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1.    Full text document

Title: Family Health International's Site Identification and Development Initiative (SIDI).
Author: Family Health International [FHI]
Source: [Research Triangle Park, North Carolina], FHI, [2009]. [3] p. (Research Briefs on HIV Prevention)
Abstract: Successful HIV prevention research requires the participation of tens of thousands of women and men at risk for HIV infection. Ultimately, success hinges on the development of multiple international research sites. To increase the number and readiness of such sites, Family Health International (FHI) began the Site Identification and Development Initiative (SIDI) in July 2006.
Language: English

Keywords:
AFRICA | ASIA | PROGRESS REPORT | CLINICAL RESEARCH | HIV PREVENTION | INCIDENCE | NEEDS | USAID | GOALS | STANDARDS | Developing Countries | Research Methodology | HIV Infections | Viral Diseases | Diseases | Measurement | Economic Factors | Government Agencies | Organizations | Political Factors | Sociocultural Factors | Planning | Organization and Administration
Document Number: 331712  

2.    Full text document

Title: ICPD contributions to universal access for women and girls.
Author: Fundacion para Estudio e Investigacion de la Mujer [FEIM]
Source: Buenos Aires, Argentina, FEIM, 2009. 2 p.
Abstract: This advocacy document, urging governments at the Commission on Population and Development (CPD) to adopt a series of key actions to reaffirm their commitments to the Cairo Programme of Action especially related to sexual health and rights and HIV/AIDS, was distributed to the official delegates of the 42nd session of the CPD in English and Spanish and used to do advocacy with governments.
Language: English

Keywords:
AFRICA | ASIA | LATIN AMERICA | CARIBBEAN | MANUAL | WOMEN | CHILD, FEMALE | REPRODUCTIVE HEALTH | HEALTH SERVICES | REPRODUCTIVE RIGHTS | PROGRAM ACCESSIBILITY | Developing Countries | Americas | Demographic Factors | Population | Child | Youth | Age Factors | Population Characteristics | Health | Delivery of Health Care | Human Rights | Political Factors | Sociocultural Factors | Program Evaluation | Programs | Organization and Administration
Document Number: 328699  

3.    Full text document

Title: ICPD contributions to universal access for women and girls. Aportes de la ICPD para el Acceso Universal para Mujeres y Ninas.
Author: Fundacion para Estudio e Investigacion de la Mujer [FEIM]
Source: Buenos Aires, Argentina, FEIM, 2009. 2 p.
Abstract: This advocacy document, urging governments at the Commission on Population and Development (CPD) to adopt a series of key actions to reaffirm their commitments to the Cairo Programme of Action especially related to sexual health and rights and HIV/AIDS, was distributed to the official delegates of the 42nd session of the CPD in English and Spanish and used to do advocacy with governments.
Language: English

Keywords:
AFRICA | ASIA | LATIN AMERICA | CARIBBEAN | MANUAL | WOMEN | CHILD, FEMALE | REPRODUCTIVE HEALTH | HEALTH SERVICES | REPRODUCTIVE RIGHTS | PROGRAM ACCESSIBILITY | Developing Countries | Americas | Demographic Factors | Population | Child | Youth | Age Factors | Population Characteristics | Health | Delivery of Health Care | Human Rights | Political Factors | Sociocultural Factors | Program Evaluation | Programs | Organization and Administration
Document Number: 328781  

4.    Full text document

Title: Time to deliver on maternal health and family planning best practices: White Ribbon Alliances in Asia and the Middle East make it happen.
Author: Futures Group International. Health Policy Initiative
Source: Washington, D.C., Futures Group International, Health Policy Initiative, 2009 Jul. 12 p.
Abstract: White Ribbon Alliances (WRAs) across Asia and the Middle East have become strong advocates for evidence-based strategies to reduce maternal mortality. The USAID | Health Policy Initiative, Task Order 1, has helped to form alliances and support their efforts to scale up family planning (FP) and maternal, neonatal, and child health (MNCH) best practices in the region. This brief highlights the achievements of alliances from Bangladesh, India (Orissa), Indonesia, Pakistan, and Yemen.
Language: English

Keywords:
ASIA | MIDDLE EAST | SUMMARY REPORT | WOMEN | PREGNANCY | POSTPARTUM WOMEN | MOTHERS | ANTENATAL CARE | MATERNAL HEALTH | MATERNAL MORTALITY | AWARENESS | TRAINING ACTIVITIES | HEALTH POLICY | Developing Countries | Demographic Factors | Population | Reproduction | Puerperium | Parents | Family Relationships | Family Characteristics | Family and Household | Sociocultural Factors | Maternal Health Services | Maternal-Child Health Services | Primary Health Care | Health Services | Delivery of Health Care | Health | Mortality | Population Dynamics | Knowledge | Training Programs | Education | Policy | Political Factors
Document Number: 331562  

5.    Full text document

Title: Expert Group Meeting to Assess the Progress in the Implementation of the Plan of Action on Population and Poverty Adopted at the Fifth Asian and Pacific Population Conference, 3-5 February 2009, Bangkok. Report.
Author: United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]; United Nations Population Fund [UNFPA]
Source: Bangkok, Thailand, ESCAP, 2009. 38 p.
Abstract: The Expert Group Meeting to Assess the Progress in the implementation of the Plan of Action on Population and Poverty adopted at the Fifth Asian and Pacific Population Conference was held at the United Nations Conference Centre, Bangkok from 3 to 5 February 2009. The Expert Group Meeting was organized by the Social Policy and Population Section, Social Development Division, ESCAP in collaboration with the UNFPA Asia and the Pacific Regional Office. The meeting benefited from background papers and country reports prepared by resource persons and representatives of governments.
Language: English

