Academic literature on the topic 'African Population and Health Research Center'

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Journal articles on the topic "African Population and Health Research Center"

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Green, Andrew. "The African Population and Health Research Center." Lancet 390, no. 10106 (October 2017): 1940. http://dx.doi.org/10.1016/s0140-6736(17)32735-6.

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Odiaka, Emeka, David W. Lounsbury, Mohamed Jalloh, Ben Adusei, Thierno Amadou Diallo, Papa Moussa Sene Kane, Isabella Rockson, et al. "Effective Project Management of a Pan-African Cancer Research Network: Men of African Descent and Carcinoma of the Prostate (MADCaP)." Journal of Global Oncology, no. 4 (December 2018): 1–12. http://dx.doi.org/10.1200/jgo.18.00062.

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Purpose Health research in low- and middle-income countries can generate novel scientific knowledge and improve clinical care, fostering population health improvements to prevent premature death. Project management is a critical part of the success of this research, applying knowledge, skills, tools, and techniques to accomplish required goals. Here, we describe the development and implementation of tools to support a multifaceted study of prostate cancer in Africa, focusing on building strategic and operational capacity. Methods Applying a learning organizational framework, we developed and implemented a project management toolkit (PMT) that includes a management process flowchart, a cyclical center-specific schedule of activities, periodic reporting and communication, and center-specific monitoring and evaluation metrics. Results The PMT was successfully deployed during year one of the project with effective component implementation occurring through periodic cycles of dissemination and feedback to local center project managers. A specific evaluation was conducted 1 year after study initiation to obtain enrollment data, evaluate individual quality control management plans, and undertake risk log assessments and follow-up. Pilot data obtained identified areas in which centers required mentoring, strengthening, and capacity development. Strategies were implemented to improve project goals and operational capacity through local problem solving, conducting quality control checks and following compliancy with study aims. Moving forward, centers will perform quarterly evaluations and initiate strengthening measures as required. Conclusion The PMT has fostered the development of both strategic and operational capacity across project centers. Investment in project management resources is essential to ensuring high-quality, impactful health research in low- and middle-income countries.
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Jiagge, Evelyn, Joseph Kwaku Oppong, Jessica Bensenhaver, Francis Aitpillah, Kofi Gyan, Ishmael Kyei, Ernest Osei-Bonsu, et al. "Breast Cancer and African Ancestry: Lessons Learned at the 10-Year Anniversary of the Ghana-Michigan Research Partnership and International Breast Registry." Journal of Global Oncology 2, no. 5 (October 2016): 302–10. http://dx.doi.org/10.1200/jgo.2015.002881.

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Women with African ancestry in western, sub-Saharan Africa and in the United States represent a population subset facing an increased risk of being diagnosed with biologically aggressive phenotypes of breast cancer that are negative for the estrogen receptor, the progesterone receptor, and the HER2/neu marker. These tumors are commonly referred to as triple-negative breast cancer. Disparities in breast cancer incidence and outcome related to racial or ethnic identity motivated the establishment of the International Breast Registry, on the basis of partnerships between the Komfo Anokye Teaching Hospital in Kumasi, Ghana, the University of Michigan Comprehensive Cancer Center in Ann Arbor, Michigan, and the Henry Ford Health System in Detroit, Michigan. This research collaborative has featured educational training programs as well as scientific investigations related to the comparative biology of breast cancer in Ghanaian African, African American, and white/European American patients. Currently, the International Breast Registry has expanded to include African American patients throughout the United States by partnering with the Sisters Network (a national African American breast cancer survivors’ organization) and additional sites in Ghana (representing West Africa) as well as Ethiopia (representing East Africa). Its activities are now coordinated through the Henry Ford Health System International Center for the Study of Breast Cancer Subtypes. Herein, we review the history and results of this international program at its 10-year anniversary.
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Adebamowo, Sally N., Eileen O. Dareng, Ayotunde O. Famooto, Rasheed A. Bakare, and Clement A. Adebamowo. "Cohort Profile: African Collaborative Center for Microbiome and Genomics Research (ACCME)." Journal of Global Oncology 2, no. 3_suppl (June 2016): 40s. http://dx.doi.org/10.1200/jgo.2016.003822.

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Abstract 65 Background: Cervical cancer is the second most common cancer in Africa. Much remains unknown about the prevalence and pathogenicity of human papillomavirus (HPV) types and the mechanism of disease, and there is a need for new biomarkers for screening programs. Methods: ACCME is a multicenter prospective cohort study of host germline, somatic and HPV genomics and epigenomics, and vaginal microenvironment; and their association with cervical cancer in 10,000 HIV negative women in Nigeria. Data on demographic, lifestyle, medical history, serum, germline DNA, HPV genotype, and vaginal pH are collected at baseline and during follow up visits every 6 months. Samples of exfoliated cervical cells are analyzed for high risk HPV with Roche LINEAR ARRAY and vaginal bacterial composition and abundance are characterized by deep sequencing of barcoded 16S rRNA gene fragments (V4) on a Illumina MiSeq platform. Colposcopies and biopsies are conducted on participants with clinical lesions and those with persistent high risk HPV infections. Results: By December 2015, 10,000 participants had been enrolled in the ACCME cohort. The mean (SD) age of the study participants at baseline was 40 (10) years. Most of the participants were married (76%), attended university (44%), and had professional jobs (37%). All the study participants have had vaginal sex, 17% have had oral sex, and only 2% have ever had anal sex. We found 30% of the study participants were HPV positive and 70% were HPV negative. The mean (SD) vaginal pH in the study population was 5.2 (0.5). Further analyses to characterize high-risk HPV types and determine persistence will be conducted at each follow up visit. Also, characterization of cervical cytokines and vaginal microbiome will be conducted after the follow up visits for all participants have been conducted. Conclusions: ACCME is a paradigm for translational research in biomarker discovery that addresses high impact public health challenges affecting women's health in Africa and the rest of the world. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST: No COIs from the authors.
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Marino, Natascia, Julia McCarty, Guanglong Jiang, Mariah L. Johnson, Teresa Mahin, Nicholas Scherer, and Anna Maria Storniolo. "Genetic ancestry in normal breast tissue donors from the Susan G. Komen tissue bank at the IU Simon Cancer Center (KTB)." Journal of Clinical Oncology 35, no. 15_suppl (May 20, 2017): e13065-e13065. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e13065.

