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The Pop Reporter®

Volume 2, Number 23
10 June 2002


FAMILY PLANNING / REPRODUCTIVE HEALTH LAW AND POLICY

Family Planning Funds Will Trigger Bill Veto: Bush (news article)
US President Bush has threatened to veto an emergency spending bill now making its way through the US Congress if it includes language requiring him to spend money appropriated last year for the United Nations Population Fund.

Cambodian Lawmakers Say AIDS Legislation Unfairly Singles Out Women (news article)
Female Cambodian lawmakers, aghast that legislation on AIDS prevention singles out women for special education, said that it was promiscuous Cambodian men who needed more information about the disease. Cambodian men are notorious for frequenting brothels, even as the country's HIV/AIDS infection rate has climbed to one of the highest in Asia.

South Africa: Jail Sentences Possible for Illegal Circumcision School Operators (news article)
New laws are in effect regarding circumcision in South Africa's Northern province. Legislation includes the need for parental consent for youth under 21, and a 10-year jail sentence for people forcibly abducting people and taking them for circumcision.

India: Doctors Protest Ban on Ultrasounds for Pregnant Women (news article)
While the government had "noble intentions" in introducing the new laws, it was taking a "serious gamble" with the health of expectant mothers and their unborn babies by banning ultrasounds.

Pakistani Law Discriminates Against Rape Victims (news article)
Imagine this scenario. A married woman is raped. When she attempts to seek justice against her attacker, the police do not charge him with a crime, but instead charge the woman with adultery and sentence her to death by stoning.


FAMILY PLANNING / REPRODUCTIVE HEALTH RESEARCH

Family Planning Logistics: Strengthening the Supply Chain (research report) HTML | PDF
Related press release: Contraceptive Funding Faces Crisis in Developing Countries
The number of contraceptive users in developing countries is expected to surge by more than a third within the next 13 years, reaching 764 million by 2015. Without more funding for contraceptives, many couples will be unable to plan how many children to have and when, or to protect themselves against HIV/AIDS or other sexually transmitted infections.

Barriers to Accessing Free Condoms at Public Health Facilities Across South Africa (PubMed abstract)
The authors studied the determinants of condom procurement at 12 health health facilities in four health regions. Potential barriers to condom procurement included female gender and perceived risk of HIV. The authors conclude that because barriers to condom procurement vary from region to region, national-level interventions to promote condom procurement and use may be less appropriate than specialised interventions addressing locally relevant factors.

Contraceptive Methods and Risk Factors of Cardiovascular Diseases in Tehranian Women: Tehran Lipid and Glucose Study (PubMed abstract)
The authors studied the prevalence of cardiovascular risk factors in combined oral contraceptive (COC) users and non-users in Tehran in 1999. No significant differences were observed in blood pressure, cholesterol, triglycerides, and LDL between COC users and non-users. The authors conclude that the present findings reveal the safety of COC pills in a group of Tehranian women.

Pharmacokinetic Study of Different Dosing Regimens of Levonorgestrel for Emergency Contraception in Healthy Women (research abstract)
This study found that women given emergency contraception with two different doses of levonorgestrel 1.5 mg and two doses of .75 mg have similar levels of the compounds in their blood. This outcome may justify a clinical comparison of these two regimes.


FAMILY PLANNING / REPRODUCTIVE HEALTH NEWS

Family Jewels: CycleBeads Lets Women Track Their Fertile Days (news article)
Each year there are more than 3 million unintended pregnancies in the United States. Georgetown University's Institute for Reproductive Health hopes to lower that number with CycleBeads, a color-coded necklace that lets women track their fertile and infertile days.

Turkmenistan: Contraceptive Use Increasing (news article)
While contraception may not be openly discussed, knowledge of contraceptive methods in Turkmenistan is widespread, according to a new survey.

Norway Taxis Score with Free Condom Safe Sex Drive (news article)
A Norwegian taxi firm is scoring an offbeat success for safe sex by handing out free condoms to any client who asks.

Uganda: Nadduli, RDC Split on Family Planning (news article)
In Uganda, a district commissioner and a district chairman have opposing opinions on family size. One says to have many children, while the other maintains that parents should only have as many children as they can care for.

Non-Hormonal, Reversible Male Contraceptive Could Be Available in India by Next Year (news article)
RISUG (Reversible Inhibition of Sperm Under Guidance) may become widely available in India as soon as next year. RISUG is currently in the final phase of human clinical trials in India.

