[afro-nets] Male circumcision Halves HIV Risk (10)

Male circumcision Halves HIV Risk (10)
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Dear Colleagues:

The Pop Reporter staff encourages you to read an insightful guest editorial on the health communication challenges of scaling up male circumcision for HIV prevention. This special edition of the Pop Reporter e-zine includes the latest information from the National Institutes of Health about male circumcision reducing the risk of becoming infected with HIV and also the response from UN agencies warning that circumcision does not provide complete protection.

You can read the editorial in the Pop Reporter archives at:
http://www.infoforhealth.org/popreporter/2006/12-21.shtml

The author of the editorial is John Howson, MSc., Senior Technical Advisor for the Health Communication Partnership/International HIV/AIDS Alliance.

Join the over 8,000 subscribers who rely on the Pop Reporter weekly e-zine to deliver thought-provoking global health news to their desktop. Subscribe to the English or Spanish edition by following these links:

English subscriptions:
http://prds.infoforhealth.org/signup.php?ezine_id=1&lang_id=en

Spanish subscriptions:
http://prds.infoforhealth.org/signup.php?ezine_id=2&lang_id=es

--
Theresa Norton
Associate Editor
The INFO Project
Johns Hopkins Bloomberg School of Public Health Center for Communication Programs
111 Market Place/Suite 310
Baltimore, Maryland 21202 USA
+1 (410) 659-2697
INFO - Inform. Enhance. Connect.
http://www.INFOforhealth.org
mailto:tnorton@jhuccp.org

The INFO Project's Hot Topic Collection: Developing a Continuing-Client Strategy
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http://www.infoforhealth.org/collections/ccstrategy.shtml

This comprehensive collection of resources - all housed in an easy to use online format - is aimed at helping program managers and health-care providers meet clients' needs not only when they first choose family planning but also throughout their reproductive lives. Resources in this collection include:

* The latest Population Report, "Developing a Continuing-Client Strategy"
* The companion INFO Report offers program managers a quick reference to measure how well a continuing-client strategy is succeeding
* A new Global Health Technical Brief, "Developing a Continuing-Client Strategy"
* The Focus On report on Improving Hormonal Method Continuation: A Digest of Key Resources
* Q&A listing 31 questions and answers for training or curriculum development
* A PowerPoint presentation based on the Population Report, tailored for teachers, students, and program managers
* INFO's discussion blog where you can discuss continuing client strategies with the author of this Population Report, Deepa Ramchandran

Visit INFO's Hot Topic Collections at: http://www.infoforhealth.org/collections

For more information about the INFO Project and its knowledge exchange products and services, visit: http://www.infoforhealth.org/

Stephen M. Goldstein
Webmaster, INFO Project
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
111 Market Place, Suite 310,
Baltimore, Maryland 21202
Tel: +1 410 659-6300
mailto:inform@jhuccp.org

New! Family Planning: A Global Handbook for Providers

This new handbook offers clinic-based health care professionals in developing countries the latest guidance on providing contraceptive methods. One of the World Heath Organization's Four Cornerstones of Family Planning Guidance, the book has been prepared through a unique collaboration between Johns Hopkins Bloomberg School of Public Health, the United States Agency for International Development and over 30 organizations around the world.

To learn more, and secure your copy please visit: http://www.fphandbook.org/

*orders already received will ship within the next few weeks*

--
Lisa Basalla, MPH
Program Specialist
INFO Project
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
T: 410-659-6386
E-mail: mailto:lbasalla@jhuccp.org

Dear Colleagues,

Photoshare (http://www.photoshare.org) is pleased to announce the winner of the 2nd Annual 2007 Photoshare Development Photography Award: Ashok Bhurtyal. This is awarded exclusively to a photographer from a developing country/emerging economy as a part of Photoshare's effort to promote photography as a vital tool for communicating international health and development issues. Photoshare's Development Photography Award advances digital camera technologies by providing the tools and resources needed to document global public health interventions. As winner of this award, Ashok will receive a Canon digital camera.

Ashok Bhurtyal is an enthusiastic amateur photographer and rural health worker in Nepal who believes photography is an important tool for improving health and saving lives. Bhurtyal says photography can be used to "generate an understanding of the situation of rural Nepali people among the influential people and the public at large. I believe this understanding will prompt health activities and collaboration between the health and development sectors."

Regards,

David Alexander
Photoshare
INFO Project
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
Tel: +1-410-659-6386
E-mail: mailto:photoshare@infoforhealth.org

The Pop Reporter is a weekly, customizable electronic magazine that provides summaries and links to research and news reports from around the world on reproductive health and related topics. Choose categories such as HIV/AIDS, Family Planning, Maternal and Child Health, or Youth Health and one or more regions to customize your own e-zine, delivered by your choice of method. Guest Commentaries provide unique insight into current research, news, and project results.

Get your free subscription

To set up a free account and subscribe to the Pop Reporter, visit http://www.infoforhealth.org/clients/signin.php .

From this week's issue

If you don't subscribe to The Pop Reporter, here is a sampling of items you missed this week!

FAMILY PLANNING RESEARCH

The influence of hormonal contraceptive use on HIV-1 transmission and disease progression http://www.journals.uchicago.edu/CID/journal/issues/v45n3/50241/50241.web.pdf

(Research Article; Global)
(You need Adobe Acrobat Reader to access this document)
Clinical Infectious Diseases . 2007 Aug;45(3):360-369.
Baeten JM | Lavreys L | Overbaugh J
Related Article: Hormonal contraception and the risk of HIV acquisition search_results.php | Info For Health & Garcinia Cambogia; (search_results_single.php | Info For Health & Garcinia Cambogia)

Women account for nearly one-half of new human immunodeficiency virus type 1 (HIV-1) infections worldwide, including the majority of infections in Africa. Biological and epidemiological studies suggest that hormonal contraceptive use could influence susceptibility to HIV-1, as well as infectivity and disease progression for those who become infected. However, not all studies have shown this relationship, and many questions remain. Safe and effective contraceptive choices are essential for women with and at risk for HIV-1 infection. Hormonal contraception may have biologically plausible and clinically important effects on susceptibility to HIV-1, infectiousness of HIV-1, and progression of HIV-1 disease, but the data are inconsistent, and many questions remain. Still, it is clear that hormonal contraceptives are not protective against HIV-1 infection, and potentially the most important public health message is that dual protection with condoms should be the goal for women using hormonal contraception. This emphasizes the necessity for cooperation between those working in the fields of reproductive health and prevention of STDs, as well as the needs for increased involvement of men in reproductive health and for novel prevention interventions for women. Policymakers and clinicians must carefully consider how to translate the available data into public health messages that will reach the countries hardest hit by HIV-1 infection and women who are at risk for or who are living with this disease.