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e13065 Background: When studying complex diseases with a heritable component, such as breast cancer, chances of finding disease susceptibility genes can be increased by accounting for genetic ancestry within the population investigated. The limitation in using self-reported race to reveal population genetic substructure has been extensively reported. Therefore, we employed a panel of genetic polymorphisms, or Ancestry Informative Markers (AIMs), to genetically determine the racial and ethnic background of the tissue donors in the KTB, the only existing biobank of breast tissue cores taken from healthy women. Methods: 4112 women donated breast tissue between 2006 and 2016, and also provided race and ethnicity information. We used a panel of 41 AIMs to estimate genetic ancestry and to maximize the difference between European/ Middle East (Caucasian, C), East Asia and Central/South Asia (Asian), African, and Hispanic populations. We employed the Bayesian Markov chain Monte Carlo (MCMC) method implemented in the program STRUCTURE 2.2. A reference set was obtained from the Human Genome Diversity Project. Results: In women self-identified as Black/African American (AA),White and Asian, the assigned genetic ancestry proportions were 93.8% African, 95% C and 96.6% Asian respectively, while the racial composition among the 318 self-identified Hispanics (of which only 178 were confirmed by the genetic ancestry) was 45.3% C, 5.3% African, and 14.7% Asian. Interestingly, 46.9% of the Asian population failed to report the racial background. This percentage was lower for C (1.3% ) and AA (0.5%). Women with African ancestry were younger (≤35 yrs) at the time of donation (24%), as compared to the C (32%) and Asian (33.7%) donors. The obesity rate (BMI > 30) is higher in the AA (60.6%) and C (36.6%), as compared to the Asian population (26.6%). Conclusions: A well-characterized genetic background of the normal breast tissue donors in the KTB will allow a more accurate examination of the association of the genetic ancestry with breast cancer events or risk factors with the ultimate goal of more fully understanding breast cancer racial disparities and their possible role in the risks for and outcomes of breast cancer.
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Leader, Amy, Lauren Waldman, Liana Yocavitch, Ayako Shimada, Rebecca Cammy, Gregory D. Garber, and Brooke Worster. "Screening for health literacy at an urban academic cancer center." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): e19034-e19034. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19034.

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e19034 Background: Low health literacy is more prevalent among older adults and minority populations, and it has been linked to excess health care utilization and poor health outcomes in cancer patients. Screening for health literacy may improve communication and care, such that discussions and information can be tailored to patient need. The purpose of this study was to describe health literacy levels and correlates among patients at an urban, NCI-designated cancer center. Methods: In September 2019, we began health literacy screening for each newly diagnosed, English-speaking cancer patient. Patients were categorized as having low, medium, or high health literacy using the BRIEF health literacy screener; results are visible in the EMR. For this analysis, we included patient age, gender, insurance type, race/ethnicity, and socio-economic status (SES), which was calculated using an Area Deprivation Index (ADI) ranging from 0 (no deprivation) to 100 (extreme deprivation). Data was summarized using descriptive statistics; ANOVA and Chi-squared tests investigated associations between patient’s health literacy levels and potential correlates. Results: Among 284 patients, 68%, (n = 195) were Caucasian, 25% (n = 70) were African American and 7%, (n = 19) identified as Hispanic, Asian American or some other race. Seventy-five percent (n = 211) were male; the mean age was 63 years (SD: 12). The mean ADI was 42 (SD: 28), indicating a low to moderate SES. Seventy percent (n = 200) had a high health literacy score, 20% (n = 57) had a medium score, and 10% (n = 27) had a low health literacy score. Only a patient’s race/ethnicity and the ADI were significantly associated with their health literacy score. Seventy-seven percent of Caucasian patients had high health literacy scores compared to 59% of African American patients and 48% patients of Hispanic, Asian or some other origin (P < .001). Patients with low health literacy had an ADI score (65.1) that was almost double the score of patients with high health literacy scores (38.5) (p < .001). Conclusions: Roughly one-third of patients seen at this urban cancer center did not have a high health literacy score. Socio-economic status was a stronger correlate to health literacy than patient age, marital status, or insurance type. EMRs should capture a patient’s SES in some manner, as this is strongly associated with health literacy.
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Wandiga, Steve, Janet Agaya, Ouma S. Gurrion, Ochieng Albert Okumu, Grace Kiringa, Juliana Otieno, Geoffrey Mwai, Videlis Nduba, and Stephen Munga. "PO 8446 COLLABORATIVE TUBERCULOSIS RESEARCH AGENDA AT KEMRI CENTER FOR GLOBAL HEALTH RESEARCH, KISUMU, KENYA." BMJ Global Health 4, Suppl 3 (April 2019): A38.2—A38. http://dx.doi.org/10.1136/bmjgh-2019-edc.100.

