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The Pop Reporter®

Volume 2, Number 25
24 June 2002


FAMILY PLANNING / REPRODUCTIVE HEALTH LAW AND POLICY

Bush Proposes AIDS Funding Boost (news article)
President Bush pledged $500 million to help fight the spread of AIDS in Africa and the Caribbean, a pandemic he said "staggers the imagination and shocks the conscience." The Initiative is aimed at fighting mother-to-infant transmission.

MP Launches Bill in Scottish Parliament to Make Breastfeeding a Legal Right (news article)
A bid to give mothers a legal right to breastfeed their baby in public has been launched in the Scottish Parliament. One legislator wants to change the law so pubs, cafes and restaurants could be fined if they tell women not to breastfeed on their premises. She says she is confident of securing the necessary support for her proposal.

Islamic Bloc, Christian Right Team Up to Lobby UN (news article)
Conservative US Christian organizations have joined forces with Islamic governments to halt the expansion of sexual and political protections and rights for gays, women, and children at UN conferences.

Africa: Ensure Access to Health Supplies, Governments Urged (news article)
Governments in developing countries should ensure access to reproductive health supplies and strengthen policies to facilitate access to such supplies, said a statement from UNFPA.

Service Integration: An Overview of Policy Developments (research article) PDF
This article reviews the advantages, disadvantages, and feasibility of integrating STI treatment into FP/RH programs, including costs, benefits, and cost-effectiveness.

Regulating Circumcision Schools is Nonsense, Says CONTRALESA (news article)
"Utter nonsense" is how the Congress of Traditional Leaders of South Africa (Contralesa) has described Limpopo government's proposed circumcision school regulations. The proposed regulations stipulate that circumcision school operators adhere to government prerequisites before being granted a license.

Europe Issues Rules to Stop Mom-Baby HIV Spread (news article)
New guidelines for preventing the spread of HIV from infected women to their newborns were released by the European Commission on Thursday, continuing the international focus on vertical transmission.

Chinese Use Newfound Wealth to Buck Government's 'One-Child' Birth Limits (news article)
China's so-called one-child policy is widely criticized abroad for its use of draconian measures including forced sterilizations and abortions. But in many parts of rural China, the policy is hardly enforced at all.


FAMILY PLANNING / REPRODUCTIVE HEALTH RESEARCH

Reasons for Not Using Condoms Among the Hong Kong Chinese Population: Implications for HIV and STD Prevention (research abstract)
Common reasons for not using condoms were trust in partner, use of other contraceptives, and reduced sensation while using condoms. Given the reported high prevalence of travel and sexual contact with strangers, and misconceptions about condoms among the Hong Kong Chinese population, the authors call for innovative condom social marketing campaigns.

A Comparison of Women's Regret After Vasectomy Versus Tubal Sterilization (research abstract)
Related press release: Few Women Regret Sterilization Procedures
Most women did not express regret after their husband's vasectomy and the probability of regret was similar to sterilized women. However, when there was substantial conflict between a woman and her husband before vasectomy or tubal sterilization, the probability of subsequent request for reversal was increased.

Dual Needs: Contraceptive and Sexually Transmitted Infection Protection in Lusaka, Zambia (research article) PDF
Although efforts are being made to integrate STI services into family planning clinics in Zambia, these efforts need reinforcement. The educational levels of both providers and their clients may be barriers to a successful transfer of STI prevention information during client-provider interactions.

The Feasibility of Integrated STI Prevalence and Behaviour Surveys in Developing Countries (research abstract)
The authors assessed the feasibility of conducting a national combined STD prevalence and behaviour survey in Mali. They achieved high participation rates (84 to 100 percent) and conclude that they present an effective methodology for collecting risk behaviour and STI/HIV prevalence information concurrently, which should be considered by countries expanding STI/HIV surveillance as part of UNAIDS second generation HIV surveillance

Iran's Family Planning Program: Responding to a Nation's Needs (research overview)
This overview of Iran's family planning efforts and the role of the Islamic government and civil society in the revival of the national family planning program is the second in a series of policy briefs. Also available in PDF.

Emergency Contraception: A Review of Current Oral Options (research article)
This article reviews oral options of emergency contraception, discussing adverse effects, drug interactions, contraindications and warnings, as well as multiple resources for more information.


FAMILY PLANNING / REPRODUCTIVE HEALTH NEWS

Iran's Clerics Tout Vasectomies to Curb Baby Boom (news article)
Having promoted a baby boom, Iran's religious leaders are now trying to curb it by discreetly touting vasectomies. Yet nothing can be advertised on state television or radio because any public mention of sexual matters is taboo.

