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Full-Text Articles in Medicine and Health

Reference Guides For Health Care Organizations Seeking Accreditation For High-Quality, Gender-Sensitive Reproductive Health Services—Appendixes, Patricia Riveros, Erica Palenque, Ricardo Vernon, Ignacio Carreno, John H. Bratt Jan 2009

Reference Guides For Health Care Organizations Seeking Accreditation For High-Quality, Gender-Sensitive Reproductive Health Services—Appendixes, Patricia Riveros, Erica Palenque, Ricardo Vernon, Ignacio Carreno, John H. Bratt

Reproductive Health

Bolivia’s Integral Health Coordination Program (PROCOSI), a network of 33 nongovernmental organizations (NGOs) providing reproductive health care, has long promoted gender sensitivity as a necessary component of high-quality health care. PROCOSI encourages member NGOs to address gender-based differences in roles, relationships, access to services, and service needs in their reproductive health programs. Included in this document are the Appendixes to “The Reference Guides for Health Care Organizations Seeking Accreditation for High-Quality, Gender-Sensitive Reproductive Health Services,” which provide guidance to help health-care organizations and NGOs implement high-quality, gender-sensitive standards to achieve certification for their member clinics and administrative centers. The procedures …

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Mainstreaming Emergency Contraception In Kenya: Final Project Report, Jill Keesbury, Wilson Liambila, Francis Obare, Paul Kuria Jan 2009

Mainstreaming Emergency Contraception In Kenya: Final Project Report, Jill Keesbury, Wilson Liambila, Francis Obare, Paul Kuria

Reproductive Health

For more than a decade, advocates have sought to improve access to emergency contraception (EC) around the world. These efforts have been highly successful in Europe and North America, have generated much debate in Latin America, and are beginning to take hold in Asia. In Africa, however, the success of EC programs remains limited. Even in countries where the regulatory environment is favorable, resource constraints within the public sector limit the ability to provide consistent and quality EC services at low cost. In a growing number of African countries, the private sector has emerged to fill these gaps, increasing access …

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The Copperbelt Model Of Integrated Care For Survivors Of Rape And Defilement: Testing The Feasibility Of Police Provision Of Emergency Contraceptive Pills, Jill Keesbury, Mary Zama, Sudha Shreeniwas Jan 2009

The Copperbelt Model Of Integrated Care For Survivors Of Rape And Defilement: Testing The Feasibility Of Police Provision Of Emergency Contraceptive Pills, Jill Keesbury, Mary Zama, Sudha Shreeniwas

Reproductive Health

The Zambian Ministry of Home Affairs (Police Service), Ministry of Health (MOH) and the Population Council collaborated on an operations research study designed to improve services for survivors of gender-based violence (GBV). Specifically, the study tested the feasibility of police provision of emergency contraception (EC). It also hypothesized that the intervention could strengthen GBV services at both police and health facilities through an increased emphasis on multisectoral collaboration. Based on the study’s findings, national scale-up of this program has been widely endorsed. The following recommendations are offered to guide such scale-up: ensure that a dedicated EC pill is available through …

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An Assessment Of Sexual And Gender Based Violence In Wajir District, North Eastern Kenya, Gladys K. Mwangi, Guyo W. Jaldesa Jan 2009

An Assessment Of Sexual And Gender Based Violence In Wajir District, North Eastern Kenya, Gladys K. Mwangi, Guyo W. Jaldesa

Reproductive Health

A 2006 baseline survey conducted by CARE Kenya indicated that sexual and gender-based violence (SGBV) is widespread throughout Kenya’s North Eastern Province. Other findings revealed that high levels of stigma and gender imbalances are associated with sexual violence and female genital mutilation (FGM) and that a coordinated approach to responding to the service needs of survivors is missing. As noted in this report, there is limited awareness of the legal mechanisms available to survivors. The Population Council’s study in Wajir District ascertained the need for and possible components of an integrated and comprehensive services model that could meet the needs …

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Coping Styles And Sex Differences In Depressive Symptoms And Delinquent Behavior, Lisa A. Kort-Butler Jan 2009

Coping Styles And Sex Differences In Depressive Symptoms And Delinquent Behavior, Lisa A. Kort-Butler

