Academic literature on the topic 'Public health|Sub Saharan Africa Studies|Health education'

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Journal articles on the topic "Public health|Sub Saharan Africa Studies|Health education"

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Blackstone, Sarah R., Ucheoma Nwaozuru, and Juliet Iwelunmor. "Factors Influencing Contraceptive Use in Sub-Saharan Africa: A Systematic Review." International Quarterly of Community Health Education 37, no. 2 (January 2017): 79–91. http://dx.doi.org/10.1177/0272684x16685254.

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The purpose of this study was to systematically review the literature regarding factors influencing contraceptive use in sub-Saharan Africa between 2005 and 2015. A total of 58 studies from twelve Sub-Saharan African countries were reviewed. Keywords were grouped using the PEN-3 cultural model. Negative factors prohibiting or reducing contraceptive use were women’s misconceptions of contraceptive side–effects, male partner disapproval, and social/cultural norms surrounding fertility. Positive factors included education, employment, and communication with male partner. Increasing modern contraceptive use in Sub-Saharan Africa is a multi-faceted problem that will require community and systems wide interventions that aim to counteract negative perceptions and misinformation.
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Popoola, Timothy Oladayo. "Health Outcomes in Sub-Saharan Africa Countries: An Analysis of Key Determinants." Modern Health Science 1, no. 1 (May 21, 2018): p8. http://dx.doi.org/10.30560/mhs.v1n1p8.

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The poor health outcomes (low longevity and high mortalities) in developing countries has been great concern for citizens and policy makers alike. Although, numerous studies have focus on socio-economic drivers (like education, age of mothers, income levels, and poverty) of health outcomes in developing nations; however, the same is not true for important exogenous determinants. Therefore, this study investigated the effects of access to clean drinkable water, sanitation, fertility rate, prevalence of HIV/AIDS, health financing, and child immunization on health outcomes in sub-Sahara African (SSA) region. To achieve this, the study explored Pooled OLS, Fixed and Random Effects covering 46 countries in the region from 2000 to 2015. The findings reveal that population health outcomes - as measured by infant and under-five mortalities rates are related negatively with increase public health financing, timely children immunization, quality drinkable water supply, but directly associated with higher fertility rate, and HIV prevalence. For life expectancy at birth, increase government health spending, timely children immunization, and quality drinkable water supply are positively predicted, while relate inversely with higher fertility rate, and HIV prevalence. The findings therefore suggest that for SSA countries to achieve the United Nations’ Sustainable Development Goal three of ensuring healthy lives before 2030; emphasis should on increasing public health financing, and provision of infrastructural facilities like clean water supply and sanitation. Again, greater attention should be on enhancing child immunization, reducing fertility rates and HIV prevalence in the region.
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Armstrong-Mensah, Elizabeth, Krystal Ruiz, Aminata Fofana, and Victoria Hawley. "Perinatal HIV Transmission Prevention: Challenges among Women Living with HIV in sub-Saharan Africa." International Journal of Maternal and Child Health and AIDS (IJMA) 9, no. 3 (August 9, 2020): 354–59. http://dx.doi.org/10.21106/ijma.404.

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About 86 percent of the estimated 160,000 children newly-infected with the human immunodeficiency virus (HIV) live in sub-Saharan Africa. Despite global efforts to reduce perinatal HIV transmission, this phenomenon continues to be a public health problem in sub-Saharan Africa. This paper discusses challenges associated with perinatal HIV transmission prevention in sub-Saharan Africa and offers strategies for the way forward. These strategies include safe sex education and behavioral change, increased access to integrated antenatal care, training of unskilled traditional birth attendants into formal delivery systems, access to antiretroviral therapy, and investing in virologic testing. Key words: • HIV • Perinatal • Antiretroviral Therapy • Mother to Child HIV Transmission • HIV Prevention • Sub-Saharan Africa Copyright © 2020 Armstrong-Mensah, et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.
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Melesse, Dessalegn Y., Martin K. Mutua, Allysha Choudhury, Yohannes D. Wado, Cheikh M. Faye, Sarah Neal, and Ties Boerma. "Adolescent sexual and reproductive health in sub-Saharan Africa: who is left behind?" BMJ Global Health 5, no. 1 (January 2020): e002231. http://dx.doi.org/10.1136/bmjgh-2019-002231.