Keywords:
ASIA | OCEANIA | CONFERENCES AND CONGRESSES | ESCAP | POPULATION | SUSTAINABLE DEVELOPMENT | POVERTY | REPRODUCTIVE HEALTH | MATERNAL-CHILD HEALTH SERVICES | GENDER ISSUES | MIGRATION | HIV INFECTIONS | AIDS | IMPLEMENTATION | Developing Countries | UN | International Agencies | Organizations | Political Factors | Sociocultural Factors | Economic Development | Economic Factors | Socioeconomic Factors | Health | Primary Health Care | Health Services | Delivery of Health Care | Population Dynamics | Demographic Factors | Viral Diseases | Diseases | Programs | Organization and Administration
Document Number: 331854  

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Peer Reviewed

Title: 'And they kill me, only because I am a girl'...a review of sex-selective abortions in South Asia.
Author: Abrejo FG; Shaikh BT; Rizvi N
Source: European Journal of Contraception and Reproductive Health Care. 2009 Feb;14(1):10-6.
Abstract: The low social status of women and the preference for sons determine a high rate of sex-selective abortion or, more specifically, female feticide, in South Asian countries. Although each of them, irrespective of its abortion policy, strictly condemns sex-selective abortion, data suggest high rates of such procedures in India, Nepal, China and Bangladesh. This paper reviews the current situation of sex-selective abortion, the laws related to it and the factors contributing to its occurrence within these countries. Based on this review, it is concluded that sex selective abortion is a public health issue as it contributes to high maternal mortality. Abortion policies of South Asian countries vary greatly and this influences the frequency of reporting of cases. Several socio-economic factors are responsible for sex-selective abortion including gender discriminating cultural practices, irrational national population policies and unethical use of technology. Wide social change promoting women's status in society should be instituted whereby women are offered more opportunities for better health, education and economic participation through gender sensitive policies and programmes. A self-regulation of the practices in the medical profession and among communities must be achieved through behavioural change campaigns.
Language: English

Keywords:
ASIA | RESEARCH REPORT | CHILD, FEMALE | SEX PRESELECTION | SOCIAL DISCRIMINATION | BEHAVIOR CHANGE | Developing Countries | Child | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Reproductive Technologies | Reproduction | Social Problems | Sociocultural Factors | Behavior
Document Number: 341236  

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Title: Evidence-based, alternative cervical cancer screening approaches in low-resource settings.
Author: Almeida MC; Aquino EM
Source: International Perspectives on Sexual and Reproductive Health. 2009 Sep;35(3):147-154.
Abstract: Cervical cancer kills approximately 270,000 women worldwide each year, with nearly 85% of those deaths occurring in resource-poor settings.1 Use of the Pap smear for routine screening of women has resulted in a dramatic decline in cervical cancer deaths over the past four decades in wealthier countries. A key reason for continuing high mortality in the developing world is the shortage of efficient, high-quality screening programs in those regions.
Language: English

Keywords:
AFRICA | ASIA | LATIN AMERICA | SUMMARY REPORT | SCREENING | WOMEN | AGE FACTORS | CERVICAL CANCER | HPV | PREVENTION AND CONTROL | LOW INCOME POPULATION | TESTING | TREATMENT | PROGRAM EFFECTIVENESS | Developing Countries | Americas | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Demographic Factors | Population | Population Characteristics | Cancer | Neoplasms | Diseases | Viral Diseases | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Measurement | Research Methodology | Program Evaluation | Programs | Organization and Administration
Document Number: 343005  

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Title: The relationship of family size and composition to fertility desires, contraceptive adoption and method choice in South Asia.
Author: Jayaraman A; Mishra V; Arnold F
Source: International Perspectives On Sexual and Reproductive Health. 2009 Mar;35(1):29-38.
Abstract: CONTEXT: Many countries in South Asia, including Nepal, India and Bangladesh, demonstrate a strong cultural preference for sons, which may influence fertility desires and contraceptive use. METHODS: Demographic and Health Survey data from married, nonpregnant women aged 15-49 who had at least one child were used to examine the relationship of parity and number of sons to reproductive outcomes in Nepal, India and Bangladesh. Outcomes of interest were desire for another child, contraceptive use and type of contraceptive (modern vs. traditional, temporary vs. permanent). Odds ratios and relative risk ratios were calculated using binary and multinomial logistic regression. RESULTS: In general, desire for another child decreased and contraceptive use increased as the number of children and number of sons increased. These associations were more prominent in Nepal and India than in Bangladesh. For example, compared with women who had three daughters and no sons, the odds of contraceptive use among women with two sons and one daughter were 4.8 in Nepal, 3.5 in India and 2.0 in Bangladesh. Within India, the associations of parity and number of sons with reproductive outcomes were generally stronger in northern states than in South India or West Bengal. CONCLUSIONS: Son preference remains widespread in all three countries and has a major influence on reproductive behavior. Reducing such preference would require a change in social norms and attitudes of the people and an improvement of the status of women.
Language: English

Keywords:
ASIA | NEPAL | BANGLADESH | INDIA | RESEARCH REPORT | SONS | SEX PREFERENCE | FAMILY SIZE | FAMILY SIZE, DESIRED | CONTRACEPTIVE METHODS CHOSEN | Developing Countries | Asia, Southern | Family Relationships | Family Characteristics | Family and Household | Sociocultural Factors | Value Orientation | Psychological Factors | Behavior | Contraceptive Usage | Contraception | Family Planning
Document Number: 341316  

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Title: Antiretroviral prophylaxis for the prevention of HIV infection: future implementation challenges.
Author: Karim SS; Baxter C
Source: Future HIV Therapy. 2009;3(1):3-6.
Abstract: Use of antiretrovirals in pre-exposure prophylaxis (PrEP) for prevention of HIV infection builds on the premise that effective therapeutic medications can be used by healthy people to prevent certain infections. This article reviews past clinical trial findings, discusses upcoming trials, and addresses future PrEP implementation challenges.
Language: English

