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https://www.readbyqxmd.com/read/28730874/abortion-politics-in-cambodia-social-history-local-forms-and-transnational-issues
#1
Pascale Hancart Petitet
Cambodia's current abortion rate and ratio could be among the highest in Southeast Asia. In 1997, the Cambodian parliament passed the first law regulating abortions. This law was adopted to contribute to reduce the high maternal mortality ratio, as a significant number of maternal deaths were believed to be related to complications of unsafe abortion. A decade later, the Ministry of Health had not yet established medical protocols for safe abortion access and women often continued to induce their own terminations or seek unsafe services...
July 21, 2017: Global Public Health
https://www.readbyqxmd.com/read/28705073/re-visioning-evidence-reflections-on-the-recent-controversy-around-gender-selective-abortion-in-the-uk
#2
Maya Unnithan, Sylvie Dubuc
Reports in the British media over the last 4 years have highlighted the schisms and contestations that have accompanied the reports of gender selective abortions amongst British Asian families. The position that sex-selection may be within the terms of the 1967 Abortion Act has particularly sparked controversy amongst abortion campaigners and politicians but equally among medical practitioners and the British Pregnancy Advisory Service who have hitherto tended to stay clear of such debates. In what ways has the controversy around gender-based abortion led to new framings of the entitlement to service provision and new ways of thinking about evidence in the context of reproductive rights? We reflect on these issues drawing on critiques of what constitutes best evidence, contested notions of reproductive rights and reproductive governance, comparative work in India and China as well as our involvement with different groups of campaigners including British South Asian NGOs...
July 14, 2017: Global Public Health
https://www.readbyqxmd.com/read/28691572/using-systems-thinking-to-train-future-leaders-in-global-health
#3
Anne Paxton, Laura J Frost
Systems Thinking provides a useful set of concepts and tools that can be used to train students to be effective and innovative global health leaders in an ever-changing and often chaotic world. This paper describes an experiential, multi-disciplinary curriculum that uses Systems Thinking to frame and analyse global health policies and practices. The curriculum uses case studies and hands-on activities to deepen students' understanding of the following concepts: complex adaptive systems, dynamic complexity, inter-relationships, feedback loops, policy resistance, mental models, boundary critique, leverage points, and multi-disciplinary, multi-sectoral, and multi-stakeholder thinking and action...
July 9, 2017: Global Public Health
https://www.readbyqxmd.com/read/28670971/international-clinical-volunteering-in-tanzania-a-postcolonial-analysis-of-a-global-health-business
#4
Noelle Sullivan
This article traces how scarcities characteristic of health systems in low-income countries (LICs), and increasing popular interest in Global Health, have inadvertently contributed to the popularisation of a specific Global Health business: international clinical volunteering through private volunteer placement organisations (VPOs). VPOs market neglected health facilities as sites where foreigners can 'make a difference', regardless of their skill set. Drawing on online investigation and ethnographic research in Tanzania over four field seasons from 2011 to 2015, including qualitative interviews with 41 foreign volunteers and 90 Tanzanian health workers, this article offers a postcolonial analysis of VPO marketing and volunteer action in health facilities of LICs...
July 3, 2017: Global Public Health
https://www.readbyqxmd.com/read/28659069/hiv-aids-discourses-in-kyrgyzstan-s-policy-arena
#5
Svetlana Ancker, Martin McKee, Bernd Rechel
This article explores the major discourses on HIV/AIDS in the policy arena in Kyrgyzstan, a former Soviet country in Central Asia that has experienced a rapid rise in HIV infections since the early 2000s. Based on an analysis of policy documents and 54 semi-structured in-depth interviews with key stakeholders in the area of HIV/AIDS policies in Kyrgyzstan, we distinguish a number of key discourses, competing for legitimacy and authority. While some of these discourses have been used in other countries (such as those presenting HIV/AIDS as a biomedical, social or moral issue), others are more specific to Kyrgyzstan (such as a discourse presenting the country as a regional pioneer in HIV/AIDS prevention efforts)...
June 28, 2017: Global Public Health
https://www.readbyqxmd.com/read/28648109/a-multi-level-examination-of-the-experiences-of-female-sex-workers-living-with-hiv-along-the-continuum-of-care-in-the-dominican-republic
#6
Rose Zulliger, Caitlin Kennedy, Clare Barrington, Martha Perez, Yeycy Donastorg, Deanna Kerrigan
Female sex workers (FSWs) are disproportionately affected by HIV, but there is limited research on their HIV care experiences. This study explored the experiences of 44 FSWs living with HIV in Santo Domingo, Dominican Republic along the HIV care continuum using in-depth interviews and focus groups. Data were analysed through narrative and thematic analysis. Individual-level factors that facilitated engagement in HIV care were physical and mental health. At the interpersonal level, disclosure of HIV or sex work status and receipt of emotional and economic support were important influences on engagement...