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Adolescent sexual and reproductive health (ASRH) continues to be a major public health challenge in sub-Saharan Africa where child marriage, adolescent childbearing, HIV transmission and low coverage of modern contraceptives are common in many countries. The evidence is still limited on inequalities in ASRH by gender, education, urban–rural residence and household wealth for many critical areas of sexual initiation, fertility, marriage, HIV, condom use and use of modern contraceptives for family planning. We conducted a review of published literature, a synthesis of national representative Demographic and Health Surveys data for 33 countries in sub-Saharan Africa, and analyses of recent trends of 10 countries with surveys in around 2004, 2010 and 2015. Our analysis demonstrates major inequalities and uneven progress in many key ASRH indicators within sub-Saharan Africa. Gender gaps are large with little evidence of change in gaps in age at sexual debut and first marriage, resulting in adolescent girls remaining particularly vulnerable to poor sexual health outcomes. There are also major and persistent inequalities in ASRH indicators by education, urban–rural residence and economic status of the household which need to be addressed to make progress towards the goal of equity as part of the sustainable development goals and universal health coverage. These persistent inequalities suggest the need for multisectoral approaches, which address the structural issues underlying poor ASRH, such as education, poverty, gender-based violence and lack of economic opportunity.
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McClintock, Heather F., Julia M. Alber, Sarah J. Schrauben, Carmella M. Mazzola, and Douglas J. Wiebe. "Constructing a measure of health literacy in Sub-Saharan African countries." Health Promotion International 35, no. 5 (August 22, 2019): 907–15. http://dx.doi.org/10.1093/heapro/daz078.

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Abstract We sought to develop and evaluate a health literacy measure in a multi-national study and to examine demographic characteristics associated with health literacy. Data were obtained from Demographic Health Surveys conducted between 2006–15 in 14 countries in Sub-Saharan Africa. Surveys were the same in all countries but translated to local languages as appropriate. We identified eight questions that corresponded to the National Academy of Medicine (NAM) definition of health literacy. Factor analysis was used to extract one measure of health literacy. Logistic regression was employed to examine the relationship between demographic characteristics and health literacy. A total of 224 751 individuals between the ages of 15 and 49 years were included. The derived health literacy measure demonstrated good internal consistency (Cronbach’s α = 0.72) and good content validity. The prevalence of high health literacy overall was 35.77%; females 34.08% and males 39.17%; less than or equal to primary education 8.93%, some secondary education 69.40% and ≥complete secondary 84.35%. High health literacy varied across nations, from 8.51% in Niger to 63.89% in Namibia. This is the first known study to evaluate a measure of health literacy relying on the NAM definition utilizing a large sample from 14 countries in Sub-Saharan Africa. Our study derived a robust indicator of NAM-defined health literacy. This indicator could be used to examine determinants and outcomes of health literacy in additional countries.
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Ssewanyana, Derrick, and Byron Kiiza Yafesi Bitanihirwe. "Menstrual hygiene management among adolescent girls in sub-Saharan Africa." Global Health Promotion 26, no. 1 (May 9, 2017): 105–8. http://dx.doi.org/10.1177/1757975917694597.

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Menstruation is a delicate physiological process through which a shedding of uterine lining occurs each month in females of reproductive age. Often considered a taboo subject, menstruation is seldom openly discussed in developing parts of the world. This article explores menstrual hygiene management (MHM) in sub-Saharan Africa and emphasizes the urgent and neglected need for feasible solutions, especially among adolescent girls. Optimizing menstrual hygiene interventions will require an integration of both knowledge and skill training gained through education on MHM alongside an improvement of access to girl-friendly water, sanitation and hygiene facilities in addition to access to low-cost hygienic sanitary products. To facilitate the identification and implementation of feasible and cultural relevant programs we recommend the utilization of public health intervention research.
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Nwagbara, Ugochinyere Ijeoma, Emmanuella Chinonso Osual, Rumbidzai Chireshe, Obasanjo Afolabi Bolarinwa, Balsam Qubais Saeed, Nelisiwe Khuzwayo, and Khumbulani W. Hlongwana. "Knowledge, attitude, perception, and preventative practices towards COVID-19 in sub-Saharan Africa: A scoping review." PLOS ONE 16, no. 4 (April 19, 2021): e0249853. http://dx.doi.org/10.1371/journal.pone.0249853.

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Background Knowledge, attitudes, perception, and preventative practices regarding coronavirus- 2019 (COVID-19) are crucial in its prevention and control. Several studies have noted that the majority of people in sub-Saharan African are noncompliant with proposed health and safety measures recommended by the World Health Organization (WHO) and respective country health departments. In most sub-Saharan African countries, noncompliance is attributable to ignorance and misinformation, thereby raising questions about people’s knowledge, attitudes, perception, and practices towards COVID-19 in these settings. This situation is particularly of concern for governments and public health experts. Thus, this scoping review is aimed at mapping evidence on the knowledge, attitudes, perceptions, and preventive practices (KAP) towards COVID-19 in sub-Saharan Africa (SSA). Methods Systematic searches of relevant articles were performed using databases such as the EBSCOhost, PubMed, Science Direct, Google Scholar, the WHO library and grey literature. Arksey and O’Malley’s framework guided the study. The risk of bias for included primary studies was assessed using the Mixed Method Appraisal Tool (MMAT). NVIVO version 10 was used to analyse the data and a thematic content analysis was used to present the review’s narrative account. Results A total of 3037 eligible studies were identified after the database search. Only 28 studies met the inclusion criteria after full article screening and were included for data extraction. Studies included populations from the following SSA countries: Ethiopia, Nigeria, Cameroon, Uganda, Rwanda, Ghana, Democratic Republic of Congo, Sudan, and Sierra Leone. All the included studies showed evidence of knowledge related to COVID-19. Eleven studies showed that participants had a positive attitude towards COVID-19, and fifteen studies showed that participants had good practices towards COVID-19. Conclusions Most of the participants had adequate knowledge related to COVID-19. Despite adequate knowledge, the attitude was not always positive, thereby necessitating further education to convey the importance of forming a positive attitude and continuous preventive practice towards reducing contraction and transmission of COVID‐19.
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Gyasi, Razak M., and David R. Phillips. "Aging and the Rising Burden of Noncommunicable Diseases in Sub-Saharan Africa and other Low- and Middle-Income Countries: A Call for Holistic Action." Gerontologist 60, no. 5 (July 19, 2019): 806–11. http://dx.doi.org/10.1093/geront/gnz102.