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BackgroundDeveloping countries grapple with inadequate funding amidst high burden of diseases. Africa is home to 9 of the 22 countries with a high tuberculosis (TB) burden and to 29 of the 41 countries with a high TB-HIV burden. Kenya is among the high TB and high TB-HIV burden countries. The Western Kenya region has the highest burden of TB and HIV. North-South partnerships are pivotal in ameliorating funding gaps in clinical research.MethodsWhile optimising existing infrastructure and organising programme support (i.e sensitisation and awareness creation, leading to study participant recruitment), from 2005 to date we conducted with multiple North-South collaborators capacity strengthening, TB prevalence survey, observational studies, operational research, and vaccine and drug trials.ResultsTB prevalence survey showed 600 cases per 100,000 population, TB epidemiological studies among adolescents and infants yielded 680 and 900/100,000 population respectively while 2 TB vaccine trials among infants and adults were conducted in Siaya. Three TB drug trials and a TB patient observational cum bio-bank study were concluded in Kisumu. KEMRI TB laboratory was upgraded from BSL2 to BSL3, was ISO-accredited in 2013, renewed in 2015 and 2017 and supports TB programme health facilities with retreatment specimens, supervision and mentorship. Over 25 operational TB studies grouped into community and case detection (increasing case detection), diagnostic and molecular (new diagnostic methods) and epidemiology studies (testing and monitoring cohorts for epidemiological questions) were implemented. Five PhDs, 9 Master’s, 2 Postgraduate Diplomas, 6 Bachelor’s degrees and 10 Diplomas have been supported. Siaya clinical research center was built while in Kisumu an adolescent clinic was constructed. This work involved 18 northern and 26 southern partners. Over 35 publications have been published out of these collaborations.ConclusionNorth-South collaborations provided funding, expertise and resources to harness research capacity of KEMRI; hence the need to foster a global networking culture.
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BINKA, FRED N., PIERRE NGOM, JAMES F. PHILLIPS, KUBAJE ADAZU, and BRUCE B. MacLEOD. "ASSESSING POPULATION DYNAMICS IN A RURAL AFRICAN SOCIETY: THE NAVRONGO DEMOGRAPHIC SURVEILLANCE SYSTEM." Journal of Biosocial Science 31, no. 3 (July 1999): 375–91. http://dx.doi.org/10.1017/s0021932099003752.

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In 1993, the Navrongo Health Research Centre launched a new demographic research system for monitoring the impact of health service interventions in a rural district of northern Ghana. The Navrongo Demographic Surveillance System uses automated software generation procedures that greatly simplify the preparation of complex database management systems. This paper reviews the Navrongo model for data collection, as well as features of the Navrongo system that have led to its replication in other health research projects requiring individual-level longitudinal demographic data. Demographic research results for the first 2 years of system operation are indicative of a pretransitional rural society with high fertility, exceedingly high mortality risks, and pronounced seasonal out-migration.
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Sadarangani, Tina, and Holly Dabelko-Schoeny. "Services That Matter for Aging in Place: Research on the Impact and Promise of Adult Day Centers." Innovation in Aging 4, Supplement_1 (December 1, 2020): 617–18. http://dx.doi.org/10.1093/geroni/igaa057.2098.

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Abstract Adult day service centers (ADCs) in the United States are increasingly recognized as an important source of community-based long-term care for older adults. However, awareness, widespread utilization, reimbursements, and access to ADCs have been limited by a lack of evidence on ADCs’ impact. In this interdisciplinary symposium, we explore current research taking place in the realm of adult day services to understand the reach and impact of ADCs. We begin by examining the most current center-level and user-level data from the National Center for Health Statistics, and demonstrate how these data can be used to inform research and policy. We subsequently evaluate survey data from the National Adult Day Services Association that captures clinical data being collected in ADCs (N=250) surrounding users’ clinical outcomes. We then explore the effectiveness of four interventions on ADC users’ health and functional status: board games, cognitive behavioral therapy, aromatherapy and dance. Finally, we examine the association between adult day services use by African American persons with dementia and depressive symptoms in their caregivers. Our findings suggest that ADCs serve a complex population with high rates of poverty and chronic conditions, but ADCs can have a meaningful impact on users’ health and well-being by leveraging innovative programming. We conclude by discussing how standardization of data collection efforts could enable researchers and policymakers to evaluate ADCs’ impact and target funding towards services that maximizes users’ health and well-being.
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Airhihenbuwa, Collins O., and Leandris Liburd. "Eliminating Health Disparities in the African American Population: The Interface of Culture, Gender, and Power." Health Education & Behavior 33, no. 4 (May 31, 2006): 488–501. http://dx.doi.org/10.1177/1090198106287731.

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Since the release of former Secretary Margaret Heckler’s Secretary’s Task Force Report on Black and Minority Health more than two decades ago, excess death from chronic diseases and other conditions between African Americans and Whites have increased. The conclusion of that report emphasized excess death and thus clinical care, paying little attention to the sociocultural environment and its effects on risk of disease. The authors of this article contend that eliminating health disparities between the African American and White populations in the United States requires a focus on improving the social environment of African Americans. They examine the interface of culture, gender, and power and how those are central to analysis of the root causes of health disparities. The REACH 2010 project of the Centers for Disease Control offers examples on how a coalition of community and research organizations can infuse community interventions with informed considerations of culture, gender, and power to eliminate health disparities
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Dissertations / Theses on the topic "African Population and Health Research Center"

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Lucas, D. Pulane. "Disruptive Transformations in Health Care: Technological Innovation and the Acute Care General Hospital." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/2996.

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Advances in medical technology have altered the need for certain types of surgery to be performed in traditional inpatient hospital settings. Less invasive surgical procedures allow a growing number of medical treatments to take place on an outpatient basis. Hospitals face growing competition from ambulatory surgery centers (ASCs). The competitive threats posed by ASCs are important, given that inpatient surgery has been the cornerstone of hospital services for over a century. Additional research is needed to understand how surgical volume shifts between and within acute care general hospitals (ACGHs) and ASCs. This study investigates how medical technology within the hospital industry is changing medical services delivery. The main purposes of this study are to (1) test Clayton M. Christensen’s theory of disruptive innovation in health care, and (2) examine the effects of disruptive innovation on appendectomy, cholecystectomy, and bariatric surgery (ACBS) utilization. Disruptive innovation theory contends that advanced technology combined with innovative business models—located outside of traditional product markets or delivery systems—will produce simplified, quality products and services at lower costs with broader accessibility. Consequently, new markets will emerge, and conventional industry leaders will experience a loss of market share to “non-traditional” new entrants into the marketplace. The underlying assumption of this work is that ASCs (innovative business models) have adopted laparoscopy (innovative technology) and their unification has initiated disruptive innovation within the hospital industry. The disruptive effects have spawned shifts in surgical volumes from open to laparoscopic procedures, from inpatient to ambulatory settings, and from hospitals to ASCs. The research hypothesizes that: (1) there will be larger increases in the percentage of laparoscopic ACBS performed than open ACBS procedures; (2) ambulatory ACBS will experience larger percent increases than inpatient ACBS procedures; and (3) ASCs will experience larger percent increases than ACGHs. The study tracks the utilization of open, laparoscopic, inpatient and ambulatory ACBS. The research questions that guide the inquiry are: 1. How has ACBS utilization changed over this time? 2. Do ACGHs and ASCs differ in the utilization of ACBS? 3. How do states differ in the utilization of ACBS? 4. Do study findings support disruptive innovation theory in the hospital industry? The quantitative study employs a panel design using hospital discharge data from 2004 and 2009. The unit of analysis is the facility. The sampling frame is comprised of ACGHs and ASCs in Florida and Wisconsin. The study employs exploratory and confirmatory data analysis. This work finds that disruptive innovation theory is an effective model for assessing the hospital industry. The model provides a useful framework for analyzing the interplay between ACGHs and ASCs. While study findings did not support the stated hypotheses, the impact of government interventions into the competitive marketplace supports the claims of disruptive innovation theory. Regulations that intervened in the hospital industry facilitated interactions between ASCs and ACGHs, reducing the number of ASCs performing ACBS and altering the trajectory of ACBS volume by shifting surgeries from ASCs to ACGHs.
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Darko, Isaac N. "Ghanaian Indigenous Health Practices: The Use of Herbs." Thesis, 2009. http://hdl.handle.net/1807/18072.

