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The Pop Reporter®

Volume 3, Number 5
3 February 2003


FAMILY PLANNING / REPRODUCTIVE HEALTH LAW AND POLICY

Bush Promoting Plan to Combat HIV in Africa (news article)
President Bush said that he wants Congress to provide $15 billion in the next 5 years to combat the HIV/AIDS pandemic in Africa and the Caribbean.

Arroyo Stand on Population Issues Cited (news article)
Lawmakers advocating population control lauded President Arroyo's new format approach on population issues but dared her to substantiate her stand by certifying as urgent two pending measures pushing for a national reproductive health care policy and an integrated population program.

India: Govt Incentives to Couples to Adopt Family Planning (news article)
Fifty thousand couples in the state of Hyderabad will get a wedding gift from the government -- a card with a poem wishing them a happy and prosperous married life and a printed message on the need and importance of family planning.

Benin: Groups Welcome New Law Banning Female Genital Mutilation (news article)
Rights groups have welcomed a new law, banning all forms of female genital mutilation in Benin.

Getting Married in China: Pass the Medical First (research article)
Couples in China must pass a medical examination before being allowed to wed. The author, who was married in China, recounts her test for marriage fitness, which consisted of a detailed family history, a pelvic examination, and peeing in a cup in a public toilet. Ten years later, she visited 10 hospitals across China and observed examinations, examined records, and interviewed participants. Though medical screening for marriage can be inconvenient and expensive, potentially unethical, and subject to charges of eugenics, its benefits include the chance to diagnose unrecognized diseases and provide health education.

Circumcision Opponents Use the Legal System and Legislatures (news article)
A group of attorneys contends that circumsicion is wrong as a matter of law, medicine, and philosophy. Children of both sexes should be entitled to "bodily integrity." A case set to go to a jury trail appears to be the first to go to trail based on the theory that the absence of an exhaustive medical briefing about the risks and benefits of circumcision is tantamount to a lack of informed consent.

China: Condom Trade Should be Urgently Unbridled (editorial)
The author argures for China to open trade markets so that people can enjoy the benefits of choice in their family planning methods.

Forced Sterilization and Other Assaults on Roma Reproductive Freedom (report)
Related press release: Romani Women Subject to Forced Sterilization in Slovakia
This investigative report documents human rights violations against Romani women in Slovakia, including about 110 cases where women were forcibly or coercively sterilized, or had strong indications that they had been sterilized.

Emergency Contraception:Steps Being Taken to Improve Access PDF Format (special analysis)
Emergency contraception has the potential to greatly reduce the number of unintended pregnancies in the United States However this potential remains largely unrealized. This article looks at what is being done to resolve the significant logistical and political barriers that currently prevent women from having timely access to the method.

FAMILY PLANNING / REPRODUCTIVE HEALTH RESEARCH

Genital Human Papillomavirus Infection: Incidence and Risk Factors in a Cohort of Female University Students (research abstract)
The authors followed 603 female university students in Washington State at 4-month intervals between 1990 and 2000 to determine incidence data on human papillomavirus (HPV) infection and risk factors for transmission. Smoking, oral contraceptive use, and report of a new male sex partner were predictive of incident infection.

Influence of the Third Generation Pill Controversy on Prescriptions for Oral Contraceptives among First Time Users: Population Based Study (research article)
Women taking oral contraceptives containing gestodene or desogestrel (third generation oral contraceptives) have a higher risk of venous thrombosis than women taking a second generation pill. The authors' aim was to determine whether this controversy has resulted in a change in the proportion of women prescribed a third generation oral contraceptive among first time users of any oral contraceptive since 1995. Analysis of pharmacy dispensing data from a general prescription drugs database in the northern Netherlands indicates that the number of women prescribed the third generation pill decreased dramatically after the pill scare in 1995; the decrease was most notable for women under 25. The percentage of women prescribed a third generation oral contraceptive continued to decline over the following 6 years.

Drug Points: Thromboembolism Associated with the New Contraceptive Yasmin (research article)
Related news article: Researchers Note Adverse Effect of New Oral Contraceptive
The Dutch spontaneous reporting system for adverse drug reactions recently received five reports of thromboembolism as a suspected adverse drug reaction to the new oral contraceptive Yasmin (ethinylestradiol and drospirenone). The research article provides brief case studies of each of the five reports.