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Abstract Noncommunicable diseases (NCDs) are a prevalent and growing burden among older cohorts in sub-Saharan Africa and other low- and middle-income countries (LMICs) as in many wealthier parts of the world. This stems from the combined effects of factors such as demographic aging, behavioral transitions, and developmental origins of health and disease. A crucial characteristic of many NCDs is that their personal and family impacts and costs are not accurately reflected in mortality data. Their effects are often chronic and long-term and can cause morbidity, loss of work ability, and impaired quality of life over a prolonged period. Unless addressed seriously, the continuing increase of NCDs and their burden in sub-Saharan African countries and other LMICs will almost certainly undermine progress toward achieving the target of reducing by 25% premature mortality from NCDs in these countries by 2025 and also one-third reduction of NCDs target by 2030. To have any chance of meeting or even getting near to these targets, this article calls for action by national and regional governments to strengthen universal health coverage (UHC), economic empowerment of vulnerable groups, public–private partnerships, effective fiscal regulation, and public education on NCDs, their risk factors and impacts in sub-Saharan Africa in particular and most LMICs globally.
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Dominic, Azuh, Adeyemi Ogundipe, and Oluwatomisin Ogundipe. "Determinants of Women Access to Healthcare Services in Sub-Saharan Africa." Open Public Health Journal 12, no. 1 (December 31, 2019): 504–14. http://dx.doi.org/10.2174/1874944501912010504.

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Background: The study examined the socio-economic determinants of women access to healthcare services in Sub-Saharan Africa for the period 1995-2015. Methods: The study adopted the dynamic panel model and estimated it using the System Generalized Method of Moments in a bid to overcome the endogeneity problem inherent in the model of study. Result: The study harmonized the theoretical strands in the literature by describing the measure of access determinants as three main components; i. Health service availability, ii. Health service utilization and iii. Health service decision. Conclusion: The indicators of health service availability such as community health workers, physicians, nurses and midwives and hospital beds improve women's access to healthcare facilities in Africa. Also, health service utilization indicators such as population density worsen the quality of healthcare services available to women while electricity access and private health expenditure enhance women’s access to quality healthcare delivery. Health service decision indicators such as female bank account ownership, female labour force participation, attainment of basic education and female household headship were important in enhancing women's access to healthcare facilities. Generally, women's health outcomes were more responsive to health service utilization; implying that service utilization is an important proof of healthcare access in Africa.
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Rutter-Locher, Z., J. Galloway, and H. Lempp. "SAT0640-HPR RHEUMATOLOGY CARE OF MIGRANTS FROM SUB-SAHARAN AFRICA; A QUALITATIVE PILOT STUDY OF PATIENTS’ PERSPECTIVES." Annals of the Rheumatic Diseases 79, Suppl 1 (June 2020): 1279.1–1279. http://dx.doi.org/10.1136/annrheumdis-2020-eular.2789.

