| 1. Title: HIV Infection--Guangdong Province, China, 1997-2007. Author: Centers for Disease Control and Prevention (CDC) Source: MMWR. Morbidity and Mortality Weekly Report. 2009 Apr 24;58(15):396-400. Abstract: In 2007, an estimated 700,000 persons in China were living with human immunodeficiency virus (HIV) infection. An estimated 50,000 new HIV infections and 20,000 deaths related to acquired immunodeficiency syndrome (AIDS) occurred in 2007, and an estimated 71% of persons with HIV infection were unaware of their HIV status. In 2007, 40.6% of those living with HIV had been infected through heterosexual transmission and 38.1% through injection-drug use. Guangdong Province in southeastern China is the country's most populous province, with an estimated 75.6 million permanent residents and 16.5 million migrants; the province has undergone rapid economic development. Since 1986, a case-based surveillance system (CBSS) in China has collected data on persons infected with HIV, including demographic characteristics and transmission categories. To assess recent trends in HIV infection in the province, the Guangdong Center for Disease Control, with technical assistance from CDC, analyzed CBSS data for the period 1997--2007. The results of that analysis indicated that the number of HIV cases increased from 102 in 1997 to 4,593 in 2007, although this increase resulted, in part, from expanded testing and surveillance. Among males classified by HIV transmission category, 82.1% of newly diagnosed infections were attributed to injection-drug use. Among females classified by HIV transmission category, 53.7% engaged in high-risk heterosexual conduct. Despite substantial methodologic limitations, these results can be useful to Guangdong public health agencies in targeting and evaluating HIV prevention, care, and treatment programs. Language: English Keywords: CHINA | ADMINISTRATIVE DISTRICTS | RESEARCH REPORT | EPIDEMIOLOGIC METHODS | CLINICAL RESEARCH | PERSONS LIVING WITH HIV/AIDS | IV DRUG USERS | PREVALENCE | HIV INFECTIONS | SEX FACTORS | RISK BEHAVIOR | SEX BEHAVIOR | INTERNET | AGE FACTORS | HUMAN GEOGRAPHY | Asia, Eastern | Asia | Developing Countries | Geographic Factors | Population | Research Methodology | Viral Diseases | Diseases | Drug Use and Abuse | Behavior | Measurement | Population Characteristics | Demographic Factors | Information Networks | Communication | Geography | Social Sciences | Science | Sociocultural Factors Document Number: 331260 |
2.  Title: Spatial analysis of logistics indicator data for health commodities. Author: John Snow [JSI]. DELIVER Source: Arlington, Virginia, JSI, DELIVER, 2009 Jul. 6 p. Abstract: The USAID | DELIVER PROJECT has developed robust monitoring and evaluation tools to quantitatively and qualitatively assess the performance of logistics systems for essential health commodities. The purpose of this paper is to explore how analysis of stock indicators by location provides added value to these data sets, through a relatively minor investment in GPS devices and GIS software. Beginning with visual examination of logistics indicator data within a geographic context and progressing to network analysis, each of the spatial analysis methods presented in this paper presents its own set of strengths and weaknesses, yet they all excel in providing insights into the logistics system that might not otherwise be understood or even observed by simply looking at tabular data of stock levels for different facilities in the health system. Since a logistics system is inherently a geographically heterogeneous entity, using cartographic and spatial analysis tools may prove to be a crucial asset in assisting managers to identify key questions related to the performance of the logistics system and focus on potential causes and solutions. Moving forward, it will be useful to build off of the descriptive strengths of the spatial analysis methods described herein and begin building more robust statistical models that measure correlation between different components of the logistics system and commodity availability, while still accounting for the geographical variability of the data. (Excerpts) Language: English Keywords: ZAMBIA | PARAGUAY | SUMMARY REPORT | PILOT PROJECTS | DATA COLLECTION | DATA ANALYSIS | USAID | LOGISTICS | GEOGRAPHY | INFORMATION RETRIEVAL SYSTEMS | DISTANCE | STREETS AND ROADS | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | South America, Central | South America | Latin America | Americas | Studies | Research Methodology | Government Agencies | Organizations | Political Factors | Sociocultural Factors | Management | Organization and Administration | Social Sciences | Science | Data Storage and Retrieval | Information Processing | Information | Geographic Factors | Population | Transportation | Economic Factors Document Number: 331660 |
| 3. Title: Assessment of family planning services in Kenya: Evidence from the 2004 Kenya Service Provision Assessment Survey. Author: Agwanda A; Khasakhala A; Kimani M Source: Calverton, Maryland, Macro International, MEASURE DHS, 2009 Jan. [51] p. (USAID Contract No. GPO-C-00-03-00002-00Kenya Working Papers No. 4) Based on further analysis of the 2004 Kenya Service Provision Assessment Survey. Abstract: This study focused on factors associated with the readiness of Kenyan health facilities to provide quality and appropriate care to family planning clientele; the degree to which health care providers foster informed selection of an appropriate contraceptive method; and the extent to which clients perceive services to be of high quality. Data was obtained from the 2004 Kenya Service Provision Assessment. The composite indicators scores for facility readiness were generally low and many facilities lacked simple items like visual aids, guidelines, towels, speculum, etc. There were marked differences in facility readiness by region, facility type, and managing authority. Provider service provision scores were generally high but the only important difference was by region. Client satisfaction was dependent on the facility type, managing authority, sex of the provider, and the waiting time to receive services. Clients were more likely to be satisfied with female rather than male providers. Clients were less satisfied in Nyanza, although the facilities were more ready with high-performing providers. In contrast, North Eastern Province had less ready facilities, but high client satisfaction and high provider performance. Health centre, clinics, and dispensaries need to be revamped to appropriate standards so as to include all basic elements of family planning service provision. North Eastern Province, with motivated workers, highly satisfied clients but poor facilities, deserves proper attention. Facilities in Nairobi need improvements in staff supervision and retraining. There is need to educate the clientele on the availability of appropriate services within the government facilities. Language: English Keywords: KENYA | RESEARCH REPORT | RECOMMENDATIONS | HEALTH SURVEYS | KAP SURVEYS | EVALUATION INDEXES | FAMILY PLANNING PERSONNEL CHARACTERISTICS | FAMILY PLANNING PERSONNEL EVALUATION | FAMILY PLANNING PROGRAM EVALUATION | PERCEPTION | HUMAN GEOGRAPHY | SATISFACTION | SEX FACTORS | Africa, Eastern | Africa, Sub Saharan | Africa | Developing Countries | Health | Surveys | Sampling Studies | Studies | Research Methodology | Quantitative Evaluation | Evaluation | Family Planning Personnel | Family Planning Programs | Family Planning | Psychological Factors | Behavior | Geography | Social Sciences | Science | Sociocultural Factors | Population Characteristics | Demographic Factors | Population Document Number: 329890 |
