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The Pop Reporter®

Volume 7, Number 7
5 March 2007

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FAMILY PLANNING/REPRODUCTIVE HEALTH RESEARCH

Impact of a community STI/HIV intervention project in female sex workers in five border provinces of Vietnam
(Abstract; subscription needed for full text; Asia)
Sexually Transmitted Infections. 2007 Feb 27;Online access March 2, 2007.
Thuong NV | Nghia KV | Hau TP | Long NT | Van CTB | Duc BH | et al
To determine changes in STI/HIV prevalence in female sex workers (FSWs) following a community intervention project in five border provinces of Vietnam, this study interviewed participants about socio-demographic characteristics, sexual behavior, history of STIs and selected features of their partners and tested for STIs. Implementation of the project was associated with a reduction in gonorrhea and chlamydia infections in FSWs. HIV/STI interventions in FSWs can be implemented by government services and should be intensified and expanded.
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Sexual and STI treatment seeking behaviour of long distance transport workers in East Africa
(Abstract; subscription needed for full text; Sub-Saharan Africa)
Sexually Transmitted Infections. 2007 Feb 21;Online access February 21, 2007.
Morris N | Ferguson AG
This study sought to investigate the sexual and STI treatment seeking behavior of long distance transport workers in East Africa. A health seeking behavior survey was carried out at four sites on the Mombasa-Kampala trans-Africa highway. Truck drivers and their assistants in East Africa have high rates of reported sexually transmitted infections, and many continue to exhibit high-risk sexual behavior. The transport workers studied here favored private health facilities due to convenience and shorter waiting times.
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Prevalence and risk factors for herpes simplex virus type 2 antibodies among low- and high-risk populations in Indonesia
(Abstract; subscription needed for full text; Asia)
Sexually Transmitted Diseases. 2007 Mar;Online access March 2, 2007. 34(3):132-138.
Davies SC | Taylor JA | Sedyaningsih-Mamahit ER | Gunawan S | Cunningham AL | Mindel A
This study investigated the seroprevalence of, and risk factors for, antibodies to Herpes Simplex Virus (HSV)-2 among low- and high-risk, predominantly asymptomatic populations in Indonesia. HSV-2 antibodies were detected in 86.9 percent FSWs; among nonsex worker females, HSV-2 antibodies were detected in 18.7 percent. The high seroprevalence among FSWs has potentially serious implications for the HIV epidemic in Indonesia. Health promotion is needed to encourage affected individuals to recognize symptoms of genital herpes and seek care.
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Costs and coverage of reproductive health interventions in three rural refugee-affected districts, Uganda
(Abstract; subscription needed for full text; Sub-Saharan Africa)
Tropical Medicine and International Health. 2007 Mar;12(3):459–469.
Orach CG | Dubourg D | De Brouwere V
This study aims to estimate and compare the costs and coverage of reproductive health (RH) interventions in refugee and host populations in three rural districts of Uganda. Data on costs of RH interventions were collected through a survey in health facilities, public hospitals and 35 health centres. The study shows higher costs and coverage in refugee than host health services. The findings suggest policy recommendations for improving the capacity, financing, organization and the performance of host health system in the refugee-affected settings.
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FAMILY PLANNING/REPRODUCTIVE HEALTH NEWS

Philippines: Gov't pushes natural family planning
(News Article; Asia)
28 Feb 2007
Sun Star
President Gloria Macapagal-Arroyo has ordered the Department of Budget and Management to release more funds for the health department's natural family planning information program after a woman told her that she could not breastfeed because the size of her nipples are uneven.
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Rwanda: Medics search for birth rate control methods
(News Article; Sub-Saharan Africa)
1 Mar 2007
The New Times
Health experts are searching for possible methods to limit birth rates in Rwanda. Local and international medical experts met recently to deliberate on a birth rate control method to be applied in Rwanda. One suggested method is the Standard Day Method of cycle-beads, which was introduced in Rwanda in 2002. The health experts' efforts come on the heels of the government commitment to limit population growth, with three children per family as a move to fight persistent poverty in Africa's most densely populated country.
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HIV/AIDS RESEARCH