Keywords:
AFRICA | ASIA | SUMMARY REPORT | CLINICAL TRIALS | PERSONS LIVING WITH HIV/AIDS | CLIENTS | HIV PREVENTION | TREATMENT | ANTIRETROVIRAL THERAPY | ANTIRETROVIRAL DRUGS | MALARIA | TUBERCULOSIS | DRUGS | PREVENTION AND CONTROL | PROGRAM EFFECTIVENESS | Developing Countries | Clinical Research | Research Methodology | HIV Infections | Viral Diseases | Diseases | Program Activities | Programs | Organization and Administration | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | HIV | Parasitic Diseases | Infections | Program Evaluation
Document Number: 329199  

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Peer Reviewed

Title: Effects of Mirena (levonorgestrel-releasing intrauterine system) and Ortho Gynae T380 intrauterine copper device on lipid metabolism--a randomized comparative study.
Author: Ng YW; Liang S; Singh K
Source: Contraception. 2009 Jan;79(1):24-8.
Abstract: BACKGROUND: This study aims to assess the effects of levonorgestrel-releasing intrauterine system (LNG-IUS) on lipid metabolism in an Asian population using Ortho Gynae T380 copper containing (nonhormonal) intrauterine device (IUD) as a control. STUDY DESIGN: Ninety-two healthy women requesting IUD for contraception were randomly allocated to the two groups and were followed up at 6-, 12- and 18-month intervals. Serum concentrations of total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglycerides (TG), apolipoprotein A-I (Apo A-I) and apolipoprotein B were measured pre insertion and at each visit following insertion. RESULTS: There was a marginally significant reduction in TC level in the LNG-IUS group. HDL-C showed a significant reduction in the LNG-IUS group at 6 months but reverted back to its preinsertion value by 1 year. TG, LDL-C and the cholesterol ratios remained stable. Levels of Apo A-I and B also showed no significant reduction in both groups, and their ratios remained stable and insignificant. CONCLUSION: In this randomized comparative study among our local Asian population, it is assuring to note that the LNG-IUS does not have any adverse effects on lipid metabolism.
Language: English

Keywords:
ASIA | RESEARCH REPORT | CONTRACEPTIVE USE-EFFECTIVENESS | COMPARATIVE STUDIES | WOMEN | ASIANS | LIPIDS | CONTRACEPTIVE AGENTS, PROGESTIN | IUD | IUD, COPPER RELEASING | LEVONORGESTREL | METABOLIC EFFECTS | Developing Countries | Contraceptive Effectiveness | Contraception | Family Planning | Studies | Research Methodology | Demographic Factors | Population | Ethnic Groups | Cultural Background | Population Characteristics | Physiology | Biology | Contraceptive Agents, Female | Contraceptive Agents | Contraceptive Methods
Document Number: 330539  

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Peer Reviewed

Title: Summary of proceedings of the IUSTI Global Challenges Symposium (ISSTDR 2007/10th IUSTI World Congress).
Author: Ross JD; Garcia PJ; Zenilman J; Lewis DA; Chan R; Poder A
Source: International Journal of STD and AIDS. 2009 Feb;20(2):130-4.
Abstract: Working in our own geographical areas it can be easy to take a parochial view of sexually transmitted infection (STI) management and control. But although the problems and challenges faced by STI physicians vary enormously around the world, there are also common themes which can benefit from a common approach. By understanding how health services in different regions identify and address STI control, we can contribute and improve our local services, and contribute to the development of global STI care. At the 17th conference of the International Society for Sexually Transmitted Disease Research (ISSTDR) in Seattle, a symposium on Global Challenges was organized by the International Union against STIs (IUSTI) to provide feedback from physicians around the world on what they consider to be their greatest challenges. Moderated by Angelika Stary and Kit Fairley, the symposium included contributions from North and South America, Africa, Europe and Asia-Pacific regions. In this article, the speakers' have summarized their talks and provide an insight into the many challenges facing global STI control today. (excerpt)
Language: English

Keywords:
LATIN AMERICA | ASIA | AFRICA | SUMMARY REPORT | CONFERENCES AND CONGRESSES | REPRODUCTIVE HEALTH | HEALTH POLICY | REPRODUCTIVE RIGHTS | SEXUALLY TRANSMITTED DISEASES | TRAINING ACTIVITIES | TREATMENT | HEALTH SERVICES | Americas | Developing Countries | Health | Policy | Political Factors | Sociocultural Factors | Human Rights | Reproductive Tract Infections | Infections | Diseases | Training Programs | Education | Medical Procedures | Medicine | Delivery of Health Care
Document Number: 331168  

12.    Full text document

Title: The truth about ... men, boys and sex. Gender-transformative policies and programmes.
Author: ter Huurne D
Source: London, United Kingdom, International Planned Parenthood Federation [IPPF], 2009 Jun. 44 p.
Abstract: This unique combination of case studies and interviews from six countries in Africa, Asia and Latin America serves as a reminder that progress on the rights of women and girls is intimately linked to ensuring that men and boys are equal partners in this dialogue. The publication showcases best practice from across the world on the needs and rights of different groups of men and boys.
Language: English

Keywords:
ASIA | LATIN AMERICA | AFRICA | SUMMARY REPORT | CASE STUDIES | CLIENTS | MEN | SEX WORKERS | SEX BEHAVIOR | RISK BEHAVIOR | CONDOM USE | SEXUALITY | ADVOCACY | PROGRAM ACTIVITIES | Developing Countries | Americas | Studies | Research Methodology | Programs | Organization and Administration | Demographic Factors | Population | Behavior | Risk Reduction Behavior | Personality | Psychological Factors | Communication
Document Number: 331469  

