Dr. Ton van der Velden
Please find here some of the RH news from October 2007.
But first, do check out JAMA’s Global Theme Issue on Poverty and Human Development, (volume 298, issue 16, if the link does not work right), and the WHO Bulletin. They join over 230 other journals around the world in publishing papers on poverty and human development this month, as part of an initiative by the Council of Science Editors.
The World Development Report 2008: Agriculture for Development (7 MB!) is out. The Report calls for greater investment in agriculture in developing countries
The “Future of Male Contraception” conference was held in
A Pocket Guide for Health Practitioners, Program Managers, and Community Leaders from the ESD project provides an overview about healthy timing and spacing of pregnancies (which now has its own exiting acronym: HTSP). It discusses key findings from global research on the link between pregnancy spacing and maternal and newborn health outcomes.
Required reading: A new Population Reports, Implants: The Next Generation is out. The new one-rod system Implanon, the two-rod system Jadelle, and Sino-Implant (II), another two-rod system available in some countries, will replace Norplant, that will be unavailable after 2008. Sino-Implant is particularly interesting as it cost only $4.50 whole sale. See also the INFO report companion and the powerpoint slideshow.
Powerful Partners: Adolescent Girls’ Education and Delayed Childbearing by the PBR describes how many successful programs are keeping adolescent girls in school and many programs offer reproductive health information and services out of school, including family planning. Combining such programs may yield more benefits than either one alone.
Association of Oral Contraceptive Use, Other Contraceptive Methods, and Infertility with Ovarian Cancer Risk This study shows that for women using oral contraceptives for >5 years, the rate ratio for ovarian cancer for 20 years since last use was 0.58 (95% confidence interval (CI): 0.39, 0.87). Tubal ligation (RR = 0.66, 95% CI: 0.50, 0.87) was associated with decreased ovarian cancer risk, whereas intrauterine device use (RR = 1.76, 95% CI: 1.08, 2.85) and infertility (RR = 1.36, 95% CI: 1.07, 1.75) were associated with an increased risk.
Big topic last month was the Women Deliver Conference in
was the landmark Global Safe Abortion Conference, sponsored by Marie Stopes International, in association with Ipas and Abortion Rights. New dataWorld Health Organization (WHO) and the Guttmacher Institute ( published in the Lancet and available as slideshow and pdf) show that while the number of abortions performed globally has fallen slightly in recent years, the number of unsafe abortions has actually increased slightly. In London Africa--where restrictive laws are still on the books and women's access to contraception is most limited--the number of deaths from unsafe abortion rose significantly from 29,800 in 2000 to 36,000 in 2003. And the Brits debate late abortion. from the
BTW, look at Needless death and injury: Unsafe abortion as a critical global health issue, a two-page Congressional briefing that discusses the global problem of unsafe abortion as well as how the Global Gag Rule (GGR) encourages this practice. This briefing also offers policy suggestions for the
Onwards: have you heard of Jeffrey Sachs Millenium villages? Poverty And Hunger Special Feature: The African Millennium Villages explains what they are and the preliminary results. Required reading, if only to be able to join the discussions….
Enemas during labour shows that enemas do not have a significant effect on infection rates such as perineal wound infection or other neonatal infections and women's satisfaction. This evidence does not support the routine use of enemas during labor; therefore, such practice should be discouraged. So stop already.
Amniotomy for shortening spontaneous labour shows no evidence of any statistical difference in length of first stage of labor, maternal satisfaction with childbirth experience or low Apgar score less than seven at five minutes. Authors do not recommend it as routine part of labor and delivery. So stop already.
Malaria now: the GSK vaccine trial is going well. The trial was designed to test the safety of the candidate vaccine, and showed that the babies tolerated the three doses with no serious side-effects over six months of follow-up monitoring. The vaccine stimulated the production of antibodies and was 65 per cent effective against new infection after three months of follow-up. Varying efficacy of intermittent preventive treatment for malaria in infants in two similar trials: public health implications shows that intermittent preventive treatment (IPTi) with sulphadoxine-pyrimethamine in infants resulted in different estimates of clinical malaria protection in two trials that used the same protocol in
Effects of trimethoprim-sulfamethoxazole and insecticide-treated bednets on malaria among HIV-infected Ugandan children shows that the combined use of Trimethoprim-sulfamethoxazole (TMP/SMX) prophylaxis and insecticide treated bednets was associated with a dramatic reduction in malaria incidence among HIV-infected children.
And if you want to make sure you are up to date: Africa Malaria Day 2007 - Bibliography on severe malaria is a summary of publications dealing with management of severe malaria in hospitals and at home from Médecins Sans Frontières Suisse (MSF-CH)
For lab diagnosis you will need Atlas of Human Malaria - Atlante della Malaria Umana, an illustrated Atlas of malaria parasites in English and Italian, with more than 400 pictures.