Implementation of a programme for the prevention of mother-to-child transmission of HIV in a Ugandan hospital over five years: challenges, improvements and lessons learned
(Abstract; subscription needed for full text; Sub-Saharan Africa)
International Journal of STD & AIDS. 2007 Feb;Online access February 27, 2007. 18(2):109-113.
Magoni M | Okong P | Bassani L | Namaganda PK | Onyango S | Giuliano M
To identify factors that may limit acceptance of HIV testing and enrollment in the programs for the prevention of mother-to-child-transmission of HIV, this study retrospectively assessed the performance of the service at St Francis Hospital. Enrollment in the program increased over time and was greater among older and highly educated women. The need for specific personnel for counselling, male partners' involvement and availability of antiretroviral drugs for those who needed treatment were identified as factors possibly affecting implementation.
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Rapid HIV testing, pregnancy, antiretroviral prophylaxis and infant abandonment in St Petersburg
(Abstract; subscription needed for full text; Asia)
International Journal of STD & AIDS. 2007 Feb;Online access February 27, 2007. 118(2):120-122.
Hillis S | Rakhmanova A | Vinogradova E | Voronin E | Yakovlev A | Khaldeeva N | et al
In St Petersburg, Russia, a rapid HIV-testing program was implemented in April 2004 for high-risk women giving birth. Among 670 women without prenatal care who received rapid HIV testing, 6.4% had positive results. Among HIV-positive mothers, receipt of intrapartum antiretroviral prophylaxis increased significantly compared to pre-program levels. Additionally, infant abandonment increased significantly and was 10 times greater in women with unintended versus intended pregnancies.
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Time to intervene: Preventing the spread of HIV/AIDS in the Middle East and North Africa
(Report; North Africa | Middle East)
(You need Adobe Acrobat Reader to access this document)
2007 Jan;Washington, DC, Population Reference Bureau, 2007.
Roudi-Fahimi F, Population Reference Bureau
This policy brief helps raise awareness among decision-makers in the Middle East and North Africa about the urgent need for action by presenting some HIV/AIDS warning signs, risks, and vulnerabilities in the region. The number of people living with HIV/AIDS in the Middle East and North Africa is low, but increasing in every country in the region.
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Male and female circumcision associated with prevalent HIV infection in virgins and adolescents in Kenya, Lesotho, and Tanzania
(Research Article; Sub-Saharan Africa)
Annals of Epidemiology. 2007 Mar;Online access February 27, 2007. 17(3):217-226.
Brewer DD | Potterat JJ | Roberts, Jr. JM | Brody S
Related News Article: In Africa, a problem with circumcision and AIDS
In a study of Kenyan, Lesothoan, and Tanzanian virgins and adolescents, circumcised male and female virgins were substantially more likely to be HIV-infected than uncircumcised virgins. Among adolescents, regardless of sexual experience, circumcision was just as strongly associated with prevalent HIV infection. However, uncircumcised adults were more likely to be HIV-positive than circumcised adults. Self-reported sexual experience was independently related to HIV infection in adolescent Kenyan females, but was unrelated to HIV infection in adolescent Kenyan, Lesothoan, and Tanzanian males.
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HIV/AIDS NEWS

