Medicine and Health Commons^™

Strengthening The Delivery Of Comprehensive Reproductive Health Services At The Community Level In Kenya, Population Council

Reproductive Health

The Population Council APHIA II Operations Research Project collaborated with the Ministry of Public Health and Sanitation to improve the quality of services offered by community-based midwives in two districts in Western Kenya, to prepare them to offer more comprehensive maternal services through antenatal, obstetric, postpartum, and newborn care. The study found that community midwives can tremendously increase clients’ access to essential maternal health services and other reproductive health services. Therefore Ministry of Health and its partners should scale up community midwives’ activities to enable more women access these services. Furthermore, information campaigns are needed to promote the range of …

"Knowing Myself First": Feasibility Of Self-Testing Among Health Workers In Kenya, Sam Kalibala, Waimar Tun, William Muraah, Peter Cherutich, Erick Oweya, Patricia Oluoch

HIV and AIDS

Report of a study exploring the feasibility and acceptability of free HIV home self-testing among health workers in Kenya, within the range of other HIV testing options available.

Prevalence Of Sexually Transmitted Infections Among Men Who Have Sex With Men And Injecting Drug Users And Validation Of Audio Computer-Assisted Self Interview (Acasi) Technique In Abuja, Lagos, And Ibadan, Nigeria: Report Fact Sheet, Enhancing Nigeria's Hiv/Aids Response (Enr) Programme

HIV and AIDS

Most-at-risk populations (MARPS), including men who have sex with men (MSM) and injecting drug users (IDUs), represent only 1 percent of Nigeria’s population yet account for 38 percent of new HIV infections. Despite their elevated risk, MSM and IDUs are less likely than the general population to access HIV prevention and sexual health services because of stigmatization. There is a dearth of data on prevalence of HIV and sexually transmitted infections (STIs) among MSM and IDUs because their behaviors make them difficult to be reached programmatically and engaged in research. While the need for HIV and STI prevalence data is …

2011-2012 Unlv Mcnair Journal, Cyndy Anang, Sajar Camara, Pamela Cornejo, Carla Antonieta Farcello, Ilse Anahi Garcia, Natiera Magnuson, William L. Mccurdy, Lorena Munoz, Maxym V. Myroshnychenko, Ricardo Rios, Theodore Waldeck, Barbara Wallen, Ana Zuniga, Brenda M. Aguilar, Tiffany Alexandra Alvarez, Daniel N. Erosa, Paige C. Espinosa, Carla Antonieta Farcello, Julienne Jochel Paraiso, Nathaniel Derek Phillipps, Carmen Vallin, Jacent N. Wamala, Ernesto Zamora-Ramos

McNair Journal

Journal articles based on research conducted by undergraduate students in the McNair Scholars Program

Table of Contents

Biography of Dr. Ronald E. McNair

Statements:

Dr. Neal J. Smatresk, UNLV President

Dr. Juanita P. Fain, Vice President of Student Affairs

Dr. William W. Sullivan, Associate Vice President for Retention and Outreach

Mr. Keith Rogers, Deputy Executive Director of the Center for Academic Enrichment and Outreach

McNair Scholars Institute Staff

Evaluation Of The Informed Consent Process For Male Circumcision Scale-Up In Zambia, Barbara Friedland, Louis Apicella, Katie D. Schenk, Meredith Sheehy, Paul C. Hewett

HIV and AIDS

This report evaluates the informed consent process for male circumcision conducted through the Male Circumcision Partnership for Zambia, led by Population Services International (Society for Family Health, Zambia), in partnership with Jhpiego, Marie Stopes International, and the Population Council. The objectives of the study were to assess male circumcision clients' comprehension of the informed consent process, examine social norms and practices regarding informed consent for adolescents, compare clients' expectations and experiences, and make additional recommendations for improving the informed consent process.

