Young Advocates, Political Will Drive Progress on Family Planning in Francophone West Africa
December 05, 2019Countries throughout francophone West Africa are celebrating progress in family planning this week at the Ouagadougou Partnership (OP)annual meeting in Cotonou, Benin, where the theme isWe Demand More: Youth and Social Behavior Change.In 2015, the nine OP countries—Benin, Burkina Faso, Côte d’Ivoire, Guinea, Mali, Mauritania, Niger, Senegal, and Togo—exceeded their initial goal of reaching one million additional individuals with modern contraception and then committed to reaching 2.2 million additional users by the end of 2020. So far, OP leaders announced Tuesday, the countries have achieved 87% of this goal.In the past year alone, OP countries have added450,000 users of modern contraception, surpassing their projected figure of 443,000. They estimate that this has prevented 162,000 unwanted pregnancies, 58,000 unsafe abortions, and 560 maternal deaths. The countries have achieved these results in part through social and behavior change approaches that have increased demand for family planning services in the region." We are finally seeing sustained momentum in this region. "The OP countries have among the highest maternal, neonatal, and child mortality rates in the world. They also have some of the highest fertility rates. Nigertops the list with an average of seven children per woman.But since the partnership began in 2011, the OP countries have reached3.4 million additional women and girls with modern contracept...
CONCLUSION: Prevalence of antibiotic use was high not only versus other hospitals in the region but globally including Africa, coupled with significant evidence of sub-optimal prescribing. Swift action is needed to improve future prescribing to reduce AMR. One or two areas should initially be targeted for quality improvement including development of local guidelines, documentation of antibiotic indications and/or stop/review dates. PMID: 33034234 [PubMed - as supplied by publisher]
Authors: Rombauts A, Abelenda-Alonso G, Cuervo G, Gudiol C, Carratalà J Abstract INTRODUCTION: Despite adequate antibiotic coverage, community-acquired pneumonia (CAP) remains a leading cause of hospitalization and mortality worldwide. It induces both a local pulmonary and a systemic inflammatory response, particularly significant in severe cases. The intensity of the dysregulated host response varies from patient to patient and has a negative impact on survival and other outcomes. AREAS COVERED: This comprehensive review summarizes the pathophysiological aspects of the inflammatory response in CAP, brie...
Authors: Hammerschlag MR, Sharma R Abstract INTRODUCTION: Azithromycin was recommended as the first-line therapeutic regimen for treatment of genital infections in men and women by the Centers for Disease Control in 1998. A series of studies of azithromycin for treatment of rectal chlamydial infection in men who have sex with men (MSM) found that azithromycin was significantly less effective than doxycycline. AREAS COVERED: Literature on treatment of rectal C. trachomatis from 2000 through May 2020 was searched using PubMed. Retrospective and observational studies were identified documenting the frequency and t...
Authors: Reissier S, Cattoir V Abstract INTRODUCTION: Streptogramins (pristinamycin and quinupristin-dalfopristin) can be interesting options for the treatment of infections due to Gram-positive cocci, especially multidrug-resistant isolates. AREAS COVERED: This review provides an updated overview on structural and activity characteristics, mechanisms of action and resistance, pharmacokinetic/pharmacodynamic and clinical use of streptogramins. EXPERT OPINION: The streptogramin antibiotics act by inhibition of the bacterial protein synthesis. They are composed of two chemically distinct compounds, namely typ...
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