Prostitutes, gene flaw spur Pfizer hunt for AIDS drug
(News Article; Global)
1 Mar 2007
Bloomberg.com
In 1996, scientists solved a mystery surrounding certain gay men who were immune to AIDS. This year, Pfizer will sell the first drug based on that discovery. The U.S. and European researchers, writing in several science journals, said a small group of Caucasian gay men carry a gene mutation that provides natural protection against HIV, the virus that causes AIDS. This week, culminating an 11-year race among three drugmakers, Pfizer released successful studies of a new pill specifically designed to mimic the gene defect.
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Majority of South Africans with HIV have drug resistant TB
(News Article; Sub-Saharan Africa)
27 Feb 2007
News-Medical Net
Researchers have said that as many as 85% of HIV positive South Africans are also infected with an extensively drug-resistant form of tuberculosis (TB), Extensive Drug Resistant TB (XDR-TB). The researchers suggest that XDR-TB is continuing to increase because of globally widespread flaws in the treatment of TB. Cases of XDR-TB have been found in 40 hospitals in South Africa, as well as in every province in the country, adding up to a total of around 600 cases.
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Somalia/Kenya: Making headway with the HIV message in refugee camps
(News Article; Sub-Saharan Africa)
27 Feb 2007
Integrated Regional Information Network
HIV/AIDS awareness messages are falling on fertile ground in Dadaab refugee camp in northeastern Kenya, where more than 140,000 Somalis who have fled insecurity in their home country have found a safe haven. By using community education that targets women, children and religious leaders, the United Nations refugee agency has been able to overcome some of the barriers raised by the conservative Somali culture to inform people of the dangers of the pandemic.
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South Africa: Adcock Ingram mounts AIDS challenge
(News Article; Sub-Saharan Africa)
26 Feb 2007
Business Day
Adcock Ingram Healthcare is stepping into the market for generic antiretroviral AIDS drugs, challenging generic manufacturer Aspen Pharmacare with its first direct competition in that market. Local production is a strong selling point in pitching for business with government, which considers local manufacturing an important indicator of sustainable supplies that are critical for HIV patients. Even a short break in taking them can cause patients to become resistant to the medicines.
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MATERNAL AND CHILD HEALTH RESEARCH

Low adherence to exclusive breastfeeding in Eastern Uganda: A community-based cross-sectional study comparing dietary recall since birth with 24-hour recall
(Research Article; Sub-Saharan Africa)
BMC Pediatrics. 2007 Mar;7(10)
Engebretsen IMS | Wamani H | Karamagi C | Semiyaga N | Tumwine J | Tylleskar T
A cross-sectional survey on infant feeding practices was performed in Eastern Uganda. Breastfeeding was practiced by 99% of the mothers. Dietary recall since birth showed that 7% and 0% practiced exclusive breastfeeding by 3 and 6 months, respectively, while 30% and 3% practiced predominant breastfeeding and had not started complementary feeding at the same points in time. Even if breastfeeding is practiced at a very high rate, early introduction of other food items is the norm. The 24-hour recall gives a higher estimate than the recall since birth.
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Risk factors of maternal death in Mexico
(Abstract; subscription needed for full text; North America | Central America and the Caribbean)
Birth. 2007 Mar;34(1):21-25.
Romero-Gutierrez G | Espitia-Vera A | Ponce-Ponce de Leon AL | Huerta-Vargas LF
This study aimed to identify risk factors for maternal deaths in hospital-based settings. The study found the average number of maternal deaths to be 47.3 per 100,000 live births. Hemorrhage (30.9%), preeclampsia/eclampsia (28.2%), and septic shock (10.9%) were the highest causes of death. Older women, unmarried women, women with fewer antenatal visits, and women with preexisting medical conditions were found to be at higher risk for maternal death than younger women, married women, women with more antenatal visits, and those without preexisting conditions.
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High prevalence of vitamin D insufficiency in black and white pregnant women residing in the northern United States and their neonates
(Abstract; subscription needed for full text; North America)
Journal of Nutrition. 2007 Feb;137(2):447-452.
Bodnar LM | Simhan HN | Powers RW | Frank MP | Cooperstein E | Roberts JM
Related News Article: Vitamin D deficiency widespread among women during pregnancy
A study that took place in the northern latitudes of the United States found that pregnant women lacked adequate Vitamin D. Vitamin D deficiency early in life can have potentially negative effects on children, as it is associated with skeletal problems, type 1 diabetes, and schizophrenia. Vitamin D is produced in the body with exposure to sunlight and Vitamin D deficiency is more common among darker-skinned individuals, particularly in northern latitudes. Higher-dose supplementation is needed to improve maternal and neonatal vitamin D levels.
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Delivering safer motherhood strategies: The Immpact Initiative
(Policy Brief; Global)
Washington, DC, Population Reference Bureau, 2007.
Population Reference Bureau
Related Policy Brief: Policy Brief: Delivering Safer Motherhood: Sharing the Evidence
(You need Adobe Acrobat Reader to access this document)
Related Interview: An Interview With Wendy Graham, Immpact Project
To help improve childbirth outcomes for mothers, Immpact, a global research initiative that aims to improve maternal health and survival in developing countries, has worked to develop new ways to generate evidence, strengthen the evidence-base by making program evaluations more robust, and increase in-country capacity to use these methods and act on the evidence. The interview, policy brief, and fact sheets describe some of Immpact's early achievements and key findings that will help researchers design more cost-effective safe motherhood strategies.
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MATERNAL AND CHILD HEALTH NEWS

