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Volume 6, Number 31
7 August 2006
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FAMILY PLANNING/REPRODUCTIVE HEALTH RESEARCH
Unraveling the factors behind the growth of the Indonesian family planning private sector 
(Report; Global | Asia)
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Bethesda, MD, USA, Private Sector Partnerships-One project, Abt Associates Inc., April 2006. (Technical Report No. 4)
Chandanim T | O’Hanlon B | Zellner S
This case study documents Indonesia’s family planning experience with a view to understanding the factors and conditions that led to the remarkable growth in the private sector’s role in delivering family planning services. While Indonesia’s private family planning sector expanded in response to several converging factors, the government’s commitment to promoting the private sector as a source of family planning services was clearly prominent among all factors.
Barriers to effective STI screening in a post-Soviet society: results from a qualitative study
(Abstract; subscription needed for full text; Europe)
Sexually Transmitted Infections. 2006 Aug;82(4):323-326.
Uusküla A | Kangur K | McNutt LA
This qualitative study assesses knowledge about STIs, identifies perceived barriers to STI testing, and recommends strategies to optimize participation in a home-based STI testing program in Estonia. The focus groups revealed significant knowledge deficits and a widespread attitude of denial. However, participants acknowledged that STIs are a serious problem and recommended strategies for increasing participation in an STI testing and treatment program. Successful STI prevention programs must address a number of challenges, including disease stigmatization and privacy protection.
Performance of contraceptive patch compared with oral contraceptive pill in a high-risk population
(Abstract; subscription needed for full text; North America)
Obstetrics & Gynecology . 2006 Aug;108(2):378-386.
Bakhru A | Stanwood N
Researchers in the US identified contraceptive-naïve women among a racially diverse group of primarily single women at high risk for a future unintended pregnancy or pregnancy termination. In this high-risk population, they found the contraceptive patch to have lower continuation and effectiveness rates. Further research should investigate factors contributing to poorer real-world performance by the patch.
Will widespread human papillomavirus prophylactic vaccination change sexual practices of adolescent and young adult women in America?
(Abstract; subscription needed for full text; Global | North America)
Obstetrics & Gynecology. 2006 Aug;108(2):420-424.
Monk BJ | Wiley DJ
In this commentary piece the suggestion that widespread vaccination will alter sexual practices is refuted and the rationale for the vaccination of all girls and boys is outlined.
Determinants of choosing public or private health care among patients with sexually transmitted infections in Uganda
(Abstract; subscription needed for full text; Sub-Saharan Africa)
Sexually Transmitted Diseases. 2006 Jul;33(7):422-427.
Nuwaha F
Reearchers found that psychosocial variables markedly influence choice of health care provider. Improving quality of care will enhance STI management and help to modify unfavorable psychosocial beliefs that influence choice of health care provider.
FAMILY PLANNING/REPRODUCTIVE HEALTH NEWS
FDA announces framework for moving emergency contraception medication to over-the-counter status
(Press Release; Global | North America)
31 Jul 2006
FDA
Related News Article: FDA, Barr to meet next week on morning-after pill
The FDA has announced that it is proceeding to work with Duramed, a subsidiary of Barr Pharmaceuticals, to resolve the remaining policy issues associated with the marketing of Plan B as an over-the-counter option.
Condoms to help family planning
(News Article; Oceania)
3 Aug 2006
Fijivillage
UNFPA has come to the rescue by donating 140,000 condoms to the Health Ministry of Fiji, which will be distributed to health centers around the country.
FAMILY PLANNING/REPRODUCTIVE HEALTH LAW AND POLICY
Public health and international security: the case of India
(Report; Asia)
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Washington, DC, Center for Strategic and International Studies, July 2006.
Mitra P | Schaffer TC
A few elements of broad consensus on HIV/AIDS policy in India have emerged: that HIV/AIDS is one of the major question marks hanging over India's promising future; that changing the trajectory of the epidemic will require substantially more resources than are currently available; that the response to HIV/AIDS cannot rely soley on medical means but must include the social dimension; that India's size calls for a strategic approach from its central government; and that India's decision to decentralize its HIV/AIDS program was a wise move that suits India's extraordinary diversity.