HIV/AIDS and STIs RESEARCH

Immunogenicity of standard-titer measles vaccine in HIV-1-infected and uninfected Zambian children: An observational study http://www.journals.uchicago.edu/cgi-bin/resolve?id=doi:10.1086/519169

(Abstract; subscription needed for full text; Sub-Saharan Africa)
Journal of Infectious Diseases. 2007 Aug;196(3):347-355.
Moss WJ | Scott S | Mugala N | Ndhlovu Z | Beeler JA
Achieving the level of population immunity required for measles elimination may be difficult in regions of high human immunodeficiency virus type 1 (HIV-1) prevalence, because HIV-1-infected children may be less likely to respond to or maintain protective antibody levels after vaccination. We conducted a prospective study of the immunogenicity of standard-titer measles vaccine administered at 9 months of age to HIV-1-infected and uninfected children in Lusaka, Zambia. From May 2000 to November 2002, 696 children aged 2-8 months were enrolled. Within 6 months of vaccination, 88% of 50 HIV-1-infected children developed antibody levels of greater than or equal to 120 mIU/mL, compared with 94% of 98 HIV-seronegative children and 94% of 211 HIV-seropositive but uninfected children (P=.3). By 27 months after vaccination, however, only half of the 18 HIV-1-infected children who survived and returned for follow-up maintained measles antibody levels greater than or equal to 120 mIU/mL, compared with 89% of 71 uninfected children (P=.001) and in contrast with 92% of 12 HIV-1-infected children revaccinated during a supplemental measles immunization activity. Although HIV-1-infected children showed good primary antibody responses to measles vaccine, their rapid waning of antibody suggests that measles vaccination campaigns may need to be repeated more frequently in areas of high HIV-1 prevalence.

HIV/AIDS and STIs NEWS

Brazil gets cut-price Aids drug BBC NEWS | Americas | Brazil gets cut-price Aids drug
(News Article; South America)
5 Jul 2007
Duffy G, BBC News

GENDER and HEALTH RESEARCH

Influences on uptake of reproductive health services in Nsangi community of Uganda and their implications for cervical cancer screening <http://dx.doi.org/10.1186/1742-4755-4-4&gt;

(Influences on uptake of reproductive health services in Nsangi community of Uganda and their implications for cervical cancer screening | Reproductive Health | Full Text)
(Research Article; Sub-Saharan Africa)
Reproductive Health. 2007 Jun 26;4(1):[24] p.
Mutyaba T | Faxelid E | Mirembe F | Weiderpass E
Cervical cancer is the most common female cancer in Uganda. Over 80% of women diagnosed or referred with cervical cancer in Mulago national referral and teaching hospital have advanced disease. Plans are underway for systematic screening programmes based on visual inspection, as Pap smear screening is not feasible for this low resource country. Effectiveness of population screening programmes requires high uptake and for cervical cancer, minimal loss to follow up. Uganda has poor indicators of reproductive health (RH) services uptake; 10% postnatal care attendance, 23% contraceptive prevalence, and 38% skilled attendance at delivery. For antenatal attendance, attendance to one visit is 90%, but less than 50% for completion of care, i.e. three or more visits. A qualitative study was conducted using eight focus group discussions with a total of 82 participants (16 men, 46 women and 20 health workers) to better understand factors that influence usage of available reproductive health care services and how they would relate to cervical cancer screening, as well as identify feasible interventions to improve cervical cancer screening uptake. Barriers identified after framework analysis included ignorance about cervical cancer, cultural constructs/beliefs about the illness, economic factors, domestic gender power relations, alternative authoritative sources of reproductive health knowledge, and unfriendly health care services. We discuss how these findings may inform future planned screening programmes in the Ugandan context. Knowledge about cervical cancer among Ugandan women is very low. For an effective cervical cancer-screening programme, awareness about cervical cancer needs to be increased. Health planners need to note the power of the various authoritative sources of reproductive health knowledge such as paternal aunts (Sengas) and involve them in the awareness campaign. Cultural and economic issues dictate the perceived reluctance by men to participate in women's reproductive health issues; men in this community are, however, potential willing partners if appropriately informed. Health planners should address the loss of confidence in current health care units, as well as consider use of other cervical cancer screening delivery systems such as mobile clinics/camps.

Get past issues

Visit The Pop Reporter archives (http://www.infoforhealth.org/popreporter/index.shtml) for links to past issues.

--
Theresa Norton
Associate Editor
Johns Hopkins Bloomberg School of Public Health Center for Communication Programs
111 Market Place/Suite 310
Baltimore, Maryland 21202 USA
+1(410) 659-2697
mailto:tnorton@jhuccp.org

New Family Planning Wall Chart Now Available from INFO Project

The new wall chart, titled Do you know your family planning choices? offers a brief overview of eleven contraceptive methods. It was prepared through a unique collaboration between the Johns Hopkins Bloomberg School of Public Health, technical experts from WHO and USAID, and many other organizations around the world. The new wall chart replaces the old one by the same name.

Individual Orders

The wall chart is currently available in print format in English, French and Spanish from INFO for free and is also included with each copy of the companion Family Planning Handbook. Individual copies can be ordered at http://www.infoforhealth.org/ccpOrderForm/index.php. After registering and logging in, click on the ORDERS link and then on the GLOBAL HANDBOOK link. The wall chart is the first item listed (order code W-HAND).

Bulk Orders

Organizations can order multiple copies in English, French or Spanish. Please send your request to orders@jhuccp.org and be sure to include the number of copies you need and the language you prefer.

PDF Versions

Download PDF versions of the wall chart at: http://www.infoforhealth.org/pubs/WallChart/Walllchart.shtml. Click on the thumbnail images to download the PDFs.