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Title: Two mifepristone doses and two intervals of misoprostol administration for termination of early pregnancy: a randomised factorial controlled equivalence trial.
Author: von Hertzen H; Piaggio G; Wojdyla D; Marions L; My Huong NT; Tang OS; Fang AH; Wu SC; Kalmar L; Mittal S; Erdenetungalag R; Horga M; Pretnar-Darovec A; Kapamadzija A; Dickson K; Anh ND; Tai NV; Tuyet HT; Peregoudov A
Author: WHO Research Group on Post-ovulatory Methods of Fertility Regulation
Source: BJOG. 2009 Feb;116(3):381-9.
Abstract: OBJECTIVE: To compare the efficacy of 100 mg and 200 mg of mifepristone and 24- and 48-hour intervals to administration of 800 microg vaginal misoprostol for termination of early pregnancy. DESIGN: Placebo-controlled, randomized, equivalence trial, stratified by centre. SETTING: 13 departments of obstetrics and gynecology in nine countries. POPULATION: 2,181 women with 63 days or less gestation requesting medical abortion. METHODS: Two-sided 95% CI for the risk differences of failure to complete abortion were calculated and compared with 5% equivalence margin between two doses of mifepristone and two intervals to misoprostol administration. Proportions of women with adverse effects were compared between the regimens using standard testes for proportions. OUTCOME MEASURES: Rates of complete abortion without surgical intervention and adverse effects associated with the regimens. RESULTS: Efficacy outcome was analysed for 2,126 women (97.5%) excluding 55 lost to follow up. Both mifepristone doses were found to be similar in efficacy. The rate of complete abortion was 92.0% for women assigned 100 mg of mifepristone and 93.2% for women assigned 200 mg of mifepristone (difference 1.2%, 95% CI: -1.0 to 3.5). Equivalence was also evident for the two intervals of administration: the rate of complete abortion was 93.5% for 24-hour interval and 91.7% for the 48-hour interval (difference -1.8%, 95% CI: -4.0 to 0.5). Interaction between doses and interval to misoprostol administration was not significant (P = 0.92). Adverse effects related to treatments did not differ between the groups. CONCLUSIONS: Both the 100 and 200 mg doses of mifepristone and the 24- and 48-hour intervals have a similar efficacy to achieve complete abortion in early pregnancy when mifepristone is followed by 800 micrograms of vaginally administered misoprostol.
Language: English

Keywords:
AFRICA | ASIA | RESEARCH REPORT | COMPARATIVE STUDIES | WOMEN | ABORTION | RU-486 | ADMINISTRATION AND DOSAGE | INTERVENTIONS | CONTRACEPTIVE METHOD ACCEPTABILITY | Developing Countries | Studies | Research Methodology | Demographic Factors | Population | Fertility Control, Postconception | Family Planning | Hormone Antagonists | Hormones | Endocrine System | Physiology | Biology | Drugs | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Programs | Organization and Administration | Contraceptive Usage | Contraception
Document Number: 331167   Notification

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Peer Reviewed

Title: Improving maternal and child health in difficult environments: the case for "cross-border" health care.
Author: Walraven G; Manaseki-Holland S; Hussain A; Tomaro JB
Source: PLoS Medicine. 2009 Jan 13;6(1):e5.
Abstract: Health indicators, including levels of maternal and infant mortality, are very different in adjacent geographical border areas of Afghanistan, Pakistan, and Tajikistan. These differences reflect the combined and complex interplay of elements within the different health systems, as well as political, economic, social, and cultural factors. Reducing maternal and child mortality requires focus and balance in all of these dimensions and can best be achieved through service interventions underpinned by general development. A policy promoting "cross-border" health programmes could immediately make available existing resources that could contribute to reducing maternal and child mortality in all three geographical locations. (excerpt)
Language: English

Keywords:
ASIA | CRITIQUE | RECOMMENDATIONS | CROSS-CULTURAL COMPARISONS | WOMEN IN DEVELOPMENT | PREGNANT WOMEN | INFANT | BORDER CROSSING | MATERNAL-CHILD HEALTH SERVICES | CULTURE | ECONOMIC FACTORS | POLITICAL FACTORS | CHILD SURVIVAL | MATERNAL HEALTH | INTERNATIONAL COOPERATION | Developing Countries | Comparative Studies | Studies | Research Methodology | Economic Development | Population Characteristics | Demographic Factors | Population | Youth | Age Factors | International Migration | Migration | Population Dynamics | Primary Health Care | Health Services | Delivery of Health Care | Health | Sociocultural Factors | Survivorship | Length of Life | Mortality
Document Number: 330709  

15.    Full text document

Title: Case studies in global school health promotion: From research to practice.
Author: Whitman CV; Aldinger CE
Source: New York, New York, Springer, 2009. 408 p.
Abstract: A growing body of research identifies strong links between children's health, social, and educational outcomes. Research also points to the reciprocal benefits of access to quality education on individual and family health status. In response to these findings, the World Health Organization developed the concept of the health-promoting school (HPS). This book, available for purchase, provides readers with examples from more than two dozen countries (representing urban and rural areas in developing and developed nations) that outline the strategies taken to implement HPS programs in individual schools, municipalities, and nations.
Language: English

Keywords:
AFRICA | EUROPE | NORTH AMERICA | ASIA | SUMMARY REPORT | CASE STUDIES | YOUTH | EDUCATION | PRIMARY SCHOOLS | HEALTH | PROMOTION | HEALTH POLICY | IMPLEMENTATION | Developing Countries | Developed Countries | Americas | Studies | Research Methodology | Age Factors | Population Characteristics | Demographic Factors | Population | Schools | Marketing | Economic Factors | Policy | Political Factors | Sociocultural Factors | Programs | Organization and Administration
Document Number: 331372  

16.
Title: HIV-related lipodystrophy in Africa and Asia.
Author: Womack J
Source: AIDS Reader. 2009 Apr;19(4):131-9, 148-52.
Abstract: This article reviews the medical literature for information about lipodystrophy in Africa and Asia. These 2 regions were selected because both are of particular interest to the declaration for universal access. Africa represents the epidemic's epicenter. Asia, especially India and China, will soon have HIV / AIDS prevalence rates that will outstrip those seen in the rest of the world combined. The methodology is summarized first: how articles were selected, the inclusion and exclusion criteria used, and how information was synthesized. The results and discussion focus on 3 specific areas: how lipodystrophy is defined and measured, the study populations, and the persons excluded from these studies. A summary of what is and what is not yet known about lipodystrophy in Africa and Asia is also included.
Language: English