Condom Package to Show Proof of Consent (news article)
A new condom package aims to make clear that both parties consented to sex so that there can be no accusation of rape afterwards. As the couple remove the condom from the package together their fingerprints are imprinted on it.

Abortions Decline in Russia as More Women Turn to the Pill (newsletter article)
The number of terminated pregnancies is down by around one third compared with the early 1990s. That improvement began with the decision of the Russian authorities to offer free contraceptive pills in the 1990s.


HIV / AIDS RESEARCH

The Spread and Effect of HIV-1 Infection in sub-Saharan Africa (review article)
A detailed analysis of HIV-1 epidemiology in sub-Saharan Africa traces the spread of the virus to four factors: the subordinate position of women, poverty and the breakdown of social services, rapid urbanization, and war.

Highly Active Antiretroviral Therapy and Tuberculosis Control in Africa: Synergies and Potential PDF Format (research article)
A decline in TB is unlikely to occur unless strategies to combat HIV and TB simultaneously are implemented.

Micronutrients and vertical transmission of HIV-1 (research abstract)
Although low serum vitamin A concentrations were shown to be associated with an increased risk of vertical HIV transmission in prospective cohort studies, randomized, placebo-controlled trials have reported that vitamin A and other vitamin supplements do not appear to have an effect on HIV transmission during pregnancy or the intrapartum period. However, the ability of prenatal and postpartum micronutrient supplements to reduce transmission during the breast-feeding period is still unknown.


HIV / AIDS NEWS

Africa Launches Own AIDS Vaccine Initiative (news article)
Africa launches a campaign for a fairer share of funding into the development of an AIDS vaccine, saying it was unacceptable that the world's poorest continent received so little attention. Though more than 28 million Africans carry the virus that causes AIDS, less than 2% of world research funding goes towards fighting the unique strains of the disease in Africa.

Brazil Launches First Anti-AIDS Campaign for Gays (news article)
Brazil launched its first anti-AIDS campaign aimed specifically at homosexuals to fight a rising infection rate among young, gay men.

New Technique for Treating HIV Infection Proposed
A natural defense strategy used by various species to ward off invaders may one day help treat people infected with HIV, US researchers report. it may be possible to use siRNAs against HIV to help prevent the spread of the virus in an infected person.

United Nations to Launch African Soap Opera With HIV/AIDS Prevention Messages (news article)
The drama will air in English and Kiswahili over the radio in Kenya, Tanzania, and Uganda and in English on television in 22 African nations.

China Faces "Disaster of Unimaginable Proportions," UNAIDS Says (news article)
"We are now witnessing the unfolding of an HIV/AIDS epidemic of proportions beyond belief, an epidemic which calls for an urgent and proper, but currently yet unanswered, major response," the agency reportedly says.

Nigeria: Islamic Cleric Accuses Europe of Over Blowing HIV/AIDS Scourge (news article)
A Nigerian cleric has accused European countries of overblowing the significance of HIV/AIDS in an effort to boost their market for condoms. The introduction of condoms, he stated, was not only a way to boost the economy of the Western world but also a means to corrupt African society.

Malawi: HIV/AIDS Makes Food Crisis Worse (news article)
HIV/AIDS is hitting the Southern African farm sector hard, with stricken families struggling to produce enough food to survive. The disease is no longer a health problem alone, but is having a measurable impact on food production, household food security, and rural people's ability to make a living.


MATERNAL AND CHILD HEALTH RESEARCH

Doctors Face Quandary in Prescribing to Mothers-to-Be (research article)
When patients have asthma, epilepsy or migraines, medications are available to provide effective control. But if pregnancy enters the picture, all bets are off. Physicians who counsel pregnant women on the risks posed by medications have it tough. There is very little information available. It becomes a problem of trying to balance the effects on a mother's health versus the potential adverse effect on the fetus' health.

Effect of Routine Zinc Supplementation on Pneumonia in Children Aged 6 Months to 3 Years: Randomized Controlled Trial in an Urban Slum (research article)
Zinc supplementation substantially reduced the incidence of pneumonia in children living in an urban slum of New Delhi, India who had also received vitamin A.

Randomized Trial of Postpartum Care After Hospital Discharge (research abstract)
Harmful effects of short postpartum hospital stays include dehydration and malnutrition of breastfed infants. Follow-up by nurses after short postpartum hospital stays, in either the home or a hospital-based clinic, of healthy infants discharged at <36 hours seems associated with satisfactory infant breastfeeding outcomes.