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Herbal medicines remain integral part of indigenous health care system in Ghana. Most conventional health medicines are directly or indirectly derived from plants or herbs. Despite its significant role in modern medicine indigenous herbal practices has been on the low light for some time due to perceived antagonistic relationship that exists between practitioners of herbal medicine and their counterpart in the conventional system. Using an indigenous knowledge discursive framework, the thesis examined the relevance of herbal medicine to the contemporary Ghanaian society. The thesis also examined the tension between the indigenous herbal practitioners and their orthodox counterparts. The thesis noted that for health care system in Ghana to be effective, there is a need for collaborate relations between these two practitioners. Also, it was noted that for health care system to be effective in Ghana, spirituality has to be central in the works of the herbal practitioners.
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Hollingshead, Nicole A. "An investigation of medical trainees' self-insight into their chronic pain management decisions." Thesis, 2014. http://hdl.handle.net/1805/4842.

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Indiana University-Purdue University Indianapolis (IUPUI)
While the majority of chronic pain patients report receiving inadequate care, there is evidence that female and Black patients receive less analgesic medications and treatment for their chronic pain compared to male and White patients, respectively. While treatment disparities have been evidenced in the literature, there is little understanding of provider-factors, such as their decision-making awareness and attitudes, which may contribute to the differences in treatment. This investigation employed quantitative and qualitative procedures to examine the relationship between patient demographics and chronic pain treatment variability, providers’ awareness of these non-medical influences on their decisions, and the extent to which providers’ gender and racial attitudes associate with their treatment decisions. Twenty healthcare trainees made pain treatment decisions (opioid, antidepressant, physical therapy, pain specialty referral) for 16 computer-simulated patients presenting with chronic low back pain; patient sex and race were manipulated across vignettes. Participants then selected among 9 factors, including patient demographics, to indicate which factors influenced their treatment decisions for the simulated patients and completed gender and racial attitude measures. After online study completion, follow-up semi-structured interviews were conducted to discuss the medical/non-medical factors that influence trainees’ clinical treatment decisions. Quantitative analysis indicated that 5%-25% of trainees were actually influenced (p<0.10) by patient sex and race in their treatments, and on the whole, trainees gave higher antidepressant ratings to White than Black patients (p<.05). Fifty-five percent demonstrated concordance, or awareness, between their actual and reported use of patient demographics. Follow-up McNemar’s test indicated trainees were generally aware of the influence of demographics on their decisions. Overall, gender and racial attitudes did not associate with trainees’ treatment decisions, except trainees’ complementary stereotypes about Black individuals were positively associated with their opioid decisions for White patients. During qualitative interviews, aware and unaware trainees discussed similar themes related to sex and racial/ethnic differences in pain presentation and tailoring treatments. We found that (1) a subset of trainees were influenced by patient sex and race when making chronic pain treatment decisions, (2) trainees were generally aware of the influence of patient demographics, and (3) trainees discussed differences in pain presentation based on patients’ sex and ethnic origin. These findings suggest trainees’ are influenced by patient demographics and hold stereotypes about patient populations, which may play a role in their decision-making.
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Books on the topic "African Population and Health Research Center"

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African Population and Health Research Center. Strategic plan, 2007-2011. Nairobi, Kenya: African Population and Health Research Center, 2007.

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Kessel, Elton. A public health odyssey: My life in service and research. South Harwich, MA: ARTSHIPpublishing, 2006.

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Sink, Larry D. Race and ethnicity classification consistency between the Census Bureau and the National Center for Health Statistics. Washington, D.C: U.S. Dept. of Commerce, Economics and Statistics Administration, Bureau of the Census, 1997.

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Center for Population Research (National Institute of Child Health and Human Development). Reproductive Sciences Branch. Reproductive Sciences Branch, NICHD: Report to the NACHHD Council, January 2007. [Bethesda, Md.]: U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Child Health and Human Development., 2007.

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Symposium on Transgenic Technology in Medicine and Agriculture (1988 National Institutes of Health). Transgenic animals: Proceedings of the Symposium on Transgenic Technology in Medicine and Agriculture sponsored by the Center for Population Research, National Institute of Child Health and Human Development held at the National Institutes of Health, Bethesda, Maryland, December 12-15, 1988. Boston: Butterworth-Heinemann, 1991.

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United States. Bureau of the Census. Population Division., ed. Race and ethnicity classification consistency between the Census Bureau and the National Center for Health Statistics. Washington, D.C: U.S. Dept. of Commerce, Economics and Statistics Administration, Bureau of the Census, 1997.

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United States. Bureau of the Census. Population Division, ed. Race and ethnicity classification consistency between the Census Bureau and the National Center for Health Statistics. Washington, D.C: U.S. Dept. of Commerce, Economics and Statistics Administration, Bureau of the Census, 1997.

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National Center for Health Statistics (U.S.), ed. Excess deaths and other mortality measures for the black population, 1979-81 and 1991, from the Centers for Disease Control and Prevention, National Center for Health Statistics. [Hyattsville, MD]: The Center, 1994.