Private provider networks: the role of viability in expanding the supply of reproductive health and family planning services
(Report; Global)
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Bethesda, MD, USA, Private Sector Partnerships-One project, Abt Associates Inc., April 2006. (Technical Report No. 3)
Chandani T | Sulzbach S
To date, evidence on the effectiveness of networks in achieving RH/FP objectives is scarce, and even less is known about the factors that contribute to their long-term viability. This review is intended to address this knowledge gap, offering practical guidance to donors and network implementers on how to expand the supply of high-quality priority health services.
HIV-positive Cambodian gets 10 years for raping wife
(News Article; Global | Asia)
4 Aug 2006
Reuters
A Cambodian court has jailed an HIV-positive man for 10 years for raping his wife without using a condom. This is the first conviction under landmark AIDS laws introduced in 2003.
Kenya: enforce laws against female cut, activists say
(News Article; Sub-Saharan Africa)
1 Aug 2006
Catholic Information Service for Africa
Though a growing number of African countries have national laws against female genital mutilation, the laws are poorly enforced.
Democratic Republic of Congo: rape victims hope new leaders will halt violence
(Feature Article; Sub-Saharan Africa)
2 Aug 2006
Integrated Regional Information Networks
Related News Article: Democratic Republic of Congo: "hear our voices" - I hope women will no longer be raped - elderly voter
Large numbers of women took part elections in the Democratic Republic of Congo’s South Kivu Province in the hope that the new leaders would clamp down on the violence perpetrated by militants, punish rapists, and re-establish security.
Counterpoint: Respect a man's choice, too
(Commentary; Global | North America)
1 Aug 2006
AlertNet
It's wrong to force pregnancy on an unwilling mother; but it's equally wrong to do so to an unwilling father.
HIV/AIDS RESEARCH
Protecting people on the move: applying lessons learned in asia to improve HIV/AIDS interventions of mobile people
(Report; Global | Asia)
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Bangkok, Thailand, Family Health International, Asia and Pacifi c Department, June 2006.
Lowe D | Francis C
This document summarizes the experiences and themes that have emerged from over a decade of AIDS programming in Asia. It outlines the lessons learned on prioritizing sites; identifying vulnerable populations; developing model interventions; fostering a regional and national response; creating enabling environments; and evaluating the response.
HIV and AIDS treatment education: a critical component of efforts to ensure universal access to prevention, treatment and care
(Report; Global)
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Paris, France, Section for Education for an Improved Quality of Life, Division for the Promotion of Quality Education, UNESCO, June 2006.
Sass J | Castle C
This paper explores some of the issues contained within the definition of treatment education, signalling ways that the education sector can play a role along with others engaged in HIV treatment access and education. It considers some key strategies, including how to effectively engage and prepare communities and how to involve key constituencies, particularly people with HIV and those on treatment. Moreover, the paper reexamines the harmful effects of stigma and discrimination and how these impede progress in prevention as well as expanded treatment access. The paper also suggests some possible future directions, underscoring areas of particular priority.
Design and evaluation of a drama-based intervention to promote voluntary counseling and HIV testing in a South African community
(Abstract; subscription needed for full text; Sub-Saharan Africa)
Sexually Transmitted Diseases. 2006 Aug;33(8):524-526.
Middelkoop K | Myer L | Smit J | Wood R | Bekker L
Voluntary counseling and testing (VCT) services are a major component of HIV prevention and treatment efforts. Researchers developed a drama-based intervention to promote VCT services in a peri-urban community in South Africa. Young adults from the community received training in HIV/AIDS and drama and developed sketches to address perceived barriers to VCT. They found that a structured, community-based education program based on drama can lead to substantial increases in the demand for VCT services in resource-limited settings.
Evaluating stepping stones: a review of existing evaluations and ideas for future M&E work
(Report; Global)
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London, UK, ActionAid International, June 2006.