| 4. Title: High prevalence of HIV infection among injection drug users (IDUs) in Hyderabad and Sukkur, Pakistan. Author: Altaf A; Saleem N; Abbas S; Muzaffar R Source: JPMA. Journal of the Pakistan Medical Association. 2009 Mar;59(3):136-40. Abstract: OBJECTIVE: To estimate size of injection drug users (IDU), determine their high risk behaviours and assess the prevalence of HIV. METHOD: As part of second generation surveillance (SGS), we investigated specific demographic and behavioural characteristics of IDUs in Hyderabad and Sukkur in 2005. It was a cross sectional study. The survey was preceded by geographic mapping to determine size estimation and to define sampling procedures prior to integrated behavioural and biological survey (IBBS). A sample size of at least 400 was calculated for each city. Besides calculating frequencies, chi square was used for comparing variables among HIV positive and negative IDUs like time elapsed as IDU, number of injections, sharing needles and self perception of acquiring HIV infection. RESULTS: A total of 800 (Hyderabad 398; Sukkur 402) questionnaires and DBS samples were collected. The estimated number of IDUs in both cities was 3,225 (Hyderabad 975 and Sukkur 2250 respectively). Average age of IDUs in Hyderabad was 36.5 years and 34.6 years in Sukkur. Sharing of injection equipment for last injection was reported by 34 (8.5%) in Hyderabad and 135 (33.6%) in Sukkur. In both cities behaviours such as injecting drugs for more than 10 years (p = 0.00) and injecting four or more times in a day (p = 0.11) were significantly associated with seropositivity of HIV infection. In Hyderabad the seroprevalence of HIV was 25.4% (101/398) and in Sukkur it was 19.2% (77/402). CONCLUSION: The burden of HIV among IDUs in Hyderabad and Sukkur is extremely high and can play a significant role in transmitting the infection to other vulnerable groups. Language: English Keywords: PAKISTAN | RESEARCH REPORT | EPIDEMIOLOGIC METHODS | CROSS SECTIONAL ANALYSIS | PERSONS LIVING WITH HIV/AIDS | IV DRUG USERS | URBAN POPULATION | PREVALENCE | HIV INFECTIONS | RISK BEHAVIOR | HUMAN GEOGRAPHY | NEEDLE SHARING | SELF-PERCEPTION | RISK ASSESSMENT | DEMOGRAPHIC FACTORS | Developing Countries | Asia, Southern | Asia | Research Methodology | Viral Diseases | Diseases | Drug Use and Abuse | Behavior | Population Characteristics | Population | Measurement | Geography | Social Sciences | Science | Sociocultural Factors | Perception | Psychological Factors | Evaluation Document Number: 330915 |
5.  Title: On what diseases and health conditions should new economic research on health and development focus? Author: Behrman JR; Behrman JA; Perez NM Source: Health Economics. 2009 Apr;18 Suppl 1:S109-28. Abstract: Given the public goods nature of research, economic research on health in developing countries is likely to have the highest returns by focusing, inter alia, on diseases and health conditions that are relatively widespread and costly and that are relatively rapidly growing. This article first summarizes the time patterns in economic research on diseases and health in developing countries for 1990-2005. It then compares those time patterns with the distribution of disability-adjusted life years (DALYs) for diseases and health conditions in developing countries estimated for 2005 and for 2030. These comparisons suggest relatively overemphasis on HIV/AIDS and underemphasis on noncommunicable diseases (NCDs). This opens the possibility for individuals or organizations initiating, re-evaluating, or increasing their economic research on health and development to make a significant contribution by focusing particularly on the analysis of behaviour and policy choices related to NCDs. Careful consideration must, of course, be given to other demands, but on the basis of these two criteria, potential contributions are likely to be greatest from research with such a focus. Language: English Keywords: GLOBAL | CRITIQUE | LITERATURE REVIEW | RESEARCH ACTIVITIES | ECONOMICS | ECONOMIC DEVELOPMENT | HEALTH | HIV INFECTIONS | DISEASES | INTERVENTIONS | COST BENEFIT ANALYSIS | LENGTH OF LIFE | Research Methodology | Social Sciences | Science | Sociocultural Factors | Economic Factors | Viral Diseases | Programs | Organization and Administration | Quantitative Evaluation | Evaluation | Mortality | Population Dynamics | Demographic Factors | Population Document Number: 341823 |
| 6. Title: Affordability--the forgotten criterion in health-care priority setting [editorial] Author: Cleary SM; McIntyre D Source: Health Economics. 2009 Apr;18(4):373-5. Abstract: The authors argue both for the importance of mathematical programming as a technique for the economic evaluation of alternative HIV-treatment strategies in South Africa and affordability as a criterion in priority setting. The consequences of not considering affordability, efficiency and equity issues are likely to be a very heavy burden on the health budget and a large opportunity cost in terms of other interventions. Language: English Keywords: SOUTH AFRICA | CRITIQUE | HEALTH POLICY | GOALS | ANTIRETROVIRAL THERAPY | COST EFFECTIVENESS | PROGRAM EFFICIENCY | ECONOMICS | RESOURCE ALLOCATION | ETHICS | PROGRAM APPROPRIATENESS | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Policy | Political Factors | Sociocultural Factors | Planning | Organization and Administration | HIV | HIV Infections | Viral Diseases | Diseases | Evaluation Indexes | Quantitative Evaluation | Evaluation | Program Evaluation | Programs | Social Sciences | Science | Financial Activities | Economic Factors Document Number: 341832 |
| 7. Peer Reviewed Title: Understanding the context of male and transgender sex work using peer ethnography. Author: Collumbien M; Quereshi AA; Mayhew SH; Rizvi N; Rabbani A; Rolfe B; Verma RK; Rehman H; Naveed-i-Rahat Source: Sexually Transmitted Infections. 2009 Apr;85(Suppl 2):ii3-ii7. Abstract: Objectives: To distinguish between three distinct groups of male and transgender sex workers in Pakistan and to demonstrate how members of these stigmatised groups need to be engaged in the research process to go beyond stated norms of behaviour. Methods: A peer ethnography study was undertaken in a major city in Pakistan. 15 male and 15 transgender sex workers were trained as peer researchers to each interview three peers in their network. Analysis was based on interviews with peer researchers as well as observation of dynamics during training and analysis workshops. Results: The research process revealed that, within the epidemiological category of biological males who sell sex, there are three sociologically different sexual identities: khusras (transgender), khotkis (feminised males) and banthas (mainstream male identity). Both khusras and khotkis are organised in strong social structures based on a shared identity. While these networks provide emotional and material support, they also come with rigid group norms based on expected "feminine" behaviours. In everyday reality, sex workers showed fluidity in both behaviour and identity according to the situational context, transgressing both wider societal and group norms. The informal observational component in peer ethnography was crucial for the accurate interpretation of interview data. Participant accounts of behaviour and relationships are shaped by the research contexts including who interviews them, at what stage of familiarity and who may overhear the conversation. Conclusions: To avoid imposing a "false clarity" on categorisation of identity and assumed behaviour, it is necessary to go beyond verbal accounts to document the fluidity of everyday reality. Language: English Keywords: PAKISTAN | RESEARCH REPORT | KAP SURVEYS | EPIDEMIOLOGIC METHODS | QUALITATIVE RESEARCH | MEN | SOCIAL NETWORKS | HOMOSEXUALS | SEX WORKERS | PEER GROUPS | ANTHROPOLOGY, CULTURAL | STIGMA | WORKSHOPS | VALUE ORIENTATION | Developing Countries | Asia, Southern | Asia | Surveys | Sampling Studies | Studies | Research Methodology | Demographic Factors | Population | Friends and Relatives | Family and Household | Sociocultural Factors | Sex Behavior | Behavior | Knowledge Sources | Communication | Anthropology | Social Sciences | Science | Social Problems | Education | Psychological Factors Document Number: 340119 |