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Demographic and Behavioral Sciences Branch (DBSB), NICHD--report to the NACHHD Council. Bethesda, MD: U.S. Dept. of Health and Human Services, National Institutes of Health, National Institute of Child Health and Human Development, 2007.

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Demographic and Behavioral Sciences Branch (DBSB), NICHD--report to the NACHHD Council. Bethesda, MD: U.S. Dept. of Health and Human Services, National Institutes of Health, National Institute of Child Health and Human Development, 2007.

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Book chapters on the topic "African Population and Health Research Center"

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Hammed, T. B., and M. K. C. Sridhar. "Green Technology Approaches to Solid Waste Management in the Developing Economies." In African Handbook of Climate Change Adaptation, 1–20. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-42091-8_174-1.

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AbstractThe severity of extreme weather and climate change impacts around the world has been a public health concern in the last few decades. Apart from greenhouse gas generation, poor waste management exacerbates consequences of global warming such as flooding, lower crop yields, and the epidemic of diseases which can escalate into disastrous situations. The general public in developing economies sees wastes as valueless materials and disposes them through open burning, stream dumping, or as conveniently as possible. Also, the cutting of trees for firewood leads to deforestation and desertification that increase people’s vulnerability to climate change impact. Against this backdrop, there is a need for a paradigm shift toward developing indigenous technologies that convert solid waste to cheap and clean energy. Various innovations use the “green technology approach” in putting trash back into the value chain. Furthermore, the green technology approach has a great potential to enhance adaptation and resilience among climate change-displaced populations where they can set up microenterprise on useful end products. In this chapter, unique features of these technologies at the Renewable Resources Centre of the University of Ibadan, practice-oriented researches, and a case study at Kube-Atenda community Ibadan, Nigeria, are presented. This chapter is therefore set out to showcase examples of waste management initiatives and strategies that have been successfully implemented elsewhere by the authors. It also focuses on how some countries in the continent, with developing economies, may foster their resilience and their capacity to adapt to climate change.
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Hammed, T. B., and M. K. C. Sridhar. "Green Technology Approaches to Solid Waste Management in the Developing Economies." In African Handbook of Climate Change Adaptation, 1293–312. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-45106-6_174.

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AbstractThe severity of extreme weather and climate change impacts around the world has been a public health concern in the last few decades. Apart from greenhouse gas generation, poor waste management exacerbates consequences of global warming such as flooding, lower crop yields, and the epidemic of diseases which can escalate into disastrous situations. The general public in developing economies sees wastes as valueless materials and disposes them through open burning, stream dumping, or as conveniently as possible. Also, the cutting of trees for firewood leads to deforestation and desertification that increase people’s vulnerability to climate change impact. Against this backdrop, there is a need for a paradigm shift toward developing indigenous technologies that convert solid waste to cheap and clean energy. Various innovations use the “green technology approach” in putting trash back into the value chain. Furthermore, the green technology approach has a great potential to enhance adaptation and resilience among climate change-displaced populations where they can set up microenterprise on useful end products. In this chapter, unique features of these technologies at the Renewable Resources Centre of the University of Ibadan, practice-oriented researches, and a case study at Kube-Atenda community Ibadan, Nigeria, are presented. This chapter is therefore set out to showcase examples of waste management initiatives and strategies that have been successfully implemented elsewhere by the authors. It also focuses on how some countries in the continent, with developing economies, may foster their resilience and their capacity to adapt to climate change.
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Popoola, Kehinde Olayinka, Anne Jerneck, and Sunday Adesola Ajayi. "Climate Variability and Rural Livelihood Security: Impacts and Implications." In African Handbook of Climate Change Adaptation, 423–36. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-45106-6_200.

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AbstractIn a typical Nigerian village, the majority of the population comprises old people who are mostly economically unproductive due to reduced or loss of physical strength brought about by ageing and ill health. Many of these rural old people still work, and do so outside the formal sector, and are particularly susceptible to the effects of climate variability and change. Few studies have reported on climate change and the rural aged and there is a research gap as regards rural elderly peoples’ perception of climate variability impact on them. Since little is known about their perception of climate variability impacts and implications on the rural aged especially in relation to their livelihood activities in Sub-Saharan Africa, this chapter therefore examined the impact of climate variability on the livelihood security of the rural aged in different ecological zones of Nigeria.Both qualitative and quantitative methods were used for data collection. Qualitative data were obtained through interviews with four aged and four aged women selected purposively in each rural community and analyzed using Content Analysis Method. Quantitative data were obtained through structured questionnaire administered to an aged male and an aged female population available in selected houses (the aged are people 60 years and over in age) in selected rural communities in selected ecological zones of Nigeria. Where there was no combination of the two (aged men and aged women), either of the two was also sufficient.It was discovered that the ageds’ experiences of climate variability impact relate to the prevailing climate variability characteristic of each ecological zones. The impact on their livelihood in these zones is seen in terms of livestock death, lack of pastures for herds, scarcity of water, pest invasion, delayed planting crop failure, need for irrigation, water logging, drowning of small animals, human and animal illness. This means that planning decisions related to climate change issues should take cognizance of the views of the aged populations especially of those residing in rural areas as they are the most affected by the impact.
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Control, Glycemic. "Predictors of Glycemic Control in a Multiethnic Public Clinic Population." In Bulletin of Medical and Clinical Research, 50–61. IOR INTERNATIONAL PRESS, 2020. http://dx.doi.org/10.34256/br2016.

