Publications

The last decade of the MDG era witnessed substantial focus on reaching the bottom economic quintiles in low and middle income countries.

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Worldwide, increasing numbers of young unmarried people and adolescents are at risk of unplanned pregnancy. Such pregnancies entail significant consequences for the well-being of mother and child. In his thesis, Peter describes the results of two intervention studies addressing unmarried people in different regions, namely China and Latin America. In the last chapter he proposes an innovative intervention model that might be complementary to existing approaches for the development of future adolescent sexual health programmes and related research.

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Summary: Data from the VOICE study1 showing greater HIV-1 acquisition among women who use depot medroxyprogersterone acetate (DMPA) than injectable norethisterone (NET-EN) contraception elicited comment suggesting that use of DMPA be limited.2 The fundamental uncertainty, which has not been addressed by the VOICE data or recent meta-analyses of other observational data cited in the commentary,3,4 is whether DMPA increases susceptibility to HIV, or whether women at increased risk of HIV are more likely to use DMPA.

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Application of Bethesda guidelines on cervical cytology involves human papillomavirus (HPV) determinations on all ASC-US and ASC-H results. We compared HPV DNA results in view of the eventual development of a cervical intraepithelial neoplasia lesion determined either on cytology or histology

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Economic challenges associated with noncommunicable diseases (NCDs) and the sociocultural outlook of many patients especiallyin Africa have increased dependence on traditional herbal medicines (THMs) for these diseases

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Objective: This study aims to assess inequity in expenditure on sexual and reproductive health (SRH) services in India and Kenya. In addition, this analysis aims to measure the extent to which payments are catastrophic and to explore coping mechanisms used to finance health spending.

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Background: Cervical cancer strikes hard in low-resource regions yet primary prevention is still rare. Pilot projects have however showed that Human Papillomavirus (HPV) vaccination programs can attain high uptake. Nevertheless, a study accompanying a vaccination demonstration project in Eldoret, Kenya, revealed less encouraging outcomes: uptake during an initial phase targeting ten schools (i.e., 4000 eligible girls), was low and more schools had to be included to reach the proposed number of 3000 vaccinated girls. The previously conducted study also revealed that many mothers had not received promotional information which had to reach them through schools: teachers were sensitized by health staff and asked to invite students and parents for HPV vaccination in the referral hospital. In this qualitative study, we investigate factors that hampered promotion and vaccine uptake.

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Implications for practice and research: More studies are needed to examine the experiences and needs of midwives to help guide the design of interventions for optimal care for women with female genital mutilation (FGM). Multidisciplinary and integrated programmes involving midwives and their professional associations and other sectors, should develop strategies to help abandon and advocate against FGM.

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Introduction: Anemia, syphilis and HIV are high burden diseases among pregnant women in sub-Saharan Africa. A quasi-experimental study was conducted in four health facilities in Southern Mozambique to evaluate the effect of point-of-care technologies for hemoglobin quantification, syphilis testing and CD4+ T-cell enumeration performed within maternal and child health services on testing and treatment coverage, and assessing acceptability by health workers.

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Background: Maternal mortality remains a daunting problem in Mozambique and many other low-resource countries. High quality antenatal care (ANC) services can improve maternal and newborn health outcomes and increase the likelihood that women will seek skilled delivery care. This study explores the factors influencing provider uptake of the recommended package of ANC interventions in Mozambique.

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