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Volume 6, Number 11
20 March 2006
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FAMILY PLANNING/REPRODUCTIVE HEALTH RESEARCH
Mapping supplies: are contraceptives going where they’re most needed?
(Newsletter; Global)
Research Commentary. 2006 Mar;1(3)
Leahy E
This review from Population Action International compared developing countries that have the highest unmet need for family planning with those that receive the greatest value of donated contraceptives and condoms. Among the countries with highest unmet need, two are among the 20 countries with the highest HIV prevalence in the world; half are among the 20 countries with the highest maternal mortality rates; and three are among the 20 countries with the lowest per capita national incomes.
Sexual behavior, condom use, and human papillomavirus: pooled analysis of the IARC human papillomavirus prevalence surveys
(Abstract; subscription needed for full text; Global)
Cancer Epidemiology Biomarkers & Prevention. 2006 Feb;15(2):326-333.
Vaccarella S | Franceschi S | Herrero R | Muñoz N | Snijders PJF | Clifford GM | Smith JS | Lazcano-Ponce E | Sukvirach S | Shin HR | de Sanjosé S | Molano M | Matos E | Ferreccio C | Anh PTH | Thomas JO | Meijer CJLM | IARC HPV Prevalence Surveys Study Group
Information on sexual behavior was collected from 11 areas in four continents among population-based, age-stratified random samples of women more than 15 years old. A total of 11,337 women (mean age, 41.9 years) were available. Researchers confirmed that lifetime number of sexual partners is associated with HPV positivity, but the association was not a linear one. Women who had multiple-type infection and high-risk HPV type infection reported a statistically nonsignificant higher number of sexual partners than women who had single-type and low-risk type infections, respectively. Early age at sexual debut was not significantly related to HPV positivity.
Post-training quality of syndromic management of sexually transmitted infections by chemists and druggists in Pokhara, Nepal: is it satisfactory?
(Abstract; subscription needed for full text; Asia)
International Journal for Quality in Health Care. 2006 Feb;18(1):66-72.
Khan MMH | Wolter S | Mori M
Using simulated client and provider interview methods, this study assessed chemists and druggists’ post-training management quality of syndromic STIs focusing on the areas of privacy maintaining, encouraging, history taking, counseling, referral practice, partner notification, and drug prescribing and then compared the findings of two methods. The researchers found that retained knowledge of chemists and druggists for syndromic management of STIs were not applied.
FAMILY PLANNING/REPRODUCTIVE HEALTH NEWS
RU-486 linked to two more deaths
(News Article; Global | North America)
17 Mar 2006
Associated Press
Related Press Release: FDA public health advisory: sepsis and medical abortion update
Two more women have died after using the abortion pill RU-486, federal health regulators said, in warning doctors to watch for a rare but deadly infection implicated in earlier deaths. At least seven US women have died after taking the pill, sold since 2000. The Food and Drug Administration cannot prove the drug was to blame in any of the cases. The FDA has not confirmed the cause of the latest two deaths.
Cameroon: 'Aunties' teach pregnant teenagers to prevent HIV/AIDS and STIs
(News Article; Sub-Saharan Africa)
13 Mar 2006
Integrated Regional Information Networks
Teenage pregnancy is a growing concern in Cameroon, and this article discuses the role of the National Network of the Associations of Aunties. The 61 "auntie's associations" offer a help line and drop-in service that provides psychological help and advice to teenagers in eight of the country's 10 provinces, but these facilities are still unknown among most Cameroonian youth.
Jamaicans urged to practice family planning
(News Article; Central America and the Caribbean)
14 Mar 2006
Jamaica Information Service
This article covers a speech by the Minister of Health of Jamaica who urged Jamaicans to practice family planning to reduce poverty, child and maternal mortality, and the spread of HIV/AIDS. He was speaking at the re-launch of the Lenworth Jacobs Clinic, which provides comprehensive reproductive healthcare for the more than 41,000 residents in the Central Kingston area.
Uganda receives 1 million condoms
(News Article; Sub-Saharan Africa)
15 Mar 2006
The Monitor
Related News Article: Ugandans use 5 million condoms monthly – govt
The Aids Healthcare Foundation, the largest AIDS organization in the USA, donated 1 million condoms (worth $25,000) to Uganda. The condoms will be distributed free of charge in parts of the country where the NGO Uganda Cares operates.
