Lessons from a geospatial analysis of depot medroxyprogesterone acetate sales by licensed chemical sellers in Ghana

Shelus, Victoria; Lebetkin, Elena; Keyes, Emily; Mensah, Stephen; Dzasi, Kafui

doi:10.1016/j.ijgo.2015.05.007

Cited by 7 publications

(5 citation statements)

References 31 publications

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“… Obrist et al, 2014 [ 110 ] Ernest Osei-Bonsu, Baffour Awuah Factors Related to Incomplete Treatment of Breast Cancer in Kumasi, Ghana Komfo Anokye Teaching Hospital, Department of Medical Oncology and Radiation, & Central Administration, Kumasi, Ghana Breast 37. Shelus et al, 2015 [ 111 ] Stephen Mensah, Kafui Dzasi Lessons from a Geospatial Analysis of Depot Medroxyprogesterone Acetate Sales by Licensed Chemical Sellers in Ghana Global Health Population and Nutrition, Accra, Ghana International Journal of Gynecology and Obstetrics 38. Sukums et al, 2015 [ 112 ] Nathan Mensah, Afua Williams Promising Adoption of an Electronic Clinical Decision Support System for Antenatal and Intrapartum Care in Rural Primary Healthcare Facilities in Sub-Saharan Africa: The QUALMAT Experience Navrongo Health Research Centre, Navrongo, Ghana International Journal of Medical Informatics 39.…”

Section: Methodsmentioning

confidence: 99%

A review of the process of knowledge transfer and use of evidence in reproductive and child health in Ghana

Abekah‐Nkrumah

Sombié

Lokossou

et al. 2018

Health Res Policy Sys

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BackgroundThe paper carries out a situational analysis to examine the production, dissemination and utilisation of reproductive and child health-related evidence to inform policy formulation in Ghana’s health sector.MethodsThe study used Wald’s model of knowledge production, transfer and utilisation as a conceptual model to collect relevant data via interviews and administration of questionnaire to a network of persons who either previously or currently hold policy-relevant positions in Ghana’s health sector. Additional data was also gathered through a scoping review of the knowledge transfer and research utilisation literature, existing reproductive and child health policies, protocols and guidelines and information available on the websites of relevant institutions in Ghana’s health sector.ResultsThe findings of the study suggest that the health sector in Ghana has major strengths (strong knowledge production capacity, a positive environment for the promotion of evidence-informed policy) and opportunities (access to major donors who have the resources to fund good quality research and access to both local and international networks for collaborative research). What remains a challenge, however, is the absence of a robust institutional-wide mechanism for collating research needs and communicating these to researchers, communicating research findings in forms that are friendlier to policy-makers and the inability to incorporate funding for research into the budget of the health sector.ConclusionThe study concludes, admonishing the Ministry of Health and its agencies to leverage on the existing strengths and opportunities to address the identified challenges.

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Section: Methodsmentioning

confidence: 99%

A review of the process of knowledge transfer and use of evidence in reproductive and child health in Ghana

Abekah‐Nkrumah

Sombié

Lokossou

et al. 2018

Health Res Policy Sys

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“…BV is considered one of the most common causes of vaginal dysbiosis in women of reproductive age and the occurrence of abnormal vaginal discharge, often with an unpleasant "fishy odor", although the course of the disease can be different and sometimes even asymptomatic. The incidence of BV is estimated to range from 5-15% to as high as 30-40% in the population of women of reproductive age [38][39][40][41][42]. In a study by Salah et al (2013), the percentage of women with infertility and BV was significantly higher compared to that in fertile women (45.5% vs. 15.4%).…”

Section: Incidence Of Bvmentioning

confidence: 99%

Bacterial Vaginosis (BV) and Vaginal Microbiome Disorders in Women Suffering from Polycystic Ovary Syndrome (PCOS)