Central Nervous System Infection in Congenital Syphilis (research abstract)
Most infants with T. pallidum infection of the central nervous system can be identified by physical examination, conventional laboratory tests, and radiographic studies. However, the identification of all such infants requires the use of additional tests, including IgM immunoblotting and PCR assay. Currently, the most accurate lab test to detect syphilis in a newborn requires a three-month incubation period.
Related news article: New Congenital Syphilis Tests for the Tiniest

Is More Neonatal Intensive Care Always Better? Insights From a Cross-National Comparison of Reproductive Care (research article)
Related news article: High Level of Resources for Neonatal Intensive Care Does Not Give US Better Outcomes
The United States has more neonatologists and neonatal intensive care beds per person than the United Kingdom, Canada, or Australia but higher rates of low birth weight and death among neonates. Infant health outcomes may improve is better attention is paid to preconception care and prenatal care rather than improving technologies.

Influence of Placental Malaria Infection on Fetal Outcome in the Gambia: Twenty Years after Ian McGregor (research article)
Placental malaria was associated with pre-term delivery, intrauterine growth retardation, low birth weight, and stillbirth, confirming that placental malaria infection have many adverse affects on the infant.

Utilization of Health Facilities and Trained Birth Attendants for Childbirth in Rural Bangladesh: An Empirical Study (research abstract)
Delivery complications was the most significant factor determining the use of modern health care resources for childbirth, followed by parental education, and pre-natal care. Quick response to delivery complications and improved access to hospitals and TTBAs can reduce the risk of infant and maternal mortality and morbidity in rural Bangladesh.

MATERNAL AND CHILD HEALTH NEWS

Baby Formula Linked to 'Obesity Hormone' Levels (news article)
Premature babies fed a nutrient-enriched formula have higher levels of the "obesity hormone" leptin as teenagers than similar children fed breast milk or standard formula, study findings indicate.

Breast-Feeding May Lower Odds of Childhood Obesity (news article)
A large study from Scotland is adding new evidence that breast-fed infants are less likely than their formula-fed peers to become obese as children. Among the more than 32,000 young children researchers followed, those who had been exclusively breast-fed in early infancy were 30% less likely to be obese than those who had been strictly formula-fed.

MEN'S HEALTH RESEARCH

HIV, Syphilis and Heterosexual Bridging Among Peruvian Men Who Have Sex With Men (PubMed abstract)
Among MSM in Peru, HIV and syphilis prevalence and HIV incidence were high (18.5% and 16.0%, respectively), especially among cross-dressers. The high prevalence of bisexuality and low rates of consistent condom use, especially with female sexual partners, indicates potential HIV transmission into the heterosexual population.

Poor Semen Quality May Contribute to Recent Decline in Fertility Rates (research abstract)
A remarkable decline in fertility rates in the industrialized world has taken place over the last 100 years. The enormous social changes of our societies play the major role in this decline, but can it be attributed to changing social structures alone? A study in Denmark attempting to find the answer found that 30% of 19 year-old males had sperm counts in the subfertile ranging, suggesting that such factors may also be contributing to low fertility levels.

MEN'S HEALTH NEWS

Gene Linked to Testicular Cancer, Infertility (news article)
Researchers have found a gene with one of the strongest links yet to testicular cancer, the most common tumor in young men.


POPULATION RESEARCH

Period Fertility in Russia Since 1930: An Application of the Coale-Trussell Fertility Model PDF Format (research article)
This paper looks at the influence of external events on the level and distribution of period fertility. Although none of the observed crises in Russia succeeded in exerting a decisive influence on the course of the fertility transition, political events often had profound short-term effects.

How Long Do We Live? PDF Format (working paper)
Related press release: How Long Do We Live? Two Demographers Say Longevity is Exaggerated
Human longevity, one of the oldest and most important indicators in demography, may be overestimated by up to a few years in contemporary countries with high life expectancy.

Changing Life Expectancy in Romania After the Transition (research abstract)
This is the first Romanian study that describes the evolution of life expectancy after transition. Romania may at last be beginning to follow the path of improving adult mortality seen in the early 1990s in some of its neighbors. It has, however, been unique in eastern Europe in experiencing increasing childhood mortality. This is attributable to an epidemic of pediatric AIDS, consequent on the tragically inappropriate policies adopted in the 1980s.


POPULATION NEWS

Philippines Population Growth Alarms Planners (news article)
In a statement last week, the country's main business group, the Philippine Chamber of Commerce and Industry, called on the President to develop an "explicit and effective population policy." Yet the president of the Philippines seems relatively unconcerned about population growth: in a recent radio interview, Mrs. Arroyo said she was not worried by forecasts that the country's population would double in 29 years.