Wallace T
This report reviews monitoring and evaluation data on "Stepping Stones" – a participatory training package designed to address the prevention of HIV, and care for people living with HIV and AIDS, by promoting communication and relationship skills within households and communities. It reveals that there was strong support for the programs among those who had used it or seen it being used, and good evidence linking the programs to improved communication and positive behaviour change.
Supporting safe and effective ARV treatment in India: building treatment friendly communities
(Abstract; subscription needed for full text; Global | Asia)
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Brighton, UK, International HIV/AIDS Alliance, 2006.
Panda S | Kaul S | Dhaliwal M | Rohini R | Nembiaklum G
This rapid situation assessment, from the International HIV/AIDS Alliance, explores the psychological, social, and material needs of those on ART (anti-retroviral therapy) in India (Manipur and Andhra Pradesh). It also explored the challenges faced by people on ART and quality of existing services. Findings revealed that perceived and actual stigma and discrimination at community level, including that from public sector health care providers, were key barriers to accessing care, treatment, and support.
HIV prevalence and sexual behaviour changes measured in an antenatal clinic setting in northern Tanzania
(Abstract; subscription needed for full text; Sub-Saharan Africa)
Sexually Transmitted Infections. 2006 Jul;82(4):301-306.
Urassa M | Kumogol Y | Isingo R | Mwaluko G | Makelemo B | Mugeye K | Boerma T | Calleja T | Slaymaker E | Zaba B
Researchers wanted to assess the feasibility of collecting sexual behaviour data during HIV surveillance in antenatal care (ANC) clinics and to establish whether these data can provide information about the correlates of HIV infection in this population. The sexual behavior data obtained were internally consistent and tallied reasonably well with sexual behavior data collected in the community overlapping the clinic catchment. They concluded that conducting sexual behavior surveys in the context of ANC clinics surveillance is feasible and yields useful data.
HIV and AIDS treatment education, technical consultation report
(Report; Global)
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Paris, France, Section for Education for an Improved Quality of Life, Division for the Promotion of Quality Education, UNESCO, March 2006.
Sass J
This report summarizes the key points and recommendations that emerged over the course of the 2 day event co-organized by UNESCO and WHO within the framework of scaling-up HIV treatment and preparedness efforts in support of Universal Access.
HIV/AIDS NEWS
Survey shows "dangerous" AIDS ignorance in China
(News Article; Asia)
4 Aug 2006
Reuters
Related Press Release: China a potential AIDS time-bomb
Chinese city-dwellers are ignorant about their risk of contracting AIDS and may be primed to spread the fatal and incurable virus, according to a Zogby Internet poll. The poll shows more than a third of Chinese men who answered admitted they go to prostitutes and found that men and women alike rarely discussed AIDS with their sex partners.
Canada concedes must do more to fight HIV/AIDS
(News Article; North America)
1 Aug 2006
Reuters
Canada has admitted it needs to do more to fight the spread of the HIV virus and AIDS after new data showed the number of victims infected was growing steadily. The number of people with HIV/AIDS is now about 58,000 - 0.2% of the population - compared with 50,000 in 2002. More than a quarter do not know they have been infected.
Swaziland: AIDS activists say sexual offences bill criminalises victims
(News Article; Sub-Saharan Africa)
3 Aug 2006
Integrated Regional Information Networks
Groups representing Swaziland's HIV-positive population are angry at a proposed Sexual Offences and Domestic Violence Act mandating life prison terms for rapists who infect their victims with HIV, claiming that the law will criminalize the victim.
AIDS drugs still effective after 10 years
(News Article; Global)
3 Aug 2006
Reuters
Ten years after they were introduced in Europe and North America, HIV/AIDS drugs are still effective but many patients are not being put on them soon enough, scientists say. Experts had feared the AIDS virus would become resistant to the treatments and deaths would increase, but recently published research has shown it has not happened.
HIV-positive women talk it over in 'mama's club'
(Feature Article; Sub-Saharan Africa)
23 Jul 2006
Women's e-News
A group of HIV-positive mothers in Uganda have banded together to form the "Mama's Club." Twice a month they share medical and legal information, but more importantly they provide emotional support.
