Publications

Determinants of male modern contraceptive use. An analysis of Demographic and Health Survey data of sexually active men in Kenya.

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Background:Research in Kenya has focussed on family planning from women's perspectives, with the aim of helping reduce the burden of unintended pregnancies. As such, the determinants of modern contraceptive use among sexually active women are well documented. However, the perspectives of men should be considered not only as women's partners, but also as individuals with distinct reproductive histories and desires of their own. This study seeks to understand the determinants of modern contraceptive use among sexually active men, by exploring factors that are correlated with modern contraceptive use.

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Using mixed methods that combined participant observation and semi-structured in-depth interviews, this study looked at changing practices and shifting meanings of female genital cutting among the Maasai people in Tanzania.

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Using mixed methods that combined participant observation and semi-structured in-depth interviews, this study looked at changing practices and shifting meanings of female genital cutting among the Maasai people in Tanzania.

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This cluster-randomized study aimed to assess the Elombe ("Champion") standard operating procedure (SOP), implemented by providers and Mentor Mothers, on HIV-positive pregnant women's retention between first and second antenatal visits. Sixteen facilities in Kinshasa were randomly assigned to intervention (SOP) or comparison (no SOP). Effect of the SOP was estimated using relative risk. Women in comparison facilities were more likely to miss second visits (RR 2.5, 95% CI 1.05-5.98) than women in intervention facilities (30.0%, n = 27 vs. 12.0%, n = 9, p

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This cluster-randomized study aimed to assess the Elombe ("Champion") standard operating procedure (SOP), implemented by providers and Mentor Mothers, on HIV-positive pregnant women's retention between first and second antenatal visits.

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Facility-based maternal mortality remains an important public health problem in Mozambique. A num-
ber of factors associated with health system functioning can be described behind the occurrence of
these deaths. This paper aimed to evaluate the magnitude of the health facility-based maternal mortal-
ity, its geographical distribution and to assess the health facility factors implicated in the occurrence of
these deaths. A secondary analysis was done on data from the survey on maternal health needs per-
formed by the Ministry of Health of Mozambique in 2008. During the study period 2.198 maternal
deaths occurred out of 312.537 deliveries. According to the applied model the availability of Maternal
and Child Health (MCH) nurses performing Emergency Obstetric Care functions was related to the
reduction of facility-based maternal mortality by 40%. No significant effects were observed for the avail-
ability of medical doctors, surgical technicians and critical delivery room equipment.

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Pre- and post-exposure prophylaxes (PrEP and PEP) can reduce the risk of HIV acquisition, yet often are inaccessible to and underutilized by most-vulnerable populations, including sex workers in sub-Saharan Africa. Based on in-depth interviews with 21 female and 23 male HIV-negative sex workers in Mombasa, Kenya, we found that awareness and knowledge of PrEP and PEP were low, although willingness to use both was high.

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