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Implementation of legal abortion in Nepal: a model for rapid scale-up of high-quality care - Unsafe abortions significant contribution to maternal mortality and morbidity was a critical factor leading to liberalization of Nepals restrictive abortion law in 2002. Careful, comprehensive planning among a range of multisectoral stakeholders, led by Nepals Ministry of Health and Population, enabled the country subsequently to introduce and scale-up safe abortion services in a remarkably short timeframe. This paper examines factors that contributed to rapid, successful implementation of legal abortion in this mountainous republic, including deliberate attention to the key areas of policy, health system capacity, equipment and supplies, and information dissemination. Important elements of this successful model of scaling up safe legal abortion include: the pre-existence of postabortion care services, through which health-care providers were already familiar with the main clinical technique for safe abortion government leadership in coordinating complementary contributions from a wide...
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Swedish high school students knowledge and attitudes regarding fertility and family building - Background: Infertility is a serious problem for those who suffer. Some of the risks for infertility are preventable and the individual should therefore have knowledge of them. The purposes of this study were to investigate high-school students knowledge about fertility, plans for family building and to compare views and knowledge between female and male students. Methods: A questionnaire containing 34 items was answered by 274 students. Answers from male and female students were compared using students t-test for normally distributed variables and Mann-Whitney U-test for non-normal distributions. The chi-square test was used to compare proportions of male and female students who answered questions on nominal and ordinal scales. Differences were considered as statistically significant at a p-value of 0.05. Results: Analyses showed that 234 (85%) intended to have children. Female students felt parenthood to be significantly more important than male students: p = 0.01. The mean age at w...
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Home birth and barriers to referring women with obstetric complications to hospitals: a mixed-methods study in Zahedan, southeastern Iran - Background: One factor that contributes to high maternal mortality in developing countries is the delayed use of Emergency Obstetric-Care (EmOC) facilities. The objective of this study was to determine the factors that hinder midwives and parturient women from using hospitals when complications occur during home birth in Sistan and Baluchestan province, Iran, where 23% of all deliveries take place in non- hospital settings. Methods: In the study and data management, a mixed-methods approach was used. In the quantitative phase, we compared the existing health-sector data with World Health Organization (WHO) standards for the availability and use of EmOC services. The qualitative phase included collection and analysis of interviews with midwives and traditional birth attendants and twenty-one in-depth interviews with mothers. The data collected in this phase were managed according to the principles of qualitative data analysis. Results: The findings demonstrate that three distinct factor...
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Health services for reproductive tract infections among female migrant workers in industrial zones in Ha Noi, Viet Nam: an in-depth assessment - Background: Rural-to-urban migration involves a high proportion of females because job opportunities for female migrants have increased in urban industrial areas. Those who migrate may be healthier than those staying in the village and they may benefit from better health care services at destination, but the healthy effect can be reversed at destination due to migration-related health risk factors. The study aimed to explore the need for health care services for reproductive tract infections (RTIs) among female migrants working in the Sai Dong industrial zone as well as their services utilization. Methods: The cross sectional study employed a mixed method approach. A cohort of 300 female migrants was interviewed to collect quantitative data. Two focus groups and 20 in-depth interviews were conducted to collect qualitative data. We have used frequency and cross-tabulation techniques to analyze the quantitative data and the qualitative data was used to triangulate and to provide more in-...
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Factors Associated with the Prevalence of Periodontal Disease in Low-Risk Pregnant Women - ObjectiveTo evaluate the prevalence of periodontal disease (PD) among Brazilian low-risk pregnant women and its association with sociodemographic factors, habits and oral hygiene.MethodThis cross-sectional study included 334 low-risk pregnant women divided in groups with or without PD. Indexes of plaque and gingival bleeding on probing, probing pocket depth, clinical attachment level and gingival recession were evaluated at one periodontal examination below 32 weeks of gestation. Independent variables were: age, race/color, schooling, marital status, parity, gestational age, smoking habit, alcohol and drugs consumption, use of medication, presence of any systemic diseases and BMI (body mass index). Statistical analyses provided prevalence ratios and their respective 95%CI and also a multivariate analysis. Results: The prevalence of PD was 47% and significantly associated with higher gestational age (PR 1.40; 1.01 - 1.94 for 17-24 weeks and PR 1.52; 1.10 - 2.08 for 25-32 weeks), materna...