FDA approves YAZ(R), the first oral contraceptive to offer drospirenone in a 24-day, active-pill regimen
(Press Release; North America)
17 Mar 2006
PRNewswire
Berlex, Inc., a US affiliate of Schering AG, Germany, announced today that the US Food and Drug Administration has approved YAZ(R) (3 mg drospirenone/20 mcg ethinyl estradiol), a new monophasic oral contraceptive (OC) and the first pill to combine 20 mcg of ethinyl estradiol with the innovative progestin drospirenone. The 24-day, active hormone pill regimen of YAZ results in less hormonal fluctuation than traditional OCs that provide 21 days of active pills. YAZ will be available in the U.S. by prescription in April, 2006.
FAMILY PLANNING/REPRODUCTIVE HEALTH LAW AND POLICY
World population policies 2005
(Report; Global)
New York, United Nations, 2006.
United Nations Department of Economic and Social Affairs/Population Division
This report delineates Governments’ views and policies concerning population and development for the 194 Member States and non-member States of the United Nations. In particular, it itemizes policies in the areas of population size and growth, population age structure, fertility and family planning, health and mortality, spatial distribution and internal migration and international migration.
Women’s reproductive and sexual rights and the offence of Zina in Muslim laws in Nigeria
(Feature Article; Global | Sub-Saharan Africa)
9 Mar 2006
Pambazuka News
In this compelling article, women’s reproductive and sexual rights within Muslim Nigeria are considered. With the recent “Sharianization” of parts of the country, new offences have been created, mostly surrounding sexuality, which has had a negative effect on women’s rights. The author argues that while Sharia (Muslim laws) are neither uniform nor God given, the opposition between conservative and liberal jurisprudence has prevented progressive scholars and activists from establishing Muslim laws that ensure and protects the rights of women. The author highlights what can be done to oppose these forces and argues that one of the most important aspects of this task involves a “demystification” of Sharia for the Muslim communities of Nigeria (and elsewhere).
FDA to review ban on gay men donating blood
(News Article; North America)
18 Mar 2006
The Washington Post
The Food and Drug Administration is considering revising its policy that bars as a blood donor any man who has had sex with another man since 1977. The change in policy is being recommended by the American Red Cross, the American Association of Blood Banks and America's Blood Centers, which collect virtually all the blood used for transfusions nationwide.
The war against AIDS: Uganda's change of track
(Commentary; Sub-Saharan Africa)
Resource Net Friday File. 2006 Mar 10;(265)
The Association for Women's Rights in Development
A shift in Ugandan government policy on HIV and AIDS prevention strategies threatens to reverse the advances made in the nation's fight against the pandemic.
HIV/AIDS RESEARCH
The global impact of scaling up HIV/AIDS prevention programs in low- and middle-income countries
(Abstract; subscription needed for full text; Global)
Science. 2006 Mar 10;311(5766):1474-1476.
Stover J | Bertozzi S | Gutierrez JP | Walker N | Stanecki KA | Greener R | Gouws E | Hankins C | Garnett GP | Salomon JA | Boerma JT | De Lay P | Ghys PD
Investing about US$122 billion in the global expansion of prevention programs targeted at sexual transmission and transmission among injecting drug users could potentially avert 28 million new HIV infections between 2005 and 2015 in 125 low- and middle-income countries. This analysis suggests that preventing a new infection will cost US$3,900 but save US$4,700 in forgone treatment and care costs. Thus, greater spending on prevention now would not only prevent infections but would actually produce a net financial saving.
Sexual risk reduction interventions do not inadvertently increase the overall frequency of sexual behavior: a meta-analysis of 174 studies with 116,735 participants
(Abstract; subscription needed for full text; Global)
Journal of Acquired Immune Deficiency Syndromes. 2006 Mar;41(3):374-384.
Smoak N | Scott-Sheldon LAJ | Johnson BT | Carey MP | the SHARP Research Team
A meta-analytic review of the influence of HIV risk reduction interventions on sexual occasions, number of partners, and abstinence was conducted to assess whether condom-related interventions inadvertently undermine sexual risk reduction efforts by increasing the frequency of sexual behavior. Data from 174 studies (206 interventions, n = 116,735 participants) were included. In general, HIV risk reduction interventions neither increased nor decreased sexual occasions or number of partners reported.