Is the HIV/AIDS prevention message hitting home?
(News Article; Sub-Saharan Africa)
5 Aug 2006
SABC News
The health department in South Africa came under criticism last week when its Khomanani prevention campaign came to a halt. The department says the campaign needs to be evaluated before issuing a new tender. The question is: Prevention is key to fighting HIV/AIDS, but is the message hitting home?
Southern Africa: Farmworkers slowly waking up to HIV/AIDS
(Feature Article; Sub-Saharan Africa)
19 Jul 2006
PlusNews
Migrant farmworkers in Southern Africa are often a forgotten population, with little HIV/AIDS support provided despite being a high-risk group. The International Organisation for Migration is trying to address that lapse with 'Project Hlokomela', an initiative offering prevention and care in Hoedspruit.
Africa: WHO calls for TB/AIDS programme interaction
(News Article; Global | North Africa | Sub-Saharan Africa)
31 Jul 2006
PlusNews
The World Health Organization has called for better coordination of global HIV/AIDS and tuberculosis (TB) programs.
MATERNAL AND CHILD HEALTH RESEARCH
How much time do health services spend on antenatal care? implications for the introduction of the focused antenatal care model in Tanzania
(Research Article; Sub-Saharan Africa)
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BMC Pregnancy and Childbirth. 2006 Jun 23;6(22)
von Both C | Fleßa S | Makuwani A | Mpembeni R | Jahn A
In this study researchers assessed the time health workers spent on providing antenatal care (ANC) services and compared it to the requirements anticipated for the new ANC model in order to identify the implications of focused ANC on health care providers’ workload. The average time health workers currently spend for providing ANC service to a first visit client was found to be 15 minutes; the provision of ANC according to the focused ANC model was assessed to be 46 minutes. The major discrepancy between the two procedures was related to counselling.
MATERNAL AND CHILD HEALTH NEWS
West Africa: fighting fistulas
(Feature Article; Global | North Africa | Asia | Sub-Saharan Africa)
3 Aug 2006
Integrated Regional Information Networks
An international campaign to end fistula - a pregnancy related disability - has chalked up significant gains in only 3 years, say organizers at the United Nation’s Population Fund. Some 35 countries in sub-Saharan Africa, Asia, and the Arab region have signed up to the campaign to end fistulas by 2015, and this once shameful subject is coming out into the open.
Nepal: poor maternity care poses threat to women
(Feature Article; Asia)
3 Aug 2006
Integrated Regional Information Networks
Around 6,000 women in the impoverished Himalayan kingdom die every year due to pregnancy-related complications, according to the United Nations Fund for Population Agency. Nepal has one of the world's highest maternal mortality rates of 740 per 100,000 births.
MEN'S HEALTH RESEARCH
Migrant men: a priority for HIV control in Pakistan?
(Abstract; subscription needed for full text; Asia)
Sexually Transmitted Infections. 2006 Aug;82(4):307-310.
Faisel A | Cleland J
Researchers assessed sexual risk behaviour and prevalence of treatable STIs in migrant male workers in Lahore, Pakistan. They conclude that if and when HIV infection spreads among sex workers in Lahore, the reported behaviour of migrant men suggests that they may act as a conduit for further transmission to the general population. Condom promotion focused on the sex trade is likely to be the most effective way of reducing this risk.
MEN'S HEALTH NEWS
Kenya: men abandon tradition to fight HIV/AIDS
(Feature Article; Global | Sub-Saharan Africa)
31 Jul 2006
PlusNews
A new chapter of the Movement of Men Against AIDS (MMAAK) in Kenya's Nyanza Province has begun meeting to discuss their problems and find new ways to involve their peers in controlling HIV. MMAAK is a nongovernmental organization with a national membership of more than 6,000 mostly HIV-positive men, part of whose mission statement is to "challenge social and cultural stereotypes [that] hinder progress in the fight against HIV/AIDS".