Breastfeeding safer for HIV-infected mums
(News Article; Sub-Saharan Africa)
27 Feb 2007
Beasley D, Reuters
Related Report: Better Breastfeeding,Healthier Lives
Related Tool: Breastfeeding Questions Answered: A Guide for Providers
Breastfeeding, which helps build a baby's immune system, may be the best option for HIV-infected mothers in developing countries, despite the risk of transmitting the virus that causes AIDS to their babies, according to new studies presented at the 14th Conference on Retroviruses and Opportunistic Infections. HIV-positive mothers generally are counselled to feed their babies formula to limit the risk of transmission of the human immunodeficiency virus, but that has caused problems in nations where clean water and other needs may not be met.
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Nutrition: Study questions limits on fish in pregnancy
(News Article; Global)
27 Feb 2007
Bakalar N
Related Research Article: Maternal fish consumption benefits children's development
An article in the Lancet challenges the US Food and Drug Administration's recommendation that pregnant women avoid eating certain types of fish due to their mercury content. In fact, this study indicated that maternal consumption of omega-3 fatty acids, such as those found in fish, had various motor and social development benefits for their children.
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Philippines: RP childbirth rate reflects eco gap
(News Article; Asia)
28 Feb 2007
Jalbuena KR
Women from well-off families face less risk while giving birth than do women from poorer families, the WHO representative in the Philippines said. Dr. Jean Olive said that while infant mortality in the Philippines has been reduced, the maternal mortality rate is still high. Economic gaps plays a big role in maternal deaths. On average a woman from the upper class will have 2.1 children and will have proper access to medical care. Women from the lower classes will have 6.7 children and many will not have proper care.
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MEN'S HEALTH RESEARCH

Acceptability of urine-based screening for chlamydia trachomatis to asymptomatic young men and their providers
(Abstract; subscription needed for full text; Global)
Sexually Transmitted Diseases. 2007 Mar;Online access March 2, 2007. 34(3):147-153.
Marrazzo JM | Ellen J | Kent C | Gaydos C | Chapin J | Dunne EF | Rietmeijer CA
This study described acceptability of urine chlamydia testing among asymptomatic men and providers' attitudes toward testing. Asymptomatic men were offered free testing and characteristics of men who accepted were compared with those who declined. Men who accepted were younger and more likely to be in adolescent primary care or detention and were more likely to report higher numbers of recent partners, and no prior sexually transmitted disease. Barriers to testing included difficulty in conveying importance of testing to men and time constraints.
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Severe complications of circumcision: an analysis of 48 cases
(Abstract; subscription needed for full text; Europe)
Journal of Pediatric Urology. 2007 Feb;3(1):32-35.
Ceylan K | Burham K | Yilmaz Y | Can S | Kus A | Mustafa G
Circumcision is still the most commonly performed surgery in Islamic and Jewish societies. This study looks at findings of 48 cases referred for serious complications after circumcisions. The most commonly observed complication was preputio-glandular fusion. Other complications were meatal stenosis, urethral fistula, partial glandular amputation and opening distal urethra. To prevent major complications, circumcisions should only be performed by authorized health workers.
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Paternal age and birth defects: how strong is the association?
(Abstract; subscription needed for full text; Global)
Human Reproduction. 2007 Feb;Online access December 12, 2006. 22(3):696-701.
Yang Q | Wen S | Leader A | Chen X | Lipson J | Walker M
Although the association between maternal age and the risks of birth defects has been well studied, the evidence from population data linking paternal age with birth defects is limited and inconsistent. The objective of this study was to make a comprehensive assessment of the effect of paternal age on the risk of birth defects. Findings indicate that infants born to older fathers have a slightly increased risk of birth defects.
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MEN'S HEALTH NEWS