Department of Sociology: Faculty Publications

Building on research that links gender to differences in well-being and differences in stress exposure and vulnerability, the current study examines how coping styles are gendered in ways that may contribute to sex differences in depressive symptoms and delinquent behavior. The study disaggregates stress measures to reflect gender differences in the experience of stress, examining whether avoidant, approach, and action coping condition the relationship between stress and well-being. Regression analyses were conducted using data from the National Longitudinal Study of Adolescent Health. Results revealed sex differences and similarities. The interaction of avoidant coping and stress helped explain why girls had …

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A Brief Feedback Intervention For Diagnostic Overshadowing, David Wood, Terence J.G. Tracey Jan 2009

A Brief Feedback Intervention For Diagnostic Overshadowing, David Wood, Terence J.G. Tracey

Faculty Publications

Clinical decision-making errors are well-documented among both experienced clinicians and students. One robust clinical decision-making error is called diagnostic overshadowing (DO), which occurs when the presence of one diagnosis interferes with the detection of other diagnoses. This study tested whether two types of instruction and brief feedback interventions reduced the likelihood of DO. Specifically, content-based feedback and principle-based feedback significantly reduced the likelihood of DO among doctoral students in clinical and counseling psychology. An intervention effect was found when the training task and the target task were highly similar. Recommendations for improving diagnostic decision-making among trainees in professional psychology are …

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Police Stress: An Examination Of The Effects Of Stress And Coping Strategies., Derrick Kenwright Dec 2008

Police Stress: An Examination Of The Effects Of Stress And Coping Strategies., Derrick Kenwright

Electronic Theses and Dissertations

How police officers deal with stress greatly affects how they carry out their daily lives and how they treat family and friends. In this study 2 police departments were issued surveys to see how the police officers experienced stress. Questions on the survey asked the officers about the sources of stress, sources of support, and which methods they used to alleviate the stress. The surveys were given to the respective departments over a period of 2 months, and 132 surveys were returned. The statistical analysis performed showed danger was a factor when examining stress. Administration support was found to be …

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Hambre Cero And Its Impact On The Holistic Health Of Its Female Beneficiaries, Chelsea Duttweiler Oct 2008

Hambre Cero And Its Impact On The Holistic Health Of Its Female Beneficiaries, Chelsea Duttweiler

Independent Study Project (ISP) Collection

This investigation focused on the study of Hambre Cero (meaning “Zero Hunger”), an anti-poverty program funded by the Nicaraguan government which gives voucher packages to poor rural women. Items given include pregnant cows, pigs, chickens, seeds, and technical assistance with the goal of generating profit for use by the families and women’s cooperatives. The study of this program is important for government accountability, and will also add to the body of knowledge concerning rural development, sustainable health programs, and the feminization of poverty so that more effective development programs can be developed in the future. I specifically studied the program’s …

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Pathways To Drug And Sexual Risk Behaviors Among Detained Adolescents, Dexter R. Voisin Sep 2008

Pathways To Drug And Sexual Risk Behaviors Among Detained Adolescents, Dexter R. Voisin

Faculty Scholarship

This study recruited 559 youths from detention centers (mean age was 15.4 years; 50.1% of detainees were girls) to investigate pathways that link witnessing community violence in the 12 months before detainment to drug and sexual risk behaviors in the two months preceding detainment. Through the use of audio-computer-assisted technology, data were collected on demographics, family factors, peer influences, religiosity, witnessing community violence, and drug and sexual risk behaviors. When controlling for demographics and family variables, the authors found positive associations between witnessing community violence and drug and sexual risk behaviors. Witnessing community violence was directly linked to sexual risk …

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Crowding In Context: An Examination Of The Differential Responses Of Men And Women To High-Density Living Environments, Wendy C. Regoeczi Sep 2008

Crowding In Context: An Examination Of The Differential Responses Of Men And Women To High-Density Living Environments, Wendy C. Regoeczi

Sociology & Criminology Faculty Publications

This study examines the question of gender-equivalent outcomes of mental health and social behavior in the context of crowding stress. It tests the hypothesis that gender will influence the exhibition of stress outcomes resulting from exposure to high-density living environments, with women displaying internalized responses and men responding with externalized styles. Expanding on the types of gender-appropriate disorders examined in this area of research, I selected depression, aggression, and withdrawal as gender-specific disorders based on theory and prior research. Multilevel analyses of data from a survey of Toronto residents indicate that, while the effects of household density are conditioned by …

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Physicians Providing Alternative Medicine: Boundary Crossing And The Emergence Of Integrative Medicine, Richard Scott Lockwood Jun 2008

