Publications

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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Purpose: A gender analysis was conducted to illuminate the key elements of friendships highlighted by early adolescent girls and boys in two sites for the purpose of better understanding the impact of gender norms on adolescent friendships in different contexts.

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Background: The contraceptive prevalence rate in Mozambique was estimated as 11.3% in the last Demographic and Health Survey. The impact of family planning (FP) on women's health and on the reduction of maternal mortality is well known.

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Purpose: Young men who have sex with men (YMSM) in Myanmar are disproportionately affected by HIV, with prevalence five times that of the general population. The Link Up project implemented an intervention using peer education and outreach providing education and counseling on health seeking around sexually transmitted infections and reproductive health, combined with focused clinic capacity building to improve the sexual and reproductive health of YMSM. This study aimed to evaluate the effectiveness and acceptability of the intervention.

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Background: Female sex workers (FSWs) are extremely vulnerable to adverse sexual and reproductive health (SRH) outcomes. To mitigate these risks, they require access to services covering not only HIV prevention but also contraception, cervical cancer screening and sexual violence. To develop context-specific intervention packages to improve uptake, we identified gaps in service utilization in four different cities

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