| 8. Peer Reviewed Title: On the origin of South America HIV-1 C epidemic [letter] Author: de Macedo Brigido LF Source: AIDS. 2009 Feb 20;23(4):543-4. Abstract: In a recent AIDS issue, two articles present sequence analysis to trace the origin of HIV-1 clade C in South America. The authors correctly point out that the density of clade C infection in south Brazil and its phylogenetic relationship to most isolates observed elsewhere in South America places south Brazil as its probable origin. When tracing the origin of the C viruses circulating in Brazil, both groups focused on phylogenic relationships of available/analyzable material. Although reported in the Epidemiology/Social sector, the authors disconnect their findings to potential social and cultural determinants of HIV dissemination, factors that may actually have played a major role in the introduction of HIV-1 clade C in Brazil. Although the precise African origin of the variant is not known, it was first observed in Ethiopia, but it is observed, along with other variants, in many countries of central and east Africa. It is conceivable that the variant migrated southwards through highland areas (including Burundi and Kenya, the putative origin, ascribed by each group, to the South America and Brazilian clade C epidemic) to dominate the epidemic in the south of the continent. Mozambique is one of the countries in the south of Africa where clade C is predominant. In 1975, Mozambique declared its independence from Portugal and Frelimo, a left-oriented liberation movement, took hold of the government. Its support to liberation movements at South Africa and Rhodesia (now Zimbabwe) resulted in an armed rebel movement supported by the white-ruled neighboring countries, causing a civil war that was associated with an exodus of most of the Portuguese community and Mozambicans of Portuguese heritage. Brazil, a former Portuguese colony, has a large community of Portuguese descendants, a fact that may have facilitate a temporary or permanent destiny for some of these emigrants. According to the official Brazilian demographic data center (IBGE), the number of conceded residency for Portuguese nationals surged five-fold in 1975, returning to 1974 levels by 1981. In some areas of the south of Brazil, as in the coast of the state of Santa Catarina, Portuguese descendents are specially noted. Coincidentally, this area includes cities with the highest proportions of clade C infection. Available molecular data may not provide sufficient support for a direct link of the two epidemics and, apart from a threonine at codon 12, most amino acid signatures listed by Bello et al. [1] are not commonly observed among Mozambique sequences available at GenBank. However, these isolates are recent (1999-2004) and may not reflect the variants circulating in late 1970s. An evolving virus in distinct ethnic groups may make the task of tracing its origins and evolution difficult, especially when based exclusively on available, most of the time fragmental, sequence information. The relationship of Mozambique to Brazil, through a 'Portuguese connection', placed the area as the most feasible origin for the Brazilian clade C epidemic. Social and cultural determinants and tangibility of potential routes of dissemination should be incorporated into these studies to allow a more precise picture of HIV epidemic dynamics. (full-text) Language: English Keywords: SOUTH AMERICA | BRAZIL | AFRICA | CRITIQUE | HISTORICAL REVIEW | EPIDEMIOLOGIC METHODS | GENETIC TECHNIQUES | PERSONS LIVING WITH HIV/AIDS | HIV TRANSMISSION | EPIDEMIOLOGY | HUMAN GEOGRAPHY | CULTURE | GENETICS | Latin America | Americas | Developing Countries | South America, Eastern | Research Methodology | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | HIV Infections | Viral Diseases | Diseases | Public Health | Geography | Social Sciences | Science | Sociocultural Factors | Biology Document Number: 341168 |
| 9. Peer Reviewed Title: The impact of distance of residence from a peripheral health facility on pediatric health utilisation in rural western Kenya. Author: Feikin DR; Nguyen LM; Adazu K; Ombok M; Audi A; Slutsker L; Lindblade KA Source: Tropical Medicine and International Health. 2009 Jan;14(1):54-61. Abstract: OBJECTIVE: To explore the impact of distance on utilisation of peripheral health facilities for sick child visits in Asembo, rural western Kenya. METHODS: As part of a demographic surveillance system (DSS), censuses of all households in the Asembo population of 55,000 are conducted three times a year, data are collected at all outpatient pediatric visits in seven DSS clinics in Asembo, and all households are GIS-mapped and linkable to a child's unique DSS identification number. Between May 1, 2003 and April 30, 2004, 3501 clinic visits were linked to 2432 children among 10,973 DSS-resident children < 5 years of age. RESULTS: Younger children and children with more severe illnesses travelled further for clinic visits. The median distance travelled varied by clinic. The rate of clinic visits decreased linearly at 0.5 km intervals up to 4 km, after which the rate stabilised. Using Poisson regression, controlling for the nearest DSS clinic for each child, socio-economic status and maternal education, and accounting for household clustering of children, for every 1 km increase in distance of residence from a DSS clinic, the rate of clinic visits decreased by 34% (95% CI, 31-37%) from the previous kilometer. CONCLUSION: Achieving equity in access to health care for children in rural Kenya will require creative strategies to address a significant distance-decay effect in health care utilisation. Language: English Keywords: KENYA | RESEARCH REPORT | DEMOGRAPHIC SURVEYS | STATISTICAL REGRESSION | RURAL POPULATION | CHILDREN | DISTANCE | HEALTH FACILITIES | UTILIZATION OF HEALTH CARE | HUMAN GEOGRAPHY | SOCIOECONOMIC STATUS | EDUCATIONAL STATUS | AGE FACTORS | Africa, Eastern | Africa, Sub Saharan | Africa | Developing Countries | Population Dynamics | Demographic Factors | Population | Data Analysis | Research Methodology | Population Characteristics | Youth | Geographic Factors | Delivery of Health Care | Health | Health Services | Geography | Social Sciences | Science | Sociocultural Factors | Socioeconomic Factors | Economic Factors Document Number: 330260 |
| 10. Title: Guatemala: Using supply chain modeling and simulation to analyze the Ministry of Health supply chain. Author: Gibney J; Sanchez A; Lamadrid C Source: Arlington, Virginia, John Snow [JSI], DELIVER, 2009 Mar. 38 p. (USAID Contract No. GPO-I-01-06-00007-00) Abstract: This activity analyzed the characteristics of the integrated logistics system in three departments in Guatemala: Sololá, Totonicapán, and Jutiapa. This paper identifies some of the obstacles to achieving contraceptive availability for the underserved and vulnerable populations; it also offers options for improving equity in access for family planning commodities. The study identifies elements in the Ministry of Public Health and Social Welfare’s (MSPAS) logistics system that could impede the availability and accessibility of contraceptives. By using supply chain simulation and optimization modeling software, with geographic information system tools, the authors propose system-related solutions that could improve the performance of the overall MSPAS. Language: English Keywords: GUATEMALA | RECOMMENDATIONS | GOVERNMENT AGENCIES | LOGISTICS | HEALTH SERVICES EVALUATION | CONTRACEPTIVE AVAILABILITY | OBSTACLES | NEEDS | CONTRACEPTIVE DISTRIBUTION | PERFORMANCE IMPROVEMENT | GEOGRAPHY | INFORMATION RETRIEVAL SYSTEMS | TRANSPORTATION | Central America | Latin America | Americas | Developing Countries | Organizations | Political Factors | Sociocultural Factors | Management | Organization and Administration | Program Evaluation | Programs | Contraception | Family Planning | Economic Factors | Distributional Activities | Program Activities | Social Sciences | Science | Data Storage and Retrieval | Information Processing | Information Document Number: 331663 |