June 26, 2017: Global Public Health
https://www.readbyqxmd.com/read/28649920/could-the-who-s-framework-on-engagement-with-non-state-actors-fensa-be-a-threat-to-tackling-childhood-obesity
#7
Akram Khayatzadeh-Mahani, Arne Ruckert, Ronald Labonté
No abstract text is available yet for this article.
June 24, 2017: Global Public Health
https://www.readbyqxmd.com/read/28635443/corrigendum
#8
(no author information available yet)
No abstract text is available yet for this article.
June 21, 2017: Global Public Health
https://www.readbyqxmd.com/read/28631983/-worse-than-hiv-the-logics-of-cancer-screening-avoidance-in-swaziland
#9
Nomthandazo Malambo, Susan Erikson
This article shows the consequences of competing global health agendas within differential clinical and social worlds. Specifically, it examines how HIV's prominence in local clinical programming in Swaziland influences cervical cancer screening rates. Drawing on 2014 ethnographic research conducted in a semi-urban town in Swaziland, the interview and participant observation data show the relative scarcity of cervical cancer care and the consequences of HIV/AIDS funding and programming dominance. 20 women and 7 health workers were interviewed in homes, clinics and small businesses...
June 20, 2017: Global Public Health
https://www.readbyqxmd.com/read/28609224/towards-a-poststructural-understanding-of-abortion-and-social-class-in-england
#10
Gillian Love
Despite previous research suggesting that social class influences experiences of and attitudes to abortion, there is a dearth of research which studies the intersection of abortion and social class in England. Across the UK, abortion rates and experiences differ by region and socio-economic status, reflecting broader health inequalities. Contemporary austerity in the UK creates an imperative for new research which contextualises the experience of abortion within this socio-historical moment, and the worsening inequalities which have accompanied it...
June 13, 2017: Global Public Health
https://www.readbyqxmd.com/read/28604245/state-of-the-art-or-the-art-of-medicine-transnational-mobility-and-perceptions-of-multiple-biomedicines-among-nigerian-physicians-in-the-u-s
#11
Judith Schühle
Over the last 40 years, several thousand Nigerian-trained doctors have migrated to the U.S. to practice in what they regard as the state-of-the-art of global biomedicine. Based on interviews with Nigerian physicians, this article shows how their professional mobility, and their transition to the new professional environment of U.S. biomedicine, makes them aware of local differences in practicing medicine. Adapting to local ways of practicing in the U.S. creates a new sense of belonging and professional identity...
June 12, 2017: Global Public Health
https://www.readbyqxmd.com/read/28604240/the-influence-of-social-constructs-of-hegemonic-masculinity-and-sexual-behaviour-on-acceptability-of-vaginal-microbicides-in-zambia
#12
Oliver Mweemba, Rachael Dixey, Virginia Bond, Alan White
Vaginal microbicides are heralded as a woman's HIV prevention method. This study, conducted in a microbicide clinical trial setting in Zambia, explored how the social construction of masculinity and sexual behaviour influenced the acceptability of vaginal microbicides. The data were generated from 18 In-depth Interviews and 8 Focus Group Discussions. The data were analysed thematically. The study found that hegemonic masculinity influenced the use of vaginal microbicides positively and negatively, in multiple ways including: decision to initiate gel use, autonomous use of the gel, and consistent use of the gel...
June 12, 2017: Global Public Health
https://www.readbyqxmd.com/read/28594309/understanding-media-publics-and-the-antimicrobial-resistance-crisis
#13
Mark Davis, Andrea Whittaker, Mia Lindgren, Monika Djerf-Pierre, Lenore Manderson, Paul Flowers
Antimicrobial resistance (AMR) imperils health for people across the world. This enormous challenge is being met with the rationalisation of prescription, dispensing and consumption of antimicrobials in clinical settings and in the everyday lives of members of the general population. Individuals need to be reached outside clinical settings to prepare them for the necessary changes to the pharmaceutical management of infections; efforts that depend on media and communications and, therefore, how the AMR message is mediated, received and applied...
June 8, 2017: Global Public Health
https://www.readbyqxmd.com/read/28585477/the-trends-and-constructive-ambiguity-in-international-agreements-on-intellectual-property-and-pharmaceutical-affairs-implications-for-domestic-legislations-in-low-and-middle-income-countries
#14
Kyung-Bok Son, Tae-Jin Lee
The purpose of this study is to analyse the trends in international agreements including Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS), Korea-United States Free Trade Agreements, and Trans-Pacific Partnership Agreements on intellectual property and pharmaceutical affairs with the updated framework. The study also assesses constructive ambiguity in international agreements, which might affect the implementation process through interpretation and domestic legislations. Five flexibility clauses and three TRIPS-plus provisions were selected, and presence of constructive ambiguity in the agreements was analysed to draw actual trends in international agreements...