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To assess correlates of glycemic control in a multiethnic federally qualified health center population. Deidentifed data from a federally qualified health center were examined for patients in diabetes treatment. New variables were created to assess illness burden. Bivariate testing was done to assess treatment compliance by language group. Multinomial regression models assessed three outcomes: uncontrolled, controlled and well controlled glycated hemoglobin (Hba1c). The conceptual framework for this study was Andersen’s Health Care Utilization Model. The sample was 1,581 patients. The average was 56. Eighty Five percent of the patients had well controlled or controlled Hba1c. Mandarin speakers were the most likely to have Hba1c controlled despite having the highest average age. Immigrant English speakers had worse glycemic control then their monolingual counterparts. All Asian subgroups had better glycemic control than Hispanics and African Americans. In the final model, the correlates of glycemic control were illness burden, time spent with a provider and health promoting activities. English speaking Hispanics and African Americans continue to have worse glycemic control regardless of having access to care.
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Control, Glycemic. "Predictors of Glycemic Control in a Multiethnic Public Clinic Population." In Bulletin of Medical and Clinical Research, 50–61. IOR INTERNATIONAL PRESS, 2020. http://dx.doi.org/10.34256/br2016.

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To assess correlates of glycemic control in a multiethnic federally qualified health center population. Deidentifed data from a federally qualified health center were examined for patients in diabetes treatment. New variables were created to assess illness burden. Bivariate testing was done to assess treatment compliance by language group. Multinomial regression models assessed three outcomes: uncontrolled, controlled and well controlled glycated hemoglobin (Hba1c). The conceptual framework for this study was Andersen’s Health Care Utilization Model. The sample was 1,581 patients. The average was 56. Eighty Five percent of the patients had well controlled or controlled Hba1c. Mandarin speakers were the most likely to have Hba1c controlled despite having the highest average age. Immigrant English speakers had worse glycemic control then their monolingual counterparts. All Asian subgroups had better glycemic control than Hispanics and African Americans. In the final model, the correlates of glycemic control were illness burden, time spent with a provider and health promoting activities. English speaking Hispanics and African Americans continue to have worse glycemic control regardless of having access to care.
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Ezeh, Alex, and Blessing Mberu. "Case Studies in Urban Health." In Urban Health, 332–41. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780190915858.003.0036.

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A project of the Africa Population and Health Research Center (APHRC), the Nairobi Urban Health and Demographic Surveillance System was set up to provide a platform to explore the linkages between urban poverty and health and to monitor and evaluate novel implementation programs that were developed with the study communities. In this chapter, the authors draw on nearly two decades of work by APHRC among slum populations in Nairobi, Kenya, to highlight the unique health challenges of slum populations and how these are changing. The chapter summarizes various efforts to improve health in Nairobi’s informal settlements since 2000 and discusses efforts in Nairobi to improve health in a large city in sub-Saharan Africa, summarizing lessons that have been learned in improving urban health worldwide.
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Collins Ayanlaja, Carole Rene', Catherine Lenna Polydore, and Danielle Anita Beamon. "Promoting Social and Academic Wellness Among African American Adolescent Males." In Research Anthology on Navigating School Counseling in the 21st Century, 154–71. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-8963-2.ch009.

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African American adolescent males are at increasing risk for mental health challenges. Statistics indicate that depression and anxiety are of primary concern. Historical and social conditions, including institutionalized racism, produce stressors for Black males and propel negative public attitudes. The responses of healthcare professionals and school personnel to the mental health needs of Black adolescent males are generalized with limited focus on this specific population and effective interventions. The authors identify and describe predominant mental health conditions in Black male adolescents and describe the current landscape of emotional health impacting this population. They identify determinant factors that lead to poor mental health. Activating a social-constructivist approach, the authors recommend culturally responsive approaches to address the problem and improve outcomes, along with future directions.
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Benn, Carol. "Perspective from South Africa and sub-Saharan Africa." In Breast cancer: Global quality care, edited by Lieve Wierinck, Benjamin Baelus, Emilie Hoogland, Donata Lerda, Robert Mansel, Cary Kaufman, and Luzia Travado, 377–85. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198839248.003.0036.

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Abstract: A continent-wide review of surgical management of breast care in Africa described a disproportionate number of black African patients presenting with locally advanced and metastatic disease (stage 3 or 4). Only 25% presented with early-stage disease (stage 1 or 2). Investment in breast cancer research and treatment in low- and middle-income countries (LMICs) should be a global health priority. In South Africa and other LMICs the first screening goal is to reduce late presentation and late-stage disease through community-based population-level screening combined with open access to health care services for any women with breast symptoms. The aim is to decrease current provider-dependent delays. Increased availability of multidisciplinary teams functioning in specialist centres should improve access and thus decrease the numbers of locally advanced breast cancers presenting, with a knockdown effect on decreasing low survival rates.
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Armstrong, F. Daniel, and Steven Pavlakis. "Neurocognitive Outcomes in Sickle Cell Disease." In Cognitive and Behavioral Abnormalities of Pediatric Diseases. Oxford University Press, 2010. http://dx.doi.org/10.1093/oso/9780195342680.003.0033.

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Sickle cell disease (SCD) is associated with a range of serious complications, including painful episodes, acute chest syndrome, stroke, splenic sequestration, overwhelming bacterial sepsis, and a host of other less frequent complications that impair quality of life and threaten long-term survival (National Institutes of Health [NIH] 2002). More than 98% of all children born in the United States are tested for SCD as part of state newborn screening programs, making it possible to identify infants who are at risk for these many complications of SCD (Centers for Disease Control and Prevention 2009). It is estimated that about 72,000–80,000 individuals of all ages are living with SCD in the United States, a large number of whom will experience cognitive complication at some point in their lives. Nearly 2 million carry sickle trait but do not have the clinical manifestations of the disease. Approximately 1 in 500 infants of African descent and one in 36,000 of Hispanic descent are born with SCD in the United States each year (National Heart, Lung, and Blood Institute (NHLBI), NIH 2009). While the cognitive complications of cerebrovascular infarction (stroke) have long been recognized, research over the last two decades has shown that cognitive functioning in both children and adults can be impaired for many reasons other than stroke. This chapter describes the underlying structural and biological mechanisms that lead to cognitive impairment, the cognitive outcomes associated with SCD, and emerging pharmacologic, behavioral, and educational intervention strategies to address the cognitive needs of this population. Sickle cell disease describes a group of hereditary hemoglobinopathies that have in common the presence of an abnormal hemoglobin variant known as sickle hemoglobin (HbS). The homozygous condition (HbSS) is also the most severe, and is known as sickle cell anemia. Although there are numerous other variations of sickle hemoglobinopathy, the most common include HbSβthal° and HbSC. Under oxidative stress, the sickle hemoglobin causes erythrocytes to collapse into rigid sickle-shaped molecules, with a significant reduction in oxygen-carrying capacity (NIH 2002).
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Collins Ayanlaja, Carole Rene', Catherine Lenna Polydore, and Danielle Anita Beamon. "Promoting Social and Academic Wellness Among African American Adolescent Males." In Research Anthology on Empowering Marginalized Communities and Mitigating Racism and Discrimination, 340–58. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-8547-4.ch016.