More information on the companion Family Planning Handbook is available at http://www.infoforhealth.org/globalhandbook/

--
Margaret A. D'Adamo
Deputy Project Director - The INFO Project
Johns Hopkins Bloomberg School of Public Health
111 Market Place #310, Baltimore, MD 21202
+1-410-659-6256 (phone)
mailto:mdadamo@jhuccp.org

Global Health

Mini-University

Save the Date! Please join us for the 7th Annual Global Health Mini-University, sponsored by the United States Agency for International Development (USAID) Bureau for Global Health in collaboration with the George Washington University School of Public Health and Health Services. The event will be held on Friday, October 5, 2007 from 8:00am - 4:30pm at the George Washington University School of Public Health and Health Services, Ross Hall, 2300 Eye St NW, Washington, DC 20073.

Registration: Online registration will begin in mid-September at http://www.maqweb.org/ . This event is free and attendance is open to anyone interested in international health!

What is the Mini-University? The Mini-University is a day-long forum offering over 60 different sessions highlighting evidence-based best practices and state-of-the-art information from a variety of technical areas across the Global Health field. The forum is divided into four hour-long blocks, each offering 16 concurrent presentations. In addition, four exciting brown bag sessions are offered during the lunch break. The day culminates with a Knowledge Extravaganza session and the N'Lightening Round, a lively competition during which take-home messages from the sessions are presented and prizes are awarded for the top three.

Questions? Contact Liz Greene at mailto:egreene@usaid.gov or Rushna Ravji at mailto:rravji@usaid.gov>

Sponsored by United States Agency for International Development, The George Washington University School of Public Health and Health Services, and The George Washington University Medical Center

--
Liz Greene
mailto:egreene@usaid.gov

Experts from the World's Leading Health Organizations Release New

Consensus-Based Family Planning Handbook

Book to Address Vast Unmet Family Planning Needs in Developing Countries

Baltimore, MD - Family planning is regaining priority status on health agendas throughout the developing world, driven largely by the unmet needs of millions of women and families. One significant aide in the effort to support and promote safe family planning comes in the form of a new handbook called, Family Planning: A Global Handbook for Providers.

Published by the World Health Organization (WHO) and the Johns Hopkins Bloomberg School of Public Health's Center for Communication Programs' INFO Project, with support from the United States Agency for International Development (USAID), the handbook brings together the best available scientific evidence on family planning methods and related topics into one easy-to-use publication. The book is a result of collaboration among 30 leading health organizations around the world.

Despite great progress over the last several decades, more than 100 million married women worldwide want to prevent pregnancy but are not using a contraceptive method.[1] <https://mail.jhsph.edu/exchange/inform/Drafts/RE:%20Save%20the%20Date!%20Please%20join%20us%20for%20the%207th%20Annual%20Global%20Health%20Mini-University-2.EML/1_text.htm#_ftn1&gt; [1] Reasons for this unmet need are numerous. Services and supplies are not yet available everywhere; therefore, contraceptive choices are limited. Fears of social disapproval regarding use of contraception or partner's opposition to contraceptive use also pose formidable barriers. Worries about side effects or lack of knowledge about contraceptive options also prevent many women from using contraception.

"People need help now," says Paul F.A. Van Look, Director of WHO's Department of Reproductive Health and Research. "The Global Handbook stands alone as the single most important, authoritative resource for family planning in the developing world. It will go a long way in helping to inform and instruct the correct applications of family planning methods."

The handbook updates a previous book, The Essentials of Contraceptive Technology. First published in 1997 by the Center for Communication Programs, nearly one million copies of The Essentials of Contraceptive Technology have been published in over 10 languages. This book is used extensively by family planning providers in the developing world.

"This was a remarkable undertaking that WHO convened with 30 of the world's leading health organizations," said Michael J. Klag, Dean of the Johns Hopkins Bloomberg School of Pubic Health.

"The handbook offers practical guidance to meet reproductive health needs of women at various stages during their child bearing years. It will provide invaluable service to those practitioners in reproductive health whether they are training health professionals or working with clients."

As the fourth in WHO's cornerstones of family planning guidance series, Family Planning: A Global Handbook for Providers offers technical information to help health care providers deliver family planning methods appropriately and effectively. Together, the four cornerstones support the safe and effective provision and use of family planning methods and can be used to develop national guidelines.

The handbook is currently available in an English edition both on-line and as a printed and bound publication. Translations are planned for 10 languages, including: Spanish, French, Portuguese (Brazilian), Portuguese (African), Romanian, Russian, Swahili, Arabic and Urdu.

All handbooks will be distributed with a free copy of "Do You Know Your Family Planning Choices?," <http://www.infoforhealth.org/globalhandbook/wallchart/WallChart_5-04-07.pdf&gt; a wall chart summarizing key points for each contraceptive method that providers can display to clients.

Further information and instructions for ordering can be found at: http://www.fphandbook.org <http://www.infoforhealth.org/globalhandbook/&gt;

What People Say About The Handbook

On behalf of CEDPA, I feel honored that I was part of the team which worked on the handbook. Hope this is used extensively in the field and as was discussed at the last meeting in Geneva, we should have a plan to disseminate this new book soon in the field. Hope this would result in providers giving evidence based advice to their clients.
~ Dr. Bulbul Sood, Centre for Development and Population Activities (CEDPA)/India

Good work-We're glad to have been an integral part of the handbook's conceptualization and realization! ~ Dr. Roy Jacobstein, EngenderHealth

It is an honor for JSI to be added to the list of contributing organizations to use and promote this handbook in the field projects throughout the world. Congratulations to your department WHO, USAID, and JHSPH for this excellent contribution to the cause of reproductive health.
~ Dr. Theo Lippeveld, Vice President, John Snow Inc.

I have just returned from the DR, where I was working with PROFAMILIA. Once more I realized that the Handbook will be a tremendous help to providers and policy-makers. ~ Roberto Rivera, Family Health International (FHI)

Thank you very much for this major contribution to our efforts towards mainstreaming family planning into reproductive health programming. ~ Prof O. A. Ladipo FRCOG, OON, President/CEO, Association for Reproductive and Family Health (ARFH), Ibadan

The INFO Project, based at the Johns Hopkins Bloomberg School of Public Health's Center for Communication Programs <http://www.jhuccp.org/&gt; , envisions a world of interconnected communities where shared reproductive health information improves and saves lives. Our mission is to support health care decision-making in developing countries by providing global leadership in reproductive health knowledge management.

