A5089897787- Reproductive Health and Contraception
- Global Maternal and Child Health
- Adolescent Sexual and Reproductive Health
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Intimate Partner and Family Violence
- Reproductive Health and Technologies
- Reproductive tract infections research
- Pregnancy and Medication Impact
- Insects and Parasite Interactions
- Reproductive System and Pregnancy
- HIV/AIDS Research and Interventions
- Vaccine Coverage and Hesitancy
- Demographic Trends and Gender Preferences
- Prenatal Substance Exposure Effects
- Cervical Cancer and HPV Research
- COVID-19 Impact on Reproduction
- Hepatitis B Virus Studies
- HIV, Drug Use, Sexual Risk
- Mobile Health and mHealth Applications
- Pharmacological Effects and Toxicity Studies
- Sexual function and dysfunction studies
- Herbal Medicine Research Studies
- Preterm Birth and Chorioamnionitis
- Telemedicine and Telehealth Implementation
University of California, San Francisco
2009-2024
Center for Health and Gender Equity
2018-2024
University of California, San Diego
2017-2024
Virginia Clinical Research
2024
Contraception Research and Development
2024
Clinical Research Management
2024
Eunice Kennedy Shriver National Institute of Child Health and Human Development
2024
University of California, Berkeley
2024
American Institute for Economic Research
2024
Columbia University
2024
In Niger the prevalence of girl child marriage and low female control over family planning (FP) has resulted in world's highest adolescent fertility. Male FP is associated with intimate partner violence (IPV) reproductive coercion (RC). We assessed associations IPV RC use among married girls (ages 13-19 years) Dosso, (N = 1072).Multivariable, cross-sectional regression models between physical IPV, sexual any use, husband knowledge (overt use), without (covert use).One four using reported...
Abstract Background We examine the association between quality of family planning (FP) counseling received in past 24 months, and current modern contraceptive use, initiation, continuation, among a sample women rural Uttar Pradesh, India. Methods This study included data from longitudinal with two rounds representative household survey (2014 2016), currently married age 15–49 years; analysis excluded who were already using permanent method during first round reported discontinuation because...
The prevalence of human papillomavirus (HPV) is higher among HIV-positive women, but the HPV prior to HIV acquisition has not been carefully evaluated.This study evaluated whether infection independently associated with heterosexual in a cohort Zimbabwean women.Case-control nested within large multicenter (HC-HIV).Cases consisted women incident observed during follow-up (n = 145). HIV-uninfected controls were selected and matched cases 446). cervical infections was compared at visit same...
OBJECTIVE: To estimate effectiveness and acceptability of medication abortion with mifepristone dispensed by pharmacists. METHODS: We conducted a prospective cohort study at eight clinical sites pharmacies in California Washington State from July 2018 to March 2020. Pharmacists participating underwent 1-hour training on abortion. approached patients who had already been evaluated, counseled, consented for per standard care. Patients interested participation gave consent, the clinician...
Following decades of conflict, South Sudan gained independence from in 2011. Prolonged which included gender-based violence (GBV), exacerbated gender disparities. This study aimed to assess attitudes towards inequitable norms related GBV and estimate the frequency sampled communities Sudan. Applying a community-based participatory research approach, 680 adult male female household respondents were interviewed seven sites within 2009–2011. Sites selected based on program catchment area for...
Depot-medroxyprogesterone acetate is a commonly used injectable contraceptive that has been associated with an increased risk of HIV acquisition. This study compares effects depot-medroxyprogesterone on immune parameters from several upper reproductive tract compartments relevant to HIV-1 susceptibility in repetitive samples 15 users and 27 women not hormonal contraceptives. Compared unexposed the mid-luteal phase, use was with: endocervical concentrations MCP1 IFNalpha2; decreased IL1beta...
Prior research from India demonstrates a need for family planning counseling that engages both women and men, offers complete method mix, focuses on gender equity reduces marital sexual violence (MSV) to promote modern contraceptive use. Effectiveness of the three-session (two male-only sessions one couple session) Counseling Husbands Achieve Reproductive Health Marital Equity (CHARM) intervention, which used male health providers engage counsel husbands (GE + FP), was demonstrated by...