No Condom Dispensers in Hot Zones (news article)
They are popular Nairobi hot spots but none has a condom dispenser in their lavatories. They are the most frequented places, packed to the brim, especially during weekends by revelers and frequented by the category identified in the HIV-AIDS campaigns as a high risk group.

Experts Say Gaining Weight on the Pill Is a Myth (news article)
Many young women falsely believe that taking oral contraceptives will cause them to gain weight, and as a result, some may rely on less effective birth control methods, two birth control experts said.

Uganda: 'Female Condom Not Yet Popular' (news article)
The female condom has not been well received because it interferes with certain cultural sexual practices, a monitoring and evaluation specialist has said.

Clinical Microbicides Must Be Safe (news article)
As the campaign for microbicides continues, AIDS organizations in Uganda are not about to have their women simply used as guinea pigs.


HIV / AIDS RESEARCH

The Elderly and AIDS: Coping Strategies and Health Consequences in Rural Tanzania PDF Format (research report)
Deaths of adults from AIDS are likely to have the largest adverse impacts on the elderly in poor households. A broader group of elderly poor people with pervasive low health status should also be the focus of public policy designed to improve the welfare of the elderly.

Talking About AIDS: The Influence of Communication Networks on Individual Risk Perceptions of HIV/AIDS Infection and Favored Protective Behaviors in South Nyanza District, Kenya PDF Format (research article)
This paper explores the significance of social relationships to two important stages in the process of sexual behavioral change: the perceived risk of becoming HIV-infected through unprotected sexual intercourse and the preferred methods of protection either through sexual fidelity, or through condom use.


HIV / AIDS NEWS

AIDS Awareness High, But Behaviour Remains Risky, According to New Study by UN Population Division (press release)
A year after the 189-nation General Assembly adopted a plan to halt the AIDS epidemic, a UN report said ``dramatic changes'' in sexual awareness and behavior are still needed in many poor countries to stop the advance of the killer disease.

HIV Develops Resistance to Experimental Drug (news article)
An experimental AIDS drug called T-20, which researchers hope will benefit people whose HIV infections have become resistant to other medications, may itself sometimes cause HIV resistance to develop, the results of a new study suggest.

Quest for HIV/AIDS Treatment Fuels Bogus Drug Boom (news article)
Many Malawians living with HIV/AIDS are forced to rely on illegal drugs in a bid to treat opportunistic illnesses, ease suffering and prolong their lives. This article reports on some of the drugs that have flooded the country's black market with a potentially disastrous health impact.

Tourists Help Spread AIDS in Kenya, Say Health Workers (news article)
Kenyan health workers warn that international tourists are helping the spread of HIV/Aids by encouraging the development of sex industries in rural villages along the popular Malindi coast.

Woman: Cruel Caricature of the HIV Age (news article)
With women contributing 55 per cent of HIV positive adults, Victoria Ibanga writes that gender inequality has become a key variable in the incidence of HIV and AIDS.

AIDS Threatens Caribbean Paradise (news article)
The Caribbean already has the second-worst rate of infection worldwide, after Sub Saharan Africa, but that message is only now beginning to be taken seriously. This article talks about AIDS in Tobago, and how unsafe sex practices and lack of concern are fueling a widespread epidemic.

US Officials Seek AIDS Funding for Myanmar (news article)
U.S. officials Wednesday asked Congress for $1 million to fight HIV/AIDS in Myanmar despite strict US sanctions on the military-led country, saying it was now the center of the disease in the region.


MATERNAL AND CHILD HEALTH RESEARCH

Free Formula Milk for Infants of HIV-Infected Women: Blessing or Curse? (research abstract)
Free formula milk may appear to be a blessing, but while potentially decreasing the rate of postnatal transmission, it is very likely to increase morbidity and mortality from other infectious diseases, thus decreasing overall child survival.
Related news article: Breast is Still Best Even When HIV Prevalence is High, Experts Say

Cardiovascular Status of Infants and Children of Women Infected with HIV-1 (P2C2HIV): A Cohort Study PDF Format (research article)
Related press release: Cardiac Differences in Infants Born to HIV-Positive Mothers May Persist; Effects Based on Child's Infection Status
The hearts of children whose mothers are infected with the human immunodeficiency virus (HIV) show subtle differences in cardiac structure and function by echocardiogram regardless of whether the children are born infected with HIV.