Physicians Providing Alternative Medicine: Boundary Crossing And The Emergence Of Integrative Medicine, Richard Scott Lockwood

Dissertations and Theses

Integrative medicine (IM) has organized as a new area of specialization in mainstream healthcare. The development of IM is widely attributed to popular demand for the range of therapies known collectively as Complementary and Alternative Medicine (CAM). During the 1990's the rate of acceptance of CAM accelerated among consumers, professions, financing and education. The Medical Expenditure Panel Survey (MEPS) measured CAM utilization and professional service provision during the years 1996 and 1998, but never since. These surveys were unique because they specifically inquired as to whether CAM was provided by a physician, among other types of professionals. This dissertation defines …

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Global Health And Politics: Julia Alvarez’ Saving The World, Amrita Das Jun 2008

Global Health And Politics: Julia Alvarez’ Saving The World, Amrita Das

The Coastal Review

Julia Alvarez’ novel Saving the World (2006) is a comment on the politics of Global Health. Alvarez reconstructs the tale of Isabel Sendales y Gomez, the lone female participant in the early 19th century’s Spanish Royal Expedition to eradicate smallpox around the world, mainly in the Spanish colonies. The historical narrative is paralleled by the tale of Alma Rodríguez, a 21st Century Dominican American author who is faced with a similar situation, aiding in an idealistic project to eradicate AIDS in the Dominican Republic. Alvarez’ work throws into sharp relief what happens when the philanthropic ideals of healing the world …

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Evaluating Satisfaction And Benefit Of Nutrition Counseling Provided By A Registered Dietitian Among Cancer Patients Receiving Radiation Therapy., Bethany A. Stuart May 2008

Evaluating Satisfaction And Benefit Of Nutrition Counseling Provided By A Registered Dietitian Among Cancer Patients Receiving Radiation Therapy., Bethany A. Stuart

Electronic Theses and Dissertations

The purpose of this study was to determine if patients with cancer receiving radiation therapy were satisfied with the nutrition counseling they were receiving and if they obtained any benefit. Radiation increases the risk for side effects such as taste changes, chewing/swallowing problems, constipation, diarrhea, nausea, and vomiting. When these side effects are present, a decrease in food and fluid intake occurs, which leads to weight loss, increased risk of morbidity and mortality, as well as decreased quality of life. Subjects were recruited from a regional cancer treatment facility and a survey was administered to those who met criteria. Subjects …

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Men Selling Sex In Cairo And Alexandria: Perspectives On Male Sex Work And Aids In Egypt, Souad Hamada May 2008

Men Selling Sex In Cairo And Alexandria: Perspectives On Male Sex Work And Aids In Egypt, Souad Hamada

Archived Theses and Dissertations

A qualitative approach was used to study the etiology of male sex work in Egypt and report on issues related to sexual identity, sociodemographic characteristics, and work and HIV contexts of male sex workers. Seven male sex workers aged between 17 and 37 were interviewed in Cairo and Alexandria. This preliminary, exploratory study suggests the existence of a strong relationship between childhood sexual abuse and later involvement in sex work. Other secondary factors driving some youth into sex work include poverty, inadequate salaries, unemployment, low education levels and other types of childhood maltreatment including physical, emotional and psychological abuse and …

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Why We Can't Sleep, Gayle Greene Apr 2008

Why We Can't Sleep, Gayle Greene

Scripps Faculty Publications and Research

Can't sleep? Well you're not alone, especially among women. A 2007 poll by the National Sleep Foundation found that 67 percent of women frequently experience sleep problems and 29 percent use some type of sleep aid at least a few nights a week. Other surveys have consistently found that nearly half again as many women as men complain of insomnia.

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Impacts Of Early Sexual Experience And Associated Risk Of Sexually Transmitted Infection (Sti) Among Teens And Adults In The United States, Ginny Garcia-Alexander Apr 2008

Impacts Of Early Sexual Experience And Associated Risk Of Sexually Transmitted Infection (Sti) Among Teens And Adults In The United States, Ginny Garcia-Alexander

Sociology Faculty Publications and Presentations

This analysis explores incidence rates of sexually transmitted infections (STIs) among minority group teenagers (aged 15-19) and adults aged 20-34 in the United States. The primary research question is aimed at whether or not the early onset of sexual activity is directly related to the incidence of STI transmission among Americans. Discussion is given to the current literature with respect to the most recent trends in STIs as well as some historical background on classifications. Also examined are the differing impacts observed for those who are affected by bacterial infections (young minorities) and those who are affected by viral infections …