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Background:Rheumatological diseases are common in Sub-Saharan Africa [1] but specialist healthcare is limited and there are less than 150 rheumatologists currently serving 1 billion people in Sub-Saharan Africa [2]. Rheumatologists practising in the UK NHS are likely to be exposed to migrant patients. There is therefore, an unmet need for health care providers to understand the differences in rheumatology healthcare provision between Sub-Saharan Africa and the UK and the barriers which migrants face in their transition of rheumatology care.Objectives:To gain an understanding of the experiences of patients with rheumatological conditions, about their past healthcare in Sub-Saharan Africa and their transition of care to the UK.Methods:A qualitative study using semi-structured interviews was conducted. Participants were recruited from two rheumatology outpatient clinics in London. Thematic analysis was applied to identify key themes.Results:Seven participants were recruited. Five had rheumatoid arthritis, one had ankylosing spondylitis and one had undifferentiated inflammatory arthritis. Participants described the significant impact their rheumatological conditions had on their physical and emotional wellbeing, including their social and financial implications. Compared to the UK, rheumatology healthcare in Sub-Saharan Africa was characterised by higher costs, limited access to specialists, lack of investigations and treatments, the use of traditional medicines and poor communication by clinicians. Barriers to transition of rheumatology care to the UK were: poor understanding of rheumatological conditions by the public and primary care providers, lack of understanding of NHS entitlements by migrants, fear of data sharing with immigration services and delayed referral to specialist care. Patient, doctor and public education were identified by participants as important ways to improve access to healthcare.Conclusion:This study has described, for the first time, patients’ perspectives of rheumatology health care in Sub-Saharan Africa and the transition of their care to the UK. These initial findings allow healthcare providers in the UK to tailor management for this migrant population and suggests that migrants need more information about their NHS entitlements and specific explanations on what non-clinical data will be shared with immigration services. To increase access to appropriate care, a concerted effort by clinicians and public health authorities is necessary to raise awareness and provide better education to patients and migrant populations about rheumatological conditions.References:[1]G. Mody, “Rheumatology in Africa-challenges and opportunities,” Arthritis Res. Ther., vol. 19, no. 1, p. 49, 2017.[2]M. A. M. Elagib et al., “Sudan and Sweden Active Rheumatoid Arthritis in Central Africa: A Comparative Study Between,” J. Rheumatol. J. Rheumatol. January, vol. 43, no. 10, pp. 1777–1786, 2016.Acknowledgments:We are grateful to the patients involved in this study for their time and involvement.Disclosure of Interests:None declared
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Dissertations / Theses on the topic "Public health|Sub Saharan Africa Studies|Health education"

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dubeck, owen. "Alleviating Poverty in Sub-Saharan Africa." Scholarship @ Claremont, 2019. https://scholarship.claremont.edu/cmc_theses/2164.

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While most of the world has been able to dramatically reduce extreme poverty rates, Sub-Saharan Africa has failed to do so and is the only region in the world with more people living in extreme poverty than thirty years ago. This thesis will develop a policy framework for alleviating poverty by drawing from countries that are performing surprisingly well and poorly in the region. The thesis concludes with an analysis of whether education, health, or agricultural sectors should be receiving more or less funding based on expected rates of return and the feasibility of policy successes.
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Mwaka, Nelly Mary Apiyo. "A discourse analysis of gender in the public health curriculum in sub-Saharan Africa." Thesis, University of Pretoria, 2010. http://hdl.handle.net/2263/24983.

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Gender inequalities are still widely pervasive and deeply institutionalised, particularly in Africa, where the burden of disease is highly gendered. The public health sector has been slow in responding to and addressing gender as a determinant of health. The purpose of this inquiry was to gain a deeper insight into the different ways in which gender was represented in the public health curriculum in sub-Saharan Africa. A qualitative inquiry was undertaken on gender in the curriculum in nine autonomous schools of public health in sub-Saharan Africa. Official curriculum documents were analysed and in-depth interviews were held with fourteen staff members of two schools that served as case studies. A content analysis of the data was carried out, followed by discourse analysis. A poststructuralist theoretical framework was used as the ‘lens’ for interpreting the findings. Most of the official curricula were ‘layered’, with gender not appearing on the surface. Gender was represented mainly as an implicit discourse and appeared explicitly in only one core course and a few elective modules. The overwhelmingly dominant discourse in the official curricula was the ‘woman’ discourse, with a strong emphasis on the reproductive and maternal roles of women, while discourses on men, sexuality and power relations seemed to be marginalised. Gender discourses that emerged from the in-depth interviews with participants were lodged in biological, social and academic discourses on gender. The dominant discourses revolved around sexual difference and role differences based on sex. Participants drew on societal discourses (family, culture and religion), academic discourses and their lived experiences to explain their understandings of gender. Their narratives on the teaching of gender showed that gender was not taught or received a low priority and that it was insufficiently addressed in the public health curriculum. Barriers to teaching gender were: lack of knowledge, resources and commitment; resistance; and competing priorities. From this study it emerged that curriculum and the production of gender knowledge are sites of struggle that result in multiple understandings of gender that are manifest in dominant and marginalised discourses. Prevailing institutional power relations mirror dominant societal and political discourses that have a fundamental effect on curriculum decisions and resource allocations. This interplay between dominant discourses and power relations, underpinned by a strong biomedical paradigm, could explain the positioning of gender as an implicit representation in the curriculum, with a more explicit focus on gender in the elective modules than in the compulsory or core courses. Being implicitly represented, gender does not compete with other priorities for additional resources. It is recommended that the public health curriculum be reconceptualised by: accommodating multiple understandings of gender; questioning constructed dominant gender discourses; considering broader, varied and complex social, cultural, economic, historical and political contexts in which gender is constructed and experienced; and moving from curriculum technicalities to understanding the curriculum as a process and not a product.
Thesis (PhD)--University of Pretoria, 2011.
School of Health Systems and Public Health (SHSPH)
Unrestricted
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Sinyangwe, Henry K. J. "Risk-Taking Behaviors of First-Generation Sub-Saharan African-Born U.S. Resident Men." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7077.