Keywords:
AFRICA | ASIA | LITERATURE REVIEW | UNAIDS | PERSONS LIVING WITH HIV/AIDS | LIPID METABOLIC EFFECTS | GLUCOSE METABOLISM EFFECTS | DIABETES | HEART DISEASES | RISK FACTORS | PREVENTION AND CONTROL | QUALITY OF LIFE | TREATMENT | OBSTACLES | Developing Countries | UN | International Agencies | Organizations | Political Factors | Sociocultural Factors | HIV Infections | Viral Diseases | Diseases | Lipids | Physiology | Biology | Carbohydrate Metabolic Effects | Metabolic Effects | Health | Social Welfare | Economic Factors | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Organization and Administration
Document Number: 341055  

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Peer Reviewed

Title: Premarital sexual intercourse among adolescents in an Asian country: multilevel ecological factors.
Author: Wong ML; Chan RK; Koh D; Tan HH; Lim FS; Emmanuel S; Bishop G
Source: Pediatrics. 2009 Jul;124(1):e44-52.
Abstract: OBJECTIVE: The goal was to assess personal and environmental factors associated with premarital sex among adolescents. METHODS: We conducted a case-control study. Between 2006 and 2008, we recruited 500 adolescents who reported having engaged in voluntary sex for most recent sex. Five hundred control subjects were matched for age, gender, and ethnicity. RESULTS: Independently significant factors for premarital sex among boys were pornography viewing (adjusted odds ratio [OR]: 5.82 [95% confidence interval [CI]: 2.34-14.43]), lack of confidence to resist peer pressure (OR: 3.84 [95% CI: 2.27-6.50]), perception that more than one half of their friends had engaged in sex (OR: 3.37 [95% CI: 1.92-5.92]), permissiveness regarding premarital sex (OR: 3.41 [95% CI: 2.10-5.55]), involvement in gang activities (OR: 3.45 [95% CI: 1.66-7.15]), drinking (OR: 1.77 [95% CI: 1.07-2.94]), smoking (OR: 1.91 [95% CI: 1.14-3.20]), and living in low-cost housing (OR: 3.25 [95% CI: 1.64-6.43]). For girls, additional factors were previous sexual abuse (OR: 7.81 [95% CI: 2.50-24.41]) and dropping out of school (OR: 2.72 [95% CI: 1.32-5.61]), and stronger associations were found for lack of confidence to resist peer pressure (OR: 5.56 [95% CI: 2.94-10.53]) and permissiveness regarding premarital sex (OR: 6.25 [95% CI: 3.30-11.83]). Exposure to persons with HIV/AIDS or sexually transmitted infections in the media was negatively associated with sex for boys (OR: 0.27 [95% CI: 0.16-0.45]) and girls (OR: 0.24 [95% CI: 0.13-0.47]). CONCLUSION: Sex education programs for adolescents must address social, media, and pornographic influences and incorporate skills to negotiate sexual abstinence.
Language: English

Keywords:
ASIA | RESEARCH REPORT | ADOLESCENTS, MALE | PREMARITAL SEX BEHAVIOR | SEXUAL INTERCOURSE | SEXUAL ABUSE | FILM AND VIDEO | PEER GROUPS | Developing Countries | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Sex Behavior | Behavior | Reproduction | Crime | Social Problems | Sociocultural Factors | Mass Media | Communication | Knowledge Sources
Document Number: 342886  

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Peer Reviewed

Title: Physical and emotional health outcomes after 12 months of public-sector antiretroviral treatment in the Free State Province of South Africa: a longitudinal study using structural equation modelling.
Author: Wouters E; Heunis C; van Rensburg D; Meulemans H
Source: BMC Public Health. 2009;9:103.
Abstract: BACKGROUND: African and Asian cohort studies have demonstrated the clinical efficacy of antiretroviral treatment (ART) in resource-limited settings. However, reports of the long-term changes in the physical and emotional quality of life (QoL) of patients on ART in these settings are still scarce. In this study, we assessed the physical and emotional QoL after six and 12 months of ART of a sample of 268 patients enrolled in South Africa's public-sector ART programme. The study also tested the impact of the adverse effects of medication on patients' physical and emotional QoL. METHODS: A stratified random sample of 268 patients undergoing ART was interviewed at baseline (< 6 months ART) and follow-up (< 12 months ART). A model of the relationships between the duration of ART, the adverse effects of medication, and physical and emotional QoL (measured using EUROQOL-5D) was tested using structural equation modelling. RESULTS: The improved physical and emotional QoL shown at baseline was sustained over the 12-month study period, because treatment duration was not significantly associated with changes in the patients' QoL. Physical QoL significantly and positively influenced the patients' emotional QoL (subjective well-being [SWB]) (beta = 0.33, P < 0.01). Longitudinal data showed that patients reported significantly fewer adverse effects at follow-up than at baseline (beta = -0.38, P < 0.001) and that these adverse effects negatively influenced physical (beta = -0.27, P < 0.01) and emotional QoL (beta = -0.15, P < 0.05). CONCLUSION: This study provides evidence that the South African public-sector ART programme is effective in delivering sustained improvement in patient well-being. However, the results should encourage clinicians and lay health workers to be vigilant regarding the adverse effects of treatment, because they can seriously affect physical and emotional QoL.
Language: English

Keywords:
SOUTH AFRICA | ASIA | RESEARCH REPORT | CLIENTS | PERSONS LIVING WITH HIV/AIDS | ANTIRETROVIRAL THERAPY | TREATMENT | SIDE EFFECTS | QUALITY OF LIFE | PROGRAM EFFECTIVENESS | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Program Activities | Programs | Organization and Administration | HIV Infections | Viral Diseases | Diseases | HIV | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Social Welfare | Economic Factors | Program Evaluation
Document Number: 342913  