Lack of HIV testing and awareness of HIV infection among men who have sex with men, Beijing, China
(Abstract; subscription needed for full text; Asia)
AIDS Education and Prevention. 2006 Feb;18(1):33-43.
Choi KH | Lui H | Guo Y | Han L | Mandel JS
This study assessed HIV testing behavior in 482 men who have sex with men (MSM) in China from September 2001 to January 2002. Only 18% of participants had ever been tested for HIV before the study. The independent correlates of prior testing were: older age, a college degree, disclosing MSM activities to people, being recruited through social networks, and a history of sexually transmitted diseases. The prevalence of HIV testing among MSM in Beijing is low, suggesting an urgent need to promote HIV testing among MSM in Beijing.
The global challenge of HIV and AIDS 
(Review/Synthesis; Global)
(You need Adobe Acrobat Reader to access this document)
Population Bulletin. 2006 Mar;61(1)
Lamptey PR | Johnson JL | Khan M
This Population Bulletin is an updated revision of the 2002 Bulletin, “Facing the HIV/AIDS Pandemic.”
HIV/AIDS in the transitional countries of eastern Europe and central Asia
(Research Article; Asia | Europe)
(You need Adobe Acrobat Reader to access this document)
Clinical Medicine. 2005 Sep/Oct;5(5):487-490.
Donoghoe M | Lazarus J | Matic S
This paper examines factors that have enabled HIV/AIDS to became a major threat to health, economic stability, and human development in countries in eastern Europe and central Asia. These include social, political, and economic changes that have led to increasing drug injection, economic decline, and failing health and healthcare systems. There is a need to address the opposition to evidence-based public health interventions like harm reduction, coupled with treating HIV/AIDS for all those in need to provide a more effective response to the epidemic.
Low HIV-1 incidence among married serodiscordant couples in Pune, India
(Abstract; subscription needed for full text; Asia)
The Journal of Acquired Immune Deficiency Syndromes. 2006 Mar;41(3)
Mehendale SM | Ghate MV | Kumar BK | Sahay S | Gamble TR | Godbole SV | Thakar MR | Kulkarni SS | Gupta A | Gangakhedkar RR | Divekar AD | Risbud AR | Paranjape RS | Bollinger RC
This study of 457 sero-discordant married couples enrolled between September 2002 and November 2004 in a prospective study of HIV transmission in Pune, India found the HIV incidence among uninfected partners was 1.22 per 100 person-years. This rate is much lower than what has been previously reported among discordant couples in Africa and may be due to higher rates of condom use, lower rates of STIs, and higher CD4 T lymphocyte counts among the Indian HIV sero-discordant couples.
Sixteen years of HIV surveillance in a West African research clinic reveals divergent epidemic trends of HIV-1 and HIV-2
(Abstract; subscription needed for full text; Sub-Saharan Africa)
International Journal of Epidemiology. Online access March 16, 2006.
van der Loeff MFS | Awasana AA | Sarge-Njie R | van der Sande M | Jaye A | Sabally S | Corrah T | McConkey SJ | Whittle HC
In a research clinic in The Gambia, HIV-1 and HIV-2 prevalence trends among all new patients being tested for HIV were examined over a 16 year period (1988 till 2003). HIV-1 prevalence increased and HIV-2 prevalence decreased with time in logistic regression models adjusting for age, sex, and indication for test.
HIV/AIDS NEWS
Kenyan Church apologises over AIDS
(News Article; Sub-Saharan Africa)
18 Mar 2006
Telegraph
Anglican leaders in Kenya, who have long been criticised for their lukewarm approach to tackling HIV and Aids, have apologised for turning their backs on Christians living with the illness. Institutional discrimination against people with the virus has been a feature of society in Africa, where pastors and imams have claimed that HIV and Aids are a plague sent as punishment for promiscuity and sinful living.
AIDS leaves 9 mln African children without mothers
(News Article; Sub-Saharan Africa)
20 Mar 2006
Reuters
Some 9 million children in Africa have lost a mother to AIDS, British charity Save the Children said, calling on donors to sharply increase aid to meet their needs.
