Women's intention to use long acting and permanent contraceptive methods and associated factors among family planning users in Addis Ababa, Ethiopia: A Cross sectional study

The main objective of the study was to assess the magnitude of women's intention to use long-acting and permanent contraceptive methods and associated factors among short term family planning users in Addis Ababa public health centers, Ethiopia, 2020. A Facility-based cross-sectional study design was implemented in Addis Ababa public health center and data was collected using a pretested structured questionnaire on 504 participants, which was selected by multistage cluster sampling methods among family planning users in selected public health centers from March to April 2020. Collected data were coded and entered into EPI INFO version 4.6.0.0 and exported to SPSS version 25.0 for analysis. Multivariate logistic regression model was used to determine independent predictors at a 95% confidence interval and p<0.05 was considered significant. This study found the prevalence of contraception intention to use long acting and permanent methods (LAPMs) among participants were 60%. Predictors of LAPM desired number of children (AOR: 14.55, 95%CI (3.29-6.42), respondent's education (AOR: 0.36, 95%CI (0.20-0.64) and participant's occupation status (AOR: 8.75, 95% C I (1.31-5.84) were significantly associated with contraception intention. (Afr J Reprod Health 2022; 26[4]: 22-31).

Demand for Programs for Key Populations in Africa from Countries Receiving International Donor Assistance

There has been increasing attention in recent years to the HIV prevention; treatment; and care needs of key populations in Africa; in particular men who have sex with men (MSM); injection drug users (IDU); and female sex workers (FSW). While several major donors have undertaken efforts to prioritize these groups; it remains unclear which African countries are actively seeking donor support for these programs. For this analysis; we reviewed publicly available proposal and budget documentation from the US PEPFAR for fiscal years 2007 through 2010 and Rounds 1 through 10 of the Global Fund to Fight AIDS; Tuberculosis and Malaria for 40 countries in sub-Saharan Africa. Of the 164 searchable documents retrieved; nearly two-thirds contained at least one program serving FSW (65; 107 proposals); less than one-third contained at least one program serving MSM (29; 47 proposals); and a minority proposed programming for IDU (13; 21 proposals). Demand for these programs was highly concentrated in a subset of countries. Epidemiological data for at least one key population was included in a majority of these proposals (63; 67 proposals); but in many cases these data were not linked to programs

Assistance Needed for the Integration of Orphaned and Vulnerable Children: Views of South African Family and Community Members

Guardianship within families is often regarded as the most viable and preferred option for orphaned and vulnerable children (OVC). However; this will place a considerably increased burden on the new caregivers of these children. This study examines whether assistance to prospective families would incline them towards incorporating children and; if so; what would act as 'threshold' incentives for them. Adults (N = 1 400) in diverse locations and of various 'relational proximity' to children were interviewed in three high HIV/AIDS prevalence provinces in South Africa. Close relatives were more inclined to take in children and would generally require lower levels of assistance than more distanced adults. Nonetheless; for most poor families; no matter their relation to the child; help is critical. More distanced families; friends and strangers also showed a strong willingness to incorporate children - provided they receive sufficient help. For all categories; the greater the assistance the more likely they would be to take in children. While direct financial assistance was important; assistance with education-related costs and having a trained and caring person come in 'now and then' to help were also significant factors. The age and HIV status of the child were viewed as important intervening factors in deciding whether or not to take in an additional child/ren by some people

Survey on public health care in Zimbabwe

This report presents the results of a study commisioned by Cebemo with the objective to enable Cebemo to formulate its policy on future assistance to the (Catholic) church health services. The report contains a description and analysis of the organisation and functioning of the Zimbabwe Public Health System and of the Church Health services that form an integral part of that system and are complementary to it in geographical terms. The methodology used is a combination of the study of documents and a field visit; including interviews and site visits. The main findings and recommendations were discussed at CADEC National and the observations made have been incorporated in this report