| 11. Peer Reviewed Title: A framework of sexual partnerships: Risks and implications for HIV prevention in Africa. Author: Green EC; Mah TL; Ruark A; Hearst N Source: Studies in Family Planning. 2009 Mar;40(1):63-70. Abstract: The global diversity of HIV epidemics can be explained in part by types and patterns of sexual partnerships. We offer a typology of sexual partnerships that corresponds to varying levels of HIVtransmission risk to help guide thinking about appropriate behavioral interventions, particularly in the epidemics of sub-Saharan Africa. Declines in HIV prevalence have been associated with reductions in numbers of sex partners, whereas many other prevention strategies have not been demonstrated to reduce HIV transmission at a population level. We suggest a reorientation of current prevention efforts, based on the epidemiology of sexually transmitted HIV epidemics and trends in sexual behavior change. Concurrent sexual partnerships are likely to play a large role in transmission dynamics in the generalized epidemics of East and Southern Africa, and should be addressed through improved behavior-change interventions. Language: English Keywords: AFRICA, SUB SAHARAN | METHODOLOGICAL STUDIES | CLASSIFICATION | EPIDEMIOLOGIC METHODS | SEXUAL PARTNERS | MULTIPLE PARTNERS | HIV PREVENTION | RISK ASSESSMENT | BEHAVIOR CHANGE COMMUNICATION | EPIDEMIOLOGY | SEX BEHAVIOR | SAFER SEX | HUMAN GEOGRAPHY | Africa | Developing Countries | Studies | Research Methodology | Behavior | HIV Infections | Viral Diseases | Diseases | Evaluation | Communication Programs | Communication | Behavior Change | Public Health | Health | Geography | Social Sciences | Science | Sociocultural Factors Document Number: 341082 |
| 12. Peer Reviewed Title: Contraception and sexual health. Author: Guillebaud J Source: Best Practice and Research: Clinical Obstetrics and Gynaecology. 2009 Apr;23(2):163-4. Abstract: This introductory article highlights the discrepancy between family planning and technological progress posing questions such as 'Where is the male pill or implant?' or 'Where is the single user-friendly method that effectively prevents both conception and sexually transmitted infections?' Language: English Keywords: GLOBAL | CRITIQUE | CONTRACEPTION | HEALTH | MALTHUSIANISM | POPULATION GROWTH | SEXUALITY | FAMILY PLANNING | ADOLESCENT PREGNANCY | Population Theory | Demography | Social Sciences | Science | Sociocultural Factors | Population Dynamics | Demographic Factors | Population | Personality | Psychological Factors | Behavior | Reproductive Behavior | Fertility Document Number: 341308 |
| 13. Title: Poverty, bridging between injecting drug users and the general population, and "interiorization" may explain the spread of HIV in southern Brazil. Author: Hacker MA; Leite I; Friedman SR; Carrijo RG; Bastos FI Source: Health and Place. 2009 Jun;15(2):514-9. Abstract: The aim of this paper is to study how structural determinants and the role of injecting drug users (IDUs) as a bridging population to the general population affected the AIDS subepidemic in southern Brazil during 1986-2000. Data from 288 southernmost Brazilian municipalities were analyzed. Using hierarchical modeling and inputs from a Geographic Information System, a multilevel model was constructed. The dependent variable was the logged AIDS standardized incidence rate (among the heterosexual population aged 15-69-years-old); independent variables included indicators for education, water provision, sewage, and garbage collection, per capita income, Gini coefficient (on income), Human Development Index, indicators of accessibility, and AIDS rate among IDUs. Significant predictors included AIDS rate among IDUs, distance from/to highways/railways, the Human Development Index and the ratio of residents who have access to sanitary installations. Poverty (as measured by socioeconomic indicators) and bridging from IDUs contribute to the spread of HIV/AIDS in Brazilian southern municipalities. Language: English Keywords: BRAZIL | RESEARCH REPORT | KAP SURVEYS | LONGITUDINAL STUDIES | MATHEMATICAL MODEL | EPIDEMIOLOGIC METHODS | IV DRUG USERS | HIV TRANSMISSION | POVERTY | HUMAN GEOGRAPHY | PREVALENCE | SOCIOECONOMIC FACTORS | PROGRAM ACCESSIBILITY | DISTANCE | SANITATION | South America, Eastern | South America | Latin America | Americas | Developing Countries | Surveys | Sampling Studies | Studies | Research Methodology | Theoretical Models | Drug Use and Abuse | Behavior | HIV Infections | Viral Diseases | Diseases | Economic Factors | Geography | Social Sciences | Science | Sociocultural Factors | Measurement | Program Evaluation | Programs | Organization and Administration | Geographic Factors | Population | Public Health | Health Document Number: 330964 |
| 14. Title: The social context of childcare practices and child malnutrition in Niger's recent food crisis. Author: Hampshire K; Casiday R; Kilpatrick K; Panter-Brick C Source: Disasters. 2009 Mar;33(1):132-51. Abstract: In 2004-05, Niger suffered a food crisis during which global attention focused on high levels of acute malnutrition among children. In response, decentralised emergency nutrition programmes were introduced into much of southern Niger. Child malnutrition, however, is a chronic problem and its links with food production and household food security are complex. This qualitative, anthropological study investigates pathways by which children are rendered vulnerable in the context of a nutritional 'emergency'. It focuses on household-level decisions that determine resource allocation and childcare practices in order to explain why practices apparently detrimental to children's health persist. Risk aversion, the need to maintain self-identity and status, and constrained decision making result in a failure to invest extra necessary resources ingrowth-faltering children. Understanding and responding to the social context of child malnutrition will help humanitarian workers to integrate their efforts more effectively with longer-term development programmes aimed at improving livelihood security. Language: English Keywords: NIGER | RESEARCH REPORT | CLINICAL RESEARCH | CHILDREN | HOUSEHOLDS | CHILD NUTRITION | MALNUTRITION | FAMINE | DECENTRALIZATION | NUTRITION PROGRAMS | ANTHROPOLOGY, CULTURAL | DECISION MAKING | RESOURCE ALLOCATION | HOME ECONOMICS | CHILD CARE | Africa, Western | Africa, Sub Saharan | Africa | Developing Countries | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Family and Household | Sociocultural Factors | Nutrition | Health | Nutrition Disorders | Diseases | Food Supply | Natural Resources | Environment | Political Factors | Primary Health Care | Health Services | Delivery of Health Care | Anthropology | Social Sciences | Science | Behavior | Financial Activities | Economic Factors | Microeconomic Factors | Child Rearing Document Number: 331289 |
| 15. Peer Reviewed Title: Cultural scripts for multiple and concurrent partnerships in southern Africa: Why HIV prevention needs anthropology. Author: Leclerc-Madlala S Source: Sexual Health. 2009;6(2):103-110. Abstract: Background: Multiple and concurrent sexual partnerships have been identified as southern Africa's key behavioural driver of HIV, resulting in calls to make partner reduction programming central to an intensified HIV prevention focus. Various efforts are currently being made in the region in response to this call. Such efforts will likely have as limited success as past prevention efforts if the cultural milieu in which sexual partnering practices are located and reproduced remains poorly understood, unaccounted for, and unaddressed in prevention programming. Methods: Focussed ethnographic discussions were held between October 2007 and November 2008 with 228 members of southern African non-government organisations representing seven countries. Discussions formed part of follow-up activities to a high level regional meeting and were aimed at exploring contextual factors in HIV transmission, most especially the role of culture in relation to multiple and concurrent partnerships. Results: Common patterns in cultural scripts for the performance of sexuality were discernable. Several predominant scripts that tend to affirm and lend cultural legitimacy to multiple and concurrent partnering were identified, discussed and analysed. Conclusion: Effectuating change at the level of cultural scripting to discourage multiple and concurrent partnerships is required for sustainable long-term protection of people and communities against HIV. The success of partner reduction programs will be largely determined by the extent to which they are informed by anthropological knowledge and work with cultural logics to allow people to envision how they can transform obstacles into support for risk reduction. (author's) Language: English Keywords: AFRICA, SOUTHERN | CRITIQUE | NONGOVERNMENTAL ORGANIZATIONS | MULTIPLE PARTNERS | CULTURE | HIV PREVENTION | ANTHROPOLOGY, CULTURAL | SEXUALITY | INFIDELITY | SEXUAL ABUSE | RISK REDUCTION BEHAVIOR | WORKSHOPS | Developing Countries | Africa, Sub Saharan | Africa | Organizations | Political Factors | Sociocultural Factors | Sexual Partners | Sex Behavior | Behavior | HIV Infections | Viral Diseases | Diseases | Anthropology | Social Sciences | Science | Personality | Psychological Factors | Crime | Social Problems | Education Document Number: 342231 |