The project receives support from the United States Agency for International Development (USAID).

About the Johns Hopkins Bloomberg School of Public Health's Center for Communication Programs <http://www.jhuccp.org/&gt; :

With representatives in more than 30 countries, The Center for Communication Programs (CCP) is a leader in the field of strategic, evidence-based, communication programs for behavior change to save lives, improve health, and enhance well-being in communities around the world. The Center is part of the Johns Hopkins Bloomberg School of Public Health, the oldest and best-ranked institution of its kind. CCP works with a variety of public and private sector partners to design, implement and evaluate strategic communication programs that address the world's most pressing health concerns including HIV/AIDS, Reproductive Health, Malaria, Avian and Pandemic Influenza, Safe Water, Nutrition, and Infectious and Chronic Diseases. For more information visit: www.jhuccp.org <http://www.jhuccp.org/&gt;

Contact:

Megan L. O'Brien (410) 659-6300
Center for Communication Programs (CCP)
Johns Hopkins University
Bloomberg School of Public Health
111 Market Place, Suite 310
Baltimore, MD 21202 USA
mailto:mlobrien@jhuccp.org

The Pop Reporter Recognizes World Breastfeeding Week

The August 6, 2007 issue of The Pop Reporter (http://www.infoforhealth.org/popreporter/current.shtml <https://mail.jhsph.edu/exchweb/bin/redir.asp?URL=http://www.infoforhealth.org/popreporter/current.shtml&gt; ), INFO's weekly e-zine on global health topics, included research and news items on the challenges of breastfeeding in low-resource settings in recognition of World Breastfeeding Week (August 1-7, 2007; http://worldbreastfeedingweek.org/ <https://mail.jhsph.edu/exchweb/bin/redir.asp?URL=http://worldbreastfeedingweek.org/&gt; )

Nurses need job support to help them provide effective infant feeding counseling, according to an article in the July 24, 2007, issue of Human Resources for Health, entitled, "HIV and infant feeding counselling: Challenges faced by nurse-counsellors in northern Tanzania <https://mail.jhsph.edu/exchweb/bin/redir.asp?URL=http://www.infoforhealth.org/cgi-bin/leaving.pl?http://www.human-resources-health.com/content/5/1/18&gt; ". The INFO Project's Population Report, Better Breastfeeding, Healthier Lives: How programs and providers can help women improve breastfeeding practices <https://mail.jhsph.edu/exchweb/bin/redir.asp?URL=http://www.infoforhealth.org/cgi-bin/leaving.pl?http://www.infoforhealth.org/pr/l14/index.shtml&gt; , and INFO Report, Breastfeeding Questions Answered: A Guide for Providers <https://mail.jhsph.edu/exchweb/bin/redir.asp?URL=http://www.infoforhealth.org/cgi-bin/leaving.pl?http://www.infoforhealth.org/inforeports/breastfeeding/index.shtml&gt; , provide job aids for infant feeding counselling.

Subscribe to The Pop Reporter today at: http://www.infoforhealth.org/clients/signin.php <https://mail.jhsph.edu/exchweb/bin/redir.asp?URL=http://www.infoforhealth.org/clients/signin.php&gt; .

Theresa Norton
Center for Communication Programs (CCP)
Johns Hopkins University
Bloomberg School of Public Health
111 Market Place, Suite 310
Baltimore, MD 21202 USA
mailto:tnorton@jhuccp.org

Dear Colleagues:

It's time to nominate the next recipients of the 6th Annual MAQie Award!

The Maximizing Access and Quality (MAQ) Initiative brings together staff from USAID/Washington, Missions, and the cooperating agency (CA) community to identify and implement practical, cost-effective, focused, and actionable interventions aimed at improving both the access to and quality of family planning and selected reproductive health services. Removing barriers, promoting access, and improving quality by focusing on specific practical improvements can serve the needs of clients and thereby markedly improve programs.

So, what is the MAQie Award?

The MAQie Award recognizes special contributions to the advancement of Access and Quality. The following general characteristics are considered when selecting the winning contribution:
• Potential for important and substantial impact on field programs
• Practical and realistic
• Evidence-based
• Innovative
• Collaborative

MAQie Categories

The MAQie recognizes outstanding public health professionals in two areas: Field-Based Leadership, for example, a Ministry of Health or CA country representative; and Global Technical Leadership, for a US-based practitioner. Please send two nominations, one for each category, to Liz Greene at egreene@usaid.gov by Friday, September 7, 2007, and include the nominee's name, organization, and special contribution to MAQ.

The Awards will be given at the Global Health Bureau Mini- University "Knowledge Extravaganza Session" from 3:15-4:30 on Friday, October 5, 2007, at the George Washington University School of Public Health and Health Services.

Last year's MAQie Award winners were:

For Field-Based Leadership, Dr. Binta Keita for her enthusiastic and unflagging dedication to improving the quality of and extending access to family planning and reproductive health services in Mali, including the creation of a national reproductive health working group and annual family planning action plan, the institutionalization of an annual nationwide family planning campaign, support for community mobilization and training, and the introduction of new and innovative tools and ideas.

For Global Technical Leadership, Dr. Roberto Rivera for more than four decades of dedicated and productive work to improve access to and the quality of family planning, including: research on new and existing contraceptive methods; significant contributions to WHO's Medical Eligibility Criteria and Selected Practice Recommendations for Contraceptive Use, and the International Family Planning Clinical Handbook; as well as notable contributions to the revitalization of the IUD, development of LAM, and high quality protection of human research subjects.

Questions? Contact:
Liz Greene
mailto:egreene@usaid.gov

Nurses for Mental Health

How can we overcome the challenges and build on successes to provide effective mental health care in resource poor settings?

On-line Discussion Forum

11 September - 25 September 2007

Register for free at: http://my.ibpinitiative.org/public/mentalhealth/ <https://mail.jhsph.edu/exchweb/bin/redir.asp?URL=http://my.ibpinitiative.org/public/mentalhealth/&gt;

The objective of this on-line discussion forum is to bring together health care professionals, policy-makers, non-governmental organizations and researchers interested in mental health services. The two weeks of discussion shall cover identifying the key problems which have created a disparity in the quality of mental health care in low and middle income countries, sharing information and personal experience, and proposing ideas for innovative solutions. Additional controversial topics such as the roles and responsibilities of nurses in relation to other health professionals and the right for nurses to practice independently and to prescribe psychotropic medications will also be discussed.

