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Articles 211 - 240 of 618

Full-Text Articles in Family, Life Course, and Society

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. …


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 …


Acceptability And Feasibility Of Introducing Strengthened School-Based Sexual And Reproductive Health Information And Services In Accra, Ghana, Terence Adda-Balinia, Philip Teg-Nefaah Tabong, Maya Teye, Philip Baba Adongo, Placide Tapsoba, Harriet Birungi Jan 2016

Acceptability And Feasibility Of Introducing Strengthened School-Based Sexual And Reproductive Health Information And Services In Accra, Ghana, Terence Adda-Balinia, Philip Teg-Nefaah Tabong, Maya Teye, Philip Baba Adongo, Placide Tapsoba, Harriet Birungi

Reproductive Health

An initial study conducted by Population Council under the Strengthening Evidence for Programming on Unintended Pregnancies (STEP UP) project in 2012 assessed the knowledge and reproductive health needs of adolescents living in selected slums in Brong Ahafo and Greater Accra regions with the view of informing an improvement in adolescent sexual health (ASRH) programming in Ghana. The study concludes that stakeholders generally believed there was the need for enhanced adolescent sexual and reproductive health services in school as the present system of delivering these services were not sufficiently addressing ASRH needs. The use of trained psychologists and health workers was …


L’Expérience De Femmes Ayant Subi Une Grossesse Non Désirée Au Sénégal : Une Étude Qualitative, Fatou Mbow, Nafissatou Diop, Awa Diop Dabo, Awa Tounkara Cissé, Seynabou Ba Diakhaté Jan 2016

L’Expérience De Femmes Ayant Subi Une Grossesse Non Désirée Au Sénégal : Une Étude Qualitative, Fatou Mbow, Nafissatou Diop, Awa Diop Dabo, Awa Tounkara Cissé, Seynabou Ba Diakhaté

Reproductive Health

Dans le cadre du projet Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP), et sur financement de DFID, une étude qualitative a été menée dans la région de Dakar, au Sénégal, par le Population Council en partenariat avec la Taskforce pour développer une meilleure compréhension de la vie des femmes ayant subi une grossesse non désirée suite à un viol ou un inceste et apporter leur voix au débat sur la légalisation de l’avortement médicalisé. Actuellement, qu’elles décident de garder la grossesse non désirée ou de s’en débarrasser, dans tous les cas, leur vie en est affectée. En interdisant …


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 …


L’Expérience De Femmes Ayant Subi Une Grossesse Non Désirée Au Sénégal : Une Étude Qualitative [Compte Rendu De La Rencontre De Partage Des Résultats], Fatou Mbow, Nafissatou Diop, Babacar Mane Jan 2016

L’Expérience De Femmes Ayant Subi Une Grossesse Non Désirée Au Sénégal : Une Étude Qualitative [Compte Rendu De La Rencontre De Partage Des Résultats], Fatou Mbow, Nafissatou Diop, Babacar Mane

Reproductive Health

Dans le cadre du projet Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP), et sur financement de DFID, une étude qualitative a été menée dans la région de Dakar au Sénégal par le Population Council en partenariat avec la Taskforce sur l’expérience des femmes ayant subi une grossesse non désirée suite à un viol ou un inceste pour apporter la voix de ces femmes au débat sur la légalisation de l’avortement médicalisée. Une rencontre plus large, dont ce rapport est la synthèse, a été organisée en janvier 2016 par la Direction de la Santé de la Reproduction et de …


Root Causes And Persistent Challenges In Accelerating The Abandonment Of Fgm/C, Jacinta Muteshi-Strachan Jan 2016

Root Causes And Persistent Challenges In Accelerating The Abandonment Of Fgm/C, Jacinta Muteshi-Strachan

Reproductive Health

No abstract provided.


The Fgm/C Research Programme, Jacinta Muteshi-Strachan Jan 2016

The Fgm/C Research Programme, Jacinta Muteshi-Strachan

Reproductive Health

No abstract provided.