Myths About Oral Contraceptives (review article)
This article reviews four commonly held myths about the pill and evidence from literature supporting and countering them.

FAMILY PLANNING / REPRODUCTIVE HEALTH NEWS

UK Warns of Ectopic Risk with 'Morning-After' Pill (news article)
Britain's Chief Medical Officer has warned that women who delay taking the so-called "morning-after" pill to prevent pregnancy could increase their chances of having an ectopic, or tubal, pregnancy.

Philippines to Give Pills and Condoms to Couples Who Want Them (news article)
Despite pressure from the dominant Roman Catholic Church, the Philippine government is to revive its family planning program by giving artificial contraceptives to couples who want them.

Licorice Caution Issued to Oral Contraceptive Users (news article)
Women who are taking oral contraceptives should avoid eating too much licorice, the German National Chemists Association advised.

New Zealand Scientists Find Key to Fertility and Contraception (news article)
New Zealand research could enable women to take a safe fertility pill and have twins or triplets. Double the dosage and the result would be a contraceptive with no side-effects, if technology being developed by AgResearch in New Zealand bears fruit.

Chinese Men Buy Just Three Condoms a Year (news article)
Men in AIDS-threatened China buy roughly three condoms a year, and the ones they purchase are highly likely to have defects.

Sperm May Rely on Heat to Find Egg (news article)
Like heat-seeking missiles drawn to the warmth of a targeted engine, sperm steer toward an egg using temperature sensors, researchers in Israel report. The site where fertilization occurs is warmer than other sites in the female genital tract. And because they can sense this temperature difference, sperm cells can find their way to the egg.

HIV / AIDS RESEARCH

Disclosure of HIV Infection: How Do Women Decide To Tell? (research abstract)
This article examined women's level of disclosure of HIV infection and how these disclosure decisions are made. The sample consisted of 322 predominantly African-American, single, HIV-infected women in the southern US. Findings showed that the majority of the women had disclosed to some sex partners, close family and friends, and health care professionals. However, for a group of women, disclosure of HIV infection is a difficult issue supporting the need for health education and counseling.

Frequent Daily Use of Nonoxynol-9 May Increase the Risk of HIV Infection (review article)
The World Health Organization (WHO) recommends thatnonoxynol-9 not be used for protection against any sexually transmitted infections (STIs). After extensive literature review, experts also recommended against the use of nonoxynol-9 for pregnancy prevention in women at high-risk of HIV (human immunodeficiency virus) infection, citing frequent daily use may increase HIV risk by disrupting vaginal epithelium.

HIV / AIDS NEWS

Bush AIDS Plan to Include Condoms and Abstinence (news article)
The $15-billion AIDS plan for Africa and Haiti announced by President Bush will include condoms and generic drugs as well as faith-based efforts and abstinence education.

China Survey Finds 1 in 6 Haven't Heard of AIDS (news article)
As the AIDS virus continues to spread throughout China,survey findings show that most of the population does not know what causes the disease or how to prevent it. About 17% had never even heard of it.

US Drive Against Teenage Sex Takes Lessons from Uganda (news article)
Uganda's success in reducing HIV infection rates is being highlighted by members of President George Bush's team in their push for sexual abstinence on the part of teenagers in the US.

Botswana Aims to Bring Safe Sex Closer to Home (news article)
Botswana plans to treble its distribution of condoms in a bid to curb the spread of AIDS in the country, which has one of the world's highest infection rates.

Major AIDS Group Files Complaint Against Drug Giant in South Africa (news article)
AIDS Healthcare Foundation, the largest AIDS organization in the United States, filed a complaint with South Africa's Competition Commission against GlaxoSmithKline over the company's drug pricing and AIDS policies in South Africa, which it described as "having a stranglehold on key AIDS drug patents" and exercising "unfettered monopoly pricing on these life-saving medications."

Central American Health Secretaries, Drug Companies Reach Agreement to Lower Cost of AIDS Drugs (news article)
Five major pharmaceutical companies reached an agreement with Central American health secretaries to reduce the cost of AIDS drugs for the region by up to 55%.