WOMEN'S HEALTH RESEARCH

Intimate Partner Violence and Physical Health Consequences (research abstract)
Related news article: Partner Abuse Ups Risk of Poor Long-Term Health
Women who had been physically or sexually abused by a partner at some point in the past 20 years were more prone to health problems such as headaches, back pain, sexually transmitted diseases, vaginal bleeding, and urinary tract infections, the study found.

Addressing Obstetric Fistulas PDF Format (fact sheets)
When people first learn about obstetric fistulas and their disastrous effects, the usual reaction is to reject hearing more: the subject is just too unpleasant. Rejection is exactly what happens to fistulas' survivors. These fact sheets define fistulas, the continuum of care for women who have obstetric fistulas, and the challenges of developing programs to prevent and treat this tragic but fully preventable health outcome. More information on obstetric fistulas is available at http://www.developmentgateway.org/pop

WOMEN'S HEALTH NEWS

Emergency FGM Rescue Operation Fails in Tanzania (news article)
Tanzania is one of many countries in Africa which has worked hard to stop the practice of female genital mutilation in recent years. But the government is finding it difficult to eradicate this traditional practice, which is harmful to women's health and can even kill them. Despite public campaigns and promised help of village elders, at least 1,500 girls came under the knife at the end of last year in one region alone.

Computers Help Gauge Women's Breast Cancer Risk (news article)
Computers were as accurate as counselors at determining which women might be likely to have inherited mutations of the so-called breast cancer genes, based on the women's family histories.

Gene Pattern Predicts Uterine Cancer Relapse Risk (news article)
Women who have a particular genetic pattern in endometrial cancer cells may be more likely to relapse after treatment compared with other patients, according to new research findings.


YOUTH NEWS

US Teen Birth Rate Drops for 10th Straight Year: CDC (news article)
The birth rate among US teens has dropped to a new record low, according to a report from the Centers for Disease Control and Prevention. There has been a 26% drop in the teen birthrate since the early 1990s, including a 5% decline from 2000 to 2001.

Missed Periods in Young Women an Osteoporosis Risk (news article)
Young women who repeatedly miss their periods, and are not pregnant, may be developing premature ovarian failure and should see their doctors sooner rather than later, study findings suggest.

Pakistan: Focus on Violence Against Children (news article)
One NGO is focusing on child sexual abuse in Pakistan, a problem they believe is widespread. In addition to providing legal and psychological counseling, the organization works with local schools in Islamabad to find out the extent of the problem. It also raises awareness of the issue by distributing pamphlets and drawing books to very young children.

Signs of Sexual Abuse Hard to Read (news article)
Several genital features of girls that have been interpreted as red flags for sexual abuse may instead be a normal phase of development, a new study has found.


BOOKS / BOOK REVIEWS

Contraceptive Sterilization: Global Issues and Trends (book)
The continuing demand for sterilization, its convenience, its minimal side effects, and its long-term contraceptive protection all guarantee that quality sterilization services remain a crucial component of comprehensive family planning services. "Contraceptive Sterilization: Global Issues and Trends" depicts the current state of contraceptive sterilization. It is the most comprehensive current source of information about the worldwide practice of contraceptive sterilization.

Macroeconomics and Health: Investing in Health for Economic Development (book review)
This book makes a compelling case that a strong economy is the best guarantee of a good health-care system and that a nation's good health is the best guarantee of a strong economy.

Promoting an Integrated Approach to Combat Gender Based Violence (training manual review)
The manual promotes an integrated approach to combat gender-based violence with governments, NGOs, private sector and international organizations working together.


PROFILES / SPECIAL REPORTS

Choosing a Birth Control Method: An Interactive Program to Help You Choose the Birth Control Method That's Right for You (web-based questionnaire)
This site offers provides recommendations on which methods may be best suited for an individual answering 20 questions about lifestyle choices and medical history. Once the questions are anonymously submitted, a list of contraceptive options that best suit these needs is generated. The program also offers a general descriptions, effectiveness rates, side effects and approximate cost for each contraceptive method.

Birth Registration: Right from the Start PDF Format
The births of more than 50 million babies go unregistered every year. In legal terms, these children do not exist and their right to an official name and nationality is denied. Their access to basic services may be severely jeopardized and they may find themselves more vulnerable to abuse and exploitation. The effects can last a lifetime, with the unregistered adult unable to vote, open a bank account, or obtain a marriage license.


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