Abstract Background In Bangladesh, abortion is illegal except to save a woman’s life, though menstrual regulation (MR) permitted. MR involves the use of manual uterine aspiration or Misoprostol (with without Mifepristone) induce menstruation up 10–12 weeks from last period. Despite availability safe and legal services, abortions still occur in informal setttings are associated with high complication rates, causing women then seek post care (PAC). The objective this study contextualize...
Problem There is little information regarding the impact of intrauterine device on immune parameters upper female reproductive tract related to risk HIV acquisition. Method Study We collected cervical and endometrial samples from women using hormonal study its effects endocervical cytokines/chemokine concentrations, phenotypic markers T cells, responses cells activation, alterations cellular infiltrates. Results Hormonal use was associated with: increased concentrations inflammatory...
Abstract The contraceptive effectiveness of intrauterine devices (IUDs) has been attributed in part to a foreign body reaction the endometrium. We performed this study better understand mechanisms action contraceptives by studying their effects on endometrial and cervical transcriptomes. collected biopsies from women using levonorgestrel-releasing system (LNG-IUS, n = 11), copper device (cu-IUD, 13) or levonorgestrel-containing combined oral (COC, 12), not (control group, 11)....
Despite calls for gender transformative family planning interventions to increase male engagement and female reproductive agency, there is limited research involving rigorous evaluation of the integration these approaches. CHARM2 (counseling Husbands wives Achieve Reproductive Health Marital Equity) builds upon a prior three-session intervention by integrating female-focused sessions emphasizing women's choice agency (i.e., synchronization). We hypothesized that participants will be more...
Abstract Background 90% of United States’ counties do not have a single clinic offering abortion care, and barriers to care disproportionately affect low-income families. Novel models delivery, including provision medication in pharmacies, with pharmacists prescribing medication, the potential expand access care. Pharmacists are well-positioned independently provide highly accessible patients, however by is currently legal or available States. To assess acceptability pharmacist identify...
Abstract Background The etonogestrel contraceptive implant is currently approved by the United States Food and Drug Administration (FDA) for prevention of pregnancy up to 3 years. However, studies that suggest efficacy 5 There little information on prevalence extended use factors influence clinicians in offering use. We investigated clinician perspectives barriers facilitators implant. Methods Using Consolidated Framework Implementation Research (CFIR), we conducted semi-structured...
Importance The early postpartum period, 2 to 4 weeks after birth, may be a convenient time for intrauterine device (IUD) placement; the placement could then coincide with or well-baby visits. Objective To determine expulsion rates IUDs placed compared those at standard interval 6-week visit. Design, Setting, and Participants In this randomized noninferiority trial, people who had vaginal cesarean birth were randomly assigned undergo (14-28 days) (42-56 IUD placement. Clinicians blinded...
Prolonged conflict in South Sudan exacerbated gender disparities and inequities. This study assessed differences attitudes towards inequitable norms practices by sex, age education to inform programming. Applying community-based participatory research methodology, 680 adult respondents, selected quota sampling, were interviewed seven Sudanese communities from 2009 2011. The verbally administered survey using the Gender Equitable Men scale. Data stratified education. Of 352 female, 326 male...
Background Quality of care in family planning traditionally focuses on promoting awareness the broad array contraceptive options rather than quality interpersonal communication offered by (FP) providers. There is a growing emphasis person-centered counselling, that respectful and meeting reproductive needs couple, fertility regulation. Despite increasing global focus care, little known about FP provided low- middle- income countries like India. This study involves development psychometric...
ObjectivesTo better understand the relationship between high-quality contraceptive counseling and met family planning needs, we examined association quality of selection a method postvisit among women requesting contraception in Ethiopia.Study designWe used post-counseling survey data from receiving care public health centers nongovernmental clinics three regions Ethiopia. Among whose reason for visit was method, scores on validated (QCC) scale subscales (primary analysis) type selected...