19.    Subscription may be needed for full text     
Peer Reviewed

Title: Levels of change in adolescent sexual behavior in three Asian cities.
Author: Zabin LS; Emerson MR; Nan L; Chaohua L; Ersheng G
Source: Studies in Family Planning. 2009 Mar;40(1):1-12.
Abstract: This study explored the dimensions and context of changes in romantic and sexual behaviors of Asian young people at three sites at different stages of modernization: Hanoi (early), Shanghai (intermediate), and Taipei (later stage). The authors conducted a survey of 17,016 males and females aged 15-24 in urban and rural settings in three large metropolitan areas. Survival analysis and Cox regressions were performed to explore ages of respondents at key transitions and the significance of differences between two age cohorts: 15-19 and 20-24. The authors found significant differences in levels of sexual and other transitions, even within the narrow time span reflected by the age cohorts. The findings highlight the differential impact of modernization on adolescent sexual behavior as traditional societies undergo social change, and they underline the importance of context in exploring youthful transitions.
Language: English

Keywords:
ASIA | RESEARCH REPORT | KAP SURVEYS | STATISTICAL REGRESSION | COHORT ANALYSIS | ADOLESCENTS | YOUTH | URBAN POPULATION | SEX BEHAVIOR | ECONOMIC DEVELOPMENT | AGE FACTORS | MODERNIZATION | Developing Countries | Surveys | Sampling Studies | Studies | Research Methodology | Data Analysis | Population Characteristics | Demographic Factors | Population | Behavior | Economic Factors | Social Change | Sociocultural Factors
Document Number: 341078  

20.
Peer Reviewed

Title: Levels of change in adolescent sexual behavior in three Asian cities.
Author: Zabin LS; Emerson MR; Nan L; Chaohua L; Ersheng G; Minh NH; Chuang YL; Hurng BS; Bishai D; Blum RW
Source: Studies In Family Planning. 2009 Mar;40(1):1-12.
Abstract: Considerable change in the romantic and sexual behaviors of Asian young people may be occurring as traditionally Confucian societies modernize and increase outside contacts. This study explores the dimensions and context of this change in three sites at different stages in the process of modernization: Hanoi (early), Shanghai (intermediate), and Taipei (later stage). A survey was conducted of 17,016 males and females aged 15-24 in urban and rural settings in three large metropolitan areas. Survival analysis and Cox regressions were performed to explore ages of respondents at key transitions and the significance of differences between two age cohorts: 15-19 and 20-24. Significant differences are found in levels of sexual and other transitions, even within the narrow time span reflected by the age cohorts. The findings highlight the differential impact of modernization on adolescent sexual behavior as traditional societies undergo social change, and they underline the importance of context in exploring youthful transitions.
Language: English

Keywords:
ASIA | RESEARCH REPORT | ADOLESCENTS | SEX BEHAVIOR | CHANGES | SOCIAL CHANGE | MODERNIZATION | Developing Countries | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Behavior | Sociocultural Factors
Document Number: 341340  

21.
Peer Reviewed

Title: Report of the Intergovernmental Conference of Far-Eastern Countries on Rural Hygiene.
Source: American Journal of Public Health. 2008 Jan;98(1):40-42.
Abstract: While it is obvious that attention to the problem of rural populations has been an important consideration of Governments for many years, it is evident that, since the Great War. the people of many countries and their Governments realize more strongly than ever that that part of the population living on the land and producing the essential foodstuffs for all has been too often neglected. Governments are realizing more and more their obligations in this matter, and programs working toward the bettering of the social, economic, health and cultural conditions of the country-dwellers are becoming more general and more comprehensive. This present Conference had brought together Governmental representatives from the important countries of the East. The group includes: medical men concerned with curative and preventive medical services, educators, agronomists, specialists in rural reconstruction, sanitary engineers, experts in nutrition, and investigators who are devoting their attention to specific diseases. Statesmen and members of the legal profession who are concerned primarily with administrative duties are also to be found in the group. The development of rural programs reveals, in many instances, that the best results are to be obtained when the different welfare activities are planned and executed simultaneously by a trained staff. The interrelations of the work of the various groups have become more patent, and success in its broad lines rests on a realization of the interdependence of the work of all concerned. (excerpt)
Language: English

Keywords:
ASIA | SUMMARY REPORT | RECOMMENDATIONS | POPULATION | RURAL AREAS | GOVERNMENT | HEALTH SERVICES | EDUCATION | MALARIA PREVENTION | PUBLIC HEALTH | NUTRITION | HYGIENE | Developing Countries | Geographic Factors | Political Factors | Sociocultural Factors | Delivery of Health Care | Health | Malaria | Parasitic Diseases | Diseases
Document Number: 323107  

22.    Full text document

Title: Asia and the Pacific Regional Forum on Strengthening Partnerships with Faith-Based Organisations in Addressing ICPD, Kuala Lumpur, Malaysia, 5-6 May, 2008. A report on the conference proceedings.
Author: Asia and the Pacific Regional Forum on Strengthening Partnerships with Faith-Based Organisations in Addressing ICPD (2008: Kuala Lumpur)
Source: [New York, New York], United Nations Population Fund [UNFPA], 2008. 60 p.
Abstract: Building on a legacy spanning three decades, UNFPA Country Offices in the Asia-Pacific region and their faith-based partners came together for a two-day consultation to assess the nature and impact of these partnerships in the areas of maternal health, gender equality, migration and youth welfare. This report documents the experiences and lessons learned from the varied initiatives of faith-based organizations, as well as the best practices emanating from these strategic alliances around the region. The discussions, recommendations for action and the many voices of critical faith-based actors, are all documented in this report.
Language: English

Keywords:
ASIA | OCEANIA | CONFERENCES AND CONGRESSES | EVALUATION | FAITH-BASED ORGANIZATION | POLICYMAKERS | MATERNAL MORTALITY | HIV PREVENTION | AIDS PREVENTION | VIOLENCE AGAINST WOMEN | HUMAN RIGHTS | UNFPA | COORDINATION | INTERNATIONAL COOPERATION | FOREIGN AID | Developing Countries | Organizations | Political Factors | Sociocultural Factors | Administrative Personnel | Organization and Administration | Mortality | Population Dynamics | Demographic Factors | Population | HIV Infections | Viral Diseases | Diseases | AIDS | Domestic Violence | Crime | Social Problems | UN | International Agencies | Financial Activities | Economic Factors
Document Number: 331357  