These discussions will be led by a team of experts including Thomas Barrett, Senior Mental Health Consultant, Department of Mental Health and Substance Abuse, WHO; Tesfamicael Ghebrehiwet, Consultant, Nursing & Health Policy, International Council of Nurses; Margaret Grigg, Senior Nurse Advisor Mental Health Branch, Department of Human Services, Melbourne, Australia; Shekhar Saxena, Coordinator Mental Health: Evidence and Research, WHO and Jean Yan, Chief Scientist for Nursing and Midwifery, WHO.

This online discussion is sponsored by the WHO Department of Mental Health and Substance Abuse (WHO/MSD) in collaboration with International Council of Nurses (ICN), and the WHO Department of Human Resources of Health (WHO/HRH), with support from partners of the Implementing Best Practices (IBP) Initiative.

--
Megan O'Brien
INFO Project
Center for Communication Programs
Johns Hopkins Bloomberg School of Public Health
mailto:info@ibpinitiative.org

Advancing Health Communication, Saving Lives

Tuesday, October 2, 2007

National Press Club, Washington, DC

The Health Communication Partnership's End-of-Project Conference

The mandate of the Health Communication Partnership (HCP) has been to strengthen public health in the developing world through strategic communication programs. HCP invites you to its end-of-project forum to learn about and discuss the progress it has made over the last 5 years in areas such as family planning, reproductive health, HIV/AIDS, safe water, gender equity, and in cross-cutting issues. Presentations will focus on impact results, program approaches, new research methodologies, and lessons learned.

In addition to plenary sessions that will address the state-of-the-art and future challenges, smaller sessions will provide participants a more in-depth look at HCP programs and the lessons learned in areas such as designing multi-level communication, improving gender norms, and translating behavior theories into practice.

Funded by the U.S. Agency for International Development, the Health Communication Partnership is a global communication initiative based at the Center for Communication Programs at the Johns Hopkins Bloomberg School of Public Health, in partnership with the Academy for Educational Development, Save the Children, the International HIV/AIDS Alliance, and Tulane University's School of Public Health.

Lunch will be served.

RSVP to Brandon Howard
mailto:bhoward@jhuccp.org

Dear Colleagues:

It's time to nominate the next recipients of the 6th Annual MAQie Award!

The Maximizing Access and Quality (MAQ) Initiative brings together staff from USAID/Washington, Missions, and the cooperating agency (CA) community to identify and implement practical, cost-effective, focused, and actionable interventions aimed at improving both the access to and quality of family planning and selected reproductive health services. Removing barriers, promoting access, and improving quality by focusing on specific practical improvements can serve the needs of clients and thereby markedly improve programs.

So, what is the MAQie Award?

The MAQie Award recognizes special contributions to the advancement of Access and Quality. The following general characteristics are considered when selecting the winning contribution:

• Potential for important and substantial impact on field programs
• Practical and realistic
• Evidence-based
• Innovative
• Collaborative

MAQie Categories

The MAQie recognizes outstanding public health professionals in two areas: Field-Based Leadership, for example, a Ministry of Health or CA country representative; and Global Technical Leadership, for a US-based practitioner. Please send two nominations, one for each category, to Liz Greene at egreene@usaid.gov <mailto:egreene@usaid.gov> by Friday, September 14, 2007, and include the nominee's name, organization, and special contribution to MAQ.

The Awards will be given at the Global Health Bureau Mini- University "Knowledge Extravaganza Session" from 3:15-4:30 on Friday, October 5, 2007, at the George Washington University School of Public Health and Health Services.

Last year's MAQie Award winners were:

For Field-Based Leadership, Dr. Binta Keita for her enthusiastic and unflagging dedication to improving the quality of and extending access to family planning and reproductive health services in Mali, including the creation of a national reproductive health working group and annual family planning action plan, the institutionalization of an annual nationwide family planning campaign, support for community mobilization and training, and the introduction of new and innovative tools and ideas.

For Global Technical Leadership, Dr. Roberto Rivera for more than four decades of dedicated and productive work to improve access to and the quality of family planning, including: research on new and existing contraceptive methods; significant contributions to WHO's Medical Eligibility Criteria and Selected Practice Recommendations for Contraceptive Use, and the International Family Planning Clinical Handbook; as well as notable contributions to the revitalization of the IUD, development of LAM, and high quality protection of human research subjects.

Questions? Contact Liz Greene at
mailto:egreene@usaid.gov> .

Megan O'Brien
Program Specialist
The INFO Project
Johns Hopkins University
Center for Communication Programs
111 Market Place, Suite 310
Baltimore, MD 21202
Tel: +1-410-223-1714
Fax: +1-410-659-6266
E-mail: mailto:mlobrien@jhuccp.org

Dear Colleagues,

On behalf of Photoshare, a service of The INFO Project based at Johns Hopkins Bloomberg School of Public Health Center for Communication Programs (CCP), I'm pleased to announce the 5th Annual Photoshare Photo Contest. This year's photo contest has a top prize of $1,000 USD. Deadline for Entries: November 16, 2007

Photoshare's annual photo contest is a popular international event mobilizing photographers to share their work for charitable and educational use, in return for a chance to win a prize. By submitting their images, participants contribute to a growing collection of development-oriented photography, helping non-profits communicate health and development issues worldwide.

Entry forms are available at: http://www.photoshare.org/ . The contest is open to both amateurs and professionals worldwide. Completed entry forms and photo submissions can be sent to: photoshare@infoforhealth.org

Please feel free to contact me with any questions or concerns. Thank you.

http://www.photoshare.org/contest/2007/2007photosharecontest.php

Regards,

David Alexander, Photoshare
The INFO Project
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
111 Market Place, Suite 310
Baltimore, MD 21202 USA
Phone: +1-410-659-6280
Fax: +1-410-659-6266
Email: mailto:dalexand@jhuccp.org

Please join us for the 7th Annual Global Health Mini-University, sponsored by the United States Agency for International Development (USAID) Bureau for Global Health in collaboration with the George Washington University School of Public Health and Health Services. The event will be held on Friday, October 5, 2007 from 8:00am-4:30pm at the George Washington University School of Public Health and Health Services, Ross Hall, 2300 Eye St NW, Washington, DC 20037.