Breast Cancer Trends Among Kentucky Women, 2004-2007, Kara Ann Hagan

Theses and Dissertations--Nutrition and Food Systems

The purpose of this study is to investigate the discrepancies of female breast cancer mortality between the Appalachian and Non-Appalachian regions of Kentucky using data from the Kentucky Cancer Registry. This study identified subtype, reproductive, and regional differences in women with breast cancer in Kentucky. Among women with breast cancer living in Kentucky from 2004 to 2007, one and three live births significantly increased a woman’s risk of breast cancer mortality by 91% and 58% respectively, compared to a woman with zero live births. Progesterone receptornegative tumor status significantly increased a woman’s risk of breast cancer mortality by 64% compared …

High-Risk Human Papillomavirus (Hpv) Screening And Detection In Normal, Healthy Patient Saliva Samples: A Pilot Cluster Randomized Study, Deirdre O. Turner, Shelley J. Williams-Cocks, Ryan Bullen, Jeremy Catmull, Jesse Falk, Daniel Martin, Jerom Mauer, Annabel E. Barber, Robert C. Wang, Shawn Gerstenberger, Karl Kingsley

Environmental & Global Health Faculty Research

Background: The human papillomaviruses (HPV) are a large family of non-enveloped DNA viruses, mainly associated with cervical cancers. Recent epidemiologic evidence has suggested that HPV may be an independent risk factor for oropharyngeal cancers. Evidence now suggests HPV may modulate the malignancy process in some tobacco- and alcohol-induced oropharynx tumors, but might also be the primary oncogenic factor for inducing carcinogenesis among some non-smokers. More evidence, however, is needed regarding oral HPV prevalence among healthy adults to estimate risk. The goal of this study was to perform an HPV screening of normal healthy adults to assess oral HPV prevalence.

Methods: …

It's All One Curriculum: Guidelines For A Unified Approach To Sexuality, Gender, Hiv, And Human Rights Education [Arabic], International Sexuality And Hiv Curriculum Working Group, Nicole Haberland, Deborah Rogow

Poverty, Gender, and Youth

Education on sexuality and HIV can help adolescents develop the capacity for healthy, respectful relationships and protect themselves from unwanted and unsafe sex, unintended pregnancy, and sexually transmitted infections. A 2015 Population Council study found that sexuality and HIV education programs that address gender and power in intimate relationships are five times more likely to be effective than programs that do not. However, most curricula still do not address these issues. “It’s All One Curriculum” provides a rationale, content, and sample activities for placing gender and rights at the center of sexuality and HIV curricula—both as stand-alone modules and integrated …

Scaling For Change: Strategic Investment In The Poorest Girls In The Poorest Communities, Judith Bruce

Poverty, Gender, and Youth

No abstract provided.

The Population Council's Approach: Promoting Healthy, Safe, And Productive Transitions To Adulthood, Population Council

Poverty, Gender, and Youth

This Promoting Healthy, Safe, and Productive Transitions to Adulthood brief provides an overview of the Population Council’s focus on adolescents that began in the early 1990s. The focus has been accompanied by a commitment to move the field of adolescent research and programs from one often narrowly focused on sexuality, reproductive health, and behavior to the broader social and economic issues that underpin adolescent health and well-being. In 1998, with the publication of The Uncharted Passage—a benchmark review of the situation of adolescent girls in developing countries—the current program of work was launched. The Council’s approach has been characterized by …

Summary Of New Lessons: The Power Of Educating Adolescent Girls, Cynthia B. Lloyd

Poverty, Gender, and Youth

Over the past 15 years, girls’ education in the developing world has been a story of progress, as noted in Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 33. Interest from the development community has grown steadily in response to evidence documenting the benefits of girls’ schooling, and female education is now a major part of global development commitments. Education helps adolescent girls avoid long working hours and early pregnancies, and lowers risk of HIV/AIDS, and secondary education offers greater prospects of remunerative employment. But according to a 2008 United Nations report, 113 countries failed to reach the …

Calling Attention To Young Adolescents: Building The Evidence Base To Inform Policies And Programs, Martha Brady

Poverty, Gender, and Youth

Young adolescence is a critical life-cycle stage marked by a dynamic combination of opportunity and risk. During this time, children undergo tremendous physical, emotional, social, and cognitive changes as well as socialization into prevailing sexual and gender norms. For the majority, young adolescence is characterized by relatively good health and stable family circumstances, but it can also be a period of vulnerability due to a number of rapid transitions that force some young people into adult roles. Most young adolescents experience the onset of puberty (girls earlier than boys), which typically marks an abrupt life change. Some young adolescents will …

Un Seul Programme : Guide Pour Une Approche Pédagogique Unifiée De La Sexualité, Du Genre, Du Vih Et Des Droits Humains, International Sexuality And Hiv Curriculum Working Group, Nicole Haberland, Deborah Rogow