23.    Full text document

Title: Redefining AIDS in Asia: Crafting an effective response. Report of the Commission on AIDS in Asia.
Author: Commission on AIDS in Asia
Source: New Delhi, India, Oxford University Press, 2008. [255] p.
Abstract: This report from an independent Commission on AIDS in Asia outlines strong recommendations for more effective national responses to AIDS across Asia. The report recommends that high-impact interventions, such as HIV prevention programs focused on key populations and antiretroviral treatment, should constitute the core of the HIV response across Asia.
Language: English

Keywords:
ASIA | CRITIQUE | RECOMMENDATIONS | EVALUATION INDEXES | PERSONS LIVING WITH HIV/AIDS | POLICYMAKERS | AIDS PREVENTION | HIV PREVENTION | FOREIGN AID | COST EFFECTIVENESS | HEALTH POLICY | IMPACT | PROGRAM DEVELOPMENT | Developing Countries | Quantitative Evaluation | Evaluation | HIV Infections | Viral Diseases | Diseases | Administrative Personnel | Organization and Administration | AIDS | Financial Activities | Economic Factors | Policy | Political Factors | Sociocultural Factors | Communication | Programs
Document Number: 327397  

24.    Full text document

Title: Semi-annual report, Task Order 1, April 1, 2008-September 30, 2008. Contract No. GPO-I-01-05-00040-00.
Author: Futures Group International. Health Policy Initiative
Source: Washington, D.C., Futures Group International, Health Policy Initiative, 2008 Sep. 170 p. (USAID Contract No. GPO-I-01-05-00040-00)
Abstract: The purpose of this task order is to exercise global leadership and provide field-level programming in policy development and implementation. The assistance provided under this procurement is expected to improve the enabling environment for health, making it possible for men and women around the world to obtain and use information and services they need for better health, especially in the areas of family planning and reproductive health, HIV/AIDS, and maternal health. Task Order 1 implements a comprehensive and challenging set of corefunded activities with funding from the Office of Population and Reproductive Health, Office of HIV/AIDS, and the Office of Health, Infectious Diseases, and Nutrition. To date, the project has received field support funds from 36 country or regional programs. The bureaus for Africa, Asia and the Near East, Eastern Europe and Central Asia, and Latin America and the Caribbean also provide funds for HPI to support their regional activities in health, HIV/AIDS, family planning, and contraceptive security. For the period from April 1, 2008 to September 30, 2008, we report 72 results in 16 country and regional programs. (Excerpt)
Language: English

Keywords:
AFRICA | ASIA | EUROPE | LATIN AMERICA | CARIBBEAN | SUMMARY REPORT | MATERNAL HEALTH | HIV INFECTIONS | AIDS | HEALTH POLICY | FAMILY PLANNING | REPRODUCTIVE HEALTH | Developing Countries | Developed Countries | Americas | Health | Viral Diseases | Diseases | Policy | Political Factors | Sociocultural Factors
Document Number: 331368  

25.    Full text document

Title: Achieving results in newborn health: Shaping policy and programs to save newborn lives.
Author: JHPIEGO. Access to Clinical and Community Maternal, Neonatal and Women’s Health Services Program [ACCESS]
Source: [Baltimore, Maryland], JHPIEGO, ACCESS Program, [2008]. [775] p.
Abstract: This selection describes the efforts made and planned by the ACCESS program to improve newborn health through the shaping of policies and programs. Efforts made, such as increasing advocacy and global learning, attempting to bring research data into practice, and applying best practices to the country level, are discussed.
Language: English

Keywords:
GLOBAL | ASIA | AFRICA, SUB SAHARAN | SUMMARY REPORT | MATERNAL HEALTH | CHILD HEALTH | MATERNAL-CHILD HEALTH SERVICES | INFANT | CHILD SURVIVAL | LOW BIRTH WEIGHT | PREGNANCY OUTCOMES | Developing Countries | Africa | Health | Primary Health Care | Health Services | Delivery of Health Care | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Survivorship | Length of Life | Mortality | Population Dynamics | Birth Weight | Body Weight | Physiology | Biology | Pregnancy | Reproduction
Document Number: 331785  

26.    Full text document

Title: Achieving results in preventing maternal deaths: Prevention and treatment of postpartum hemorrhage.
Author: JHPIEGO. Access to Clinical and Community Maternal, Neonatal and Women’s Health Services Program [ACCESS]
Source: [Baltimore, Maryland], JHPIEGO, ACCESS Program, 2008 Jun. [4] p.
Abstract: This selection describes the efforts made and planned by the ACCESS program to reduce post-partum hemorrhage globally. Efforts made, such as increasing advocacy and global learning, attempting to bring research data into practice, and applying best practices to the country level, are discussed.
Language: English

Keywords:
AFRICA | ASIA | SUMMARY REPORT | MATERNAL MORTALITY | BLEEDING | TREATMENT | INTERVENTIONS | MISOPROSTOL | ADVOCACY | PROGRAM EVALUATION | Developing Countries | Mortality | Population Dynamics | Demographic Factors | Population | Signs and Symptoms | Diseases | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Programs | Organization and Administration | Prostaglandins, Synthetic | Prostaglandins | Endocrine System | Physiology | Biology | Communication
Document Number: 331784  

