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First-Mile Family Planning Can Help More Women Avoid Unintended Pregnancies

November 10, 2017In the global health community, we often talk about reaching the “last mile”—generally those who live in the hardest-to-reach places of the world, farthest from the health services they need. But from the point of view of those families, the last mile is in fact the first mile.The global information and communications technology community seems to understand this more than we do in health. Studies  such as this look directly at first-mile issues—that is, “how connectivity looks, feels, and behaves from the subscriber's perspective. ” And researchers have done some work to shed light on how a true first-mile approach during an infectious disease outbreak like Ebola must take into account not only local resources, but also the importance of local know-how and cultural understanding.So why, in family planning and many other essential services, do we usually refer to the last mile rather than the first?A Mile of PotholesFor people in need of health care, that first mile is often full of potholes. That goes not only for remote rural communities, but for city-dwellers who face misinformation, cost barriers, or fears of lack of confidentiality when it comes to family planning services.Closer-to-community care can help potential contraception users overcome a number of challenges, including time, distance, and money. But community-based family planning services —unless they are specifically designed to do ...
Source: IntraHealth International - Category: International Medicine & Public Health Authors: Source Type: news

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CONCLUSIONS: Awareness of a diagnosis of diabetes or prediabetes from a health profession is associated with the uptake of recommended life-style modifications. PMID: 29676589 [PubMed - as supplied by publisher]
Source: Expert Review of Pharmacoeconomics and Outcomes Research - Category: Health Management Tags: Expert Rev Pharmacoecon Outcomes Res Source Type: research
Authors: Ding M, Li J, Liu X, Li H, Zhang R, Ma J Abstract Waterborne infectious disease outbreak associated with well water contamination is a worldwide public health issue, especially for rural areas in developing countries. In the current study, we characterized 20 well water samples collected from a rural area of southern Changchun city, China, and investigated the survival potential of Escherichia coli O157:H7 in those water samples. The results showed that nitrate and ammonia concentrations in some well water samples exceed the corresponding China drinking water standards, indicating potential contamination b...
Source: Journal of Water and Health - Category: Environmental Health Tags: J Water Health Source Type: research
Authors: Spina A, Beversluis D, Irwin A, Chen A, Nassariman JN, Ahamat A, Noh I, Oosterloo J, Alfani P, Sang S, Lenglet A, Taylor DL Abstract In September 2016, Médecins Sans Frontières responded to a hepatitis E (HEV) outbreak in Chad by implementing water treatment and hygiene interventions. To evaluate the coverage and use of these interventions, we conducted a cross-sectional study in the community. Our results showed that 99% of households interviewed had received a hygiene kit from us, aimed at improving water handling practice and personal hygiene and almost all respondents had heard messages a...
Source: Journal of Water and Health - Category: Environmental Health Tags: J Water Health Source Type: research
The objective of this study was to systematically review the evidence in associated with drinking water DBP exposure in relation to adverse pregnancy outcomes. Peer-reviewed articles were identified using electronic databases searched for studies published in the English language. Studies selected for review were evaluated for exposure assessment, confounders, and analyses risks of bias in the selection, outcomes assessment, and attrition. A comprehensive search and screening yielded a total of 32 studies, of which 12 (38%) reported a statistical association between maternal exposure to DBPs and adverse pregnancy outcomes....
Source: Journal of Water and Health - Category: Environmental Health Tags: J Water Health Source Type: research
Cervicitis refers to inflammation of the cervix, the narrow passage connecting the uterus and vagina. It can result in itching, pain, and bleeding, and it is caused by a variety of conditions. In this article, we examine the symptoms and causes and look at treatment options, including natural remedies for relief or pre
Source: Health News from Medical News Today - Category: Consumer Health News Tags: Women's Health / Gynecology Source Type: news
GIDEON what’s new summary: April 21 to April 22, 2018 Infectious Diseases – Outbreaks (5 updates) 5 DiseasesMap Infectious Diseases – Diseases (183 updates) 125 Clinical notes28 Diseases30 Country notesMap Infectious Diseases – Vaccines (1 updates) 1 Vaccine The post Update: April 22, 2018 appeared first on GIDEON - Global Infectious Diseases and Epidemiology Online Network.
Source: GIDEON blog - Category: Databases & Libraries Authors: Tags: What's New Source Type: blogs
Authors: Nammas W, Dalén M, Rosato S, Gherli R, Reichart D, Gatti G, Onorati F, Faggian G, De Feo M, Bancone C, Chocron S, Khodabandeh S, Santarpino G, Rubino AS, Maselli D, Nardella S, Salsano A, Gherli T, Nicolini F, Zanobini M, Saccocci M, Bounader K, D'Errigo P, Kiviniemi T, Kinnunen EM, Perrotti A, Airaksinen J, Mariscalco G, Ruggieri VG, Biancari F Abstract The impact of thrombocytopenia on postoperative bleeding and other major adverse events after cardiac surgery is unclear. This issue was investigated in a series of patients who underwent isolated coronary artery bypass grafting (CABG) from the pros...
Source: Platelets - Category: Hematology Tags: Platelets Source Type: research
Authors: Galluzzo M, D'Adamio S, Bianchi L, Talamonti M Abstract Psoriasis tends to improve for approximately half of patients during pregnancy, but an equal number of patients report no change or worsening during this period, when lots of medications, like biologics, are not indicated. The aim of our study was to review data of patient that had been pregnant during ustekinumab treatment, analyzing data of our data set between September 2010 and February 2018. We found data of three patients that had been pregnant during ustekinumab treatment. All three patients successfully completed the pregnancy without complica...
Source: Journal of Dermatological Treatment - Category: Dermatology Tags: J Dermatolog Treat Source Type: research
Corrigendum to "Visual Acuity Changes during Pregnancy and Postpartum: A Cross-Sectional Study in Iran". J Pregnancy. 2018;2018:5280697 Authors: Mehdizadehkashi K, Chaichian S, Mehdizadehkashi A, Jafarzadepour E, Tamannaie Z, Moazzami B, Pishgahroudsari M Abstract [This corrects the article DOI: 10.1155/2014/675792.]. PMID: 29675277 [PubMed - in process]
Source: Journal of Pregnancy - Category: OBGYN Tags: J Pregnancy Source Type: research
(American Physiological Society) Differences in the way women with obesity burn calories during pregnancy may be a contributor to long-term postpartum weight retention in black moms. The findings, which suggest a need for more individualized pregnancy weight gain recommendations for obese women, will be presented today at the APS annual meeting at Experimental Biology 2018 in San Diego.
Source: EurekAlert! - Social and Behavioral Science - Category: International Medicine & Public Health Source Type: news
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