| 16. Title: Demographics of infertility. Author: Ledger WL Source: Reproductive Biomedicine Online. 2009;18 Suppl 2:11-4. Abstract: The demographic composition of many developed countries threatens their economies and global influence. On the one hand, the increased cost of living and of raising children discourages couples from starting families until later in life while, on the other hand, improved living standards have increased life expectancy. Together, these have resulted in a low total fertility rate and a net increase in the elderly population. The financial and employment protection incentives offered by governments have had relatively little impact on this demographic trend, and a multi-level approach is needed. Governments are, therefore, considering alternatives as part of a so-called 'population policy mix'. One option is to promote access to assisted reproductive technology for infertile couples. The prevalence of infertility has increased, in part because of general health issues, such as obesity and the rise in sexually transmitted diseases, and also because women are postponing having their first child. Improving accessibility to assisted reproductive technology will relieve the burden of infertility on these couples and may contribute to effectively challenging the problem of low total fertility rates in many developed countries. Language: English Keywords: DEVELOPED COUNTRIES | RESEARCH REPORT | DEMOGRAPHICS | FERTILITY RATE | INFERTILITY | REPRODUCTIVE TECHNOLOGIES | POLICY | Demography | Social Sciences | Science | Sociocultural Factors | Birth Rate | Fertility Measurements | Fertility | Population Dynamics | Demographic Factors | Population | Reproduction | Political Factors Document Number: 342603 |
| 17. Peer Reviewed Title: Health economics of contraception. Author: Mavranezouli I Source: Best Practice and Research. Clinical Obstetrics and Gynaecology. 2009 Apr;23(2):187-198. Abstract: Unintended pregnancies constitute a global problem associated with substantial costs to health and social services, and emotional distress to women, their families and society as a whole. Provision of contraception has been demonstrated to be a particularly cost-effective healthcare intervention as, besides preventing a significant number of unintended pregnancies, it also results in great cost-savings to society. Male and female sterilization and long-acting reversible methods (such as the copper-T intra-uterine device and the subdermal implant) constitute the most cost-effective contraceptive options, followed by other hormonal methods (such as oral contraceptives); barrier and behavioural methods (such as the male condom and withdrawal, respectively) are least cost-effective compared with other contraceptive options. Nevertheless, when compared with no method, they still prevent a large number of unintended pregnancies, thus leading to important cost-savings. Improvements in compliance and continuation rates are expected to further enhance the contraceptive benefits and cost-savings associated with contraceptive use. Language: English Keywords: UNITED KINGDOM | RESEARCH REPORT | COST BENEFIT ANALYSIS | ECONOMICS | FEES | CONTRACEPTION | PUBLIC HEALTH | Developed Countries | Europe, Western | Europe | Quantitative Evaluation | Evaluation | Social Sciences | Science | Sociocultural Factors | Financial Activities | Economic Factors | Family Planning | Health Document Number: 329667 |
| 18. Peer Reviewed Title: Insecticide-treated net coverage in Africa: mapping progress in 2000-07. Author: Noor AM; Mutheu JJ; Tatem AJ; Hay SI; Snow RW Source: Lancet. 2009 Jan 3;373(9657):58-67. Abstract: BACKGROUND: Insecticide-treated bednets (ITNs) provide a means to improve child survival across Africa. Sales figures of these nets and survey coverage data presented nationally mask inequities in populations at biological and economic risk, and do not allow for precision in the estimation of unmet commodity needs. We gathered subnational ITN coverage sample survey data from 40 malaria-endemic countries in Africa between 2000 and 2007. METHODS: We computed the projected ITN coverage among children aged less than 5 years for age-adjusted population data that were stratified according to malaria transmission risks, proximate determinants of poverty, and methods of ITN delivery. FINDINGS: In 2000, only 1.7 million (1.8%) African children living in stable malaria-endemic conditions were protected by an ITN and the number increased to 20.3 million (18.5%) by 2007 leaving 89.6 million children unprotected. Of these, 30 million were living in some of the poorest areas of Africa: 54% were living in only seven countries and 25% in Nigeria alone. Overall, 33 (83%) countries were estimated to have ITN coverage of less than 40% in 2007. On average, we noted a greater increase in ITN coverage in areas where free distribution had operated between survey periods. INTERPRETATION: By mapping the distribution of populations in relation to malaria risk and intervention coverage, we provide a means to track the future requirements for scaling up essential disease-prevention strategies. The present coverage of ITN in Africa remains inadequate and a focused effort to improve distribution in selected areas would have a substantial effect on the continent's malaria burden. Language: English Keywords: AFRICA | RESEARCH REPORT | LONGITUDINAL STUDIES | HEALTH SURVEYS | CHILDREN | HUMAN GEOGRAPHY | BED NETS | PESTICIDES | CHILD SURVIVAL | INEQUALITIES | MALARIA PREVENTION | MAPS | Developing Countries | Studies | Research Methodology | Health | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Geography | Social Sciences | Science | Sociocultural Factors | Parasite Control | Public Health | Ingredients and Chemicals | Survivorship | Length of Life | Mortality | Population Dynamics | Socioeconomic Factors | Economic Factors | Malaria | Parasitic Diseases | Diseases Document Number: 330036 |