Registration is now open! Please register online at http://www.maqweb.org/ . This event is free and attendance is open to anyone interested in international health!

What is the Mini-University? The Mini-University is a day-long forum offering nearly 70 different sessions highlighting evidence-based best practices and state-of-the-art information from a variety of technical areas across the Global Health field. The forum is divided into four hour-long blocks, each offering up to 16 concurrent presentations. In addition, five exciting brown bag sessions are offered during the lunch break. The day culminates with a Knowledge Extravaganza session and the N'Lightening Round, a lively competition during which take-home messages from the sessions are presented and prizes are awarded for the top three.

Need Nursing/Midwife CEUs? This year participants may choose from 6 courses for a total of up to 0.6 Continuing Education Units from the American College of Nurse Midwives.

Questions? Contact Liz Greene at egreene@usaid.gov or Rushna Ravji at rravji@usaid.gov.

Sponsored by United States Agency for International Development, The George Washington University School of Public Health and Health Services, and The George Washington University Medical Center

Megan O'Brien
Program Specialist
The INFO Project
Johns Hopkins University
Center for Communication Programs
111 Market Place, Suite 310
Baltimore, MD 21202
Tel: +1-410-223-1714
Fax: +1-410-659-6266
E-mail: mailto:mlobrien@jhuccp.org

HIV/AIDS and SRH Integration: Quarterly Highlights E-Newsletter

Would you like to stay informed on emerging issues in HIV/AIDS and Sexual and Reproductive Health Integration? A new electronic newsletter, HIV/AIDS and Sexual and Reproductive Health Integration: Quarterly Highlights, covers important research findings, news, and special reports on Integration from the previous three months, as well as upcoming events. Reviews of showcased resources include links for more information (such as full-text downloading and ordering) on the HIV/SRH Integration Web site (http://www.hivandsrh.org).

The premier issue of Quarterly Highlights covers topics such as:
* Male circumcision and HIV
* Hormonal contraceptives and HIV
* Female-controlled methods for HIV/STI/pregnancy prevention
* HIV/SRH Integration funding

Subscribe Today!

To view the e-newsletter on the Web, visit:
http://www.hivandsrh.org/newsletter/integrationnews07sep11.php

To receive the e-newsletter by e-mail, visit http://www.infoforhealth.org/clients/client_edit.php and register to set up a free account. Under "Subscriptions," select "HIV and SRH Integration Web Site News."

HIV/AIDS and Sexual and Reproductive Health Integration: Quarterly Highlights is published by the Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs.

--
Theresa Norton, Associate Editor
Johns Hopkins Bloomberg School of Public Health Center for Communication Programs
111 Market Place/Suite 310
Baltimore, Maryland 21202 USA
+1 (410) 659-2697
mailto:tnorton@jhuccp.org

The Pop Reporter is a weekly, customizable electronic magazine that provides summaries and links to research and news reports from around the world on reproductive health and related topics. Choose categories such as HIV/AIDS, Family Planning, Maternal and Child Health, or Youth Health and one or more regions to customize your own e-zine, delivered by your choice of method. Guest commentaries provide unique insight into current research, news, and project results.

GET YOUR FREE SUBSCRIPTION

To set up a free account and subscribe to the Pop Reporter, visit http://prds.infoforhealth.org/signin.php.

FROM RECENT ISSUES

If you don't subscribe to The Pop Reporter, here is a sampling of items you missed recently!

FAMILY PLANNING RESEARCH

Cancer risk among users of oral contraceptives: Cohort data from the Royal College of General Practitioner's oral contraception study
(http://dx.doi.org/10.1136/bmj.39289.649410.55)

British Medical Journal. Online access September 11, 2007.

Hannaford PC | Selvaraj S | Elliott AM | Angus V | Iversen L | Lee AJ

Related Abstract: Taking Contraceptive Pill May Reduce Risk Of Developing Cancer, Study Suggests (http://www.sciencedaily.com/releases/2007/09/070911202503.htm)

The objective of this study is to examine the absolute risks or benefits on cancer associated with oral contraception, using incident data. The main outcome measures included adjusted relative risks between never and ever users of oral contraceptives for different types of cancer, main gynaecological cancers combined, and any cancer. Standardisation variables were age, smoking, parity, social class, and (for the general practitioner observation dataset) hormone replacement therapy. Subgroup analyses examined whether the relative risks changed with user characteristics, duration of oral contraception usage, and time since last use of oral contraception. The main dataset contained about 339 000 woman years of observation for never users and 744 000 woman years for ever users. Compared with never users ever users had statistically significant lower rates of cancers of the large bowel or rectum, uterine body, and ovaries, tumours of unknown site, and other malignancies; main gynaecological cancers combined; and any cancer. The relative risk for any cancer in the smaller general practitioner observation dataset was not significantly reduced. Statistically significant trends of increasing risk of cervical and central nervous system or pituitary cancer, and decreasing risk of uterine body and ovarian malignancies, were seen with increasing duration of oral contraceptive use. Reduced relative risk estimates were observed for ovarian and uterine body cancer many years after stopping oral contraception, although some were not statistically significant. The estimated absolute rate reduction of any cancer among ever users was 45 or 10 per 100 000 woman years, depending on whether the main or general practitioner observation dataset was used. In this UK cohort, oral contraception was not associated with an overall increased risk of cancer; indeed it may even produce a net public health gain. The balance of cancer risks and benefits, however, may vary internationally, depending on patterns of oral contraception usage and the incidence of different cancers.

HIV/AIDS and STIs RESEARCH

Reducing the risk of mother-to-child human immunodeficiency virus transmission: Past successes, current progress and challenges, and future directions
(http://dx.doi.org/10.1016/j.ajog.2007.06.048)

American Journal of Obstetrics and Gynecology. 2007 Sep;197(3 Suppl 1):S3-S9.