India: HIV/AIDS awareness among gay men neglected
(Feature Article; Asia)
25 Jul 2006
PlusNews
Homosexual men are being neglected by India's health system despite a dramatic increase in the number of HIV infections.
India may scrap gay sex law over HIV fears
(News Article; Global | Asia)
26 Jul 2006
Associated Press
Health authorities are calling for a repeal of a 145-year-old law that makes gay sex a crime, fearing it is causing HIV and AIDS to spread quickly in India's homosexual community. The government's main AIDS prevention agency has filed an affidavit in the Delhi High Court, supporting a request by an AIDS activist group to scrap the law.
POPULATION RESEARCH
Youth poverty and transition to adulthood in Europe
(Research Article; Europe)
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Demographic Research. 2006 Jul;15:21-50.
Aassve A | Iacovou M | Iacovou L
Using the European Community Household Panel (ECHP), researchers provide a detailed description of youth poverty in Europe. Across the European Union youth poverty varies greatly, being higher in Southern European countries, as well as in the ‘liberal’ regimes of the UK and Ireland. However, there are also large variations in the extent of youth poverty within countries.
POPULATION NEWS
From Russia with love
(Feature Article; Global | Asia)
6 Aug 2006
Baltimore Sun
Childbirth has become a top new priority in Russia, as outlined in an ambitious 10-year plan designed to raise the birth rate and, by so doing, reverse a demographic crisis President Putin himself calls "critical." The proposal, which centers on a package of financial incentives, including a $9,200 payment for having a second child, prompted expected praise from deputies in the State Duma, who are likely to appropriate money to implement it beginning next year. But many doubt such incentives alone, likewise used during Soviet times in an attempt to boost the birth rate, will fill the nation's chronically under-funded and ill-equipped maternity wards and prompt a Russian baby boom. While most Russians believe the "ideal" family has two children, surveys show they are not planning to have that many themselves.
South Korean soldiers urged to make love, not war
(News Article; Asia)
3 Aug 2006
Reuters
South Korea needs soldiers and is calling on its troops to make them by turning out more babies. South Korea's military this week unveiled a new policy aimed at making it easier for military couples to have and raise children. The country has the lowest fertility rate among developed nations with an average of 1.08 children per woman. The birth rate among military couples is 0.83, officials said.
Lifespans soon to be decades longer - expert
(Feature Article; Global)
3 Aug 2006
Reuters
The science of anti-ageing is likely to achieve major breakthroughs in coming decades that will sharply increase life expectancy, a leading British academic predicts. By as early as 2036, the average lifespan in the developed world may be decades longer than it is now.
It's time - to start a family, says Costello
(Feature Article; Global | Oceania)
4 Aug 2006
The Advertiser
Young people in Australia should not be discouraged from having families by the rising cost of petrol and interest rates, Treasurer Peter Costello said. He said couples should instead feel confident because the economy was strong and unemployment low. Referring to his 2004 call for parents to have "one for mum, one for dad and one for the country", Mr. Costello said in Melbourne that the nation was enjoying its highest birth rate since 1994.
WOMEN'S HEALTH RESEARCH
Sexual and reproductive health of women living with HIV/AIDS: guidelines on care, treatment and support for women living with HIV/AIDS and their children in resource-constrained settings
(Report; Global)
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Geneva, Switzerland, World Health Organization, 2006.
This publication provides guidance on adapting health services to address the sexual and reproductive health needs of women living with HIV and AIDS and integrating these activities within the health system. Providers of HIV services should also be aware of the sexual and reproductive health needs of the people they serve and integrate these interventions into a broad, comprehensive service delivery package. This publication addresses these specific needs and related interventions.
WOMEN'S HEALTH NEWS
15 female circumcision practitioners abandon the practice
(News Article; Sub-Saharan Africa)
2 Aug 2006
All Headline News
Fifteen women in Sierra Leone well known for performing female circumcision operations collectively declared over the weekend that they are are abandoning the practice "completely." The Sierra News, the state-owned newspaper said the women made the pledge at a public ceremony that they will now work towards "safeguarding the health of women and girls."