Preconception Health Care (research article)
Appropriate preconception health care improves pregnancy outcomes. When started at least one month before conception, folic acid supplements can prevent neural tube defects. Targeted genetic screening and counseling should be offered on the basis of age, ethnic background, or family history. Before conception, women should be screened for human immunodeficiency virus and syphilis infection and begin treatment to prevent the transmission of disease to the fetus. Immunizations against hepatitis B, rubella, and varicella should be completed, if needed.

Measles Vaccine Efficacy Evaluated by Case Reference Technique (research article)
This study evaluated the case reference method of vaccine efficacy calculation under field conditions in the slum areas of New Delhi, India. 73.3 percent of vaccinated cases developed measles attack before an interval of 6 months of vaccination. The results of this study indicate that the case reference technique for the estimation of measles vaccine efficacy is as effective a tool as serology and can be easily carried out in a community setting.


MATERNAL AND CHILD HEALTH NEWS

EPI Shake-Up Designed To Boost Infant Health (news article)
Ugandan children are to benefit from a new vaccine which offers protection against five major childhood diseases in a single shot, as part of the country's new initiative to strengthen the process of the routine immunization of infants before their first birthday.


MEN'S HEALTH RESEARCH

Vasectomy and Risk of Prostate Cancer (research abstract)
Related news article: Vasectomy Does Not Increase Prostate Cancer Risk
Having a vasectomy does not increase a man's risk of prostate cancer even 25 or more years after the procedure, according to the results of this study.


MEN'S HEALTH NEWS

You've Lost That Lovin' Feelin' (And It Helps) (news article)
Men bedeviled by premature ejaculation can make the sex last a little longer by turning it into a numbing experience. The Performa condom, from Durex, is lubricated on the inside with a small amount of benzocaine, a topical anesthetic that numbs the penis. Men who've used the device have reported it can delay their orgasms and improve their sex life.

Hormone Replacement Therapy for Men Gains Ground (news article)
Extra testosterone may help men fight symptoms of "male menopause" like grumpiness and loss of strength, scientists say. Hormone replacement therapy, or HRT, is commonly given to women to relieve menopause symptoms like hot flashes and to reduce risk of age-related ills like osteoporosis, but hormone supplements for men are more controversial.


POPULATION RESEARCH

To Tie the Knot or Not Cohabitation, Marriage and Individuals' Attitudes to Risk PDF Format (research article)
This paper uses a model that provides a theoretical framework for the commonly occurring phenomenon of cohabitation followed by marriage, and is consistent with empirical findings on these institutions. Individuals tend to set higher standards for marriage than for cohabitation. When the true worth of a cohabiting partner is revealed, some cohabiting unions are converted into marriage while others are not.

The Cultural Evolution of Age-At-Marriage Norms PDF Format (working paper)
An agent-based model is used to study the cultural evolution of age-at-marriage norms. Theoretical arguments and empirical evidence on the existence of norms proscribing marriage outside of an acceptable age interval are reviewed. Using a definition of norms as constraints built in agents, the authors model the transmission of norms, and of mechanisms of intergenerational transmission of norms. Agents can marry each other only if they share part of the acceptable age interval.


POPULATION NEWS

Vietnam Records High Population Growth (news article)
Vietnam's population is still rising by around 1.2% or one million people per annum and will hit 113-122 million by 2050. The poor education and health of the current population, half of which are under 20, and the low skills of the workforce are obstacles to national socioeconomic development.

China Thrown Off Balance as Boys Outnumber Girls (news article)
Chinese traditions, a tough one-child-per-couple policy, and modern medical technology have combined to create a demographic nightmare. Over the next two decades, as many as 40 million young Chinese men won't be able to marry, settle down, and start families. There won't be enough wives to go around.


WOMEN'S HEALTH RESEARCH

Femicide in Costa Rica 1990-1999 PDF Format (Spanish)
This study describes the differences between homicide and femicide, the hidden numbers, gender-based violence, the impact and victims of femicide, control, suicide, impunity and causes of femicide and gender-based violence. It is available in Spanish only.

Oestrogen Receptor Transcripts Associated with Cervical Human Papillomavirus Infection PDF Format
Related press release: Estrogen: A Role In HPV Infection, Cervical Cancer?
It may be that some women are "biologically vulnerable" to HPV because of the numbers of estrogen receptors they have in their cervix, suggesting that these receptors may in some way facilitate infection with the virus.