Fowler MG | Lampe MA | Jamieson DJ | Kourtis AP | Rogers MF

Prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus (HIV) in the United States and Europe has been a tremendous success, such that transmission rates of less than 2% have been achieved. Some key successes have also been demonstrated in resource-poor countries; however, the translation of successful interventions into public health policy has been slow because of a variety of factors such as inadequate funding and cultural, social, and institutional barriers. The issue of HIV and infant feeding in settings that lack culturally acceptable, feasible, affordable, safe, and sustainable nutritional substitutes for breast milk is a continuing dilemma. An effective preventive infant HIV vaccine would be an optimal approach to reduce HIV acquisition in the first year of life among breast-feeding infants. The challenges to eliminate new perinatal HIV infections worldwide will depend on both sustaining and expanding PMTCT interventions and effective primary HIV prevention for women, adolescents, and young adults.

GENDER and HEALTH RESEARCH

Human papillomavirus and HPV vaccines: A review

(http://www.who.int/bulletin/volumes/85/9/06-038414/en/index.html)

Bulletin of the World Health Organization. 2007 Sep;85(9):719-726.

Cutts FT | Franceschi S | Goldie S | Castellsague X | de Sanjose S | Garnett G

Cervical cancer, the most common cancer affecting women in developing countries, is caused by persistent infection with "high-risk" genotypes of human papillomaviruses (HPV). The most common oncogenic HPV genotypes are 16 and 18, causing approximately 70% of all cervical cancers. Types 6 and 11 do not contribute to the incidence of high-grade dysplasias (precancerous lesions) or cervical cancer, but do cause laryngeal papillomas and most genital warts. HPV is highly transmissible, with peak incidence soon after the onset of sexual activity. A quadrivalent (types 6, 11, 16 and 18) HPV vaccine has recently been licensed in several countries following the determination that it has an acceptable benefit/risk profile. In large phase III trials, the vaccine prevented 100% of moderate and severe precancerous cervical lesions associated with types 16 or 18 among women with no previous infection with these types. A bivalent (types 16 and 18) vaccine has also undergone extensive evaluation and been licensed in at least one country. Both vaccines are prepared from non-infectious, DNA-free virus-like particles produced by recombinant technology and combined with an adjuvant. With three doses administered, they induce high levels of serum antibodies in virtually all vaccinated individuals. In women who have no evidence of past or current infection with the HPV genotypes in the vaccine, both vaccines show greater than 90% protection against persistent HPV infection for up to 5 years after vaccination, which is the longest reported follow-up so far. Vaccinating at an age before females are exposed to HPV would have the greatest impact. Since HPV vaccines do not eliminate the risk of cervical cancer, cervical screening will still be required to minimize cancer incidence. Tiered pricing for HPV vaccines, innovative financing mechanisms and multidisciplinary partnerships will be essential in order for the vaccines to reach populations in greatest need.

GET PAST ISSUES

Visit The Pop Reporter archives (www.infoforhealth.org/popreporter/index.shtml) for links to past issues.

--

Associate Editor
Johns Hopkins Bloomberg School of Public Health Center for Communication Programs
111 Market Place/Suite 310
Baltimore, Maryland 21202 USA
+1(410) 659-2697
mailto:tnorton@jhuccp.org

Press Release

Hopkins Report: Focusing on Family Planning Lessens HIV Impact

Baltimore, MD-Current family planning use prevents over one million HIV-positive births worldwide each year and has great potential to further reduce the number of infants born with HIV, according to the latest issue of Population Reports, "Family Planning Choices for Women With HIV," published by the INFO Project at Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs.

Women account for nearly half of the estimated 40 million people living with HIV worldwide. The majority of these women are in sub-Saharan Africa, where there are three infected women for every two infected men. An estimated one-fourth of pregnancies in sub-Saharan Africa are unintended.

In sub-Saharan Africa, family planning currently prevents an estimated 190,000 unintended HIV-infected births each year, or more than 515 HIV-infected births per day. An additional 120,000 HIV-positive births could be averted per year if all unintended pregnancies among women with HIV were prevented. These new estimates of family planning's contribution to reducing HIV were prepared by Family Health International for this issue of Population Reports.

Preventing unintended pregnancies in women with HIV is one of the most cost-effective strategies to prevent new HIV infections, according to the report. In some African countries money spent on avoiding unintended pregnancies would prevent more HIV-positive births than spending the same amount on antiretroviral (ARV) prophylaxis for HIV-positive women giving birth. By extension, preventing unintended pregnancies also will reduce the number of abortions and the number of children orphaned by AIDS.

To prevent pregnancy, women with HIV can safely use most contraceptive methods, with just a few exceptions. Even women using ARV therapy can choose any method available. Fears about the IUD have proved too broad. According to the latest guidance from the World Health Organization, any woman with HIV can use an IUD unless she actually has AIDS and is not well.

For women with HIV who are thinking about a baby, the new Hopkins report puts the risk in perspective. "Couples with HIV who are thinking about having children need facts on the actual risks and how to reduce the chances of HIV transmission," write authors Catherine Richey and Vidya Setty.

Without treatment, 15% to 30% of infants of women with HIV are born infected. Another 10% to 20% are infected during breastfeeding. ARV prophylaxis and appropriate feeding practices can significantly lower these chances.

"The facts in this report should reassure both HIV-care practitioners and family planning practitioners that providing family planning to women with HIV is not difficult and not dangerous," says author Catherine Richey. Co-author Vidya Setty adds, "It also should reassure practitioners that, if a woman with HIV chooses pregnancy, the risks of mother-to-child HIV transmission can be reduced if care is available, although they cannot be avoided entirely."

Family planning and HIV-care providers can use the 24-page Population Reports issue and its companion 8-page INFO Reports issue, "Women and HIV: Questions Answered," to:
• Understand how HIV affects women's reproductive health,
• Learn the latest evidence behind global guidance on family planning methods for women with HIV, and
• Help women with HIV think through the risks of childbearing and learn how to reduce these risks.

Find These Reports and Related Resources Online:

The full-text version of this Population Reports issue is available at http://www.infoforhealth.org/pr/l15/l15.pdf

The full-text version of the INFO Reports companion issue is available at http://www.infoforhealth.org/inforeports/women_hiv/womenhiv.pdf

Highlights of these and other INFO Project publications are also available as PowerPoint Presentations, which you can download and use to prepare talks and presentations, at http://www.infoforhealth.org/pr/powerpoints.shtml

Join the authors in a blog discussion September 24 through October 5, 2007: http://www.infoforhealth.org/blog/

To order this latest Population Reports issue and its companion INFO Reports issue in print, go to http://www.jhuccp.org/cgi-bin/orders/orderform.cgi. For a listing of all Population Reports issues online, go to http://www.populationreports.org. Population Reports is published three times a year in English, French, and Spanish by the INFO Project at the Johns Hopkins Bloomberg School of Public Health's Center for Communication Programs. The INFO Project receives support from the US Agency for International Development.