| 19. Peer Reviewed Title: Age patterns of severe paediatric malaria and their relationship to Plasmodium falciparum transmission intensity. Author: Okiro EA; Al-Taiar A; Reyburn H; Idro R; Berkley JA; Snow RW Source: Malaria Journal. 2009;8:4. Abstract: BACKGROUND: The understanding of the epidemiology of severe malaria in African children remains incomplete across the spectrum of Plasmodium falciparum transmission intensities through which communities might expect to transition, as intervention coverage expands. METHODS: Paediatric admission data were assembled from 13 hospitals serving 17 communities between 1990 and 2007. Estimates of Plasmodium falciparum transmission intensity in these communities were assembled to be spatially and temporally congruent to the clinical admission data. The analysis focused on the relationships between community derived parasite prevalence and the age and clinical presentation of paediatric malaria in children aged 0-9 years admitted to hospital. RESULTS: As transmission intensity declined a greater proportion of malaria admissions were in older children. There was a strong linear relationship between increasing transmission intensity and the proportion of paediatric malaria admissions that were infants (R2 = 0.73, p < 0.001). Cerebral malaria was reported among 4% and severe malaria anaemia among 17% of all malaria admissions. At higher transmission intensity cerebral malaria was a less common presentation compared to lower transmission sites. There was no obvious relationship between the proportions of children with severe malaria anaemia and transmission intensity. CONCLUSION: As the intensity of malaria transmission declines in Africa through the scaling up of insecticide-treated nets and other vector control measures a focus of disease prevention among very young children becomes less appropriate. The understanding of the relationship between parasite exposure and patterns of disease risk should be used to adapt malaria control strategies in different epidemiological settings. Language: English Keywords: AFRICA, SUB SAHARAN | RESEARCH REPORT | EPIDEMIOLOGIC METHODS | CLINICAL RESEARCH | CHILDREN | COMMUNITY | PREVALENCE | AGE FACTORS | MALARIA | HUMAN GEOGRAPHY | TIME FACTORS | LOCALE | CENTRAL NERVOUS SYSTEM EFFECTS | ANEMIA | INFECTION TRANSMISSION | Africa | Developing Countries | Research Methodology | Youth | Population Characteristics | Demographic Factors | Population | Residence Characteristics | Population Distribution | Geographic Factors | Measurement | Parasitic Diseases | Diseases | Geography | Social Sciences | Science | Sociocultural Factors | Population Dynamics | Central Nervous System | Physiology | Biology | Infections Document Number: 330371 |
| 20. Peer Reviewed Title: PREVALENCE OF CONSANGUINEOUS MARRIAGES IN SYRIA. Author: Othman H; Saadat M Source: Journal of Biosocial Science. 2009 May 12;:1-8. Abstract: SummaryConsanguineous marriage is the union of individuals having at least one common ancestor. The present cross-sectional study was done in order to illustrate the prevalence and types of consanguineous marriages in the Syrian Arab Republic. Data on consanguineous marriages were collected using a simple questionnaire. The total number of couples in this study was 67,958 (urban areas: 36,574 couples; rural areas: 31,384 couples) from the following provinces: Damascus, Hamah, Tartous, Latakia, Al Raqa, Homs, Edlep and Aleppo. In each province urban and rural areas were surveyed. Consanguineous marriage was classified by the degree of relationship between couples: double first cousins (F=1/8), first cousins (F=1/16), second cousins (F=1/64) and beyond second cousins (F<1/64). The coefficient of inbreeding (F) was calculated for each couple and the mean coefficient of inbreeding (alpha) estimated for the population of each province, stratified by rural and urban areas. The results showed that the overall frequency of consanguinity was 30.3% in urban and 39.8% in rural areas. Total rate of consanguinity was found to be 35.4%. The equivalent mean inbreeding coefficient (alpha) was 0.0203 and 0.0265 in urban and rural areas, respectively. The mean proportion of consanguineous marriages ranged from 67.5% in Al Raqa province to 22.1% in Latakia province. The alpha-value ranged from 0.0358 to 0.0127 in these two provinces, respectively. The western and north-western provinces (including Tartous, Lattakia and Edlep) recorded lower levels of inbreeding than the central, northern and southern provinces. The overall alpha-value was estimated to be about 0.0236 for the studied populations. First cousin marriages (with 20.9%) were the most common type of consanguineous marriages, followed by double first cousin (with 7.8%) and second cousin marriages (with 3.3%), and beyond second cousin was the least common type. Language: English Keywords: SYRIA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | HEALTH SURVEYS | COUPLES | MARRIAGE PATTERNS | CONSANGUINITY | PREVALENCE | HUMAN GEOGRAPHY | Developing Countries | Middle East | Research Methodology | Health | Family Characteristics | Family and Household | Sociocultural Factors | Marriage | Nuptiality | Demographic Factors | Population | Genetics | Biology | Measurement | Geography | Social Sciences | Science Document Number: 341478 |
| 21. Peer Reviewed Title: Estimation of the current global burden of cryptococcal meningitis among persons living with HIV/AIDS. Author: Park BJ; Wannemuehler KA; Marston BJ; Govender N; Pappas PG; Chiller TM Source: AIDS. 2009 Feb 20;23(4):525-30. Abstract: OBJECTIVE: Cryptococcal meningitis is one of the most important HIV-related opportunistic infections, especially in the developing world. In order to help develop global strategies and priorities for prevention and treatment, it is important to estimate the burden of cryptococcal meningitis. DESIGN: Global burden of disease estimation using published studies. METHODS: We used the median incidence rate of available studies in a geographic region to estimate the region-specific cryptococcal meningitis incidence; this was multiplied by the 2007 United Nations Programme on HIV/AIDS HIV population estimate for each region to estimate cryptococcal meningitis cases. To estimate deaths, we assumed a 9% 3-month case-fatality rate among high-income regions, a 55% rate among low-income and middle-income regions, and a 70% rate in sub-Saharan Africa, based on studies published in these areas and expert opinion. RESULTS: Published incidence ranged from 0.04 to 12% per year among persons with HIV. Sub-Saharan Africa had the highest yearly burden estimate (median incidence 3.2%, 720 000 cases; range, 144 000-1.3 million). Median incidence was lowest in Western and Central Europe and Oceania (Language: English Keywords: GLOBAL | AFRICA, SUB SAHARAN | RESEARCH REPORT | EPIDEMIOLOGIC METHODS | ESTIMATION TECHNIQUES | CROSS-CULTURAL COMPARISONS | PERSONS LIVING WITH HIV/AIDS | PREVALENCE | CENTRAL NERVOUS SYSTEM EFFECTS | MENINGITIS | COMPLICATIONS | HUMAN GEOGRAPHY | DEATH RATE | ECONOMIC DEVELOPMENT | Africa | Developing Countries | Research Methodology | Comparative Studies | Studies | HIV Infections | Viral Diseases | Diseases | Measurement | Central Nervous System | Physiology | Biology | Geography | Social Sciences | Science | Sociocultural Factors | Mortality | Population Dynamics | Demographic Factors | Population | Economic Factors Document Number: 341165 |
| 22. Title: The efficacy of a US-based medicine recycling program delivering antiretroviral drugs worldwide. Author: Patrick PA; Jibilian A; Herasme O; Valencia J; Hernandez EC Source: Journal of the International Association of Physicians in AIDS Care. 2009 Jan-Feb;8(1):25-29. Abstract: Since 1996, AID FOR AIDS International (AFAI) has collected unused antiretroviral drugs (ART) and "recycled" these medications to over 600 people living with human immunodeficiency virus/AIDS abroad under its AIDS Treatment Access Program. The investigators evaluated AIDS Treatment Access Program's efficacy using immunologic and virologic outcomes. Of the 404 eligible clients who had baseline and follow-up CD4 counts, mean baseline versus most recent measure was 230 +or- 222 cells/mm3 versus 372 +or- 256 cells/mm3 (P < .01). Of the 216 eligible clients who had baseline (>400 copies/mL) and follow-up viral loads, 62% (134/ 216) had undetectable viral loads «400 copies/mL) at their most recent measure. Median enrollment time in the recycling program was 3.1 years (range: 6 months to 9.5 years). AFAI's medication recycling program is efficacious in reaching and improving the clinical outcomes of people living with HIV/AIDS (PLWHA). Such programs should be considered a viable option among scale-up programs until governments provide universal access of ART to PLWHA. Language: English Keywords: GLOBAL | RESEARCH REPORT | PERSONS LIVING WITH HIV/AIDS | ANTIRETROVIRAL THERAPY | HEALTH SERVICES | POVERTY | ECONOMICS | PROGRAM ACCESSIBILITY | PROGRAM EVALUATION | HIV Infections | Viral Diseases | Diseases | HIV | Delivery of Health Care | Health | Socioeconomic Factors | Economic Factors | Social Sciences | Science | Sociocultural Factors | Programs | Organization and Administration Document Number: 331327 |