India: AIDS Campaign Not to be Condom-centric (news article)
Newly appointed Health Minister Sushma Swaraj has said that the media campaign in her country against AIDS cannot be condom-centric because the disease does not spread only through unsafe sex.

MATERNAL AND CHILD HEALTH RESEARCH

Neonatal Encephalopathy and Cerebral Palsy: Defining the Pathogenesis and Pathophysiology (executive summary report)
Related press release: Obstetrician-Gynecologists and Pediatricians Say Most Newborn Brain Injuries Do Not Occur During Childbirth
The majority of newborn brain injuries are not caused by problems during labor and delivery, according to a report that has been endorsed by medical experts from several major US organizations. Most often cerebral palsy and brain swelling, known as encephalopathy, are the result of problems that occurred before labor.

Risk Factors for Ectopic Pregnancy: A Comprehensive Analysis Based on a Large Case-Control, Population-based Study in France (research abstract)
This case-control study was associated with a regional register of ectopic pregnancy between 1993 and 2000 in France. The main risk factors for ectopic pregnancy were infectious history and smoking. Other risk factors were age, prior spontaneous abortions, history of infertility, previous use of an intrauterine device, and prior medical induced abortion.

Subfecundity as a Correlate of Preeclampsia: A Study within the Danish National Birth Cohort (research abstract)
By using interview data collected during the second trimester of pregnancy (1998-2001) from women participating in the Danish National Birth Cohort, the authors examined the association between subfecundity and preeclampsia. They found that a long time to pregnancy was associated with preeclampsia, supporting the hypothesis that some factors delaying clinically recognized conception may also be in a causal pathway for preeclampsia.

Accuracy of Fetal Growth Indicators as Surrogate Measures of Steroid Hormone Levels during Pregnancy (research abstract)
This study evaluates the use of fetal growth characteristics as surrogate measures for steroid hormone exposures during pregnancy. The strongest and most consistent association observed was between birth weight and estriol levels. Despite a positive correlation and strong associations with high estriol levels, the predictive performance of birth weight as a proxy for estriol levels was poor. Observed associations with these surrogate measures may not be a reflection of pregnancy hormone exposure and should be interpreted with caution.

Male Biased Mortality among 1-2 Year Old Children in Rural Malawi (research abstract)
Related news article: Malawian Boys at Greater Risk of Dying Than Girls (news article)
Boys in Malawi have twice the risk of dying in their first few years as do girls-an observation researchers describe as both surprising
and unexplainable.

Contraception During Breastfeeding (review article)
This article reviews the Lactational Amenorrhea Method (LAM), a method that capitalizes on the natural contraceptive effect of breastfeeding, as well as the advantages and disadvantages of other birth control methods for the nursing woman.

Inappropriate Antibiotic Prescription to Children with Acute Respiratory Infection in Brazil (research article)
A cross-sectional survey was conducted in 6 state capitals of Brazil. A representative sample of facilities was selected in each state. In each facility, consultations were observed and children reassessed following standard guidelines. Health worker's diagnosis and treatment were compared with a gold standard and inappropriate antibiotic prescriptions noted. Overall, antibiotics were inappropriately prescribed in 9.2% of acute respiratory infection cases. However, inappropriate prescription of antibiotics varied geographically in Brazil.

MATERNAL AND CHILD HEALTH NEWS

Study Finds No Link Between Taking Folic Acid and Having Twins (press release)
New results from a study involving almost a quarter of a million women in China show that taking folic acid to reduce the risk of neural tube birth defects does not increase a woman's chances of giving birth to twins.

MEN'S HEALTH RESEARCH

Delayed Application of Condoms Is a Risk Factor for Human Immunodeficiency Virus Infection among Homosexual and Bisexual Men (research abstract)
The objective of this analysis was to identify risk factors for recent HIV infection among homosexual and bisexual men in Ontario, Canada, during 1998-2001. Independent risk factors for HIV infection were receptive anal sex (RAS) without condoms and delayed application of condoms during RAS. Delayed application of condoms for RAS may result in contact with preejaculatory fluid. The authors suggest this behavior, which to date has received little attention, may pose as much risk for HIV infection as fully unprotected RAS.