It seems the fertility clock ticks for men, too
(News Article; Global)
27 Feb 2007
The New York Times
When it comes to fertility and the prospect of having healthy babies, it has always been assumed that men have no biological clock. Mounting evidence is raising questions about that assumption, suggesting that as men get older, they face an increased risk of fathering children with abnormalities. Newer studies are alarming because they found higher rates of more common conditions -- including autism and schizophrenia -- in offspring born to men in their middle and late 40s. A number of studies also suggest that male fertility may diminish with age.
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POPULATION RESEARCH

Philippines: Community action addresses population impacts on the environment
(Report; Asia)
2007 Feb;Washington, DC, Population Reference Bureau, 2007.
Williams JS | De Souza RM, Population Reference Bureau
The experience of two villages in the Philippines demonstrates that even poor communities can cope with the impacts of population changes on the environment by collecting information about demographic and environmental change and using that information to plan sustainable population growth and natural resource management. This article highlights how these two rural villages used population appraisals to devise and implement community-driven plans to manage their population growth and resource use.
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The feminization of migration: Limits of the data
(Report; Global)
2007 Feb;Washington, DC, Population Reference Bureau, 2007.
Yinger NV, Population Reference Bureau
Data collected by governments indicate that women now account for almost half of immigrants around the world, but the proportion of international migrants who are male or female varies substantially by country and region. Although some numbers are available on the status, employment, and remittance patterns of these female migrants, there are not enough data to answer key questions. These gaps need to be filled to assist with the development of evidence-based policies that would improve the migration experience for women and men.
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POPULATION NEWS

India: Population likely to stabilise only by 2045
(News Article; Asia)
28 Feb 2007
The Hindu
The Indian Economic Survey reports that the country's population is likely to stabilise only by 2045. India has the second largest population in the world at 1.1 billion. The survey says the annual growth will dip from 1.6 per cent in 2001-06 to 0.9 per cent in 2021-26, when the population will rise to 1.4 billion. It is reported that the country will achieve a fertility rate of 2.1 during the decade beginning 2010.
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India: Private hand for care - move to curb infant mortality
(News Article; Asia)
28 Feb 2007
Kumar N , The Telegraph
Administrators in the East Singhbhum district in India plan to collaborate with 20 private nursing homes to provide opportunities for pregnant women, primarily those living below the poverty line, to deliver their babies in medical institutions. The government will reimburse institutions for registration, normal delivery, and Caesarean delivery for the first two births, and will provide services for third births as well, if a woman chooses sterilization immediately after delivery.
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Sabah can learn from reviewing country's population growth
(News Article; Asia)
28 Feb 2007
Gunsika A, Borneo Bulletin
Sabah Chief Minister Datuk Musa Aman said studies from Malaysia's population growth history can assist in drawing up strategies and programmes to face future challenges. The country's present population is estimated at 27 million. Musa said under the Ninth Malaysia Plan, emphasis is given to the implementation of family and community programmes, especially to building strong families and caring communities to achieve a perfect balance between the growth of material and human development.
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Birth rate rises in Las Tunas, Cuba
(News Article; Central America and the Caribbean)
1 Mar 2007
Proenza Hernandez RA, Periodico Cuba
There have been 897 children born so far this year in the Las Tunas province of Cuba and according to the local public health statistics office, that figure represents 117 more births than in the same period last year. The infant mortality rate in the province also continued to be promising at the end of 2006 with 4.6 deaths per thousand live births, a figure on par with that of developed nations.
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WOMEN'S HEALTH RESEARCH

Violence against women, symptom reporting, and treatment for reproductive tract infections in Kerala State, southern India
(Abstract; subscription needed for full text; Asia)
Health Care for Women International. 2007 Mar;Online access February 23, 2007. 26(3):268-284.
Sudha S | Morrison S | Zhu L
This article examined factors associated with women's self-reports of reproductive ill health symptoms and factors associated with treatment for the symptoms. Using data from the National Family Health Survey-2 from Kerala, the results suggest that violence against women is associated with increased ill health symptoms and the acceptance of violence is associated with decreased chance of treatment. Women's higher formal education appeared to reduce treatment seeking, perhaps due to the stigma associated with sexually transmitted disease in this cultural setting.
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Abandoning female genital mutiliation/cutting: An in-depth look at promising practices
(Report; Global | Sub-Saharan Africa)
(You need Adobe Acrobat Reader to access this document)
Washington, DC, Population Reference Bureau, 2006.
Feldman-Jacobs C | Ryniak S, Population Reference Bureau
Related News Article: The campaign against female genital cutting: New hope, new challenges
This publication presents an in-depth look at three promising interventions of organizations and individuals working toward the abandonment of female genital mutiliation/cutting. The case studies are from Ethiopia, Ghana, and Senegal (74p)
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WOMEN'S HEALTH NEWS