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Snooze Alarm: What The Deaths Of Celebrities Can Teach Us About The Dangers Of Insomnia, Gayle Greene Mar 2008

Snooze Alarm: What The Deaths Of Celebrities Can Teach Us About The Dangers Of Insomnia, Gayle Greene

Scripps Faculty Publications and Research

When a star dies from an overdose, there's a tendency to write it off as "drug abuse." That amazing combination of drugs in Heath Ledger's body, for instance -- what was he thinking? Blame the celebrity, chalk it up to reckless living, a self-destructive lifestyle, a pursuit of pleasure through recreational drugs. But the drugs that killed Ledger -- three types of benzodiazepines, an antihistamine, two pain relievers -- are all substances people take for sleep.

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A Bedtime Story, Gayle Greene Mar 2008

A Bedtime Story, Gayle Greene

Scripps Faculty Publications and Research

As we begin National Sleep Awareness Week, that time of year we set the clocks forward, the National Sleep Foundation is busily "Waking America to the Importance of Sleep." A fine and laudable mission, but I wonder, as I watch sleep get its twice-annual 15 minutes of fame --what about those of us who just can't sleep?

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Parent-Child Relations And Peer Associations As Mediators Of The Family Structure-Substance Use Relationship, Lizabeth A. Crawford, Katherine B. Novak Feb 2008

Parent-Child Relations And Peer Associations As Mediators Of The Family Structure-Substance Use Relationship, Lizabeth A. Crawford, Katherine B. Novak

Scholarship and Professional Work - LAS

Using data from the National Education Longitudinal Survey of 1988, the authors assess the extent to which adolescents’ levels of parental attachment and opportunities for participating in delinquent activities mediate the family structure–substance use relationship. A series of hierarchical regressions supported the hypotheses that high levels of substance use among adolescents residing with stepfamilies would be explained by low parental attachment, whereas heightened opportunities for participating in deviant activities would account for the substance use behaviors of individuals living in single-parent households. More generally, the findings suggest that family structure has a moderate effect on youth substance use; that parental …

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How's Your Health? What's Your Zip Code? Poverty And Health, John W. Seavey Jan 2008

How's Your Health? What's Your Zip Code? Poverty And Health, John W. Seavey

The University Dialogue

For centuries it has been known that there is a relationship between one's status within a social system and health. The poor and disadvantaged have traditionally carried the larger burden of disease and disability.

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Emergency Department Utilization Among Victims And Offenders Involved In Non-Lethal Violence, Jerry Daday, Lisa M. Broidy, Cameron S. Crandall Jan 2008

Emergency Department Utilization Among Victims And Offenders Involved In Non-Lethal Violence, Jerry Daday, Lisa M. Broidy, Cameron S. Crandall

Sociology Faculty Publications

The medical literature has focused on violent victimization as a public health concern, examining its correlates and evaluating intervention models. However, the emphasis on victimization in this literature overlooks the strong ties between victimization and offending risks outlined in the criminological literature, which may unnecessarily limit the scope of public health efforts to influence violence in our communities. This study examines whether the similarities observed in the criminological literature are evident in a health care setting. More specifically, do victims and offenders exhibit similar health care utilization patterns? We address this question by comparing the emergency department utilization records, criminal …

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Wisdom, Resilience And Successful Aging: Changing Public Discourses On Living With Dementia, Phyllis Braudy Harris, John Keady Jan 2008

Wisdom, Resilience And Successful Aging: Changing Public Discourses On Living With Dementia, Phyllis Braudy Harris, John Keady

Sociology

No abstract provided.

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Social Support, Material Circumstance And Health Behaviour: Influences On Health In First Nation And Inuit Communities Of Canada, Chantelle A.M. Richmond, Nancy A. Ross Jan 2008

Social Support, Material Circumstance And Health Behaviour: Influences On Health In First Nation And Inuit Communities Of Canada, Chantelle A.M. Richmond, Nancy A. Ross

Aboriginal Policy Research Consortium International (APRCi)

An expansive literature describes the links between social support and health. Though the bulk of this evidence emphasizes the health-enhancing effect of social support, certain aspects can have negative consequences for health (e.g., social obligations). In the Canadian context, the geographically small and socially interconnected nature of First Nation and Inuit communities provides a unique example through which to explore this relationship. Despite reportedly high levels of social support, many First Nation and Inuit communities endure broad social problems, thereby leading us to question the assumption that social support is primarily health protective. We draw from narrative analysis of inter- …