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African American adolescent males are at increasing risk for mental health challenges. Statistics indicate that depression and anxiety are of primary concern. Historical and social conditions, including institutionalized racism, produce stressors for Black males and propel negative public attitudes. The responses of healthcare professionals and school personnel to the mental health needs of Black adolescent males are generalized with limited focus on this specific population and effective interventions. The authors identify and describe predominant mental health conditions in Black male adolescents and describe the current landscape of emotional health impacting this population. They identify determinant factors that lead to poor mental health. Activating a social-constructivist approach, the authors recommend culturally responsive approaches to address the problem and improve outcomes, along with future directions.
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Conference papers on the topic "African Population and Health Research Center"

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Albertie, Monica L., Gerardo Colon-Otero, Mary Lesperance, Jennifer Weis, Alton Coles, Nina Smith, Lynette Mills, et al. "Abstract A38: A pilot program in collaboration with African American churches successfully increases the African American population awareness of the importance of cancer research and their participation in cancer translational research studies." In Abstracts: AACR International Conference on the Science of Cancer Health Disparities‐‐ Sep 30-Oct 3, 2010; Miami, FL. American Association for Cancer Research, 2010. http://dx.doi.org/10.1158/1055-9965.disp-10-a38.

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Lachance, Joseph, Ali Berens, Matthew Hansen, Andrew Teng, Sarah Tishkoff, and Timothy Rebbeck. "Abstract A33: Population and evolutionary genomics of prostate cancer-associated variants: implications for health disparities in men of African descent." In Abstracts: AACR International Conference: New Frontiers in Cancer Research; January 18-22, 2017; Cape Town, South Africa. American Association for Cancer Research, 2017. http://dx.doi.org/10.1158/1538-7445.newfront17-a33.

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Šoltés, Martin, Daniel Kappler, Sascha Koberstaedt, and Markus Lienkamp. "Flexible, User- and Product-Centered Framework for Developing Frugal Products Based on a Case Study of a Vehicle for Sub-Saharan Africa." In ASME 2017 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/imece2017-70149.

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Through design thinking, a team of researchers and students from Nigeria, Ghana and Germany has identified rural transportation as a key enabler for addressing the most pressing challenges in the developing world. Since 2013, the team has been working together on designing a new vehicle concept for Sub-Saharan Africa. The aim of the project is to provide the rural population in Sub-Saharan Africa with an attractive mobility concept that helps to prevent the rural exodus and strengthens the independence of the rural regions. A promising concept must consider the specific market requirements and the resources available locally in order to address the heart of the problem as a “First Mile Vehicle”. This paper aims to introduce a holistic framework for frugal innovation and to analyze the process of deriving the vehicle concept meeting regional requirements until it is ready for serial production. The focus, therefore, is demand-driven development of a multifunctional electric vehicle that primarily provides mobility for the individual and transport of people and goods as a possible commercial basis. The result of the research and design process is a vehicle concept that meets the needs of the people living in rural areas of Sub-Saharan Africa. The first fully functional prototype of this vehicle was presented to the public at the Technical University of Munich in May 2016.
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A Leon de la Rocha, Jose, Emilie Bourgeois, and Myriam Guevara. "156 Safety and efficacy of belimumab for treating systemic lupus erythematosus in the african american population at louisiana state university health sciences center in new orleans." In 13th International Congress on Systemic Lupus Erythematosus (LUPUS 2019), San Francisco, California, USA, April 5–8, 2019, Abstract Presentations. Lupus Foundation of America, 2019. http://dx.doi.org/10.1136/lupus-2019-lsm.156.

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Khotimah, Siti Nurul, and Dwi Ernawati. "Motivation on Early Detection of Cervical Cancer in Women of Reproductive Age: A Scoping Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.65.

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ABSTRACT Background: Cervical cancer ranked the fourth most cancer incidence in women. WHO announced that 311,000 women died from the disease in 2018. Cervical cancer screening uptake remains low, especially in low- and middle-income countries. This scoping review aimed to investigate the motivation for early detection of cervical cancer in women of reproductive age. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included PubMed, ResearchGate, and grey literature through the Google Scholar search engine databases. The inclusion criteria were English-language and full-text articles published between 2010 and 2020. A total of 275 articles were obtained by the searched database. After the review process, twelve articles were eligible for this review. The quality of searched articles was appraised by Joanna Briggs Institute Critical Appraisal tools. The data were reported by the PRISMA flow chart. Results: Seven articles from developing countries (Jamaica, Nepal, Africa, Nigeria, Libya, and Uganda) and five articles from developed countries (England, Canada, Sweden, and Japan) met the inclusion criteria with cross-sectional studies. The selected existing studies discussed 3 main themes related to motivation to early detection of cervical cancer, namely sexual and reproductive health problems, diseases, and influence factors. Conclusion: Motivation for cervical cancer screening uptake is strongly related to the early detection of cervical cancer among reproductive-aged women. Client-centered counseling and comprehensive sexual and reproductive health education play an important role in delivering information about the importance of cervical cancer screening. Keywords: motivation, cervical cancer, screening, early detection, reproductive-aged Correspondence: Siti Nurul Khotimah. Health Sciences Department of Master Program, Universitas Aisyiyah Yogyakarta. Jl. Siliwangi (Ringroad Barat) No. 63, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: Sitinurulkhotimah1988@gmail.com. Mobile: +6281227888442. DOI: https://doi.org/10.26911/the7thicph.03.65
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Gayatri, Maria. "The Use of Modern Contraceptives among Poor Women in Urban Areas in Indonesia." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.03.27.