KENYA: No glove, no love - young women take charge of condom use
(News Article; Sub-Saharan Africa)
28 Feb 2007
Integration Regional Information Networks
Kenyan women are taking control of their sex lives, with recent research showing that more than 70% of young women use condoms to prevent pregnancy, HIV/AIDS and other sexually transmitted infections. In a departure from the traditionally passive role of women in sexual matters, an increasing number of young women are now insisting on "no condom, no sex" to lower the risk of infection, according to a study conducted by research group Infotrak Research & Consulting, in conjunction with a local young women's magazine.
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YOUTH HEALTH RESEARCH

Evaluation of the reach and impact of the 100% Jeune youth social marketing program in Cameroon: Findings from three cross-sectional surveys
(Research Article; Sub-Saharan Africa)
Reproductive Health. 2007 Feb 26;Online access February 27, 2007. 4(1)
Plautz A | Meekers D
This study evaluates the 100% Jeune social marketing program in Cameroon. A comparison of trends over the 36-month study period shows that substantial positive changes occurred among youth. Analyses indicate that some positive changes in condom use and predictors of use can be attributed to the program. The program contributed to substantial increases in condom use, including consistent use with regular partners and consistent use with casual partners among males. The program did not decrease level of sexual activity or number of sexual partners.
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Fighting AIDS among adolescent women: Effects of a public communication campaign in Brazil
(Abstract; subscription needed for full text; South America)
Journal of Health Communication. 2007 Mar;Online access March 1, 2007 12(2):121-132.
Porto MP
The Carnival Campaign aimed at promoting the use of condoms by adolescent women was broadcast on television and radio and targeted young women, a group that previously had registered a growth in the number of cases of AIDS and other sexually transmitted diseases (STDs). One of the campaign objectives was to empower the girls and encourage them not to be ashamed to buy condoms and to demand that their partners use them. The results show that campaign materials reached the main target and were very positively received.
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YOUTH HEALTH NEWS

Fiji praised for sex education classes
(News Article; Oceania)
1 Mar 2007
The Fiji Times
Fiji is the first Pacific Islands Forum country to begin incorporating Family Life Education (FLE) or sexual and reproductive health into its national secondary school curriculum. The ministers requested the Forum Secretariat to collaborate with UNFPA and other partners to support curriculum development on sexual and reproductive health to address the issues of sexually transmitted infections, HIV and AIDS and teenage pregnancy. FLE emphasises family life and relationships such as preparation for marriage, household finances, parenting skills and life planning.
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Teenage pregnancy on the increase in Chile
(News Article; South America)
28 Feb 2007
Inter Press Service
More than 30,000 adolescents between the ages of 15 and 19 give birth every year in Chile, according to Health Ministry statistics. From 1990 to 2003, the proportion of live births to teenage mothers rose from 13.8 percent of all births to 14.9 percent, reaching a record of 16.2 percent in 1998. Teenage pregnancy is on the rise in Chile, as it is in many of the countries of Latin America and the Caribbean, in contrast with the global downward trend seen in birth rates among both adults and adolescents since the 1970s.
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Malaysia: Sex education not as specific subject in schools
(News Article; Asia)
28 Feb 2007
Bernama Malaysian National News Service
The Parliamentary Secretary of Women, Family and Community Development Ministry in Malaysia said sex education would be absorbed into the current school syllabus and would not be taught as a specific subject. The minister said it would be part of learning in morality, science, health, Islam, biology, science and other subjects. To help teachers handle the delicate subject, the government has formulated guidelines that will be absorbed into the current education modules in schools.
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