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Indias JSY cash transfer program for maternal health: Who participates and who doesnt - a report from Ujjain district. - Background: India launched a national conditional cash transfer program, Janani Suraksha Yojana (JSY), aimed at reducing maternal mortality by promoting institutional delivery in 2005. It provides a cash incentive to women who give birth in public health facilities. This paper studies the extent of program uptake, reasons for participation/non participation, factors associated with non uptake of the program, and the role played by a program volunteer, accredited social health activist (ASHA), among mothers in Ujjain district in Madhya Pradesh, India. Methods: A cross-sectional study was conducted from January to May 2011 among women giving birth in 30 villages in Ujjain district. A semi-structured questionnaire was administered to 418 women who delivered in 2009. Socio-demographic and pregnancy related characteristics, role of the ASHA during delivery, receipt of the incentive, and reasons for place of delivery were collected. Multinomial regression analysis was used to identify predic...
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Predictors of Unintended Pregnancy in Kersa, Eastern Ethiopia, 2010. - Background: In Ethiopia, little is known about pregnancy among rural women. Proper maternal health care depends on clear understanding of the reproductive health situation. The objective of this study was to identify predictors of unintended pregnancy in rural eastern Ethiopia.MethodologyThis study was part of pregnancy surveillance at Kersa Demographic Surveillance and Health Research Center, East Ethiopia. Pregnant women were assessed whether their current pregnancy was intended or not. Data were collected by lay interviewers using uniform questionnaire. Odds Ratio, with 95% confidence interval using multiple and multinomial logistic regression were calculated to detect level of significance. Results: Unintended pregnancy was reported by 27.9% (578/2072) of the study subjects. Out of which, 440 were mistimed and 138 were not wanted. Unintended pregnancy was associated with family wealth status (OR 1.47; 95% CI 1.14, 1.90), high parity (7 +) (OR 5.18; 95% CI 3.31, 8.12), and a longer ...
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Clinical training alone is not sufficient for reducing barriers to IUD provision among private providers in Pakistan - Background: IUD uptake remains low in Pakistan, in spite of three major efforts to introduce the IUD since the 1960s, the most recent of these being through the private sector. This study examines barriers to IUD recommendation and provision among private providers in Pakistan. Methods: A facility-based survey was conducted among randomly selected private providers who were members of the Greenstar network and among similar providers located within 2 Kilometers. In total, 566 providers were interviewed in 54 districts of Pakistan.Logistic regression analysis was conducted to determine whether correct knowledge regarding the IUD, self-confidence in being able to insert the IUD, attitudes towards suitability of candidates for the IUD and medical safety concerns were influenced by provider type (physician vs. Lady Health Visitor), whether the provider had received clinical training in IUD insertion in the last three years, membership of the Greenstar network and experience in IUD insertio...
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Reductions in Abortion-Related Mortality following Policy Reform: Evidence from Romania, South Africa and Bangladesh - Unsafe abortion is a significant contributor to worldwide maternal mortality; however, abortion law and policy liberalization could lead to drops in unsafe abortion and related deaths. This review provides an analysis of changes in abortion mortality in three countries where significant policy reform and related service delivery occurred. Drawing on peer-reviewed literature, population data and grey literature on programs and policies, this paper demonstrates the policy and program changes that led to declines in abortion-related mortality in Romania, South Africa and Bangladesh. In all three countries, abortion policy liberalization was followed by implementation of safe abortion services and other reproductive health interventions. South Africa and Bangladesh trained mid-level providers to offer safe abortion and menstrual regulation services, respectively, Romania improved contraceptive policies and services, and Bangladesh made advances in emergency obstetric care and family planni...
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Psychosocial implications of tubal ligation in a rural health district: A phenomenological study - Background: Tubal ligation is the most popular family planning method worldwide. While its benefits, such as effectiveness in protecting against pregnancies, minimal need for long-term follow-up and low side-effects profile are well documented, it has many reported complications. However, to date, these complications have not been described by residents in Congo. Therefore, the study aimed at exploring the experience of women who had undergone tubal ligation, focusing on perceptions of physical, psychological and contextual experiences of participants. Methods: This qualitative study used a semi-structured questionnaire in a phenomenological paradigm to collect data. Fifteen participants were purposefully selected among sterilized women who had a ligation procedure performed, were aged between 30 and 40 years, and were living within the catchment area of the district hospital. Data were collected by two registered nurses, tape-recorded, and transcribed verbatim. Reading and re-reading ...
