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  1. 1
    Peer Reviewed

    Prophylactic use of cotrimoxazole against opportunistic infections in HIV-positive patients: knowledge and practices of health care providers in Cote d'Ivoire.

    Brou H; Desgrees-Du-Lou A; Souville M; Moatti JP; Msellati P

    AIDS Care. 2003 Oct; 15(5):629-637.

    We present here the results of a survey conducted in Côte d’Ivoire, Africa, among health care providers, on the knowledge of prophylactic use of cotrimoxazole to prevent opportunistic infections in HIV-infected persons. The survey was conducted in 15 health centres, involved or not in the ‘initiative of access to treatment for HIV infected people’. Between December 1999 and March 2000, 145 physicians and 297 other health care providers were interviewed. In the analysis, the health centres were divided into three groups: health centres implicated in the initiative of access to treatment for HIV-infected people with a great deal of caring for HIV-infected people, health centres implicated in this initiative but caring for few HIV-infected people, and health centres not specifically involved in the care of HIV-infected people. Six per cent of physicians and 50% of other health care providers had never heard of cotrimoxazole prophylaxis. The level of information about this prophylaxis is related to the level of HIV-related activities in the health centre. Among health care providers informed, knowledge on the exact terms of prescription of the cotrimoxazole is poor. In conclusion, it appears that the recommendations for primary cotrimoxazole prophylaxis of HIV-infected people did not reach the whole health care provider population. Most physicians are informed but not other health workers, even if the latter are often the only contact of the patient with the health centre. The only medical staff correctly informed are the physicians already strongly engaged in the care of HIV-infected people. (author's)
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  2. 2

    Population-related software in developing countries: a global survey.

    Vlassoff M; Nizamuddin M

    [Unpublished] 1993. Presented at the International Population Conference / Congres International de la Population, Montreal, Canada, August 24 - September 1, 1993. Sponsored by the International Union for the Scientific Study of Population [IUSSP]. 48 p.

    Findings from a survey on population-related software of institutions worldwide involved in demographic data analysis, in population policy formulation, or in training in population and development are presented. The software packages were developed by UN organizations, UNFPA-supported projects, government offices, universities, nongovernmental organizations and NGOs. In all, 286 questionnaires were received from institutions in 108 countries that reported the possession of 1747 software packages with an average of 6.1 packages/institution. 12 packages were distributed free of charge by the project Computer Software and Support for Population Activities. Only 31% of the 1747 packages were reported as being used frequently, 23% were reported to be seldom used, while 19% were never used and/or not planned to be used. Only MortPak-Lite, ISSA, and IMPS were used frequently in 24-33% of institutions. Less than 5% of institutions owned IMPECC, Blaise, POP-ILO, PopSyn, Recall Analysis, CAPPA, and HOST. UNFPA was directly involved in the development of PopMap which was frequently used at only 10% of institutions. 31% of the packages were mainly used as an aid in teaching demographic concepts in training courses. Target-Cost was found in 43% of the institutions, where it was used mainly for training. The corresponding percentages for some other packages were: MortPak-Lite (26%), PopMap (7%), Pc-Edit (17%), and DemProj (25%). Individually, PC-Edit (37%), ISSA (38%), and IMPS (30%) were used mainly for data entry and analysis. The projection programs DemProj (38%), FivFiv-SinSin (47%), and PEOPLE (55%) were mainly used for general demographic analysis and population projections. The most common reasons for not using packages were insufficient or unclear documentation and/or lack of trained personnel, and user-unfriendliness. Among the 283 institutions, around 6700 micros were reported to be in use, an average of almost 24 micros per institution.
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  3. 3

    Contraceptive decision making among adolescent girls.

    Peacock N

    Journal of Nurse-Midwifery. 1982 Fall-Winter; 8(2):31-4.

    This study investigates the contraceptive decision-making processes of 132 sexually active 15 to 19 year old girls. The subjects completed a questionnaire designed to elicit information on their assessment of the personal and social costs of contraceptive use; the personal and social benefits of pregnancy, and their biological ability to become pregnant. Approximately 175 questionnaires were collected from 3 Planned Parenthood clinic sites in Indiana. The only questionnaire item which significantly predicted contraceptive use was the girl's assessment of the financial costs related to contraceptive use. The study confirmed several demographic trends demonstrated in earlier empirical studies: the older a sexually active girl becomes, between the ages of 15 and 19, the more likely she is to be a good contraceptor and the longer a sexually active girl has been dating a particular person the more likely she is to be a good contraceptor. Within the sexually active subsample, only 6.1% agreed that hindrance to spontaneity was a reason for nonuse of contraception, and only 7.1% stated that their partner objected to birth control use. The common assumption that teenagers do not like to appear prepared for sex received only minimal support: 15% said they did not like to think of themselves as prepared, and 8% said they did not like their partners to think of them as prepared for sex. A theme of general embarrassment over the whole process of obtaining birth control was evident, however: 47% said they found going to a clinic for birth control embarrassing; 53.5% said going to a private doctor was embarrassing; and 61.2% agreed that buying foam or condoms in a drug store embarrassing. The study attempted to determine which of the costs of contraception, and which of the benefits of pregnancy, are perceived by teenagers to weigh most heavily in their own informal process of deciding whether or not to use contraception.
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