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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Publication date: Available online 18 April 2019Source: Neuroscience &Biobehavioral ReviewsAuthor(s): Lisa M. ChristianAbstractBirth prior to full term is a substantial public health issue. In the US, ˜400,000 babies per year are born preterm (1 million are early term (37–386/7 weeks). Birth prior to full term confers risk both immediate and long term, including neonatal intensive care, decrements in school performance, and increased mortality risk from infancy through young adulthood. Risk for low birth weight and preterm birth are 1.5-2 times greater among African Americans versus Whites. Psychosocial str...
Source: Neuroscience and Biobehavioral Reviews - Category: Neuroscience Source Type: research
Discussion: Our findings are consistent with previous observations of increases in lipid mobilisation, coupled with preferential transfer of DHA to the fetus, with advancing gestation. However the number of eligible studies was small and further investigations are required.
Source: Prostaglandins, Leukotrienes and Essential Fatty Acids (PLEFA) - Category: Lipidology Source Type: research
Infertility and diminished fertility are relevant to pediatric populations, but only beginning to be explored and clinically managed systematically in pediatric settings. This is a significant issue, one that impacts a wide variety of pediatric patients, and complex in abundance of ways. Conceiving and/or giving birth to genetic children is only possible after the onset of puberty and typically occurs volitionally only well after that. However, pediatric patients and their families often need to grapple with fertility concerns well in advance of late adolescence and/or adulthood.
Source: Journal of Adolescent Health - Category: Child Development Authors: Tags: Editorial Source Type: research
Authors: Bulun SE, Yilmaz BD, Sison C, Miyazaki K, Bernardi L, Liu S, Kohlmeier A, Yin P, Milad M, Wei J Abstract Pelvic endometriosis is a complex syndrome characterized by an estrogen-dependent chronic inflammatory process that affects primarily pelvic tissues, including the ovaries. It is caused when shed endometrial tissue travels retrograde into the lower abdominal cavity. Endometriosis is the most common cause of chronic pelvic pain in women and is associated with infertility. The underlying pathologic mechanisms in the intracavitary endometrium and extra-uterine endometriotic tissue involve defectively progr...
Source: Endocrine Reviews - Category: Endocrinology Tags: Endocr Rev Source Type: research
Abstract In this two-part series of reviews, we have invited experts in their fields to contribute articles on the status of vaccine research and development for emerging pathogens. This topic has been brought into sharp focus in recent years following significant outbreaks of viral diseases such as those causing severe acute respiratory syndrome and Middle East respiratory syndrome, as well as devastating outbreaks of diseases caused by the Ebola, Marburg, Zika and Lassa fever viruses, to name only a few examples. Additionally, bacterial infections leading to bubonic and pneumonic plague, most notably in Madagasc...
Source: Clinical and Developmental Immunology - Category: Allergy & Immunology Authors: Tags: Clin Exp Immunol Source Type: research
There is an important association between maternal cigarette smoking cessation during pregnancy and risk of preterm birth, according to a new Dartmouth-led study published in JAMA Network Open.
Source: News at Dartmouth Medical School - Category: Hospital Management Authors: Tags: News Press Release Research Home-feature neonatal health pregnancy smoking cessation The Dartmouth Institute Source Type: news
Conclusion: The study revealed that the overall consumption of adequate dietary diversity was found to be low. Developing the educational level of women, increasing household income and owning of livestock, increasing husbands' support, and improving women's participation in the shopping are recommended to improve women's adequate dietary diversity. PMID: 30993019 [PubMed]
Source: Journal of Nutrition and Metabolism - Category: Nutrition Tags: J Nutr Metab Source Type: research
OBJECTIVE: To synthesize the knowledge produced in studies about the association between violence and STI during pregnancy. METHODS: In this systematic review, we conducted basic activities of identification, compilation, and registration of the tr...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Violence and Weapons Issues Source Type: news
We read with great interest your recent publication by Dieplinger et  al1 in the Journal of Vascular Surgery. Unfractionated heparin (UFH) is usually employed in arterial vascular surgery, generally at lower doses compared with those in cardiac surgery (50-100 IU/kg); the goal is a balance between the need of anticoagulation to avoid thrombosis and, on the other han d, limiting bleeding and surgical revision.2 Much evidence supports its use also in endovascular procedures. Even if data in literature show a lower incidence of complications, thromboembolic and cardiologic events still continue to occur even when endovas...
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Letter to the editor Source Type: research
Condition:   Intrauterine Insemination Intervention:   Drug: hCG Sponsor:   Sohag University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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