CONTEXT: The sexual behavior of young people in Angola will play a major role in the future spread of HIV, yet few young people use condoms consistently, and reported rates of condom use are low. It is important to identify determinants of condom use among Angolan adolescents and young adults.
METHODS:Data for analysis came from 1,995 sexually experienced youth aged 15–24 who participated in a 2001 knowledge, attitudes and practices survey in Luanda, Angola. Logistic regression analysis was performed to identify predictors of consistent condom use by gender and determinants of...
Health services can make an important contribution to improved health conditions among disadvantaged groups. Yet, the services supported by governments and development agencies too often fail to reach these people who need them most. Reaching the Poor with Health, Nutrition, and Population Services marshals the available evidence about pro-poor strategies that have proven to be effective and that can help in the development of programs to better assist disadvantaged groups. In doing so, it can serve as a resource for policy makers, development practitioners, and policy analysts concerned...
Misoprostol is registered as a gastric ulcer drug in many middle to high income countries; it is also used ‘off label’ in these same countries to prevent and control PPH. Its ease of administration and stability in tropical climates make it an ideal drug for use in home births, as well as with Active Management of the Third Stage of Labor (AMTSL) in any busy hospital.
Published in International Journal of Gynecology and Obstetrics, 94 (2) 2006, 151-152
This brief summarizes the findings of the VSI/KOGS misoprostol for PPH pilot program in Kenya, including that the direct distribution of misoprostol to women through antenatal care visits, as well as through Community Midwives at delivery, increased the number of women who receive protection from postpartum hemorrhage.
Osur and colleagues’ article on the evaluation findings of implementing misoprostol for post- abortion care (PAC) in Kenya and Uganda provides valuable lessons learned and best practices. Venture Strategies Innovations (VSI), a global health non-profit organization, is currently introducing misoprostol for PAC with the Ministries of Health (MOH) in Rwanda and Zimbabwe, and based on our ongoing implementation experiences, we would suggest a few additional lessons.