Termination of a Randomized Controlled Trial of Two Vasectomy Techniques (PubMed abstract)
This paper presents the issues involved in the decision to terminate a multicenter, randomized controlled trial to evaluate a fascial interposition component of a vas occlusion procedure for male sterilization.

MEN'S HEALTH NEWS

Testosterone Replacement Therapy Faces Scrutiny (news article)
A task force of prominent scientists from a variety of specialties will meet in Washington, DC, to begin reviewing whether testosterone replacement therapy in older men should be studied in a clinical trial.

Planned Parenthood Reaching Out to Men (news article)
Planned Parenthood clinics - better know for providing counseling, birth control, and abortions - are making a concerted
effort to expand their patient care to the other gender in the family-planning equation: men.

POPULATION RESEARCH

Britain: Social Trends, 2003 edition PDF Format (report)
Related news article: Britain: Ageing Population Trend Heightens Pension Fears
Fears of a looming pensions crisis are today reinforced by a report predicting that the number of people aged 65 or over will overtake the number under 16 in 11 years.


POPULATION NEWS

World Is Not Overpopulated: UN (news article)
The myth of overpopulation this century is to be buried by a UN report that will show that average fertility rates will decline to Western levels by 2050.

Uganda: Control Population Growth - US (news article)
The American government said Uganda should employ concerted effort towards controlling its rapid population growth like it did to bring down HIV/AIDS prevalence and provide free primary education to school-going children.

Indonesian Family Planner Warns of 400 Million Population By 2053 (news article)
Indonesia's family planning board has warned that the population could double over the next 50 years to more than 400 million people if the government's contraceptives for the poor programme is neglected.

WOMEN'S HEALTH RESEARCH

Fetal Growth and Subsequent Risk of Breast Cancer: Results from Long Term Follow Up of Swedish Cohort (research article)
Women who were large for gestational age at birth are at increased risk of developing breast cancer before the age of 50. Using a longitudinal cohort of more than 5000 women with data on several birth characteristics, the authors found that their length and head circumference at birth, adjusted for gestational age and adult risk factors, were strongly associated with breast cancer before (but not after) menopause.

Reproductive Choice and Women Living with HIV/AIDS PDF Format (report)
This report summarizes available information concerning barriers and discrimination that WHA face in exercising their full sexual and reproductive rights concerning pregnancy. It is based on an extensive review of the literature and interviews with key informants in Australia, India, Kenya, South Africa and Thailand.

Validity of Self-reported Mammography: Examining Recall and Covariates among Older Women in a Health Maintenance Organization (research abstract)
Self-reports of screening are frequently used in place of chart abstraction, particularly in outpatient settings, because they are generally less expensive and frequently provide the only information available. In a sample of 949 women aged 50-80 years, the majority of women had had a mammogram within the previous 2 years according to self-reports and records, but self-reported rates exceeded record rates by 8.2%. Being a college graduate and having a first-degree relative with breast cancer were significantly associated with accurate recall.

International Collaborative Ovarian Neoplasm Trial 1: A Randomized Trial of Adjuvant Chemotherapy in Women With Early-Stage Ovarian Cancer (research abstract)
Four hundred and seventy-seven patients with early stage ovarian cancer in 84 centers in five countries were randomly assigned to receive either adjuvant chemotherapy immediately following surgery or no adjuvant chemotherapy until clinically indicated. Women who received adjuvant chemotherapy had better overall survival than women who did not. Adjuvant chemotherapy also improved recurrence-free survival.

WOMEN'S HEALTH NEWS

Westerners Mishandle Female Circumcision Issues (news article)
Female genital mutilation and its intrinsic relationship to human rights and democracy issues were the focus of a recent presentation by University sociology professor Elizabeth Boyle. "If we want countries to develop representative governments and have countries enforce the rule of law, I don't know if it is appropriate to pass laws that go against the popular sentiment of those countries," Boyle said.

YOUTH HEALTH RESEARCH

Suffering in Silence: The Links between Human Rights Abuses and HIV Transmission to Girls in Zambia PDF Format (report)
Related news article: Zambia: Sexual Abuse of Young Girls Fuels HIV/AIDS Epidemic
Widespread sexual abuse of young girls could stall progress in HIV/AIDS prevention among young Zambian adults, a recent Human Rights Watch report has warned.