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African-born residents of the United States have a higher incidence of HIV than African Americans. Factors such as lifestyle, habits, behavior practices, and activities may predispose African-born residents to behave sexually in ways that place them at risk of becoming infected with HIV. This study used a qualitative narrative approach to understand the lived experiences first generation Sub-Saharan African-born men who are U.S. residents to analyze the behaviors that expose them to HIV. To analyze data, the study used the health-belief model as the conceptual framework and NVivo for data analysis to assist in identifying, categorizing, and analyzing common themes and grouping unstructured data. The study used a purposive convenience sampling of 14 first generation Sub-Saharan African-born men who are U.S. residents residing in the states of Delaware, New Jersey, and Pennsylvania and discovered that they engage in sexual risk taking behaviors which include: having multiple sexual partners, preferring heterosexual relationships without a condom, have limited knowledge of HIV prevalence in the United States, and preferring to have sex with both African born females and American born women who are thought to be healthy. Their tendency to visit strip clubs, visit sex houses, and to abuse alcohol was also apparent in the study. Social change implications include adding new relevant knowledge in the understanding of how HIV spreads among Sub-Saharan African-born male U.S. residents by discovering the risk behaviors in which Sub-Saharan African men engage to expose themselves to contracting HIV disease. This knowledge can influence future health education efforts and target culture specific behaviors.
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Grandchamps, Nicholas. "Justice: The Use of Food, Education, and the Law to Combat Human Trafficking in Sub-Saharan Africa." Honors in the Major Thesis, University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1597.

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Human trafficking is an ever-growing crime in this century. It is estimated that there are 29.8 million slaves around the world today - 16.36% of which are located in sub-Saharan Africa. The sub-Saharan region is a region in which human trafficking is combatted ineffectively due to a lack of food, lack of access to education, lack of post-education opportunities and lack of proper legislation. This thesis explores the environment in which human trafficking is taking place in sub-Saharan Africa, and proposes potential changes that will theoretically disallow human trafficking to take place in the region. The only way in which an environment conducive to trafficking in persons will ever change is through establishing partnerships amongst governments, non-governmental organizations (NGOs), and other international organizations. Through the analysis of case law from the United Nations Human Trafficking Case Law Database, data from the World Bank, the United States State Department Trafficking in Persons Reports, the United Nations Global Reports on Human Trafficking, and various reports from NGOs, this thesis evaluates the approaches taken by various governments in sub-Saharan Africa to change the environment in which human trafficking thrives. Through raising awareness of the environment of sub-Saharan Africa, and by describing three ways in which human trafficking can be combatted effectively, such as the use of food, education, and the law, this thesis contributes not only to the legal discipline, but also to helping combat trafficking in persons effectively throughout the world.
B.A.
Bachelors
Legal Studies
Health and Public Affairs
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Hawkins, Sarah. "BELIEFS AND KNOWLEDGE REGARDING HIV TRANSMISSION IN SWAZILAND: A Comparison Between the Sexes." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/21.

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HIV infection persists in Swaziland with the highest prevalence of the disease globally – 1 in 4 Swazis aged 15-49 are HIV-positive. Women have a higher rate of infection than men (31.1% of women are HIV-positive, whereas 19.7% of men are HIV-positive). The difference in prevalence between the sexes raises some concerns, particularly due to the possibility of vertical transmission from mothers to infants because the average number of children ever born per woman is 2.28 for all women and 3.58 children for married women. This research aimed to determine if there was a significant difference regarding the knowledge and personal beliefs about HIV transmission between men and women. Obtaining correct knowledge regarding the transmission of HIV and where to get tested for HIV is vital to preventing further transmission of the disease. The Demographic and Health Surveys Program (DHS) gathered data in 2006-2007 to determine the baseline knowledge of individuals about the transmission of HIV. Comparisons of data collected from Swazi men (n = 4,156) and women (n = 4,987) concerning their knowledge and beliefs about HIV were made in order to obtain descriptive statistics, including chi-square to determine the presence or absence of significance (p-values) and percent differences between the sexes. Statistical Package for the Social Sciences (SPSS) software was utilized to perform all statistical analyses using both the chi-square and percent difference functions. Data was weighted accordingly prior to analyses being run in SPSS. Questions regarding the individuals’ personal beliefs about the transmission of HIV were included on surveys for both sexes, specifically addressing the following: 1) the outward appearance of those who are HIV-positive (96.1% of women and 95.7% of men believed healthy-looking individuals can be infected with HIV; p = 0.336, % difference = 0.3999, χ2 = 0.926), 2) the role (or lack thereof) of mosquitoes in transmitting HIV (65.7% of women and 66.1% of men believed mosquitoes cannot transmit HIV; p = 0.688, % difference = 0.3999, χ2 = 0.161), 3) supernatural involvement in the transmission of HIV (92.3% of women and 91.7% of men believed supernatural means do not contribute to the spread of HIV; p = 0.292, % difference = 0.5999, χ2 = 1.112), 4) and the ability of HIV to be spread via food intake (82.2% of women and 82.3% of men believe they cannot becoming infected with HIV by sharing food with an HIV-positive individual; p = 0.901, % difference = 0.0999, χ2 = 0.016). Despite no statistically significant differences between the beliefs about HIV transmission held by both men and women, the data indicated only 51.9% of women and 51.4% of men possess comprehensively correct knowledge about the transmission of HIV. Furthermore, although 91.8% of women knew where to get tested for HIV, only 78.1% of men knew where to get tested for HIV. However, an encouraging 73.8% of women and 71.8% of men between the ages of 18 and 19 stated they believed adolescents between the ages of 12 and 14 should be taught proper condom use to prevent HIV infection. Comprehensive adolescent and adult sex education programs are indicated to ensure all adolescents and sexually active men and women possess correct knowledge about the transmission of HIV and where to seek assistance for HIV testing and treatment.
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Ozodiegwu, Ifeoma, Henry V. Doctor, Megan Quinn, Laina D. Mercer, Ogbebor Enaholo Omoike, and Hadii M. Mamudu. "Is the Positive Association Between Middle-Income and Rich Household Wealth and Adult Sub-Saharan African Women's Overweight Status Modified by the Level of Education Attainment? A Cross-Sectional Study of 22 Countries." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etsu-works/6773.