June 6, 2017: Global Public Health
https://www.readbyqxmd.com/read/28580845/-nobody-teases-good-girls-a-qualitative-study-on-perceptions-of-sexual-harassment-among-young-men-in-a-slum-of-mumbai
#15
Susannah Zietz, Madhumita Das
Young adulthood is a key period in which gender norms are solidified. As a result, young women are particularly vulnerable to gender-based violence. In Delhi, over 90% of women have ever experienced sexual violence in public spaces. Sexual harassment of girls and women in public spaces is commonly named 'eve teasing' in India. Experience of sexual harassment in public spaces has been found to be associated with restricted mobility, interrupted education, and early age at marriage. Little is known about men's perspectives on eve teasing and how they believe it affects women and girls...
June 5, 2017: Global Public Health
https://www.readbyqxmd.com/read/28468526/the-macro-level-drivers-of-intimate-partner-violence-new-evidence-from-a-multilevel-dataset
#16
Roxanne J Kovacs
This study uses multi-level regression analysis to determine the impact of macro-level drivers on intimate partner violence (IPV). It argues that we need to look beyond the usual, individual-level risk factors in order to understand why women experience abuse at the hands of their intimate partners. Using Demographic and Health Survey data from 40 developing countries, this paper demonstrates that socio-economic development, beliefs and laws play an important role in explaining IPV.
May 4, 2017: Global Public Health
https://www.readbyqxmd.com/read/28447537/diabetes-a-global-public-health-challenge-with-a-high-epidemiological-and-economic-burden-on-health-systems-in-latin-america
#17
Armando Arredondo, Alejandra Azar, Ana Lucía Recamán
This manuscript presents the results of an analysis that highlights the challenges of diabetes as a global public health problem. The analysis was conducted in two phases: the first phase deals with primary data and results of a longitudinal study to provide evidence on the Mexican case. Regarding epidemiological changes between 2014 and 2016, there is an increase of 9-13% (p < .001). Comparing the economic burden from epidemiological changes in 2014 versus 2016 (p < .05), there is a 26% increase...
April 27, 2017: Global Public Health
https://www.readbyqxmd.com/read/28443367/preventing-risky-behaviours-among-young-adolescents-in-eastern-democratic-republic-of-congo-a-qualitative-study
#18
Anjalee Kohli, Mitima Mpanano Remy, Arsene Kajabika Binkurhorhwa, Clovis Murhula Mitima, Alfred Bacikenge Mirindi, Nadine Bufole Mwinja, Jean Heri Banyewesize, Gisele Mushengezi Ntakwinja, Nancy A Perrin, Nancy Glass
This qualitative study explores and describes adolescent risk behaviours, specifically consumption of alcohol and use of violence; the perceived consequences of these behaviours on future well-being and relationships; and collaboratively identifies the essential components of a prevention intervention for risk behaviours (alcohol use, violence) among young adolescents while strengthening the protective individual and relationship factors in post-conflict Democratic Republic of Congo. One-on-one in-depth interviews were conducted with 28 male and female youth, 20 parents/guardians and 20 stakeholders in three rural villages of South Kivu Province...
April 26, 2017: Global Public Health
https://www.readbyqxmd.com/read/26783835/the-role-of-social-support-on-hiv-testing-and-treatment-adherence-a-qualitative-study-of-hiv-infected-refugees-in-southwestern-uganda
#19
Shada A Rouhani, Kelli N O'Laughlin, Zikama M Faustin, Alexander C Tsai, Julius Kasozi, Norma C Ware
Little is known about the factors that encourage or discourage refugees to test for HIV, or to access and adhere to HIV care. In non-refugee populations, social support has been shown to influence HIV testing and utilisation of services. The present study enrolled HIV-infected refugees on anti-retroviral therapy (ART) in Uganda, who participated in qualitative interviews on HIV testing, treatment, and adherence. Interviews were analysed for themes about four types of social support: emotional, informational, instrumental, and appraisal support...
August 2017: Global Public Health
https://www.readbyqxmd.com/read/26313708/mobility-among-youth-in-rakai-uganda-trends-characteristics-and-associations-with-behavioural-risk-factors-for-hiv
#20
Ashley C Schuyler, Zoe R Edelstein, Sanyukta Mathur, Joseph Sekasanvu, Fred Nalugoda, Ronald Gray, Maria J Wawer, David M Serwadda, John S Santelli
Mobility, including migration and travel, influences risk of HIV. This study examined time trends and characteristics among mobile youth (15-24 years) in rural Uganda, and the relationship between mobility and risk factors for HIV. We used data from an annual household census and population-based cohort study in the Rakai district, Uganda. Data on in-migration and out-migration were collected among youth (15-24 years) from 43 communities from 1999 to 2011 (N = 112,117 observations) and travel among youth residents from 2003 to 2008 (N = 18,318 observations)...
August 2017: Global Public Health
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