Via: http://ht.ly/Uyjlf By: https://twitter.com/jeegeronimo
Showing posts with label Philippines. Show all posts
Showing posts with label Philippines. Show all posts
Wednesday, November 11, 2015
Friday, October 16, 2015
Thursday, October 15, 2015
Sexual & Reproductive Health Services for Women with Disability: A Qualitative Study with Service Providers in the Philippines
The Philippines has ratified the United Nations Convention
on the Rights of Persons with Disabilities and recently passed domestic
legislation protecting the sexual and reproductive rights of people with
disability. However women in the Philippines continue to report barriers to
sexual and reproductive health services, and there is limited empirical
evidence available to inform policy makers’ efforts to respond. This study aims
to contribute to the available evidence by examining service providers’
perceptions of disability and their experiences providing sexual and
reproductive health services to women with disability.
The study was conducted as part of a larger three-year
program of participatory action research that aims to improve the sexual and
reproductive health of women with disabilities in the Philippines. Fourteen
in-depth interviews and two focus group discussions were conducted with a total
of thirty-two sexual and reproductive health service providers in Quezon City
and Ligao. Qualitative data were analysed to identify key themes in
participants’ discussion of service provision to women with disability.
Analysis of service providers’ accounts suggests a range of
factors undermine provision of high quality sexual and reproductive health
services to women with disability. Service providers often have limited
awareness of the sexual and reproductive health needs of women with disability
and inadequate understanding of their rights. Service providers have had very
little training in relation to disability, and limited access to the resources
that would enable them to provide a disability inclusive service. Some service
providers hold prejudiced attitudes towards women with disability seeking
sexual and reproductive health services, resulting in disability-based
discrimination. Service providers are also often unaware of specific factors
undermining the health of women with disability, such as violence and abuse.
Recent legislative change in the Philippines opens a window
of opportunity to strengthen sexual and reproductive health service provision
across the country. However the development of services that are
disability-inclusive will require substantial efforts to address supply-side
barriers such as prejudiced service provider attitudes and limited capacity.
Disability inclusion must be prioritised for the national goal of responsible
parenthood and reproductive health to be realised for all.
Full article
at:
By:
1Nossal Institute for Global Health,
Melbourne School of Population and Global Health, The University of Melbourne,
Victoria 3010, Australia
2Social Development Research Centre, De La
Salle University, 2401 Taft Avenue, Manila, 1004, Philippines
3Centre for Health Equity, Melbourne School
of Population and Global Health, The University of Melbourne, Victoria 3010,
Australia
More at: https://twitter.com/hiv_insight
Sunday, October 11, 2015
Socio-Structural & Behavioral Risk Factors Associated with Trafficked History of Female Bar/Spa Entertainers in the Sex Trade in the Philippines
To explore factors associated with trafficking
(deceptive/coercive entry to sex trade) among female bar/spa entertainers who
traded sex in the Philippines.
Female bar/spa entertainers who traded sex in the past
6 months were recruited from 25bar/spa venues in Metro Manila (April
2009-January 2010) and assessed via cross-sectional survey data collection for
HIV-risk-related socio-structural factors associated with deceptive/coercive
entry into the sex trade. The study employed hierarchical linear modeling.
Of 166 bar/spa entertainers assessed, 19 (11.4%) reported
being deceived/coerced (i.e. trafficked) into their first jobs. Trafficking
history was independently associated with current drug use decreased availability of
condoms at venues for entertainers and,
conversely, increased peer support for practicing safer sex behaviors. Those deceived/coerced into their positions were more
likely than non-trafficked women to have been recruited by an agency who came
to their rural province as opposed to getting
the job from advertisement or a
friend/acquaintance.
The findings have implications for designing interventions
to prevent and target trafficked women in the Philippines who may be more
vulnerable to substance use and, potentially, HIV infection.
Purchase full article
at:
By:
- 1Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA. Electronic address: lurada@ucsd.edu.
- 2School of Medicine, University of California, San Diego, La Jolla, CA, USA.
- 3Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
- 4Department of Behavioral Sciences, College of Arts and Sciences, University of the Philippines, Manila, Philippines.
More at: https://twitter.com/hiv_insight
Wednesday, August 26, 2015
Sexual & Reproductive Health of Young Women in the Philippines: 2013 Data Update
Below: Childbearing among Young Filipino Women
• Approximately five million adolescent women (aged 15–19) currently live in the Philippines; they account for nearly one-fifth (19%) of all women of reproductive age (15–49).[1]
• As of 2013, adolescent women in the Philippines had completed a median of 9.0 years of schooling,[2] which represents steady improvement from medians of 8.6 years in 2003 and 8.8 years in 2008.[3,4]
• A slight majority of adolescent women reported at least weekly exposure to radio (55%) and more than four-fifths, to television (83%); 29% read newspapers at least once a week.[2] A sizable proportion (43%) said they go online at least once a week, but Internet exposure was higher than average in urban areas (56%) and lower than average in rural areas (28%).