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BACKGROUND: Previous studies show a positive association between household wealth and overweight in sub-Saharan African (SSA) countries; however, the manner in which this relationship differs in the presence of educational attainment has not been well-established. This study examined the multiplicative effect modification of educational attainment on the association between middle-income and rich household wealth and overweight status among adult females in 22 SSA countries. We hypothesized that household wealth was associated with a greater likelihood of being overweight among middle income and rich women with lower levels of educational attainment compared to those with higher levels of educational attainment. METHODS: Demographic and Health Survey (DHS) data from 2006 to 2016 for women aged 18-49 years in SSA countries were used for the study. Overweight was defined as a body mass index (BMI) ≥ 25 kg/m2. Household wealth index tertile was the exposure and educational attainment, the effect modifier. Potential confounders included age, ethnicity, place of residence, and parity. Descriptive analysis was conducted, and separate logistic regression models were fitted for each of the 22 SSA countries to compute measures of effect modification and 95% confidence intervals. Analysis of credibility (AnCred) methods were applied to assess the intrinsic credibility of the study findings and guide statistical inference. RESULTS: The prevalence of overweight ranged from 12.6% in Chad to 56.6% in Swaziland. Eighteen of the 22 SSA countries had measures of effect modification below one in at least one wealth tertile. This included eight of the 12 low-income countries and all 10 middle income countries. This implied that the odds of overweight were greater among middle-income and rich women with lower levels of educational attainment than those with higher educational attainment. On the basis of the AnCred analysis, it was found that the majority of the study findings across the region provided some support for the study hypothesis. CONCLUSIONS: Women in higher wealth strata and with lower levels of educational attainment appear to be more vulnerable to overweight compared to those in the same wealth strata but with higher levels of educational attainment in most low- and middle- income SSA countries.
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Kukat, James Pkemoi. "Development and Validation of a Remote Sensing Model to Identify Anthropogenic Boreholes that Provide Dry Season, Refuge Habitat for Anopheles Vector Mosquitoes in Sub-Saharan Africa." Scholar Commons, 2016. http://scholarcommons.usf.edu/etd/6287.

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A lack of surveillance systems is an impediment to public health intervention for perennial vector-borne disease transmission in northern tropical savanna region of Kenya. The population in this area are mostly poor nomadic pastoralists with little acquired functional immunity to Plasmodium falciparum, due to infrequent challenges with the parasite. A common characteristic in tropical savanna climatic zone is the availability of riverbeds that have anthropogenic boreholes that provide malaria vector mosquitoes, such as Anopheles gambiae s.l and Anopheles funestus, with aquatic refuge habitats for proliferation and endemic transmission to proximity human households during the dry-season. Unfortunately, currently there have been no entomological investigations employing field or remotely sensed data that can characterize and model anthropogenic borehole habitats focusing on the dry-land ecology of immature Anopheles mosquitoes in sub-Sahara Africa. The goal of this investigation was three-fold: (I) to employ WorldView-3 (0.31 meter spatial resolution) visible and near infra-red waveband sensor data to image sub-Saharan land cover associated with vector-borne disease transmission; (II) to remotely identify anthropogenic boreholes in three riverbeds that were surveyed to determine whether they provide malaria vectors with refuge habitat and maintain their population during the dry season in Chemolingot, Kenya, and (III) to obtain a radiometric/spectral signature model representing boreholes from the remotely-sensed data. The signature model was then interpolated to predict unknown locations of boreholes with the same spectral signature in Nginyang Riverbed, Kenya. Ground validation studies were subsequently conducted to assess model’s precision based on sensitivity and specificity tests.
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Nwakasi, Candidus C. "Exploring the Experiences of Nigerian Female Dementia Caregivers." Miami University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=miami1574869417297074.

