A5051469630- Reproductive Health and Contraception
- Adolescent Sexual and Reproductive Health
- Global Maternal and Child Health
- HIV/AIDS Research and Interventions
- Urban, Neighborhood, and Segregation Studies
- Maternal and Perinatal Health Interventions
- Spatial and Panel Data Analysis
- Homelessness and Social Issues
- Pharmaceutical Economics and Policy
- Housing Market and Economics
- Cervical Cancer and HPV Research
- Urban Transport and Accessibility
- Place Attachment and Urban Studies
- Sex work and related issues
- Hepatitis B Virus Studies
- Vaccine Coverage and Hesitancy
- Crime Patterns and Interventions
- Reproductive tract infections research
- Sexual function and dysfunction studies
- HIV, Drug Use, Sexual Risk
- Banking stability, regulation, efficiency
- Emergency and Acute Care Studies
- Migration, Health and Trauma
- Maternal and fetal healthcare
- Reproductive Health and Technologies
Program for Appropriate Technology in Health
2014-2025
University of Washington
2006-2011
The human right to health is universal and non-exclusionary, supporting in full, for all. Despite advances systems globally, 3.6 billion people lack access essential services. Women girls are disadvantaged when it comes benefiting from quality services, owing social norms, unequal power relationships, of consideration beyond their reproductive roles poverty. Self-care interventions, including medicines diagnostics, which offer an additional option facility-based care, can improve the...
This article analyzes whether neighborhood context or environment in Seattle influences dimensions of social ties among neighbors, independent the individual attributes residents such as home ownership and socio‐economic status. Three neighbor are examined: interaction, organizing collectively, knowing about neighbors. A number environmental considered, including age housing, residential stability, levels affluence, presence blacks foreign born, concentration commercial areas (heterogeneous...
ABSTRACT U.S. financial services are bifurcated into a traditional banking sector that serves wealthier individuals and less regulated alternative (payday lenders, check cashers, etc.) catering to lower income individuals. What determines the spatial distribution of fringe banks? First, at county level, banks do not fill void in services. Second, whether providers disproportionately locate counties with more minorities depends on service minority population. Finally, pawnshop prevalence is...
The purpose of this study was to compare 12-month continuation rates for subcutaneous depot medroxyprogesterone acetate (DMPA-SC) administered via self-injection and DMPA-IM by a health worker in Uganda.Women seeking injectable contraception at participating facilities were offered the choice self-injecting DMPA-SC or receiving an injection from worker. Those opting trained one-on-one. They self-injected under supervision took home three units, client instruction guide reinjection calendar....
The Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) Initiative aims to reduce HIV infections among adolescent girls young women (AGYW) in Africa. Oral pre-exposure prophylaxis (PrEP) is offered through DREAMS Kenya eligible AGYW high burden counties including Kisumu Homa Bay. This study examines PrEP persistence community-based delivery settings. We evaluated the program Bay using survival analysis programmatic refill data collected between March December 2017. Among...
Background In sub-Saharan Africa (SSA), adolescent girls and young women (AGYW) ages 15 to 24 years represent <10% of the population yet account for 1 in 5 new HIV infections. Although oral pre-exposure prophylaxis (PrEP) with tenofovir disoproxil fumarate/emtricitabine (TDF/FTC) can be highly effective, low persistence PrEP programs poor adherence have limited its ability reduce incidence among women. Methods findings A total 336 AGYW participating PEPFAR-funded DREAMS program western...
Persistently high HIV incidence among women, especially adolescent girls and young women (AGYW), have drawn the attention of national policymakers, donors, implementers in Sub-Saharan Africa to integration family planning (FP) programs. According several research studies, FP services could offer a holistic strategy address needs this demographic by including prevention approaches, particularly pre-exposure prophylaxis. Our study set out explore obstacles opportunities that AGYW faced...
ABSTRACT:Case studies in select large cities have found that fringe services, including payday lenders, check cashers, pawn brokers, and money transmittal companies are more geographically accessible to predominantly minority neighborhoods while traditional banks white neighborhoods. However, many analyses bivariate rather than multivariate do not disentangle the influence of neighborhood socioeconomic status from race. Furthermore, services industry contends market factors, such as zoning,...
Abstract Background The GAVI Alliance’s decision in late 2011 to invite developing countries apply for funding human papillomavirus (HPV) vaccine introduction underscores the importance of understanding levels HPV acceptance country settings. In this paper, we present findings from qualitative research on parents’ rationales vaccinating or not their daughters (vaccine acceptance) and decision-making process context an vaccination demonstration project Vietnam (2008–2009). Methods We designed...