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ABSTRACT Background: Poverty in urban areas is a complex problem for the development of human resources, including the control of population numbers. This study aimed to determine the factors influencing the use of modern contraceptives in urban areas among poor women in Indonesia. Subjects and Method: This was a cross-sectional study conducted in rural areas in Indonesia. Total of 3,249 women aged 15-49 years who were poor and live in urban areas in Indonesia were enrolled in this study. The dependent variable was the use of modern contraceptives. The independent variables were husband’s work status, desire to have children, age, number of children living with, health insurance, women education, and internet use. Data were collected from the 2017 Indonesian Demographic and Health Survey (IDHS). Data were analyzed using a multiple logistic regression. Results: The use of modern contraceptives among poor urban women in Indonesia reached 59.8%. Women living with actively working husband (OR = 2.64; 95% CI = 1.43 to 4.88; p<0.001), desire to have children (OR = 2.24; 95% CI = 1.87 to 2.67; p<0.001), aged 20-34 years (OR = 1.68; 95% CI = 1.07 to 2.65; p<0.001), the number of children living 3 or more (OR = 1.23; 95% CI = 1.03 to 1.47; p<0.001), and having health insurance (OR = 1.19; 95% CI = 1.03 to 1.39; p<0.001) were more likely to use modern contraceptive methods. Meanwhile, women who are highly educated and women who actively use the internet were more likely to not use modern contraceptives. Conclusion: The dominant factor affecting is the husband’s work status and the desire to have children. Health insurance owned by poor women greatly influences the use of modern contraceptives. It is recommended to improve communication, information and education (IEC), counseling, and access to contraceptive services to continue to be carried out in urban poor areas in Indonesia. Keywords: modern contraception, poor, urban, family planning, logistic regression. Correspondence: Maria Gayatri. Center for Family Planning and Family Welfare Research and Development, National Population and Family Planning Agency. Jl. Permata no. 1, Halim Perdana Kusuma, East Jakarta, Indonesia. Email: maria.gayatri.bkkbn@gmail.com. Mobile: 081382580297 DOI: https://doi.org/10.26911/the7thicph.03.27
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Triyono, Agus, Widhi Astana, Fajar Novianto, Zuraida Zulkarnain, Ulfa Fitriani, Ulfatun Nissa, and Danang Ardianto. "The Effect of Hyperuricemia Herbs Drink on the Quality of Life." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.05.40.

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ABSTRACT Background: The prevalence of hyperuricemia increased rapidly in recent years and has closely interdependent relationship with other metabolic disorders. Conventional medication drugs are usually associated with many side effects. About 75 to 80% of the world population use herbal medicines, mainly in developing countries, for primary health care because of their better acceptability with human body and lesser side effects. This study aimed to examine the effect of hyperuricemia herbs drink on the quality of life. Subjects and Method: A quasi experiment with no control group was carried out at Hortus Medicus clinic, Tawangmangu, Central Java. A sample of 30 hyperuricemia patients (blood uric acid 7-10 mg/dl) was selected for this study. The study subjects consume hyperuricemia herbs drink for 28 days. The dependent variable was quality of life. The independent variables were hyperuricemia herbs drink consumption. Data on quality of life were measured by Short Form-36 (SF-36). Mean difference of quality of life score before and after intervention were analyzed by independent t test. Results: Quality of life score after consuming hypercuremia herbs drink for 28 days (Mean= 80.37; SD=11.89) was higher than before (Mean= 76.20; SD= 15.08), and it was statistically significant (p= 0.001). There was no difference of quality of life score (physical function, physical role, mental health social function, and emotional role dimensions) before and after therapy. Conclusion: Hyperuricemia herbs drink for 28 days is effective to improve quality of life. Keywords: hyperurisemia herbs drink, traditional medicine, quality of life Correspondence: Agus Triyono. Research Center and Development of Traditional Medicinal and Medicinal Plants, Tawangmangu, Central Java, Indonesia. Jl. Lawu 11 Tawangmangu, Karanganyar, Central Java, Indonesia. Email: agustriyono_21@yahoo.com. Mobile: 081329038465 DOI: https://doi.org/10.26911/the7thicph.05.40
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Reports on the topic "African Population and Health Research Center"

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Shannon, Caitlin S., and Beverly Winikoff. Misoprostol: An emerging technology for women's health—Report of a seminar. Population Council, 2004. http://dx.doi.org/10.31899/rh17.1002.

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On May 7–8, 2001, the Population Council and the Center for Reproductive Health Research & Policy of the University of California, San Francisco, convened a technical seminar in New York City on the use of misoprostol for women’s health indications. The seminar was designed to provide a forum for researchers, providers, women’s health advocates, and educators to exchange information with the goal of advancing the potential of misoprostol to improve women’s health. Participants discussed the state of the art in research, examined current clinical use of misoprostol, and created strategies for the future. The first day focused on scientific and clinical aspects of misoprostol use. The second day’s discussion centered on the future of misoprostol for women’s health, including identifying priorities for research and the role of provider groups and women’s health and advocacy organizations in helping to ensure misoprostol’s continued, appropriate use. At the end of each session, the group had an opportunity to share ideas and discuss unanswered questions. This report covers the key issues raised by each speaker and highlights general areas of discussion among participants.
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Nepal: Support communication to enhance young mothers' reproductive health. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1002.

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From 2000 to 2003, FRONTIERS supported a study by the Center for Research on Environment, Health, and Population Activities to test communication-based models for improving young couples’ access to and use of reproductive health (RH) information and services in the Udaypur district of eastern Nepal. The 14-month intervention, undertaken as part of an RH project implemented by the Nepal Red Cross Society and the Center for Development and Population Activities, sought to improve social norms that leave young women vulnerable to health risks related to early marriage and childbearing and limited access to RH services. The study compared two experimental models with two control groups. The two experimental groups received training, assistance with group interaction, outreach, and educational materials about sexually transmitted infections and condom use. Researchers administered surveys to young married women in both the control and experimental sites before and after the intervention. As noted in this brief, communication-based support for mothers’ groups and newly formed youth communication groups improved RH knowledge and behavior among young married women in Nepal.
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