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Assessment Of Risk Factors For Hiv Infection Among Men Who Have Sex With Men In The Metropolitan Area Of Campinas City, Brazil, Using Respondent-Driven Sampling, Maeve De Mello, Adriana De Araujo Pinho, Magda Chinaglia, Waimar Tun, Aristides Barbosa Junior, Maria Cristina, F.J. Ilario, Paulo Reis, Regina C.S. Salles, Suzanne Westman, Juan Diaz Jan 2008

Assessment Of Risk Factors For Hiv Infection Among Men Who Have Sex With Men In The Metropolitan Area Of Campinas City, Brazil, Using Respondent-Driven Sampling, Maeve De Mello, Adriana De Araujo Pinho, Magda Chinaglia, Waimar Tun, Aristides Barbosa Junior, Maria Cristina, F.J. Ilario, Paulo Reis, Regina C.S. Salles, Suzanne Westman, Juan Diaz

HIV and AIDS

The Population Council, in collaboration with the Brazil Ministry of Health, the Municipal Program of STD/AIDS of Campinas, and the US Centers for Disease Control and Prevention/Global AIDS Program/Brazil, conducted a study to characterize the sociodemographic, behavioral, and environmental factors associated with subgroups of MSM who are most at risk for HIV infection. This research is the first Brazilian study to provide population-based estimates for HIV, syphilis, and HIV-related risk behaviors using an innovative sampling technique to reach members of the target population. Our data suggest the importance for HIV prevention programs to address not only sexual risk reduction, but …

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Is It Feasible To Integrate Alcohol-Related Risk Reduction Counseling Into Vct Services? Findings From Kenya, Caroline Mackenzie, Karusa Kiragu, George Odingo, Rukia Yassin, Peter Shikuku, Patrick Angala, Nduku Kilonzo, William Sinkele, Melania Akinyi Jan 2008

Is It Feasible To Integrate Alcohol-Related Risk Reduction Counseling Into Vct Services? Findings From Kenya, Caroline Mackenzie, Karusa Kiragu, George Odingo, Rukia Yassin, Peter Shikuku, Patrick Angala, Nduku Kilonzo, William Sinkele, Melania Akinyi

HIV and AIDS

In Kenya, an estimated 30 percent of men report to be alcohol users which may be fueling the HIV pandemic, due to its association with high-risk sexual behavior and reduced inhibitions. The Population Council’s Horizons program collaborated on a study to improve screening of clients for alcohol use, provision of feedback of screening results, and referrals to care and support during voluntary testing and counseling (VCT) for HIV. Overall, the results indicate that it is feasible to integrate alcohol risk reduction counseling into VCT, and that it is generally accepted by providers and clients alike. This study therefore supports the …

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Promoting Gender Equity As A Strategy To Reduce Hiv Risk And Gender-Based Violence Among Young Men In India, Ravi K. Verma, Julie Pulerwitz, Vaishali Sharma Mahendra, Sujata Khandekar, A.K. Singh, S.S. Das, Sunil Mehra, Anita Nura, Gary Barker Jan 2008

Promoting Gender Equity As A Strategy To Reduce Hiv Risk And Gender-Based Violence Among Young Men In India, Ravi K. Verma, Julie Pulerwitz, Vaishali Sharma Mahendra, Sujata Khandekar, A.K. Singh, S.S. Das, Sunil Mehra, Anita Nura, Gary Barker

HIV and AIDS

The Horizons Program, CORO for Literacy, MAMTA, and Instituto Promundo developed, piloted, and scaled-up a behavior-change intervention in India to examine the effectiveness of interventions to improve young men’s attitudes toward gender roles and sexual relationships, and to reduce HIV risk behaviors and partner violence. The results of this study suggest that young men became less supportive of inequitable gender norms after participating in the interventions. Similarly, there were significant improvements among intervention participants in key outcome indicators, including condom use, partner communication, partner violence, and attitudes toward PLHIV. To maximize the chances of long-term sustainability of these positive changes, …

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Catalyzing Personal And Social Change Around Gender, Sexuality, And Hiv: Impact Evaluation Of Puntos De Encuentro´S Communication Strategy In Nicaragua, Irela Solorzano, Amy Bank, Rodolfo Pena, Henry Espinoza, Mary Ellsberg, Julie Pulerwitz Jan 2008