Read more at: http://ht.ly/RqssP MT https://twitter.com/Guttmacher
Thursday, July 30, 2015
A Cost-Utility Analysis of Cervical Cancer Screening and Human Papillomavirus Vaccination in the Philippines
Below: Costs and health outcomes of optimal strategies for the prevention of cervical cancer
Below: Efficiency frontier curve of optimal cervical cancer prevention strategies at varying coverage scenarios
Below: Model validation
Across all coverage scenarios, VIA has been shown to be a dominant and cost-saving screening strategy with incremental cost-effectiveness ratio (ICER) ranging from dominant to Php 61,059 (1443 USD) per QALY gained. VIA can reduce cervical cancer cases and deaths by 25 %. Pap smear screening was found to be not cost-effective due to its high cost in the Philippines. Adding HPV vaccination at a cost of 54 USD per vaccinated girl on top of VIA screening was found to be potentially cost-effective using a threshold of 1 GDP per capita (i.e., Php 120,000 or 2835 USD/ QALY) with the most favorable assumption of providing lifelong immunity against high-risk oncogenic HPV types 16/18. The highest incremental QALY gain was achieved with 80 % coverage of the combined strategy of VIA at 35 to 45 years old done every five years following vaccination at 11 years of age with an ICER of Php 33,126 (783 USD). This strategy may result in a two-thirds reduction in cervical cancer burden. HPV vaccination is not cost-effective when vaccine protection lasts for less than 20 years.
High VIA coverage targeting women aged 35–45 years old at five-year intervals is the most efficient and cost-saving strategy in reducing cervical cancer burden in the Philippines. Adding a vaccination program at high coverage among 11-year-old girls is potentially cost-effective in the Philippines assuming a life-long duration of vaccine efficacy.
Via: http://ht.ly/Qj5N4 MT @BMC_series
Below: Efficiency frontier curve of optimal cervical cancer prevention strategies at varying coverage scenarios
Below: Model validation
Across all coverage scenarios, VIA has been shown to be a dominant and cost-saving screening strategy with incremental cost-effectiveness ratio (ICER) ranging from dominant to Php 61,059 (1443 USD) per QALY gained. VIA can reduce cervical cancer cases and deaths by 25 %. Pap smear screening was found to be not cost-effective due to its high cost in the Philippines. Adding HPV vaccination at a cost of 54 USD per vaccinated girl on top of VIA screening was found to be potentially cost-effective using a threshold of 1 GDP per capita (i.e., Php 120,000 or 2835 USD/ QALY) with the most favorable assumption of providing lifelong immunity against high-risk oncogenic HPV types 16/18. The highest incremental QALY gain was achieved with 80 % coverage of the combined strategy of VIA at 35 to 45 years old done every five years following vaccination at 11 years of age with an ICER of Php 33,126 (783 USD). This strategy may result in a two-thirds reduction in cervical cancer burden. HPV vaccination is not cost-effective when vaccine protection lasts for less than 20 years.
High VIA coverage targeting women aged 35–45 years old at five-year intervals is the most efficient and cost-saving strategy in reducing cervical cancer burden in the Philippines. Adding a vaccination program at high coverage among 11-year-old girls is potentially cost-effective in the Philippines assuming a life-long duration of vaccine efficacy.
Via: http://ht.ly/Qj5N4 MT @BMC_series
Sunday, July 26, 2015
The dire sexual health crisis among MSM in the Philippines: an exploding HIV epidemic in the absence of essential health services
Via: http://ht.ly/OpOiy HT @Griffith_Uni
The rate of HIV is exploding in the men who have sex with men (MSM) population in the Philippines. There is a paucity of information with respect to sexual behaviour, condom use, psychological health, and the prevalence of other STIs in the MSM subpopulation. At present there are no existing private or public clinical services in the country that focus on health services of MSM. We discuss the current epidemic situation and the steps needed to further define the rapidly evolving epidemic among MSM.
The rate of HIV is exploding in the men who have sex with men (MSM) population in the Philippines. There is a paucity of information with respect to sexual behaviour, condom use, psychological health, and the prevalence of other STIs in the MSM subpopulation. At present there are no existing private or public clinical services in the country that focus on health services of MSM. We discuss the current epidemic situation and the steps needed to further define the rapidly evolving epidemic among MSM.
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