WOMEN'S HEALTH NEWS

Sierra Leone: Aid Group Works to Ease Return of Sex Abuse Victims (news article)
As they struggle to reintegrate back into their communities following civil conflict in Sierra Leone, women and girls who have been sexually abused by combatants are receiving much-needed assistance from advocates helping foster their acceptance.

New Breast Cancer Drug Hot on Tamoxifen's Heels (news article)
An international team found that women who took a newer type of drug called anastrozole, brand name Arimidex, were more likely to be alive and disease-free 3 years after surgery than women who took what is now considered the "gold standard" in breast cancer prevention, tamoxifen.

Boys Will Be Boys (news article)
It has become a tragic inevitability that whenever international peacekeepers are sent to bring law and order to a war torn country, a vast and exploitative sex industry, allegedly follows close behind. In Bosnia and Kosovo, girls as young as 15 have been duped into working in brothels and forced to have sex with UN personnel.

Ovarian Disorder May Hike Heart Disease Risk (news article)
After comparing the arteries of healthy women to those with polycystic vary syndrome (PCOS), researchers found women with PCOS have stiffer arteries than those without the disorder. Stiff arteries are often an indication of plaque buildup in the arteries, which is a known cause of heart disease.


YOUTH RESEARCH

Orphans of the HIV/AIDS Epidemic: The Time to Act is Now PDF Format (report)
Related news article: Number of South African Children Orphaned by AIDS to Increase
Without significant changes in sexual behavior or interventions, about 15 percent of all children under the age of 15 are expected to be orphaned by 2015, according to a new report.


YOUTH NEWS

Japan: Youth Sex on Rise, as are Serious Infections (news article)
A sex education expert is alarmed by the increasingly decadent lifestyle of youth that has made them more susceptible than ever to sexually transmitted infections.

Governments Should Include Youth in Decision-Making (news article)
Young people are vulnerable to problems such as unemployment, child labor and the impact of HIV/AIDS because they often do not have access to decision-making forums.

Health Services for Adolescents in Mongolia (program review)
The survey assessment of existing health services for adolescents covered 304 participants. The survey aimed to assess the quality and accessibility of existing health services to adolescents, identify strengths and weaknesses of current services, and identify ways to improve them.


BOOKS / BOOK REVIEWS

Qualitative Methods: A Field Guide for Applied Research in Sexual and Reproductive Health
This field guide is a practical, hands-on guide for use by social scientists, public health specialists, and research teams interested in using qualitative methods to study sexual and reproductive health. Copies are available at no cost to developing country researchers and organizations. For ordering information contact publications@fhi.org.


PROFILES / SPECIAL REPORTS

Youth and Technology: IPPF/WHR Experiences to Promote Sexual and Reproductive Health
This reports reviews case studies of youth sexual and reproductive health associations in Chile, El Salvador, Guatemala, and Peru. Many of these projects have involved using such emerging computer technologies as cyber centers, Web sites, interactive multimedia CD-ROM programs, email counseling services, and various chip-based technologies. Exposure to the technology brought positive changes in knowledge and attitudes related to SRH and gender roles. The studies revealed that there are limits to reaching certain populations.

Nutrition for HIV-AIDS Best Practices Workshop 2002 (workshop summary)
Teaching your client about eating a nutritious diet: Everyone can live longer and stronger with good nutrition! This summary provides guidance on how PLWA in Malawi can choose local foods for a nutritionally balanced diet.

Men's Role in Gender-Based Violence PDF Format (fact sheet)
It is easy to blame men without questioning why they are violent. Activists and theorists alike have realized that, in order to eradicate gender-based violence we must address the cause as well as the effect.

Population and Development Indicators for Asia and the Pacific, 2002 (datasheet)
Interested in knowing midyear populations for 2002? Total fertility rates? Dependency ratios? The number of adults living with HIV/AIDS? These datasheets contain a multitude of population and development indicators for Asia and the Pacific.

Adolescent Reproductive Health Laws and Legislation in Asia and the Pacific Introduction PDF Format
Adolescent RH: Introduction and Objectives PDF Format
Review of International Standards for Rights of the Child and Adolescent Rights PDF Format
Early Marriage and Childbearing PDF Format
Unwanted Pregnancy and Unsafe Abortion PDF Format
Access to FP/RH Services and Contraceptives PDF Format
HIV/AIDS and STDs PDF Format
Violence Against Women and Girls PDF Format
This package contains reviews of legislation dealing with adolescent reproductive health in Asia-Pacific region to convince policy-makers and legislators of the critical urgency to examine the gaps and to take immediate action, especially in the area of establishing or updating the legal framework necessary to protect all aspects of adolescent rights.


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