Publications

Background: Sexual and physical abuse in childhood creates a great health burden including on mental and reproductive health. A possible link between child abuse and HIV infection has increasingly attracted attention. This paper investigated whether a history of child physical and sexual abuse is associated with HIV infection among adult women.

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Background: Community-participatory approaches are important for effective maternal and child health interventions. A community-participatory intervention (the Dialogue Model) was implemented in Kwale County, Kenya to enhance uptake of select maternal and child health services among women of reproductive age.

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Abstract
Background: In Mozambique, both the government and partners have undertaken efforts over the last decade to improve FP (family planning) services, especially through training health care providers and promoting the uptake of LARCs (Long Acting Reversible Contraceptives). Despite this, uptake of FP methods has not increased
significantly. This study aims to examine women’s knowledge on LARCs, including their main sources of information, and the quality of care of FP services in rural areas.

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Maternal mortality remains very high in Mozambique, with estimates from 2015 showing a maternal mortality ratio of 489 deaths per 100,000 live births, even though the rates tend to decrease since 1990. Pregnancy related hemorrhage, gestational hypertension and diseases such as malaria and HIV/AIDS are amongst the leading causes of maternal death in Mozambique, and a significant number of these deaths occur within health facilities.

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On October 11th Leonardo Chavane successfully defended his thesis entitled: Facility based Maternal Mortality in Mozambique at the Faculty of Medicine and Health Sciences of Ghent University.

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Female sex workers (FSWs) have restricted access to sexual and reproductive health (SRH) services. We therefore implemented and tested a ‘diagonal’ intervention which combined strengthening of FSW-targeted services (vertical) with making public health facilities more FSW-friendly (horizontal). Applying a convergent parallel mixed-methods design, we triangulated the results of the analysis of process indicators, semi-structured interviews with policy makers and health managers, structured interviews with health care providers and group discussions with peer outreach workers. We then formulated integrated conclusions on the interventions’ feasibility, acceptability by providers, managers and policy makers, and potential sustainability.

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Background: Sexual assault remains a major threat to public health, affecting every gender, gender identity and
sexual orientation. Following the Belgian ratification of the Istanbul Convention in 2016, the feasibility of a Belgian
sexual assault centre model was investigated, aiming to provide more integrated and patient-centred health and
judiciary services to victims of sexual assault. By actively involving health professionals, police and judiciary system
representatives, as well as victims themselves, this feasibility study eventually fed into the Belgian Sexual Assault
Care Centre model. In this process, this paper assessed current Belgian health services and the degree to which the
implementation of this model could contribute to both a more integrated and gender-sensitive care delivery.
Findings from this study and the subsequent recommendations aim to contribute to similar reforms in other
countries that have already taken or are about to take steps towards an integrated, multi-agency support
framework for victims of sexual assault.

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Context: Medicalization of female genital cutting (i.e., having the procedure done by a medical professional) has increased in Egypt in recent years. The relationship between a woman's social position and the decision to use a trained health professional to perform genital cutting is not well understood.

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Background: Epidemiological studies have established human papillomavirus (HPV) infection as the central cause of invasive cervical cancer (ICC) and its precursor lesions. HIV is associated with a higher prevalence and persistence of a broader range of high-risk HPV genotypes, which in turn results in a higher risk of cervical disease. Recent WHO HPV vaccination schedule recommendations, along with the roll out of HAART at an earlier CD4 count within the female HIV-infected population, may have programmatic implications for sub Saharan Africa. This communication identifies research areas, which will need to be addressed for determining a HPV vaccine schedule for this population in sub Saharan Africa. A review of WHO latest recommendations and the evidence concerning one-dose HPV vaccine schedules was undertaken.

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Keygnaert I & Van Melkebeke I (2018) Zorg voor slachtoffers van seksueel geweld: Gids voor steunfiguren. ICRH-Universiteit Gent, Gent, België. ISBN-EAN: 9789078128526

 

Keygnaert I & Van Melkebeke I (2018) Prise en charge des victimes de violences sexuelles : Guide pour les personnes de soutien. ICRH-Universiteit Gent, Gent, België. ISBN-EAN : 9789078128533

         

Keygnaert I & Van Melkebeke I (2018) Care for victims of sexual assault : Guide for significant others. ICRH-Universiteit Gent, Gent, België, ISBN-EAN : 9789078128540

 

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