For more information, contact:

Jeffrey Bernson,
mailto:jbernson@jhuccp.org

Bringing New People to Family Planning:

The Broader Impact of the Fertility Awareness Approach

Online Discussion Forum:

22 October - 2 Nov 2007

Register for free at: http://my.ibpinitiative.org/public/FAB/

In this two-week online discussion, colleagues around the world will share their experiences introducing the Standard Days Method and the TwoDay Method in diverse service delivery settings and explore factors that can facilitate or hinder successful integration into programs. A variety of tools and resources will be available for easy access through the online Resource Library.

Evidence shows that expanding family planning options by including Fertility Awareness-Based Methods (FAM) in programs contribute to addressing unmet need, improving birth spacing, and building strategic alliances for greater impact. According to Family Planning: A Global Handbook for Providers, two new fertility awareness methods, the Standard Days Method and the TwoDay Method, "are easier to use correctly than some of the older ones and thus could appeal to more couples."

The Global Handbook was prepared through a unique collaboration between Johns Hopkins Bloomberg School of Public Health, the United States Agency for International Development (USAID), the World Health Organization (WHO), and over 30 organizations around the world.

The discussion will be moderated by Jeff Spieler, Senior Science Advisor, Office of Population and Reproductive Health at USAID, Marcos Arévalo, Medical Director at the Institute for Reproductive Health, and Rebecka Lundgren, Director of Behavioral Research at the Institute for Reproductive Health. The first week of discussion will focus on the Standard Days Method and the second will focus exclusively on the TwoDay Method.

This online discussion is sponsored by The Institute for Reproductive Health, Georgetown University and the INFO Project based at Johns Hopkins Bloomberg School of Public Health Center for Communication Programs in collaboration with the Implementing Best Practices in Reproductive Health Initiative and WHO/RHR.

Lisa Basalla, MPH
Program Specialist
INFO Project
Johns Hopkins Bloomberg School of Public Health
Center for Communication Programs
mailto:lbasalla@jhuccp.org

Bloomberg School of Public Health

Center for Communication Programs

FOR IMMEDIATE RELEASE

Contact: Rose Reis, the INFO Project, 001-410-659-6375; rreis@jhuccp.org; fphandbook.org

GLOBAL FAMILY PLANNING HANDBOOK LAUNCHED; EXPERTS CALL FOR WIDE ADOPTION ACROSS THE DEVELOPING WORLD

WASHINGTON, D.C., October 4, 2007--The INFO Project of the Johns Hopkins Bloomberg School of Public Health Center for Communication Programs convened an expert panel recently to launch an innovative new guidebook, Family Planning: A Global Handbook for Providers, and highlight ways the book can help advance global health.

Speakers at the event, who included a US congressional legislative expert and some of the world's leading women's health experts, lauded the new book, emphasizing the strong links between family planning, women's health and economic development.

"Only 15% of married couples in Africa use modern forms of family planning, and this is not just a health issue," said Gloria Steele, Senior Deputy Assistant Administrator for USAID's Bureau for Global Health. "Improvements in health for children and mothers have been very important indicators of any progress we make in combating poverty," she said.

Speakers emphasized the importance of disseminating the handbook not only to providers in the field but also to educators and health ministries worldwide in order to correct policy that is not evidence-based.

"It's not just a matter of distributing them but having them embedded in the process of service delivery, and especially in training," said Jim Shelton, MD, Science Advisor for USAID's Global Health Bureau.

Since its release in June, the handbook has been distributed to more than 100 countries based on more than 40,000 requests. Ministries of Health in countries including South Africa and Iran and medical training centers from Ghana to Lebanon have ordered the handbook, which is available at no cost to readers in developing countries. Representatives from embassies including Bangladesh, Haiti, Kenya, and Liberia attended the Washington launch event, with many expressing interest in endorsing the handbook for adoption in their home countries.

"Here's why this handbook is important," said David Oot, Associate Vice President for Health at Save the Children. "If we want to be successful we need environments informed by up to date evidence-based technical information and guidance," he said, "If policymakers, for example, believe a woman must be 35 years old and have three children to use injectable contraception, this has implications for service providers of all levels."

"The handbook's information is required to dispel rumors and myths," Oot added.

"Really, providers don't sit there plotting how they are going to refuse contraceptive methods to the next woman who walks in this door," said Irina Yacobson, MD, Assistant Medical Director in Family Health International's Applied Research Department. "They think they are being careful."

"Unnecessary tests and procedures place unjustified restrictions on who can use contraceptive methods," Yacobson continued, "and that can dramatically limit access to contraception and lead to unplanned and often risky pregnancy."

"It's not enough to distribute this so every provider has it in their hands," she said. "It is important to reach out to pre-service educators and work with ministries so the handbook does not contradict national guidelines."

"We hope it will reinforce appropriate behaviors and change those that are not evidence-based," said Ellen Starbird, Deputy Director at the Office of Population/Reproductive Health of USAID.

Family Planning: A Global Handbook for Providers

Published by the World Health Organization (WHO) and the INFO Project at the Johns Hopkins Bloomberg School of Public Health's Center for Communication Programs, with support from the United States Agency for International Development (USAID), the handbook brings together the best available scientific evidence on family planning methods and related topics into one easy-to-use publication. The book is the result of collaboration among 30 leading health organizations around the world. As the fourth cornerstone of WHO's family planning guidance, Family Planning: A Global Handbook for Providers offers technical information to help health care providers deliver family planning methods appropriately and effectively. Together, the four cornerstones support the safe and effective provision and use of family planning methods and can be used to develop national guidelines.

Distributing the Handbook

The handbook is currently available at no cost to readers in developing countries in English both online and as a bound publication. Translations are planned for at least 10 languages, including Spanish, French, Portuguese (Brazilian), Portuguese (African), Romanian, Russian, Hindi, Swahili, Arabic and Urdu.

Further information and instructions for ordering can be found at: http://www.fphandbook.org.
Or contact mailto:orders@jhuccp.org.