Poverty, Gender, and Youth

L'éducation sur la sexualité et le VIH peut aider les adolescents à développer leurs capacités à entretenir des relations saines et respectueuses et à se protéger contre les rapports sexuels non désirés et dangereux, les grossesses non désirées et les infections sexuellement transmissibles. Une étude du Population Council de la population de 2015 a révélé que les programmes d'éducation à la sexualité et au VIH qui traitent du genre et du pouvoir dans les relations intimes sont cinq fois plus susceptibles d'être efficaces que les programmes qui ne le font pas. Cependant, la plupart des programmes ne traitent pas encore …

Un Sólo Currículo: Pautas Para Un Enfoque Integrado Hacia La Educación En Sexualidad, Género, Vih Y Derechoshumanos, International Sexuality And Hiv Curriculum Working Group, Nicole Haberland, Deborah Rogow

Poverty, Gender, and Youth

La educación sobre la sexualidad y el VIH puede ayudar a los adolescentes a desarrollar la capacidad de tener relaciones sanas y respetuosas y a protegerse del contacto sexual no deseado e inseguro, el embarazo no deseado y las infecciones de transmisión sexual. El estudio del Population Council de 2015 descubrió que los programas de educación sexual y VIH que abordan el género y el poder en las relaciones íntimas tienen cinco veces más probabilidades de ser efectivos que los programas que no lo hacen. Sin embargo, la mayoría de los planes de estudio aún no abordan estos problemas. "Un …

Un Sólo Currículo: Actividades Para Un Enfoque Integrado Hacia La Educación En Sexualidad, Género, Vih Y Derechoshumanos, International Sexuality And Hiv Curriculum Working Group, Nicole Haberland, Deborah Rogow

Poverty, Gender, and Youth

La educación sobre la sexualidad y el VIH puede ayudar a los adolescentes a desarrollar la capacidad de tener relaciones sanas y respetuosas y a protegerse del contacto sexo no deseado e inseguro, el embarazo no deseado y las infecciones de transmisión sexual. El estudio del Population Council de 2015 descubrió que los programas de educación sexual y VIH que abordan el género y el poder en las relaciones íntimas tienen cinco veces más probabilidades de ser efectivos que los programas que no lo hacen. Sin embargo, la mayoría de los planes de estudio aún no abordan estos problemas. "Un …

Costos Del Matrimonio—Negociaciones Maritales En Países En Vías De Desarrollo, Sajeda Amin, Ashish Bajracharya

Poverty, Gender, and Youth

Durante las dos últimas décadas, el Population Council ha acumulado una cantidad de información sobre las causas y correlaciones del matrimonio infantil y documentó sus efectos adversos sobre el bienestar de las mujeres y niñas. En muchas partes de los países en vías de desarrollo, el hecho de comprender el matrimonio infantil es central a la hora de diseñar programas que promuevan transiciones saludables para la edad adulta. La investigación del Council subraya la importancia de los rituales y las prácticas de intercambio matrimonial en todo el mundo y documenta la variación considerable en estas prácticas. Promoción de transiciones a …

Abordar La Violencia Sexual Basada En El Género (Sgbv) Contra Niñas Adolescentes, Sajeda Amin, Althea D. Anderson

Poverty, Gender, and Youth

El trabajo exhaustivo del Population Council sobre espacios seguros de adolescentes y programas de vida ha demostrado los caminos para otorgarle poder a las niñas adolescentes y los beneficios sustanciales para la sociedad. El monitoreo y información de evaluación de estas iniciativas han producido evidencia empírica acerca de numerosas amenazas a la salud y bienestar de las niñas que se relacionan con las fuerzas sociales de la larga data y las emergentes. En países en desarrollo, donde el riesgo de resultados negativos de la salud sexual y reproductiva son altos y las niñas jóvenes están particularmente en alto riesgo, es …

La Démarche Du Population Council: Promouvoir La Santé, La Sécurité Et La Productivité Transitions Vers L'Âge Adulte, Population Council

Poverty, Gender, and Youth

Ce document “Promouvoir des transitions vers l’âge adulte saines, securisées et productives” donne un aperçu de l’attention du Population Council sur les adolescents qui a commencé au début des années 1990. L'accent a été accompagné d'un engagement à ouvrir le champ des études et des programmes consacrés aux adolescents en élargissant le simple domaine de la sexualité, de la santé génésique et des comportements aux grandes questions sociales et économiques qui sous-tendent la santé et le bien-être des adolescents. En 1998, avec la publication de The Uncharted Passage—un examen de référence de la situation des adolescentes dans les pays en …

