De Recherche Pour Mettre Fin Aux Mgf/E, Population Council

Reproductive Health

Cette fiche technique décrit un nouveau programme de recherche sous la direction du Population Council, financé par le Département pour le développement international du Royaume-Uni, qui s’associera au Programme conjoint UNFPA-UNICEF sur les mutilations génitales féminines/excisions (MGF/E) et Girl Generation pour mener une campagne pour mettre fin à la MGF/E en une génération. Le programme de recherche produira des données probantes de haute qualité pour influencer l’investissement stratégique, les politiques, et les programmes visant à mettre fin à la MGF/E. Ce programme établi sur cinq ans sera mis en œuvre dans 6 à 9 pays d’Afrique sub-saharienne afin d’augmenter considérablement …


Rencontre De Partage Sur La Problématique Des Grossesses Non Désirées Chez Les Adolescents/Jeunes Au Sénégal : Compte Rendu De Rencontre, Babacar Mane, Marie-Jesus Buabey, Nafissatou Diop, Patrick Mugirwa Jan 2016

Rencontre De Partage Sur La Problématique Des Grossesses Non Désirées Chez Les Adolescents/Jeunes Au Sénégal : Compte Rendu De Rencontre, Babacar Mane, Marie-Jesus Buabey, Nafissatou Diop, Patrick Mugirwa

Reproductive Health

En 2015, la Direction de la Santé de la Reproduction et de la Survie de l’Enfant du Ministère de la Santé et de l’Action Sociale (Sénégal), le Population Council, et le bureau régional de Partners in Population and Development Africa, ont co-organisé un atelier de partage des résultats de l’étude “Comprendre les grossesses non désirées au Sénégal—Profil pays.” Ce rapport de rencontre décrit une réunion de suivi en 2016 dont les objectifs étaient d'examiner l'état de faire le point sur la mise en œuvre des recommandations de la rencontre de juin 2015; s’informer de la situation de la santé sexuelle …


The Consumer Perspective: A Consultation With Senior Health Officials From Developing Countries On Standards Of Evidence For Reproductive And Maternal Health Care, The Evidence Project, Step Up Research Programme Consortium Jan 2016

The Consumer Perspective: A Consultation With Senior Health Officials From Developing Countries On Standards Of Evidence For Reproductive And Maternal Health Care, The Evidence Project, Step Up Research Programme Consortium

Reproductive Health

The Population Council (through the STEP UP consortium and the Evidence Project) and the High Impact Practices (HIP) Collaboration, together with other partners, held a series of three consultative meetings around the topic of standards of evidence in reproductive and maternal health. This report details the third and final meeting held in Bellagio, Italy in February 2016. The meeting brought together developing-country decisionmakers to vet, from the research “consumer” perspective, the recommendations that emerged from the second consultation and to elicit further recommendations on how to better generate and package evidence to meet the needs of decisionmakers. Also in attendance …


Health Impacts Of Female Genital Mutilation/Cutting: A Synthesis Of The Evidence, Samuel Kimani, Jacinta Muteshi-Strachan, Carolyne Njue Jan 2016

Health Impacts Of Female Genital Mutilation/Cutting: A Synthesis Of The Evidence, Samuel Kimani, Jacinta Muteshi-Strachan, Carolyne Njue

Reproductive Health

The Africa Coordinating Centre for the Abandonment of Female Genital Mutilation/Cutting, with support from the Population Council, sought to synthesize the evidence on the health impacts of female genital mutilation/cutting (FGM/C), identify recommended interventions, and compile and analyze the existing reference materials. The goal of this review is to inform the development of a comprehensive set of training guidelines and materials for frontline healthcare providers so they can manage the care of women and girls who have undergone FGM/C, prevent the practice at the community level, and accelerate abandonment of FGM/C practices. This analysis underscores the health impacts associated with …


Landscape Analysis Of The Family Planning Situation In Pakistan, Population Council Jan 2016

Landscape Analysis Of The Family Planning Situation In Pakistan, Population Council

Reproductive Health

Pakistan faces a number of challenges to increasing modern contraceptive use. Although there are encouraging signs, such as improved male participation, the addition of about four million current FP users, from 2007 to 2013, and a responsive policy environment with demonstrated political and financial commitment to meeting the country’s FP2020 goals, the task that lies ahead is still huge. This report presents the findings of a landscape analysis of family planning (FP) in Pakistan by the Population Council in 2015 and 2016, with support from the Bill & Melinda Gates Foundation. This landscape analysis assesses both demand and supply side …