A State-Of-The-Art Synthesis On Female Genital Mutilation/Cutting: What Do We Know Now?, Bettina Shell-Duncan, Reshma Naik, Charlotte Feldman-Jacobs Jan 2016

A State-Of-The-Art Synthesis On Female Genital Mutilation/Cutting: What Do We Know Now?, Bettina Shell-Duncan, Reshma Naik, Charlotte Feldman-Jacobs

Reproductive Health

Efforts to end female genital mutilation/cutting (FGM/C) are a rising priority on many national and global agendas. Thus it is imperative to have a clear understanding of the scale and scope of the practice, and where it occurs, as well as the dynamics of change and the broader context surrounding it. This state-of-the-art synthesis offers a snapshot of the most recent data available as of July 2016 and the most relevant contextual information on key FGM/C issues in clear, nontechnical language that can help inform policymakers, donors, program planners, and other key stakeholders. The data point to “hot spot” geographic …


Considerations On The Use And Interpretation Of Survey Data On Fgm/C, Bettina Shell-Duncan Jan 2016

Considerations On The Use And Interpretation Of Survey Data On Fgm/C, Bettina Shell-Duncan

Reproductive Health

This technical brief was written as an addendum to the trends presented in the “State of-Art-Synthesis of Female Genital Mutilation/Cutting: What Do We Know Now?” published in October 2016. This brief describes important sources of reliable data that have been generated in recent years, to provide accurate information on FGM/C practices and attitudes. The majority of these data are derived from cross-sectional survey research, and the brief notes the strengths and limitations of this research approach which should be borne in mind when using and interpreting these data. Table 1 summarizes nationally representative data on FGM/C available from a number …


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

No abstract provided.


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 …


Routine Screening For Intimate Partner Violence: A Guide For Trainers, Odongo Odiyo, Chi-Chi Undie, Margaret Mak'anyengo Jan 2016

Routine Screening For Intimate Partner Violence: A Guide For Trainers, Odongo Odiyo, Chi-Chi Undie, Margaret Mak'anyengo

Reproductive Health

This the first regional document devoted to building the capacity of providers to respond to intimate partner violence (IPV). The training guide is a follow-on initiative to the 6th Best Practices Forum in Health of the East, Central and Southern Africa (ECSA) Health Community, held in August 2012. This Forum brought to the fore research findings from the region centering on the acceptability and feasibility of IPV screening, and culminated in the passage of a resolution by Health Ministers that prescribes the integration of gender-based violence screening into healthcare settings in the ECSA region. This training guide responds to this …


The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From Kenya (Brief #4), Population Council Jan 2016

The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From Kenya (Brief #4), Population Council

Reproductive Health

In an attempt to improve the reporting of child sexual abuse (CSA) and children’s access to services, the Gender-Based Violence Recovery Center (GBVRC) of Kenyatta National Hospital (KNH) in Nairobi, Kenya, is exploring the feasibility of routine screening for CSA in healthcare and school settings. Based on the findings, and in collaboration with the Population Council, the GBVRC is developing a response to CSA that takes into account the contextual realities. The intervention will involve dialogues with parents and children in primary schools. The aim is to get people talking about abuse in their community, the consequences of such abuse, …


Monitoring And Evaluating Fgm/C Abandonment Programs, Jacinta Muteshi-Strachan, Carolyne Njue Jan 2016

Monitoring And Evaluating Fgm/C Abandonment Programs, Jacinta Muteshi-Strachan, Carolyne Njue

Reproductive Health

No abstract provided.


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 …


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 …


Screening For Sexual And Gender-Based Violence In Emergency Settings In Uganda: An Assessment Of Feasibility, Chi-Chi Undie, Harriet Birungi, Jane Harriet Namwebya, Wossen Taye, Lilian Maate, Margaret Mak'anyengo, Anne Katahoire, David Apollo Kazungu, Darlson Kusasira, Zahra Mirghani, Joanina Karugaba Jan 2016

Screening For Sexual And Gender-Based Violence In Emergency Settings In Uganda: An Assessment Of Feasibility, Chi-Chi Undie, Harriet Birungi, Jane Harriet Namwebya, Wossen Taye, Lilian Maate, Margaret Mak'anyengo, Anne Katahoire, David Apollo Kazungu, Darlson Kusasira, Zahra Mirghani, Joanina Karugaba

Reproductive Health

Sexual and gender-based violence (SGBV) is a global predicament to which over a third of women worldwide are exposed. Its negative consequences for reproductive, maternal, adolescent, and mental health are well-documented, however there is sparse evidence for the feasibility of SGBV screening interventions in emergency contexts. Employing a descriptive case study design, this study assessed the feasibility of implementing SGBV screening and referral protocols within health facilities in the emergency setting in Western Uganda. Providers from two health facilities were trained to screen female clients routinely for current exposure to intimate partner violence and lifetime exposure to nonpartner sexual violence. …


Evidence To End Fgm/C Research Programme: Presentation At The Sixtieth Session Of The Un Commission On The Status Of Women, Jacinta Muteshi-Strachan Jan 2016

Evidence To End Fgm/C Research Programme: Presentation At The Sixtieth Session Of The Un Commission On The Status Of Women, Jacinta Muteshi-Strachan

Reproductive Health

No abstract provided.