| 23. Title: Prevalence of HIV/AIDS among jail inmates in Sindh. Author: Safdar S; Mehmood A; Abbas SQ Source: JPMA. Journal of the Pakistan Medical Association. 2009 Feb;59(2):111-2. Abstract: There is currently an ongoing epidemic of HIV/AIDS in Sindh Province. The Sindh Government has established a program for delivering HIV/AIDS prevention services to jail inmates. The objective of this study was to establish baseline HIV prevalence in Sindh jails. Anonymous unlinked volunteer testing was offered to 15000 jail inmates across nine jails in six cities of Sindh, of which 4987 (33%) agreed to be tested, using Abbot Determine rapid testing kit for HIV. Final analysis was done on 4897 samples. Majority of HIV+ve cases were from Karachi (0.7%, n = 32), followed by Sukkur (0.14%, n = 7), Larkana (0.08%, n = 4), Hyderabad (0.06%, n = 3), Shikarpur (0.04%, n = 2) and Khairpur (0.02%, n = 1) jails. Among women prisoners, only three foreigners were found HIV+ve. The overall HIV prevalence was 1% (n = 49) in the study sample. This study establishes the presence of HIV among jail inmates in Sindh and further necessitates detailed behavioural study for risk assessment in this subpopulation. Language: English Keywords: PAKISTAN | ADMINISTRATIVE DISTRICTS | RESEARCH REPORT | EPIDEMIOLOGIC METHODS | CLINICAL RESEARCH | BASELINE SURVEYS | PRISONERS | PERSONS LIVING WITH HIV/AIDS | PREVALENCE | HIV INFECTIONS | VOLUNTARY COUNSELING AND TESTING | HUMAN GEOGRAPHY | SEX FACTORS | Developing Countries | Asia, Southern | Asia | Geographic Factors | Population | Research Methodology | Surveys | Sampling Studies | Studies | Crime | Social Problems | Sociocultural Factors | Viral Diseases | Diseases | Measurement | HIV Testing | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Geography | Social Sciences | Science | Population Characteristics | Demographic Factors Document Number: 330907 |
| 24. Peer Reviewed Title: ". . . But Then He Became My Sipa": The Implications of Relationship Fluidity for Condom Use Among Female Sex Workers in Antananarivo, Madagascar. Author: Stoebenau K; Hindin MJ; Nathanson CA; Rakotoarison PG; Razafintsalama V Source: American Journal of Public Health. 2009 May;99(5):811-819. Abstract: Increasing evidence indicates that sex workers use condoms less consistently with regular (i.e., nonpaying) partners than with clients. Few studies have examined the extent to which these 2 categories are mutually exclusive. In an ethnographic study of women's sex work in Antananarivo, Madagascar, we examined how the meaning of women sex workers' sexual relationships could shift among 3 different forms of sex work. Condom use was less likely in forms in which the distinction between client and lover (sipa in Malagasy) was fluid. For many sex workers, therefore, relationships they understood to be intimate imparted the greatest health vulnerability. It is important to examine the influence of the meaning of sexual relationships on condom use for HIV prevention. Policy implications for HIV prevention for HIV prevention work with sex workers are considered. Language: English Keywords: MADAGASCAR | RESEARCH REPORT | KAP SURVEYS | SEX WORKERS | WOMEN IN DEVELOPMENT | SEXUAL PARTNERS | URBAN POPULATION | CONDOM USE | INTERPERSONAL RELATIONS | ANTHROPOLOGY, CULTURAL | PERCEPTION | Africa, Southern | Africa, Sub Saharan | Africa | Developing Countries | Surveys | Sampling Studies | Studies | Research Methodology | Sex Behavior | Behavior | Economic Development | Economic Factors | Population Characteristics | Demographic Factors | Population | Risk Reduction Behavior | Anthropology | Social Sciences | Science | Sociocultural Factors | Psychological Factors Document Number: 330733 |
| 25. Peer Reviewed Title: Patterns and predictors of adherence to diaphragm use in a phase III trial in sub-Saharan Africa: a trajectory analysis. Author: van der Straten A; Shiboski S; Montgomery ET; Moore J; Bruyn GD; Ramjee G; Chidanyika A; Kacanek D; Padian N Author: and the MIRA Team Source: Journal of Acquired Immune Deficiency Syndromes. 2009 Apr 1;50(4):419-26. Abstract: BACKGROUND: We examined diaphragm adherence among 2429 women randomized to the intervention arm (diaphragm + gel + condoms) in Methods for Improving Reproductive Health in Africa, a phase III trial of the diaphragm for HIV prevention in Zimbabwe and South Africa. METHODS: Women were followed for a median of 7 quarterly visits (range: 1-8 quarterly visits) during which diaphragm adherence was assessed. We conducted trajectory analyses to identify behavioral groups associated with specific diaphragm adherence patterns. Multivariate multinomial logistic regression was used to identify baseline characteristics associated with higher probability of being in a particular trajectory group. RESULTS: Diaphragm uptake was very high (3.1% never used diaphragms). However, diaphragm adherence was reported at only 49% of visits. Women were clustered into 4 diaphragm adherence groups based on their highest estimated group membership probability: low adherers (31.0%), decreasing adherers (28.9%), increasing adherers (9.3%), and high adherers (30.8%). Women classified as high adherers (as compared with low adherers) were more likely to be older [adjusted odds ratio (AOR) = 1.09, 95% confidence interval (CI): 1.07 to 1.11] and to report baseline condom adherence (AOR = 2.00, 95% CI: 1.47 to 2.71). They were less likely to have high-risk behavior (AOR = 0.51; 95% CI: 0.37 to 0.71) and to have high-risk partners (AOR = 0.58; 95% CI: 0.43 to 0.78). They were most likely to be from the Zimbabwe site (AOR = 2.82; 95% CI: 1.89 to 4.20) and least likely to be from the Johannesburg site (AOR = 0.51; 95% CI: 0.37 to 0.77). CONCLUSION: This analytic approach could help to identify high compliers for enrollment in future HIV prevention trials or the types of participants who may need intensive adherence counseling during follow-up. Language: English Keywords: SOUTH AFRICA | ZIMBABWE | CLINICAL TRIALS | MULTIVARIATE ANALYSIS | CONTRACEPTIVE PREVALENCE SURVEYS | WOMEN IN DEVELOPMENT | VAGINAL DIAPHRAGM | USER COMPLIANCE | VAGINAL GEL | HIV PREVENTION | CONTRACEPTIVE PREVALENCE | AGE FACTORS | CONDOM USE | SAFER SEX | HUMAN GEOGRAPHY | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Clinical Research | Research Methodology | Data Analysis | Family Planning Surveys | Family Planning | Economic Development | Economic Factors | Vaginal Barrier Methods | Barrier Methods | Contraceptive Methods | Contraception | Behavior | Vaginal Spermicides | HIV Infections | Viral Diseases | Diseases | Contraceptive Usage | Population Characteristics | Demographic Factors | Population | Risk Reduction Behavior | Sex Behavior | Geography | Social Sciences | Science | Sociocultural Factors Document Number: 331024 |
| 26. Peer Reviewed Title: STIs and HIV in Pakistan: from analysis to action. Author: Zaheer HA; Hawkes S; Buse K; O'Dwyer M Source: Sexually Transmitted Infections. 2009 Apr;85(Suppl 2):ii1-ii2. Abstract: A diverse group of researchers and practitioners sought to understand the drivers of sexually transmitted infections (STIs), including HIV, in Pakistan. The results of the research, presented in this supplement, suggest three central messages. First, a window- which is likely closing-exists to prevent a more widespread HIV epidemic in the country. Second, the need for massively scaled-up interventions is pressing: awareness and knowledge are low, measures to reduce risk are low and levels of vulnerability are high. Third, efforts to ramp up service delivery will need to be matched by deliberate yet ingenious and sensitive work from civil society. Language: English Keywords: PAKISTAN | CRITIQUE | INTERDISCIPLINARY STUDIES | KAP SURVEYS | MATHEMATICAL MODEL | SEX WORKERS | IV DRUG USERS | HIV PREVENTION | SEXUALLY TRANSMITTED DISEASE PREVENTION | PERFORMANCE IMPROVEMENT | CAPACITY BUILDING | MAPS | HUMAN GEOGRAPHY | Developing Countries | Asia, Southern | Asia | Studies | Research Methodology | Surveys | Sampling Studies | Theoretical Models | Sex Behavior | Behavior | Drug Use and Abuse | HIV Infections | Viral Diseases | Diseases | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Management | Organization and Administration | Program Sustainability | Programs | Geography | Social Sciences | Science | Sociocultural Factors Document Number: 340120 |