Kenya: Helping Adolescent Mothers Remain In School Through Strengthened Implementation Of School Re-Entry Policies, Esther Lwanga Walgwe, Nancy Termini Lachance, Harriet Birungi, Chi-Chi Undie Jan 2016

Kenya: Helping Adolescent Mothers Remain In School Through Strengthened Implementation Of School Re-Entry Policies, Esther Lwanga Walgwe, Nancy Termini Lachance, Harriet Birungi, Chi-Chi Undie

Reproductive Health

By applying robust evidence, securing the support of decisionmakers, and engaging stakeholders, STEP UP enabled national and local decisionmakers to better understand the consequences of unintended pregnancy for adolescent girls’ schooling in Homa Bay County, Kenya. STEP UP is playing an important role in informing the implementation of policies within the Kenyan educational sector that will improve educational opportunities for school-age mothers. Through early stakeholder engagement, strong partnerships, the support of implementers and policymakers, effective communication and dissemination strategies, decisionmaker capacity, and the dedication of the adolescent mothers themselves, evidence generated by STEP UP was successfully utilized by key stakeholders. …


Adolescent Sexual And Reproductive Health Situation: Insights From The 2014 Kenya Demographic And Health Survey, Francis Obare, George Odwe, Harriet Birungi Jan 2016

Adolescent Sexual And Reproductive Health Situation: Insights From The 2014 Kenya Demographic And Health Survey, Francis Obare, George Odwe, Harriet Birungi

Reproductive Health

The 2015 Kenya National Adolescent Sexual and Reproductive Health Policy recognized the importance of addressing adolescent sexual and reproductive health (SRH) needs for achieving the country’s development goals. Although estimates from the 2014 Kenya Demographic and Health Survey (DHS) show the country registered improvements in key reproductive, maternal, and child health outcomes, adolescent outcomes likely remain poor given the challenges associated with adequately addressing their sexual and reproductive health needs. This report presents findings of further analysis of the 2014 Kenya DHS on key SRH outcomes among adolescent girls and boys 15 to 19 years old in Kenya. Understanding the …


Understanding Fertility Regulation Strategies Among Educated Women In Accra, Cicely Marston, Alicia Renedo, Gertrude Nyaaba, Kazuyo Machiyama, Placide Tapsoba Jan 2016

Understanding Fertility Regulation Strategies Among Educated Women In Accra, Cicely Marston, Alicia Renedo, Gertrude Nyaaba, Kazuyo Machiyama, Placide Tapsoba

Reproductive Health

In Ghana fertility is declining, especially among urban educated women, yet according to the Ghana DHS, use of modern family planning methods fell between 2003 and 2014 in Greater Accra, particularly among better-educated and urban women. Recent studies have shown strong resistance to hormonal methods, reportedly because of fear of side effects. This study aimed to understand fertility regulation strategies among educated women in Accra using a qualitative, exploratory approach. Use of different methods was bound up in women’s modern identities and their attempts to meet the demands of modern urban life (get a good education and a professional, well-paid …


Senegal: The Impact Of A Study On Misoprostol Use And Knowledge Among Pharmacists, Eva Burke, E. Robinson, Nafissatou Diop, Kate Reiss, Katharine Footman, Maaike Van Min, Barbara Reichwein, Ian Askew Jan 2016

Senegal: The Impact Of A Study On Misoprostol Use And Knowledge Among Pharmacists, Eva Burke, E. Robinson, Nafissatou Diop, Kate Reiss, Katharine Footman, Maaike Van Min, Barbara Reichwein, Ian Askew

Reproductive Health

The availability of misoprostol is a key part of improving maternal health in low- and middle-income countries. In Senegal, where the drug is not widely available, pharmacies are one of the few places women can access it. STEP UP conducted a study to understand misoprostol knowledge and provision in these pharmacies. The Ministry of Health’s (MoH) commitment to training public providers and pharmacists on all products on the essential medicines list is a promising step toward bettering the health of women in Senegal. Marie Stopes International (MSI) Senegal continues to work to build the capacity of healthcare providers in the …