Catalyzing Personal And Social Change Around Gender, Sexuality, And Hiv: Impact Evaluation Of Puntos De Encuentro´S Communication Strategy In Nicaragua, Irela Solorzano, Amy Bank, Rodolfo Pena, Henry Espinoza, Mary Ellsberg, Julie Pulerwitz

HIV and AIDS

Somos Diferentes, Somos Iguales (SDSI) is a communication for social change strategy whose objective is to prevent future HIV infections in Nicaragua, through mass communication actions that include educational entertainment programs, strengthening of local capacity, and the development of alliances within the communities. This report presents the results of an interinstitutional evaluation to explore the impact of SDSI on gender equity, stigma reduction, personalization of risk perception, knowledge and use of services, interpersonal communication, HIV prevention practices, and individual and collective effectiveness for HIV prevention. The impact evaluation showed that the SDSI strategy made a great contribution in key aspects …

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Propiciando Cambio Personal Y Social Alrededor Del Género, Sexualidad Y Vih: Evaluación De Impacto De La Estrategia De Comunicación De Puntos De Encuentro En Nicaragua, Irela Solorzano, Amy Bank, Rodolfo Pena, Henry Espinoza, Mary Ellsberg, Julie Pulerwitz Jan 2008

Propiciando Cambio Personal Y Social Alrededor Del Género, Sexualidad Y Vih: Evaluación De Impacto De La Estrategia De Comunicación De Puntos De Encuentro En Nicaragua, Irela Solorzano, Amy Bank, Rodolfo Pena, Henry Espinoza, Mary Ellsberg, Julie Pulerwitz

HIV and AIDS

Somos Diferentes, Somos Iguales (SDSI) is a communication for social change strategy whose objective is to prevent future HIV infections in Nicaragua, through mass communication actions that include educational entertainment programs, strengthening of local capacity, and the development of alliances within the communities. This report presents the results of an interinstitutional evaluation to explore the impact of SDSI on gender equity, stigma reduction, personalization of risk perception, knowledge and use of services, interpersonal communication, HIV prevention practices, and individual and collective effectiveness for HIV prevention. The impact evaluation showed that the SDSI strategy made a great contribution in key aspects …

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Caring For Caregivers: An Hiv/Aids Workplace Intervention For Hospital Staff In Zambia—Evaluation Results, Karusa Kiragu, Mutinta Nyumbu, Thabale J. Ngulube, Panganani Njobvu, Chilufya Mwaba, Arthur Kalimbwe, Spike Bradford Jan 2008

Caring For Caregivers: An Hiv/Aids Workplace Intervention For Hospital Staff In Zambia—Evaluation Results, Karusa Kiragu, Mutinta Nyumbu, Thabale J. Ngulube, Panganani Njobvu, Chilufya Mwaba, Arthur Kalimbwe, Spike Bradford

HIV and AIDS

The Horizons Program collaborated on a Caring for Caregivers initiative in Zambia whose objective was to develop and test a risk-reduction workplace program for hospital staff. This was motivated by the recognition that hospital workers are often overlooked in HIV programming, and yet many are infected or affected by HIV. It was also motivated by the fact that hospital staff are heterogeneous, with both clinical and non-clinical staff having varying levels of understanding regarding HIV transmission. Caring for Caregivers was a peer education program targeted at hospital staff and implemented in two hospitals in Zambia, with a combined staff of …

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Repositioning Postnatal Care In A High Hiv Environment: Swaziland, Charlotte E. Warren, Rachel Shongwe, Allen Waligo, Mohammed Mahdi, Goldy Mazia, Indira Narayanan Jan 2008

Repositioning Postnatal Care In A High Hiv Environment: Swaziland, Charlotte E. Warren, Rachel Shongwe, Allen Waligo, Mohammed Mahdi, Goldy Mazia, Indira Narayanan

HIV and AIDS

This Horizons report from the Swaziland Ministry of Health and Social Welfare discusses findings from an intervention which aimed to reposition postnatal care within the context of a high HIV prevalence environment. The objectives were to determine if changes to the sexual and reproductive health guidelines on postnatal care would result in the timely and quality provision of key components of essential maternal and newborn care in the postnatal period, increase utilization of postnatal care services among all postpartum women, and improve the care and follow up of HIV-positive postpartum women and their infants. The study confirms that the introduction …

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