27.    Full text document

Title: Harm reduction developments, 2008. Countries with injection-driven HIV epidemics.
Author: Open Society Institute. International Harm Reduction Development Program
Source: New York, New York, Open Society Institute, 2008. 80 p.
Abstract: In 2007, injecting drug users (IDUs) comprised the largest share of total HIV cases in at least 20 nations in Asia and the former Soviet Union. The percentage of cases attributed to injecting drug use is over 70 percent in some countries in Eastern Europe and Central Asia, the region where HIV grew fastest in 2006. In many of these countries, harm reduction has made important inroads-all countries in Eastern Europe and the former Soviet Union except Turkmenistan had needle exchange programs in 2007. In most, they remain too small to contain the HIV epidemic. Reports that new HIV cases among drug users have stabilized often reflect trends in testing rather than the impact of prevention. In Asia, home to more than half the world's population, even low percentage rates of HIV cases translate into huge numbers of people infected, with profound economic and social implications. China, Indonesia, Malaysia, and Vietnam all have injection-driven HIV epidemics, and have all shown a willingness to adopt some of the measures necessary to halt the spread of HIV among IDUs and their sexual partners. The challenge for many of the hardest-hit countries, however, lies in turning commitments into practice, without sacrificing protection of human rights. This OSI report provides a snapshot of some key developments in HIV prevention, policy, and treatment for IDUs in developing and transitional countries with injection-driven epidemics, and includes overviews on such issues as community mobilization, methadone and buprenorphine treatment availability, harm reduction in prisons, and HIV treatment for IDUs.
Language: English

Keywords:
ASIA | EUROPE, CENTRAL | EUROPE, EASTERN | SUMMARY REPORT | IV DRUG USERS | PRISONERS | HIV INFECTIONS | EPIDEMICS | SUBSTANCE ADDICTION | RISK REDUCTION BEHAVIOR | ADVOCACY | ANTIRETROVIRAL THERAPY | DRUGS | Developing Countries | Europe | Developed Countries | Drug Use and Abuse | Behavior | Crime | Social Problems | Sociocultural Factors | Viral Diseases | Diseases | Communication | HIV | Treatment | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health
Document Number: 327144  

28.    Full text document

Title: Illuminating the mechanisms of sperm maturation.
Author: Population Council
Source: Population Briefs. 2008 Dec;14(2):[2] p.
Abstract: When sperm leave the testis, they cannot swim or fertilize an egg. Not until they pass through the tube-like epididymis do sperm acquire both of these functions. No one is certain what happens in the epididymis to activate sperm. Population Council cell and molecular biologist Gary Hunnicutt is investigating the mechanisms by which sperm become activated in the epididymis. Gaining an understanding of how this activation occurs may aid in the development of a reversible, nonhormonal male contraceptive. It may also give clues to the origins of, and potential treatments for, some forms of male infertility.
Language: English

Keywords:
ASIA | SUMMARY REPORT | LABORATORY PROCEDURES | REPRODUCTIVE TECHNOLOGIES | SPERM MATURATION | FERTILITY | INFERTILITY | Developing Countries | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Reproduction | Spermatogenesis | Population Dynamics | Demographic Factors | Population
Document Number: 331486  

29.    Full text document

Title: Symposium Proceedings. Health Outcomes Research: How Can It Assist Decision-Making for the Prevention of Cervical Cancer and Other HPV Disease in Asia and the Pacific? Bangkok, Thailand, 12 February 2008.
Author: Symposium on Health Outcomes Research: How Can It Assist Decision-Making for the Prevention of Cervical Cancer and Other HPV Disease in Asia and the Pacific? (2008: Bangkok)
Source: Bangkok, Thailand, Family Health International [FHI], Asia / Pacific Regional Office, 2008. 50 p.
Abstract: While cervical cancer is the second most common cancer worldwide and the most common among women in developing countries, it is among the most preventable and treatable of all cancers. Global guidance on comprehensive programs for cervical cancer control as well as for introduction of HPV immunization has been issued by WHO, and review of the guidance has begun in the Asia-Pacific region. However, initial costs of large-scale HPV immunization have made decision-makers in developing countries of the region reluctant to develop strategies to incorporate HPV immunization vaccines into their programs. Without advocacy efforts and a significant reduction in the price of the vaccine, HPV immunization will not feature prominently on the policy agenda in the region. This report documents the proceedings of an FHI-hosted regional workshop highlighting the role of health outcomes research data and modeling for future decision-making.
Language: English

Keywords:
ASIA | CONFERENCES AND CONGRESSES | CERVICAL CANCER | PREVENTION AND CONTROL | DECISION MAKING | HPV | PREVALENCE | VACCINES | IMMUNIZATION | SCREENING | COST EFFECTIVENESS | FINANCIAL ACTIVITIES | PSYCHOSOCIAL FACTORS | PRODUCT APPROVAL | Developing Countries | Cancer | Neoplasms | Diseases | Behavior | Viral Diseases | Measurement | Research Methodology | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Primary Health Care | Examinations and Diagnoses | Evaluation Indexes | Quantitative Evaluation | Evaluation | Economic Factors | Legislation | Political Factors | Sociocultural Factors
Document Number: 331754  

30.    Full text document

Title: HIV preventive education information kit for school teachers.
Author: UNESCO Bangkok. HIV Coordination, Adolescent Reproductive and School Health Unit
Source: Bangkok, Thailand, UNESCO Bangkok. HIV Coordination, Adolescent Reproductive and School Health Unit, 2008. 101 p.
Abstract: This kit provides teachers with basic information on teaching young people about HIV and AIDS. The materials cover challenges of teaching about HIV and AIDS in the school setting, countering community resistance to HIV/AIDS education, addressing stigma and discrimination, and reducing risk behaviors.
Language: English

Keywords:
ASIA | SUMMARY REPORT | WOMEN | CHILD, FEMALE | MEN HAVING SEX WITH MEN | ORPHANS AND VULNERABLE CHILDREN | IV DRUG USERS | HIV INFECTIONS | AIDS | FAMILY AND HOUSEHOLD | SCHOOLS | EDUCATION | PREVENTION AND CONTROL | Developing Countries | Demographic Factors | Population | Child | Youth | Age Factors | Population Characteristics | Sex Behavior | Behavior | Sociocultural Factors | Drug Use and Abuse | Viral Diseases | Diseases
Document Number: 330183  
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