AIDS test to be mandatory for marrying couple: bill
(News Article; Asia)
17 Mar 2006
Navhind Times
The state government of Goa (India) is set to introduce radical legislation in the House, for the first time anywhere in the country, that would make an AIDS test mandatory for a couple before their marriage.
Mozambique to double number receiving AIDS drugs
(News Article; Sub-Saharan Africa)
20 Mar 2006
Reuters
Mozambique expects to provide free anti-retroviral AIDS drugs to some 50,000 people by the end of 2006. Mozambique has been hailed by international lenders as a model reformer that has grown its economy at an average rate of 8% over the past decade.
Somalia expands efforts to fight HIV/AIDS
(News Article; Sub-Saharan Africa)
15 Mar 2006
Voice of America
Somalia is now prepared to take a countrywide approach to battling HIV/AIDS. Fearing that the pandemic could derail the country’s development, the Somali Transitional Federal Government launched the South Central AIDS Commission.
MATERNAL AND CHILD HEALTH RESEARCH
Behavior change perspectives and communication guidelines on six child survival interventions
(Report; Global)
(You need Adobe Acrobat Reader to access this document)
Academy for Educational Development and the Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs, December 2005
Seidel R
This document focuses on six major interventions and key practices to incorporate behavior change and communication strategies into child survival programs. It examines the challenges associated with improving these practices in developing country contexts and provides insight into how to design effective strategies.
Facility-based maternal death reviews: effects on maternal mortality in a district hospital in Senegal
(Research Article; Sub-Saharan Africa)
(You need Adobe Acrobat Reader to access this document)
Bulletin of the World Health Organization. 2006 Mar;84(3):218-224.
Dumont A | Gaye A | de Bernis L | Chaillet N | Landry A | Delage J | Bouvier-Colle MH
This study assessed the effect of facility-based maternal death reviews on maternal mortality rates from 1998-2000 in district hopsitals in Senegal as compared to death rates in the year before such a program was instituted. The intervention had a marked reduction in maternal mortality rates, from 0.83 to 0.41 per 100 women.
Tracking progress towards the Millennium Development Goals: reaching consensus on child mortality levels and trends
(Research Article; Global)
(You need Adobe Acrobat Reader to access this document)
Bulletin of the World Health Organization. 2006 Mar;84(3):225-232.
Child Mortality Coordination Group
This article describes the role of extrapolation, commonly used to calculate child mortality in low-income countries. It reviews technical aspects of tracking child mortality as well as current policy and political challenges in the field.
Neonatal hypothermia detection by ThermoSpot in Indian urban slum dwellings
(Abstract; subscription needed for full text; Global | Asia)
Archives of Disease in Childhood - Fetal and Neonatal Edition. 91(2):F96-F98.
Green DA | Kumar A | Khanna R
This article reports a comparitive study on the performance of ThermoSpot liquid crystal thermometry in detecting hypothermia in neonates born at home by non-medically trained local volunteers performed in the homes of an underprivileged urban slum community in India. Over 180 paired observations, the ThermoSpot had a sensitivity of 88%, and a specificity of 97%, and performed well for the detection of neonatal hypothermia.
MATERNAL AND CHILD HEALTH NEWS
Proper birth delivery could reduce maternal, infant deaths
(News Article; Asia)
13 Mar 2006
The Financial Express
Speakers at a scientific discussion at the Islami Bank Medical College Hospital (Bangladesh) on gynecological training said both the maternal mortality rate and infant mortality rate could be reduced to a significant extent through safe delivery. To remedy the situation, Islami Bank Medical College Hospital launched a course to train birth attendants.
MEN'S HEALTH NEWS
Homosexual men boost increase in syphilis rate
(News Article; North America)
17 Mar 2006
The Washington Times
Related Review/Synthesis: Primary and Secondary Syphilis --- United States, 2003--2004
The syphilis rate among U.S. men soared 81 percent between 2000 and 2004, primarily as a result of increases in reported cases among homosexual males, federal health officials reported. While the rate among men nearly doubled during that time, from 2.6 per 100,000 to 4.7, the syphilis rate among women fell from 1.7 to 0.8 per 100,000 from 2000 to 2003. It remained stable in 2004, marking the end of a 13-year decline.