Postpartum Care: Levels and Determinants in Developing Countries This study was undertaken to analyze the variables (occurrence, timing, and back-ground characteristics) associated with receipt of postpartum care in 30 developing countries representing the major regions of the world. Results show that about seven out of ten births mothers do not receive any postpartum care.
Epilepsy in Pregnancy is a nice overview article and Seasonal variation in the incidence of preeclampsia and eclampsia in tropical climatic conditions is interesting.
What are you planning for World AIDS day?
Potential Impact of Antiretroviral Chemoprophylaxis on HIV-1 Transmission in Resource-Limited Settings describes the potential impact of pre-exposure chemoprophylaxis (PrEP) on heterosexual transmission of HIV-1 infection in resource-limited setting. Approximately 2.7 to 3.2 million new HIV-1 infections could be averted in southern sub-Saharan Africa over 10 years by targeting PrEP (having 90% effectiveness) to those at highest behavioral risk and by preventing sexual dis-inhibition.
Tools for Planning and Implementing a Successful HIV and AIDS Treatment Advocacy Campaign This advocacy toolkit is intended for treatment access advocates and activists acting as individuals or groups. The toolkit aims to offer an understanding of what advocacy is and how it can support the work of other networks or coalitions engaged in advocacy. It is intended to be used as both an information resource and as a training manual.
Integrating Family Planning Services into Voluntary Counseling and Testing Centers in Kenya aims to determine the effectiveness and costs of adding selected levels of family planning services to Voluntary Counseling and Testing (VCT) centers in
An while we are on that topic: Linking Sexual and Reproductive Health and HIV/AIDS: An Annotated Inventory is a WHO document that reviews tools that link HIV/AIDS with SRH programs and those that link SRH with HIV/AIDS programs
Human Trafficking and HIV: Exploring vulnerabilities and responses in South Asia shows that people who are trafficked are highly vulnerable to the risk of HIV infection. The report explores the link between trafficking and HIV in six countries of south Asia:
Documents on Male Circumcision and Risk of HIV Acquisition is a UNAIDS list of documents about male circumcision. It includes a list of published articles on male circumcision and HIV/STI prevention, including a list of documents on: Biological Plausibility, Impact on HIV transmission and Acceptability.
Something you should read: The trend of using rape and genital mutilation as a weapon in war now strikes the
In that perspective, read Unequal, unfair, ineffective and inefficient, the final Report to the WHO Commission on Social Determinants of Health. The paper draws together evidence that identifies and explains what gender inequality and inequity mean in terms of differential exposures and vulnerabilities for women versus men, and also how health care systems and health research reproduce these inequalities and inequities instead of resolving them.
Predisposing factors for bacterial vaginosis, treatment efficacy and pregnancy outcome among term deliveries; results from a preterm delivery study shows BV is twice as common among smokers…
Denmark and Spain recommend free HPV vaccination for pre-adolescent girls to prevent cervical cancer
President George Bush has appointed Susan Orr to head the Office of Population Affairs at the Department of Health and Human Services. She was widely criticized in the
There is also good news: Middle school contraceptive program sets off firestorm
And then, at the last moment: more really bad news: I quote: “[On November 1st] we learned that the Democratic controlled Labor HHS Appropriations conference committee report includes the full $28 million increase requested by President Bush for failed abstinence-only-until-
Never mind the congressionally-mandated evaluation released in April showing abstinence-only programs have "no impact on adolescent behavior." Never mind the 2006 study by the Society of Adolescent Medicine which stated that these programs "threaten fundamental human rights to health, information and life." Never mind the 2004 report from Congressman Henry Waxman's (D-CA) oversight committee demonstrating that 80% of abstinence-only programs contain "false or misleading information." Never mind the 13 governors who have refused abstinence-only dollars because they see no reason to use precious state dollars to match federal funds for programs that simply do not work. “
interest Viet Nam
Most important: UNFPAs “Population Growth in Vietnam, What the Data from 2006 Can Tell Us”, shows fertility continues to decline in
Woman-centered health care: Improving abortion services in Vietnam. This six-page brochure discusses the growth and successes of comprehensive abortion care (CAC) services in
This is hard to believe: A third of high school students recently surveyed don’t know where
babies come from, according to a poll by Ho Chi Minh City university students.
Ready or Not? A national needs assessment of abortion services in Cambodia
Effectiveness of Highly Active Antiretroviral Therapy in HIV-Positive Children: Evaluation at 12 Months in a Routine Program in Cambodia.
Doaa Oraby points out that FHI published A Guide for Conducting Behavioral Surveillance Surveys on HIV/AIDS “ in Arabic.
And then this:
Pope urges pharmacists to reject abortion pill reports that the pope has said that "Pharmacists must be allowed to refuse to supply drugs that cause abortion or euthanasia” ,
Youth INFONet 38 is out.