We present a simple mathematical model for assessing the effects of introducing a microbicide as an HIV infection protective method. As very little is known about the in vivo efficacy of microbicides, we ran sample scenarios for microbicides of various efficacies. We found that, in general, if existing condom usage in a community is low, introducing a microbicide will most likely have a positive impact on HIV incidence as abandonment of condom use in favor of microbicides will not play a significant role. If condom use in a community is high, though, attrition of condom users could play a...
D P Morberg 1, Y A Alzate López 2, S Moreira 2, N Prata 3, L W Riley 3, M S Burroughs Peña 4
D P Morberg
Y A Alzate López
S Moreira
N Prata
L W Riley
M S Burroughs Peña
2019
Objectives: Rheumatic heart disease (RHD) is a preventable disease frequently recognized in urban slums. Disease rates in Brazilian slums are incommensurate with the country's economic status and the existence of its universal healthcare system. Our study aimed to investigate what system issues may allow for disease persistence, focusing on issues surrounding access and utilization of primary and specialized healthcare services.
Study design: This was a two-part (formative phase followed by implementation phase) qualitative study based on interviews...
Background: Mozambique has a high maternal mortality ratio, and postpartum hemorrhage (PPH) is a leading cause of maternal deaths. In 2015, the Mozambican Ministry of Health (MOH) commenced a program to distribute misoprostol at the community level in selected districts as a strategy to reduce PPH. This case study uses the ExpandNet/World Health Organization (WHO) scale-up framework to examine the planning, management, and outcomes of the early expansion phase of the scale-up of misoprostol for the prevention of PPH in 2 provinces in Mozambique.
Disruptions in health service delivery due to the COVID-19 pandemic have had a devastating effect on maternal, neonatal, and child health (MNCH) with rises in maternal and neonatal deaths expected.1 Post-partum haemorrhage is the leading cause of maternal mortality in low-income countries and is likely to increase because of estimates of, at best, a 10% reduction in MNCH services....
Introduction: The transition of voluntary medical male circumcision (VMMC), an HIV prevention service, in Zimbabwe from a donor-funded to a government-owned programme involves the collective efforts and alignment of national and subnational government leaders, managers, healthcare providers, village health workers, community members, donors and implementing partners. We sought to understand stakeholders' perspectives on barriers, facilitators and recommendations as a vertical HIV prevention programme transitioned to an integrated, government-led model.
There is a paucity of research exploring abortion complication-related morbidity and mortality in humanitarian settings. The most recent data we have to understand the impact of global negligence on forcibly displaced persons’ reproductive health needs in humanitarian emergencies is from the 1999 United Nations Population Fund’s annual report, which estimated that 25-50% of maternal deaths in refugee settings were due to complications from unsafe abortion. This study will investigate maternal death surveillance and reporting (MDSR). The protocol will be implemented in a refugee setting:...
This fall 2025 semester Professor Ndola Prata has six exceptional undergraduate students from the PH181 course Poverty and Population who have communicated with their United States representatives, expressing their strong arguments for contraceptives as foreign aid for USAID, comprehensive sex education in public schools, abortion pills, community protection from hunger and climate stress, food security and women's access to reproductive care. These students are Rishabh Ganesh Balamitran, Raka Bose, Alyssa Chan, Rosalie Güitrón,...
Women’s empowerment has been associated with lower fertility. Angola, a country in middle Africa has a TFR of 6.2. The purpose of this paper is to examine whether women’s empowerment in Angola is associated with fertility preferences. More...
Impact on Reproductive Health Service Delivery in Kakuma and Kalobeyei Camps during Compounded Crises: A Qualitative Study
BHAVYA JOSHI, University of California, Berkeley Ndola Prata, Bixby Center, UC Berkeley
The United Nations Refugee Agency (UNHCR) has reported a 4000% increase in forcibly displaced individuals from 1951 to 2020. Crises and its impacts are increasing worldwide, and a growing number of populations are being impacted by multiple events of crises - compounded crises. Populations in compounded crises settings face additional challenges...
This summer, Dr. Ndola Prata, Chair of the Bixby Center, mentored high school students participating in the University Global Health Institute (UCGHI) Summer Researchers in Global Health program. Student interns were introduced to a myriad of global health issues and solutions through lectures, outreach activities and fieldwork. This cohort's independent project focused on global maternal, child and adolescent health.