POPULATION RESEARCH
Stages of the demographic transition from a child’s perspective: family size, cohort size, and children’s resources
(Report; Global)
(You need Adobe Acrobat Reader to access this document)
Population Studies Center, University of Michigan, March 2006.
Lam D | Marteleto L
This paper provides a new characterization of stages of the demographic transition, describing it from a child’s perspective. These stages describe the sequence of changes in family and cohort sizes that affect children’s resources. The authors applied their framework to census microdata for Brazil, Kenya, Mexico, and Vietnam, focusing on children aged 9-11.
A model for geographical variation in health and total life expectancy
(Research Article; Europe)
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Demographic Research. 2006 Mar 07;14:157-178.
Congdon P
This paper develops a joint approach to life and health expectancy based on 2001 UK Census data for limiting long term illness and general health status and on registered death occurrences. The model takes account of the interdependence of different outcomes (e.g., ill health and mortality) as well as spatial correlation in their patterns.
POPULATION NEWS
German birth rate falls to lowest in Europe
(News Article; Europe)
15 Mar 2006
The Guardian
The number of children born in Germany last year was the lowest since the end of the second world war, and Germany now has the lowest birth rate in Europe according to the Federal Statistical Office. The article disscusses reasons behind the low birth rates as well as the economic and social consequences.
Russia’s population may decrease by 30 percent by 2035
(News Article; Asia)
14 Mar 2006
Itar-Tass
This article describes the critical demographic situation in Russia because of the high mortality rate which reached 16.1 deceased per 1,000 population in 2005, as well as the low birth rate. Russia's mortality rate exceeds the birth rate by 1.6 to 1.8 times, and in certain regions by 2 to 3 times.
Population grows 3.2 percent in five years
(News Article; Asia)
16 Mar 2006
Shanghai Daily
The National Bureau of Statistics announced that China's population reached 1.306 billion by November 2005, growing 3.2% from 2000 while the gender imbalance rate stands at 106.30 males to 100 females, compared with 119.92 males to 100 females in 2000. The population living in urban areas was 42.99%, up 6.77 percentage points.
Ghana's population to double if rate is not controlled
(News Article; Sub-Saharan Africa)
17 Mar 2006
GNA
Ghana's current population of about 19 million people will double in the next 26 years if measures are not put in place to control the fast rate at which it is growing, Dr. Emmanuel Tawiah, of the Population Impact Project, University of Ghana, said recently. He was speaking at a seminar for Parliamentary Caucus on Population and Development organized by the National Population Council.
WOMEN'S HEALTH RESEARCH
Anti-human trafficking program in Vietnam—Trafficking in women and children from Vietnam to China: legal framework and government responses
(Report; Asia)
(You need Adobe Acrobat Reader to access this document)
Oxfam, August 2005.
Wang Y
The main objective of this study is to identify the legal framework against human trafficking in Vietnam and China, and to understand how the government intervenes in the human trafficking issue in both countries. The study also reviews all available literature, materials, and documents related to human trafficking from Vietnam to China. In addition, the report sheds light on the concept of trafficking and its relation with prostitution and migration.
WOMEN'S HEALTH NEWS
South Africa exports a culture of sexual abuse
(Commentary; Sub-Saharan Africa)
10 Mar 2006
Gender Links
It is with little irony that a South African peacekeeper is on trial, accused of allegedly abusing and killing a Burundian minor, the same week that the man who was the architect of Burundi’s peace is on trial for rape in the Johannesburg High Court. If there are analogies to be drawn, it must be between the link between South African maleness and allegations of female abuse.
YOUTH HEALTH RESEARCH
First hand knowledge – voices across the Mekong: community action against trafficking of children and women
(Report; Asia)
(You need Adobe Acrobat Reader to access this document)
International Labour Organization, 2005.
This report recounts, in a personal and direct manner, the stories of the children, women, community leaders, and officials who have been directly involved with the ILO- Mekong Sub-Regional Project to Combat Trafficking in Children and Women. Much of what they related were around two questions posed to them: (1) What in your experience are the happiest results from the project? (2) To what do you attribute these happy results?