Dying Today: Perspectives Of The Modern Hospice Worker, Nicholas Jay Mac Murray

All Graduate Theses, Dissertations, and Other Capstone Projects

From a sociological standpoint, death is relatively difficult to research. While some individuals may describe near-death experiences, the actual act of death cannot be fully known to the living. The purpose of this study is to gain insight into the nature of death and dying in the United States today. This research examines the perspective of modern hospice workers. These individuals work near death on a regular basis and therefore have a privileged understanding of what death is like in US society today. Data consist of ten in-depth interviews with hospice/ palliative-care workers in the Midwestern United States. Respondents were …

Les Coûts Du Mariage—Les Transactions Matrimoniales Dans Le Monde En Développement, Sajeda Amin, Ashish Bajracharya

Poverty, Gender, and Youth

Au cours des deux dernières décennies, le Population Council a receuilli une multitude d'informations sur les causes et les corrélats du mariage des enfants et documenté ses effets néfastes sur le bien-être des femmes et des filles. Dans de nombreuses régions du monde en développement, la compréhension du mariage des enfants est au coeur de la conception de programmes qui favorisent des transitions saines vers l'âge adulte. Les travaux de recherche du Population Council soulignent également l'importance des rituels et des pratiques d'échange matrimoniales dans le monde et éclairent les différences considérables entre ces pratiques. Promouvoir des transitions vers l'âge …

Creación De 'Espacios Seguros' Para Niñas Adolescentes, Wendy Baldwin

Poverty, Gender, and Youth

La adolescencia es una época de muchas transiciones y es el moment en el que se adquieren las habilidades para la vida adulta. Aunque las habilidades se pueden seguir adquiriendo durante la edad adulta, la adolescencia es al momento en el que se debe crear una base en la educación, habilidades financieras, comportamientos de salud positivos y pensamiento crítico. Para muchas niñas en el mundo en desarrollo, la oportunidad de moverse libremente en la comunidad se vuelve más limitada en el comienzo de la pubertad. Esta es una medida protectora bien intencionada, pero provoca la limitación de las oportunidades de …

Ampliación De Programas Para Adolescentes Vulnerables: Experiencias, Entendimientos Y Evidencia, Martha Brady

Poverty, Gender, and Youth

El deseo de la comunidad de desarrollo internacional por aliviar la pobreza y mejorar los resultados de la salud presenta una oportunidad extraordinaria para transformar la vida de la gente joven, particularmente de las niñas. Ciclos de analfabetismo, escasas posibilidades de trabajo y aislamiento social pueden frenarse, pero requerirán de esfuerzos coordinados para alcanzar a una gran cantidad de niñas adolescentes vulnerables con programas sólidos construídos en base a los valores. El hecho de ampliar los programas piloto efectivos será crítico para lograr estos objetivos. A pesar de que hay un cuerpo de búsqueda en expansión alrededor de intervenciones de …

Pilotage D'Un Programme Visant À Sécuriser L'Espace Et À Renforcer Les Ressources Des Adolescentes Vivant Dans Les Zones Urbaines Du Ghana, Sarah Engebretsen, Selina F. Esantsi

Poverty, Gender, and Youth

La population du Ghana compte 24 millions d’habitants et devrait atteindre 31,8 millions d’habitants en 2025. Cette croissance démographique va de pair avec l’urbanisation rapide. Les adolescentes qui vivent en milieu urbain connaissent rapidement une diminution du taux de scolarisation, souvent parce qu'elles doivent apporter un soutien économique à leur familles. Les filles qui vivent à l’écart de leur famille et qui ne sont pas scolarisées sont souvent dépourvues de réseaux sociaux et ont peu d'occasions d’adquérir des compétences nécessaires à la vie adulte. Le Population Council dispose d’un portefeuille mondial d’activités consacrées aux adolescentes vulnérables avec des programmes qui …

Costs Of Marriage—Marriage Transactions In The Developing World, Sajeda Amin, Ashish Bajracharya