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Weber, Annalisa D. "Rule-Adherence Within the Mountain Gorilla Tourism Industry." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1431016645.

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Horth, Roberta Zeri. "Undiagnosed HIV infection and factors associated with recent HIV testing among key populations at higher risk for HIV in Mozambique." Thesis, Tulane University, School of Public Health and Tropical Medicine, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3633149.

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Background: HIV testing saves lives. It is fundamental to combating the global HIV epidemic. Key populations at higher risk for HIV in Mozambique, including Men who have Sex with Men (MSM), Female Sex Workers (FSW) and mineworkers, are in urgent need of effective HIV prevention strategies. This is the first analysis ever conducted in Mozambique to identify levels of HIV testing and associated factors that inform these strategies.

Methods: This analysis used data from seven cross-sectional surveys conducted between 2011-2012 among MSM, FSW and Mineworkers in Mozambique. Participants completed a questionnaire and provided blood samples for HIV testing. MSM and FSW were recruited used Respondent Driven Sampling in Maputo, Beira and Nampula. Mineworkers were recruited using Time Location Sampling in Ressano-Garcia. Participants with previous HIV-positive tests or missing HIV test histories were excluded (<5% overall). Weighted logistic regression was used to measure associations with recent HIV testing (<12 months). Theory-driven multivariate logistic regression was conducted in R v2.15 using the Health Behavior Model as a conceptual framework.

Results: The prevalence of recent testing for HIV ranged from 29.8-59.5%, yet 4.4-25.0% had HIV and did not know it. Between 11.9-57.4% had never been tested, and fear was given as the primary barrier. Recent HIV testing was positively associated with knowledge of ARV drugs, knowing the HIV status of a sexual partner, knowing where to go to get tested, and having had contact with a peer educator. It was negatively associated with having had a genital sore or ulcer and unprotected sex. Between 32.1-90.0% of HIV-positive undiagnosed, key population members had used a healthcare service in the previous 12 months and 23.4-47.5% had tested negative for HIV in that time period.

Conclusion: Routine testing with strengthened post-test counseling encouraging key populations to have annual HIV screenings need to be implemented in Mozambique.

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Books on the topic "Public health|Sub Saharan Africa Studies|Health education"

1

World Bank. Africa Regional Office., ed. Education and health in Sub-Saharan Africa: A review of sector-wide approaches. Washington: World Bank, 2001.

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Robert, Smith, and World Bank. Africa Regional Office. Human Development Dept., eds. The link between health, social issues, and secondary education: Life skills, health, and civic education. Washington, D.C: World Bank, 2007.

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undifferentiated, Robert Smith, Guro Nesbakken, Anders Wirak, and Brenda Sonn. The Link Between Health, Social Issues, and Secondary Education: Life Skills, Health, and Civic Education (World Bank Working Papers). World Bank Publications, 2007.

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Mambo, Fatu. HIV/AIDS PREVENTION ISSUES: VIEWS OF SUB-SAHARAN AFRICAN GRADUATE STUDENTS IN MIDWESTERN UNIVERSITIES (IMMUNE DEFICIENCY). 1996.

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Book chapters on the topic "Public health|Sub Saharan Africa Studies|Health education"

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Kiylioğlu, Levent. "Media and Public Health in the Context of HIV/AIDS." In Handbook of Research on Representing Health and Medicine in Modern Media, 228–38. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-6825-5.ch016.

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AIDS (acquired immunodeficiency syndrome) caused by the human immunodeficiency virus (HIV) is one of the deadly epidemics that affected millions of people, especially in poor sub-Saharan Africa. Sexual intercourse is the most important transmission route of HIV. Condom and mutually faithful sexual relationships are accepted as the main methods of protection against HIV risk today. Media is an important tool that informs, enlightens, and affects the public. Scientific studies have revealed that the media has important functions in prevention from HIV. This study focused on the media's role in HIV prevention. Today's media is generally divided into mass media and social media. Exposure to mass media programs about HIV prevention topics generally can help increase HIV/AIDS awareness and reduce risk behaviors. Social media, even if not used sufficiently in countries where HIV is common, has also an important role in informing and educating people about HIV/AIDS, its transmission, and prevention.
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Usaini, Suleimanu, Tolulope Kayode-Adedeji, Olufunke Omole, and Tunji Oyedepo. "Awareness and Education on Viral Infections in Nigeria Using Edutainment." In Media Controversy, 699–714. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-5225-9869-5.ch040.