YOUTH HEALTH NEWS
Pakistan: Focus on ‘vani’ – the practice of giving away young women to settle feuds
(Feature Article; Asia)
16 Mar 2006
Integrated Regional Information Networks
The custom of 'vani' is the traditional Pakistani practice is used as compensation for the crime of murder and a means to settle feuds between two families or clans. On 7 March, in Mianwali, a town of some 85,000 people in north-western Punjab, located 200 km south of the capital Islamabad, the Human Rights Commission of Pakistan organiszd a meeting to coincide with International Women's Day to speak out against 'vani'.
Thousands of schoolgirls fall pregnant
(News Article; Sub-Saharan Africa)
20 Mar 2006
The Star
A spokesperson for the department of health reports that the department is continuously running programs on how to prevent teenage pregnancy and STIs, but some pupils took no notice of the advice. "It is just like telling someone that if they touch a live wire they will be electrocuted, but the person then still does it," he said. He said that even though statistics showed that many girls were falling pregnant, there was no shortage of contraceptives.
Guidance needed to prevent teen pregnancies
(Feature Article; Asia)
20 Mar 2006
China Daily
The China Population Communication and Education Centre, an offshoot of the China National Population and Family Planning Commission, is a State-level institution that deals with puberty, health, and sex education. This feature article details some of the work they do.
5-year sex education program wraps up
(News Article; Asia)
20 Mar 2006
Shanghai Daily
A 5-year international sex education program wrapped up in Shanghai, health officials announced. It was the first time the city worked with international agencies to provide sex education to students and single workers.
Students to take "condom" tests
(News Article; Europe)
20 Mar 2006
Community Newswire
Students at a south-east London college are to receive tutorials and take tests on condom use in a new drive to cut teenage pregnancies and STDs. Under the scheme 16 to 19-year-olds at Lewisham College will attend classes on how to use condoms. They will then have to pass a test on the subject before being issued with a certificate - dubbed a Condom Card or C-Card - which entitles them to collect free condoms at the college and at sites nearby.
Calendar of Events
March 25, 2006Ongoing Project Assessment for NGO's Workshop
Increasingly, nongovernmental organizations are required to collect data both for funders and to monitor their programs. This workshop will look at the different types of information that are gathered and suggest ways to shape and use that data to help the organization itself. This four hour workshop will provide participants with an overview of Program Assessment and will be a practical workshop that will suggest ways to improve information gathering, data management, and report writing.
Contact's Name: Mirjam Miske / E-Mail: info@aims.ac.za
Event Location: Cape Town, South Africa
April 3, 2006 - April 7, 2006
Commission on Population and Development, 39th session
Contact's Name: Michele Fedoroff / E-Mail: fedoroff@un.org
Event Location: New York, New York, USA
May 11, 2006 - May 12, 2006
The Second International Policy Conference on the African Child: Violence Against Girls in Africa
The African Child Policy Forum is Africa based, with an African voice, for Africans. The Forum’s annual International Policy Conference is a physical extension of this idea as it provides an African-specific opportunity for dialogue. The goal of the International Policy Conference is to bring together governments, policy makers and non-governmental organizations in the promotion of the rights and welfare of Africa’s children, so that it contributes to the ongoing international efforts to effect attitudinal and policy changes.
Event Location: Addis Ababa, Ethiopia
May 18, 2006
Sex education: whose responsibility is it?
This one-day interactive session, sponsored by African Youth Empowerment - Nigeria, if open to students, teachers, parents, non-governmental organizations, the media, and the general public.
Contact's Name: Olusesan Olukoya / E-Mail: ayen_nigeria@yahoo.com
Event Location: Lagos, Nigeria
May 31, 2006 - June 2, 2006
UNGA Special Session on HIV/AIDS Review
Event Location: New York, New York, USA
August 1, 2006 - September 15, 2006
Second Competency Based Training in Health Promotion
The goal of the training workshop is to enhance the capacity of practicing health educators to facilitate the development, implementation and evaluation of health promotion programs for the improvement of health, prevention of diseases and disabilities in the Africa region.
E-Mail: hpe@comui.edu.ngEvent Location: Ibadan, Nigeria
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