Expanding contraceptive options through self-injection may improve access and confidentiality. There are few published studies on in sub-Saharan Africa none West Africa, a region with high unmet need. This study was performed to assess feasibility of subcutaneous DMPA Senegal; objectives were (1) measure the proportion participants who self-injected competently 3 months after training, (2) time (defined conservatively as within 7 days reinjection date), (3) acceptability self-injection.In...
Evidence on contraceptive self-injection from the United States and similar settings is promising, practice may increase access. There are no published studies feasibility of in sub-Saharan Africa to date. The purpose this study was assess subcutaneous depot medroxyprogesterone acetate Uganda, with specific objectives (a) measure proportion participants who self-injected competently, (b) time 3 months after training (defined conservatively as within 7 days their reinjection date) (c)...
Does ethnic heterogeneity in neighbourhoods create co-operative or conflict-oriented relationships among residents? Social theorists have long noted both the positive and negative aspects of heterogeneity, but limited research on large samples documents ambiguous weak effects. In this survey-based study Seattle, it is found that strongest community characteristics negatively predict degree to which Whites view neighbour relations as calm, trusting helpful. addition, heterogeneous are...
ObjectivesThe primary objective of this study was to compare the 12-month continuation rate for women who self-injected subcutaneous depot-medroxyprogesterone acetate (DMPA-SC) with that receiving intramuscular (DMPA-IM) from a provider. This research contributes broader goal identifying solutions support use contraception their full desired duration.Study designParticipants were clients 13 clinics in Dakar and Thiés regions Senegal had decided injectable prior enrollment. They chose...
Because poverty in rural and urban areas of the US often has different causes, correlates solutions, effective anti-poverty policies depend on a thorough understanding ruralness or urbanness specific places. This paper compares several widely used classification schemes varying magnitudes that they reveal US. The commonly ‘metropolitan/non-metropolitan’ distinction obscures important socioeconomic differences among metropolitan areas, making our geography imprecise. Given number...
In Uganda, an estimated one in four adolescent women have begun childbearing. Many pregnancies are unintended because of substantial barriers to contraceptive access. The injectable is the most commonly used method and a new subcutaneous version offers possibility reducing access by offering self-injection option. However, more information about attitudes toward interest needed.In 2015, in-depth interviews were conducted with purposive sample 46 aged 15-19 from rural urban areas Gulu...
We used qualitative and quantitative data to evaluate the differing experiences of adolescents adult women in contraceptive self-injection program primary care settings Uganda. From these results, we assessed barriers adolescent DMPA-SC access continuation provide recommendations address them.The Self-Injection Best Practices (2017-2019) project four districts trained clinic-based providers Village Health Teams training clinics, community settings, small group meetings for girls young women....
To assess the cost-effectiveness of self-injected subcutaneous depot medroxyprogesterone acetate (DMPA-SC) compared to health-worker-administered intramuscular DMPA (DMPA-IM) in Uganda.
Self-injection of subcutaneous depot medroxyprogesterone acetate may offer greater discretion and increase access to injectable contraception, particularly for those who face challenges accessing clinic services. In particular, unmarried adolescents often encounter stigma when seeking services, also lack the financial means travel clinics on quarterly basis that contraception requires. Whether self-injection is offered women a wide scale basis, specifically, will depend in part upon...
Studies suggest that women in some countries have adopted emergency contraceptive pills as a routine method of family planning. This practice indicates there may be latent demand for pericoital pill taken only when woman has sexual intercourse, and labeled marketed use regular method.To understand the appeal potential market pill, 39 focus groups 23 in-depth interviews were conducted with men Lucknow, Uttar Pradesh, India, Kampala, Uganda. A total 281 individuals participated this...
Keywords: self-careself-injectionsexual and reproductive health rightsfamily planningcontraceptioneducationhealth literacydecision-makingautonomy
Contraceptive self-injection (SI) is a new self-care practice with potential to transform women's family planning access by putting popular method, injectable contraception, directly into the hands of users. Research shows that SI feasible and acceptable; evidence regarding how design implement programs under real-world conditions still needed. This evaluation examined experiences when subcutaneous depot medroxyprogesterone acetate (DMPA-SC) was introduced in Uganda alongside other...