| 27. Title: China's excess males, sex selective abortion, and one child policy: analysis of data from 2005 national intercensus survey. Author: Zhu WX; Lu L; Hesketh T Source: BMJ. 2009;338:b1211. Abstract: OBJECTIVES: To elucidate current trends and geographical patterns in the sex ratio at birth and in the population aged under 20 in China and to determine the roles played by sex selective abortion and the one child policy. DESIGN: Analysis of household based cross sectional population survey done in November 2005. SETTING: All of China's 2861 counties. Population 1% of the total population, selected to be broadly representative of the total. MAIN OUTCOME MEASURE: Sex ratio defined as males per 100 females. RESULTS: 4 764 512 people under the age of 20 were included. Overall sex ratios were high across all age groups and residency types, but they were highest in the 1-4 years age group, peaking at 126 (95% confidence interval 125 to 126) in rural areas. Six provinces had sex ratios of over 130 in the 1-4 age group. The sex ratio at birth was close to normal for first order births but rose steeply for second order births, especially in rural areas, where it reached 146 (143 to 149). Nine provinces had ratios of over 160 for second order births. The highest sex ratios were seen in provinces that allow rural inhabitants a second child if the first is a girl. Sex selective abortion accounts for almost all the excess males. One particular variant of the one child policy, which allows a second child if the first is a girl, leads to the highest sex ratios. CONCLUSIONS: In 2005 males under the age of 20 exceeded females by more than 32 million in China, and more than 1.1 million excess births of boys occurred. China will see very high and steadily worsening sex ratios in the reproductive age group over the next two decades. Enforcing the existing ban on sex selective abortion could lead to normalisation of the ratios. Language: English Keywords: CHINA | RESEARCH REPORT | CROSS SECTIONAL ANALYSIS | HOUSEHOLDS | ONE CHILD POLICY | ABORTION | SEX PREFERENCE | SEX RATIO | HUMAN GEOGRAPHY | AGE FACTORS | POPULATION PROJECTION | Asia, Eastern | Asia | Developing Countries | Research Methodology | Family and Household | Sociocultural Factors | Antinatalist Policy | Population Policy | Social Policy | Policy | Political Factors | Fertility Control, Postconception | Family Planning | Value Orientation | Psychological Factors | Behavior | Sex Distribution | Sex Factors | Population Characteristics | Demographic Factors | Population | Geography | Social Sciences | Science | Estimation Techniques Document Number: 331270 Notification |
| 28. Peer Reviewed Title: Ronald Freedman on American population growth: A view from 1957. Source: Population and Development Review. 2008 Mar;34(1):155-167. Abstract: Half a century ago, in 1957, the American baby boom reached its peak. The period total fertility rate (TFR) had climbed to 3.76-a level wholly unexpected even in the immediate postwar years. In combination with the then prevailing pattern of early childbearing and already fairly low mortality, this yielded an intrinsic rate of natural increase slightly above 2 percent per year. Such a rate implied, even without immigration, a long-run population growth potential unprecedented in US history. How should this demographic upsurge be interpreted? And what was the likely future demographic course of the United States? These were questions of manifest public interest. From the vantage point of the crest of the baby boom, Ronald Freedman addressed them in an essay titled "The planned family and American population growth," which appeared in the March 1957 issue of The Antioch Review. At the time Freedman was already a well-known social demographer, director of the first national fertility survey in the US(Growth of American Families); he was to become a leader in worldwide research on fertility and family planning. His 1957 essay is reproduced below in full. Written in nontechnical language but reflecting the best understanding of the factors underlying US fertility trends, Freedman's commentary provides a compelling narrative for today's readers. (excerpt) Language: English Keywords: UNITED STATES OF AMERICA | HISTORICAL REVIEW | CRITIQUE | DEMOGRAPHERS | POPULATION GROWTH | BIRTH RATE | BABY BOOM | DIFFERENTIAL FERTILITY | CONTRACEPTIVE USAGE | FAMILY SIZE | FAMILY PLANNING | Developed Countries | North America | Americas | Demography | Social Sciences | Science | Sociocultural Factors | Population Dynamics | Demographic Factors | Population | Fertility Measurements | Fertility | Contraception | Family Characteristics | Family and Household Document Number: 325567 |
| 29. Title: Using GIS tools to address disparities in access to family planning services and commodities in LAC and the Caribbean. Author: John Snow [JSI]. DELIVER Source: Arlington, Virginia, JSI, DELIVER, 2008. 8 p. (USAID Deliver Project, Task Order 1) Abstract: This paper demonstrates a methodology that Latin America and the Caribbean (LAC) ministries of health can easily use to geographically identify and target scarce resources to improve access to family planning. Guatemala was chosen as a case study for implementing the methodology, in large part because of the disparities that exist between its different subpopulations. The results highlight the potential for applying this methodology in other countries in the LAC region. Language: English Keywords: LATIN AMERICA | CARIBBEAN | PROGRESS REPORT | EVALUATION INDEXES | INDIGENOUS POPULATION | HUMAN GEOGRAPHY | GEOGRAPHIC FACTORS | FAMILY PLANNING PROGRAMS | PERFORMANCE IMPROVEMENT | PROGRAM ACCESSIBILITY | INEQUALITIES | DEMOGRAPHIC FACTORS | SOCIOECONOMIC STATUS | USAID | Americas | Developing Countries | Quantitative Evaluation | Evaluation | Population Characteristics | Population | Geography | Social Sciences | Science | Sociocultural Factors | Family Planning | Management | Organization and Administration | Program Evaluation | Programs | Socioeconomic Factors | Economic Factors | Government Agencies | Organizations | Political Factors Document Number: 329565 |
| 30. Title: Protecting health from climate change: World Health Day 2008. Author: World Health Organization [WHO] Source: Geneva, Switzerland, WHO, 2008. [32] p. Abstract: Climate change also brings new challenges to the control of infectious diseases. Many of the major killers are highly climate sensitive as regards temperature and rainfall, including cholera and the diarrhoeal diseases, as well as diseases including malaria, dengue and other infections carried by vectors. In sum, climate change threatens to slow, halt or reverse the progress that the global public health community is now making against many of these diseases. In the long run, however, the greatest health impacts may not be from acute shocks such as natural disasters or epidemics, but from the gradual build-up of pressure on the natural, economic and social systems that sustain health, and which are already under stress in much of the developing world. These gradual stresses include reductions and seasonal changes in the availability of fresh water, regional drops in food production, and rising sea levels. Each of these changes has the potential to force population displacement and increase the risks of civil conflict. (excerpt) Language: English Keywords: GLOBAL | CRITIQUE | EVALUATION | CHILDREN | GLOBAL WARMING | WHO | WORLD HEALTH DAY | NATURAL DISASTERS | HUMAN GEOGRAPHY | HEALTH | PUBLIC HEALTH | INFECTIONS | Youth | Age Factors | Population Characteristics | |