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Researches in clinical and medical science have shown that Human Immunodeficiency Virus (HIV), Hepatitis B, and to some extent Hepatitis C viruses, constitute a major public health challenge in the Sub-Saharan Africa. This is without prejudice to the Ebola virus disease (EVD) that is more deadly than the other three put together, and had affected some countries in West Africa- Liberia, Sierra Leone and Guinea. There is little awareness and education via the mass media on some common viral infections in Nigeria like Hepatitis compared to HIV. Therefore, there is dire need for information, sensitisation and education on the viruses, means of transmission, preventive measures and also therapy. Edutainment is the fusion of education into entertainment programming which can come in form of drama, music, poetry and lots more, and it had been used as a platform to create awareness for positive reproductive health and HIV/AIDS by leading health organisations like WHO, USAID, DFID, SFH, and UNFPA. This paper therefore, examines why edutainment should be used and how it can be used to educate media audience in Nigeria on some viral infections that pose serious health risks and how they can live healthy lives.
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Usaini, Suleimanu, Tolulope Kayode-Adedeji, Olufunke Omole, and Tunji Oyedepo. "Awareness and Education on Viral Infections in Nigeria Using Edutainment." In Advances in Electronic Government, Digital Divide, and Regional Development, 245–60. IGI Global, 2017. http://dx.doi.org/10.4018/978-1-5225-1859-4.ch016.

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Researches in clinical and medical science have shown that Human Immunodeficiency Virus (HIV), Hepatitis B, and to some extent Hepatitis C viruses, constitute a major public health challenge in the Sub-Saharan Africa. This is without prejudice to the Ebola virus disease (EVD) that is more deadly than the other three put together, and had affected some countries in West Africa- Liberia, Sierra Leone and Guinea. There is little awareness and education via the mass media on some common viral infections in Nigeria like Hepatitis compared to HIV. Therefore, there is dire need for information, sensitisation and education on the viruses, means of transmission, preventive measures and also therapy. Edutainment is the fusion of education into entertainment programming which can come in form of drama, music, poetry and lots more, and it had been used as a platform to create awareness for positive reproductive health and HIV/AIDS by leading health organisations like WHO, USAID, DFID, SFH, and UNFPA. This paper therefore, examines why edutainment should be used and how it can be used to educate media audience in Nigeria on some viral infections that pose serious health risks and how they can live healthy lives.
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Jaumont, Fabrice. "Dynamics of Collaboration between U.S. Foundations and African Universities." In African Studies, 370–84. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-3019-1.ch020.

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The question of interest in this chapter is the recent project referred to as the Partnership for Higher Education in Africa, and the partner Foundations' goal to contribute to the transformation of a select number of universities in selected African countries. Can public universities in sub-Saharan Africa fully accept the solutions proposed by a private donorship from the West? In exploring the question this chapter draws upon the theoretical frameworks of neo-institutionalism and resource dependency to analyze the related issues. It also reviews, within a neo-institutional perspective, the long-standing debate on U.S. foundations' international activities, and discusses these foundations' perceived influence over Africa's higher education system. Applied to the relationship between U.S. foundations and African universities, this lens seeks to shed new light on the debate about donor funding and its influence on educational reforms.
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Gladys Okafor, Ukamaka, Modinat Aderonke Olalaye, Hillary Chukwuemeka Asobara, and Ebuka Fidelis Umeodinka. "Global Impact of COVID-19 Pandemic on Public Health Supply Chains." In Evidence-Based Approaches to Effectively Respond to Public Health Emergencies [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97454.

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Health commodity supply chains are vital to a well-functioning health system and advancing national and regional health security goals. This study describes impacts of the COVID-19 pandemic on these chains, learnings from it and the challenges faced by countries. It also provides futuristic strategic recommendations for the building of the supply chain to manage the impacts and guide pandemic responsiveness. We used the PRISMA guideline for systematic review to collate relevant information from both published and unpublished literature. Out of 622 screened records, 38 were included in the review. Major impacts were innovation, collaboration, increased technology, research and development, increased prices and shortage of health products, depletion of supply chain personnel. Challenges were lack of visibility, coordination, resilience and strategy for pandemics, potential substandard medicines epidemic, travel restrictions and inadequate scientific knowledge. The studies recommended increased local production and resilience of supply chains. The pandemic disrupted national and international supply chain systems of medical devices, essential medicines and pharmaceutical products due to border closures, transportation and international trade restrictions. It however exposed hidden potentials in Sub-Saharan Africa. There is need to develop supply chain strategy for emergencies, increase local production and talent pool for supply chain management particularly in Africa.
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Baird, S., T. Ahner-McHaffie, and B. Özler. "Can Interventions to Increase Schooling and Incomes Reduce HIV Incidence Among Young Women in Sub-Saharan Africa?" In Structural Interventions for HIV Prevention, 31–104. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190675486.003.0003.

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This chapter provides insights into resolving the social issues that have led to the pre-existent disparity of young females are far more likely than young males to be infected by HIV. In this case, the structural-level problem is centered on inequitable access to education in sub-Saharan Africa. The chapter examines the impact of conditional and unconditional cash transfers on risk factors related to HIV among girls. After summarizing the existing evidence, the chapter provides a detailed description of two studies: the Schooling, Income and Health Risk study in Malawi and the Empowerment and Livelihood study in Uganda. A final section of the chapter gives recommendations for policy and future research.
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