Poverty, Gender, and Youth

Over the past two decades the Population Council has amassed a wealth of information on the causes and correlates of child marriage and documented its adverse effects on the well-being of women and girls. In many parts of the developing world, understanding child marriage is central to designing programs that promote healthy transitions to adulthood. Council research also underscores the importance of rituals and practices of marriage exchange around the globe and documents the considerable variation in these practices. Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 35 synthesizes some broad themes that have emerged from research on …

Taking Programs For Vulnerable Adolescents To Scale: Experiences, Insights, And Evidence, Martha Brady

Poverty, Gender, and Youth

The international development community’s desire to alleviate poverty and improve health outcomes presents an extraordinary opportunity to transform the lives of young people, particularly girls. Cycles of illiteracy, poor job prospects, and social isolation can be broken but will require concerted efforts to reach large numbers of vulnerable adolescent girls with robust asset-building programs. Scaling-up effective pilot programs will be critical to achieving these goals. While there is an expanding body of research around scaling up health interventions, less is known or documented about scaling up cross-sectoral programs for adolescent girls. Bringing to scale programs directed toward poor, often invisible …

Addressing Sexual And Gender-Based Violence (Sgbv) Against Adolescent Girls, Sajeda Amin, Althea D. Anderson

Poverty, Gender, and Youth

The Population Council’s extensive work on adolescent safe spaces and livelihoods programs has demonstrated the pathways of empowering adolescent girls and the substantial benefits for society. Monitoring and evaluation data from these initiatives have produced empirical evidence about threats to girls’ health and well-being that relate to both longstanding and emergent social forces. In developing countries, where the risk of adverse sexual and reproductive health outcomes is high and young girls are at high risk, it is important to address issues related to sexual and gender-based violence (SGBV) and gender norms that relate to these risks. The Council’s work with …

Assessing Equity Of Access In Programs For Young People, Adam Weiner

Poverty, Gender, and Youth

Young people aged 10–19 make up almost 20 percent of the population in less developed regions. This vast, highly diverse population faces a variety of threats that could disrupt their healthy transition to adulthood, including early marriage and childbearing, school leaving, violence, exploitation, unemployment, and HIV/AIDS. The majority of youth programs fail to reach the most vulnerable; most programs are only accessible to those with greater levels of social and human capital, such as an education or friendship networks. Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief No. 28 describes how the Population Council, recognizing the need for generating …

Piloting A Safe Spaces, Asset-Building Program For Adolescent Girls In Urban Ghana, Sarah Engebretsen, Selina F. Esantsi

Poverty, Gender, and Youth

Ghana’s population of 24 million is projected to reach 31.8 million in 2025. This population growth is coupled with rapid urbanization. Urban adolescent females experience a rapid decline in school enrollment, often because they need to provide economic support to families. Girls living apart from families and out of school often lack social networks and have few opportunities to build the critical skills needed for adulthood. The Population Council has a global portfolio of work reaching vulnerable adolescent girls with programs that provide a safe, girl-specific platform where girls can develop core skills, form friendships, receive and give peer support, …

Creating 'Safe Spaces' For Adolescent Girls, Wendy Baldwin

Poverty, Gender, and Youth

Adolescence is a time of many transitions and a time to acquire the skills for adult life. Although skills can still be acquired in adulthood, adolescence is a time to lay a foundation of education, financial skills, positive health behaviors, and critical thinking. For many girls in the developing world, the opportunity to move freely in the community becomes limited at the onset of puberty. This may be a well-intentioned protective measure, but the effect can be to limit girls’ opportunity to form strong social networks, gain requisite skills, and learn how to be full members of their community. The …

Conception D'Un Programme Centré Sur Les Filles : Boîte À Outils Pour L'Elaboration, Le Renforcement Et L'Expansion De Programmes Destinés Aux Adolescentes, Karen Austrian, Dennitah Ghati

Poverty, Gender, and Youth

“Conception d’un programme centré sur les filles: Boîte à outils pour l’elaboration, le renforcement et l’expansion de programmes destinés aux adolescentes” est un ensemble d’outils et de directives pour renforcer les programmes destinés aux adolescentes dans les zones urbaines du Kenya. Basée sur les discussions d’une réunion de 2010 du Kenya Adolescent Girls’ Brain Trust, organisée par le Centre Binti Pamoja et le Population Council, la boîte à outils s’adresse à toute personne désireuse de travailler avec des adolescentes de 10 à 24 ans. Elle peut être utile au concepteur ou à l’exécutant d’un programme, à la personne chargée de …