YOUTH HEALTH RESEARCH
Missing mothers: meeting the needs of children affected by AIDS
(Report; Global)
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London, UK, Save the Children, 2006.
D’Allesandro C
This report suggests that HIV and AIDS programs should focus on mothers and children affected by HIV and AIDS, as well as support for orphaned children. It discusses the needs of mothers and children, and the participation of community groups that are helping them. The report highlights the issue of supporting national governments to provide national social welfare systems, making healthcare free and increasing investment in health systems, and increasing community involvement at national and local level.
Impact of an adolescent sex education program that was implemented by an academic medical center
(Abstract; subscription needed for full text; Global | North America)
American Journal of Obstetrics and Gynecology. 2006 Jul;195(1):78-84.
Sulak PJ | Herbelin SJ | Fix DA | Kuehl TJ
Related News Article: Sex education may get adolescents to delay sex
After participating in a 2-week sexual education program designed and implemented by an academic medical center, more middle-school students said they would hold off on having sex for the first time, Texas researchers report.
Suffering to succeed? Violence and abuse in schools in Togo
(Report; Sub-Saharan Africa)
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Lome, Togo, Plan International, 2006.
This booklet presents the results of five programs on violence and abuse in schools in Togo. The main forms of violence against children in schools are: corporal punishment, forced labor, sexual harassment, and sexual violence.
National youth week in Tanzania offers opportunity for HIV education
(Report; Sub-Saharan Africa)
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Arlington, Va., USA, YouthNet, May 2006. (YouthNet Briefs No. 15)
Finger W | Nasib D
This brief is an overview of how in recent years the Youth Week celebration has been used as a tool for HIV prevention. Educational messages on abstinence and faithfulness to sexual partners were integrated into the competitions with quizzes, question and answer games, and other activities.
School-based peer education programs popular in Ghana
(Report; Sub-Saharan Africa)
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Arlington, Va., USA, YouthNet, May 2006. (YouthNet Briefs No. 11)
Adamchak S | Janowitz B
This study from YouthNet on the “Strengthening HIV/AIDS Partnership in Education” (SHAPE) program found that a high percentage of students in both SHAPE and non-SHAPE schools have attended peer education programs, suggesting that programs appear to be operating in the other schools. They conclude that a strong comprehensive peer education program needs to devote considerable support and monitoring to ensure that peer educators convey correct information regularly on all topics designed for discussion.
Costing adolescent reproductive health intervention studies: preliminary results from a study in Tamil Nadu, India
(Report; Asia)
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Washington, DC, International Center for Research on Women, 2006.
Despite an increase in evaluations of interventions to improve adolescent reproductive health, there is little detailed information on the costs of such interventions. Yet such cost data is crucial for making informed decisions about replicating and scaling up successful programs. To address this critical gap, the International Center for Research on Women coordinated costing studies of adolescent reproductive health intervention programs with partner organizations in India. This update presents preliminary results from the costing study and data from one partner in Vellore, Tamil Nadu.
Trends and recent estimates: sexual activity among U.S. teens
(Review/Synthesis; Global | North America)
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Washington, DC, Child Trends, June 2006.
Terry-Humen E | Manlove J | Cottingham S
Related News Article: Report: teenagers often shun condoms
This Research Brief focuses on trends and characteristics of sexual behaviors among teenagers in the US, including sexual experience, sexual acivity, and partner characteristics. Expanding understanding of teenagers’ sexual activity, as well as contraceptive use behaviors, will help identify positive trends, as well as at-risk populations to focus on, in order to reduce the relatively high levels of unintended pregnancy, childbearing, and STIs
among US teenagers.
YOUTH HEALTH NEWS
Romania told to stop segregating children with HIV
(News Article; Europe)
2 Aug 2006
Reuters
Thousands of HIV-positive children face discrimination in Romania, where vast, filthy orphanages were a breeding ground for AIDS before the 1989 fall of communism. A report by U.S.-based Human Rights Watch said Romania's failure to promote the integration of more than 7,200 sick children aged 15 to 19, the largest such group in any European state, has kept many from attending school, getting healthcare or jobs.
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