Chudzicka-Strugała,

Gołębiewska,

Banaszewska

et al. 2024

Diagnostics

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Introduction: Polycystic ovary syndrome (PCOS) is a multifactorial, heterogeneous endocrine and metabolic disorder in women. Due to its association with the menstrual cycle and fertility disorders, the importance of this problem is emphasized especially in patients of reproductive age. Based on a number of analyses, the effect of PCOS on altering the diversity of the microbiome (e.g., intestinal or vaginal) is suggested. Vaginal dysbiosis can result in BV (bacterial vaginosis). The purpose of this study was to assess the prevalence of BV in patients with PCOS, as well as to determine the most reliable diagnostic factors. Material and Methods: Retrospective analysis of microbiological findings (2018–2022) of PCOS patients (n = 594) of reproductive age. The present analysis focused on the results of patients with PCOS (n = 380) and vaginal discharge with pH ≥ 4.4 and suspected BV. Biological material was a vaginal swab/vaginal secretion. The most commonly used routine methods for assessing BV were the Amsel analysis and the Nugent scoring system. Results: Patients with PCOS and vaginal fluid pH ≥ 4.4 and suspected BV (n = 380) accounted for 64% of all PCOS patients (n = 594). The relationship between pH and detection of “clue cells” showed significant dependency and increased with leukocytes. The pH measurement also showed dependency on high G. vaginalis counts. In addition, the elimination of lactic acid bacteria (LAB) in vaginal secretions was associated with an increase in the number of leukocytes with increasing pH values. A marked increase in G. vaginalis was found in more than half (56.8%) of PCOS women (n = 380) with suspected BV. No dependency was observed between the absence of LAB and the diagnosis of BV on a positive G. vaginalis culture. Of the n = 380 patients with PCOS, 191 (50%) had a Nugent score ≥ 7 positive for BV. No dependency was observed between the number of patients with Candida sp. in vaginal secretions and pH, BV (with clue cells), or elevated leukocyte levels. The LRM was adjusted and the statistical model represented by the following formula was obtained: log(p/(1 − p)) = −1.18 + 1.24 × Group4.6 + 1.08 × Group4.8 + 1.66 × Group5.4. Conclusions: Based on the present analysis, BV appears to be more common in patients with PCOS than in the non-PCOS population. Chronic inflammation in PCOS patients and abnormalities in the vaginal microbiome may predispose to the development of BV. In women with PCOS, BV may be one of the unrecognized causes of infertility or complications of pregnancy. Despite the potential link between PCOS and the development of BV, the extent to which this syndrome contributes to vaginal dysbiosis and reproductive complications requires further study.

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“…; Shelus et al. ), and generally report high levels of satisfaction with their health worker (Stanback, Mbonye, and Bekiita ; Lebetkin et al. ; Hoke et al.…”

Section: Prior Research On Chw Delivery Of Family Planningmentioning

confidence: 99%

“…and Samadi 2010;Hoke et al 2011;Arrowsmith et al 2012), reductions in fertility rates (Phillips, Bawah, and Binka 2006), maternal mortality (Perry, Zulliger, and Rogers 2014), and the ability to attract new and different types of family planning users (Prata et al 2011). Clients benefit from cost and time savings by receiving services in their community (Simba et al 2011;Shelus et al 2015), and generally report high levels of satisfaction with their health worker (Stanback, Mbonye, and Bekiita 2007;Lebetkin et al 2014;Hoke et al 2011;Charyeva et al 2015;Prata et al 2011). CHWs and other community agents have been shown to be capable of offering a variety of methods including pills (Gallo et al 2013;Perry, Zulliger, and Rogers 2014) injectables (Huber, Saeedi.…”

Section: Prior Research On Chw Delivery Of Family Planningmentioning

confidence: 99%

Assessing the Competency and Acceptability of Community Health Worker Provision of Standard Days Method® in Family Planning Services in Gisagara District, Rwanda

VanEnk¹,

Shelus²,

Mugeni³

et al. 2018

Studies in Family Planning

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This study assesses the competency and acceptability of community-based provision of Standard Days Method (SDM) to first-time users in Rwanda. The national strategy equips community health workers (CHWs) to resupply pills, injectables and condoms to existing clients. With the aim of expanding access, SDM provision to first-time users was added to the method mix in Gisagara district and assessed with a 12 month prospective, mixed methods study. Thirty percent of SDM clients had never used a method of family planning and 58 percent had not been using a method for at least three months. Eighty-seven percent of CHWs correctly screened clients to use SDM and 92 percent accurately explained how to use CycleBeads to prevent pregnancy. After being counseled by the CHWs, 89 percent of clients reported knowledge of all key steps required in using SDM to prevent pregnancy. Nearly all SDM clients (99 percent) believed that CHWs were able to counsel them adequately. These results suggest that CHWs were able to offer SDM as part of their family planning responsibilities, and the study adds to the evidence on the role of CHWs in expanding contraceptive access and choice.

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Lessons from a geospatial analysis of depot medroxyprogesterone acetate sales by licensed chemical sellers in Ghana

Cited by 7 publications

References 31 publications

A review of the process of knowledge transfer and use of evidence in reproductive and child health in Ghana

A review of the process of knowledge transfer and use of evidence in reproductive and child health in Ghana

Bacterial Vaginosis (BV) and Vaginal Microbiome Disorders in Women Suffering from Polycystic Ovary Syndrome (PCOS)

Assessing the Competency and Acceptability of Community Health Worker Provision of Standard Days Method® in Family Planning Services in Gisagara District, Rwanda

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