Progesterone Vaginal Ring: Beneficial Role In Supporting Breastfeeding, Population Council Jan 2016

Progesterone Vaginal Ring: Beneficial Role In Supporting Breastfeeding, Population Council

Reproductive Health

This brief provides evidence for the benefits of the Progesterone Vaginal Ring (PVR), as it supports (and even promotes) breastfeeding so that infants and children are well nourished, protected from a host of illnesses, and benefit from nursing that is uninterrupted by a pregnancy. In addition, the PVR enhances contraceptive protection for the mother so that she has ample time to recover from the previous pregnancy and delivery, while devoting her attention to the newly delivered baby. In this context, when breastfeeding has been recognized as a health behavior that impacts both mother and child and has the potential to …


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 …


The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From South Africa (Brief #1), Population Council Jan 2016

The Africa Regional Sgbv Network Learning Brief Series: Learning Updates From South Africa (Brief #1), Population Council

Reproductive Health

The Thohoyandou Victim Empowerment Programme (TVEP) is one of the largest community-based organizations in Southern Africa with projects that focus on preventing and responding to sexual and gender-based violence and HIV. From 2011–12, 40 percent of all sexual offences in South Africa involved children as victims, according to crime statistics. Over half of the rape cases reported to TVEP in rural Vhembe are children below the age of 18. TVEP is adapting its “Zero Tolerance Village Alliance” (ZTVA) model for children and schools. The ZTVA model is designed to inspire men and women in communities to commit themselves to taking …


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 …


A Systematic Review Of The Treatment And Management Of Pre-Eclampsia And Eclampsia In Nigeria, Karen Kirk, Ishita Chattopadhyay Jan 2016

A Systematic Review Of The Treatment And Management Of Pre-Eclampsia And Eclampsia In Nigeria, Karen Kirk, Ishita Chattopadhyay

Reproductive Health

Throughout the development of a pregnancy, there are many opportunities when pre-eclampsia and eclampsia (PE/E) can be prevented, detected, and managed; based on the literature, certain gaps exist along this continuum of care. To fully appreciate the enormity of the problem at the country level, the Population Council conducted a systematic review of published papers on PE/E in Nigeria from 2000–15 in order to understand the key challenges, gaps, and interventions related to the prevention and treatment of PE/E. In order to have the most impact, this report recommends a multi-level set of interventions that increase community awareness of symptoms …


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

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

Reproductive Health

Maternal and newborn deaths due to pre-eclampsia and eclampsia are preventable, yet in Bangladesh PE/E is the second most common direct cause of maternal mortality, after postpartum hemorrhage. To appreciate the enormity of this problem, at national and district levels, in 2015 the Population Council conducted a landscape analysis in four districts. This brief details the findings on national policy awareness, service provider knowledge and skills, facility capacity and preparedness, and community knowledge and perceptions. The brief concludes with recommendations based on these findings.


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

Findings From Landscape Analysis In Bauchi 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 Bauchi State and details findings on facility capacity and preparedness, service provider knowledge and skills, quality of care, community knowledge and perceptions, and survivors’ experiences. This landscape analysis identified the gaps in facilities’ and providers’ capacities for preventing, detecting, and …


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

Findings From Landscape Analysis In Cross River 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 Cross River State and details findings on facility capacity and preparedness, service provider knowledge and skills, quality of care, community knowledge and perceptions, and survivors’ experiences. The brief recommends increasing community awareness of the condition, improving antenatal care quality, and …


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 …


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

Findings From Landscape Analysis In Katsina 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 Katsina and recommends many areas of opportunity to prevent maternal death associated with PE/E throughout pregnancy, and different approaches to make the most of these opportunities. Maternal and newborn deaths due to PE/E are preventable: by …