YOUTH HEALTH NEWS

Historic Resolution on Child and Adolescent Health Passed During the 111th Session of the WHO Executive Board (news articles)
The WHO Executive Board passed an important resolution on child and adolescent health and development on 24 January 2003. The resolution recognizes the importance of child and adolescent health and development for the achievement of international targets such as the UN Millennium Development Goals.

PROFILES / SPECIAL REPORTS / RESOURCES

Synergy APDIME Toolkit (electronic toolkit)
The Synergy APDIME Toolkit is an electronic, user-oriented, one-stop shop of HIV/AIDS programming resources. Developed in collaboration with the University of Washington, the Toolkit contains five modules covering Assessment, Planning, Design, Implementation Monitoring, and Evaluation (APDIME). Each module outlines a comprehensive step-by-step method and links to hundreds of USAID and partner resources for programming.

The PLHA-Friendly Achievement Checklist: A Self-assessment Tool for Hospitals and Other Medical Institutions Caring for People Living With HIV/AIDS (PLHA) PDF Format (checklist)
The PLHA-friendly Achievement Checklist is intended as a self-assessment tool for managers to use in gauging how well their facility (hospital, clinic, or department) reaches, serves, and treats HIV-positive patients. The Checklist is designed in a simple format that can be readily adapted for each unique context. Users of the Checklist can use hospital records, survey data, observation or simply "guesstimates" to rate their own institution.

Managing HIV/AIDS in the Workplace: A Guide for Government Departments PDF Format (report)
This publication is designed to guide departments in South Africa on the minimum requirements to effectively manage HIV/AIDS in the workplace and ensure a coordinated public service response. It is expected to assist departments in planning, developing, implementing, monitoring and evaluating workplace HIV/AIDS policies and programs.

Writing for Change (resource) (French | Spanish)
Writing for Change is designed primarily for people working in the not-for-profit sector, including researchers, scientists, project managers, team members, campaigners, fundraisers, social activists and writers. The resource is thought to be one of the most comprehensive available, running at about 900 pages per language. Writing for Change is unique as a training resource because it contains major sections devoted not only to the core skills of writing, but also to the two crucial specialised areas of writing - scientific papers for publication in journals and documents to help campaign or persuade.
French version:
Spanish version:

Games for Adolescent Reproductive Health: An International Handbook PDF Format (handbook)
The handbook outlines how to games can be used to provide youth with information and skills about sex and sexuality to protect them from HIV and other sexually transmitted infections (STIs), AIDS, unwanted pregnancy, abortion, rape, and emotional and physical violence. It includes contributions from adolescent health experts around the world, including relevant theory, 45 games to play, card sets to photocopy and cut out, and tips on how to create your own games.

Men in Jordan Get Involved in "Together for a Happy Family" PDF Format (newsletter)
This newsletter provides an overview of the project "Together for a Happy Family," which ran from March 1998 to March 2000 and was the first-ever national multimedia campaign in Jordan to involve men in family planning.

Adapting to Change Learning Program on Population, Reproductive Health and Health Sector Reform (newsletter)
From the World Bank Institute, this is the January 2003 issue of the newsletter "Adapting to Change Learning Program."

Exploring Gender Perspectives in Population and Health Programs: Workshop Findings and Recommendations PDF Format (report)
This report of the IGWG workshop includes the workshop methodology, its findings, and recommendations for integrating gender considerations in population and health project designs.

PATH's Reproductive Health Outlook (RHO): Winter 2002/2003 Edition (resource)
The RHO website is designed for reproductive health program managers and decision-makers working in developing countries and low-resource settings. RHO provides up-to-date summaries of research findings, program experience, and clinical guidelines related to key reproductive health topics.

Gender-Based Violence and Reproductive Health & HIV/AIDS: Summary of a Technical Update PDF Format (report)
This report summarizes the proceedings of a meeting that explored the integration of gender-based violence in reproductive health and HIV programs. It includes examples of different programmatic approaches and the challenges of integrating GBV into existing programs.


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