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Mental Confusion Bath - * 4 d. rosewood * 4 d. patchouli. Add oils to 1/4 C epsom salts or baking soda; add to bath while water is running; soak 15-20 minutes. Free PDF Health Ebook ...
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Liniment for Colds and Chest Tightness - Add 1 cup of finely chopped garlic to 1 cup of boiling lard. Reduce heat to simmer and cook for 2 hours. Remove from heat and strain the garlic from the oil. Place in a container with a tight-fitting lid. Free PDF Health Ebook ...
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Free Natural Pet Ebook: Natural Help for Pet Diarrhea - As part of our ongoing effort to provide our readers with quality information on natural pet health we#8217;d like to offer you this completely free ebook. Our ebooks cover a wide variety of topics including dog and cat health; horse training dog training and cat training; natural equine health and many ebooks which offer valuable information on unusual or exotic pets or information on many common pet health conditions. All ebooks are in pdf fo...
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Hoodia Works Where Others Have Failed - Has dieting failed you? Even though you are lead to believe that you have failed at dieting, it is actually the diet that has failed you. Diets by design are setting you up for failure. Dieting leaves you hungry, cranky and totally bored with your food choices. It#8217;s no wonder that 97% of the people who start a diet quit after 3 weeks. That figure gets a bit more startling when you look at 98% of people, who have stuck it out long enough to ...
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Tomato Pie - Ingredients 12 slices of bacon 3 large tomatoes, seeded and sliced 1 9-inch deep dish pastry shell, baked 8 green onions, chopped 1-1/2 C. Cheddar cheese, extra sharp, grated 1-1/2 C. mayonnaise Directions Fry bacon; drain and crumble into small bits. Arrange tomato slices in pastry shell. Place chopped onions and bacon bits on top. In a small bowl, mix cheese and mayo. Add this topping to your pastry shell. Bake at 350 degrees F for 30 minutes....
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Dymatize ISO-100, Berry, 5 Lbs. - An Ultra Low Carb Whey Protein#8230; That Actually Tastes Good! YOUR Price: $54.99 Learn more about Dymatize ISO-100, Berry, 5 Lbs. now! Free PDF Health Ebook ...
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Is Good Enough ever Good Enough? - Mental Edge Monday Topic #26: Is Good Enough ever Good Enough? Happy Labor Day Weekend! I hope everyone is taking some time off this weekend and gearing up for the fall. I love the turn of seasons because it gives me energy to set a new course for the coming months. This time around, however, I experienced something new. I finally said no to taking on an epic challenge. Was this the start of a new outlook on life? Last week, my four sons and I w...
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Teen Anxiety Attacks: Signs, Symptoms and Remedies - All teens, just like any adult, feel anxious from time to time as a normal reaction to stressors. Going on a date, speaking in public, meeting new people, competing in sports, performing on stage, and taking exams are some of the things that make us feel apprehensive. However, some teens experience severe anxiety than others. Some even feel severe anxiety by just thinking about the situation that has yet to happen. And when someone experiences e...
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Free Natural Health Ebook: Understanding Food Allergies - As part of our ongoing effort to provide our readers with quality information on natural holistic health, we#8217;d like to offer you this completely free ebook. Our ebooks cover a wide variety of topics including men#8217;s health, child health, women#8217;s health, herbal remedies, natural beauty, natural help for anxiety and depression, and alternative medicine and remedies for a myriad of other common health complaints. All ebooks are in pdf...
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Free Natural Health Ebook: Feelings and Relationships During Pregnancy - As part of our ongoing effort to provide our readers with quality information on natural holistic health, we#8217;d like to offer you this completely free ebook. Our ebooks cover a wide variety of topics including men#8217;s health, child health, women#8217;s health, herbal remedies, natural beauty, natural help for anxiety and depression, and alternative medicine and remedies for a myriad of other common health complaints. All ebooks are in pdf...
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TapouT Sports Nutrition Bulk-Up Weight Gainer, Vanilla, 3.2 Lbs. - Superior Weight Gainer Energy Support!* YOUR Price: $23.99 Learn more about TapouT Sports Nutrition Bulk-Up Weight Gainer, Vanilla, 3.2 Lbs. now! Free PDF Health Ebook ...
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Home Made Dustless Dusters - from http://www.oldfashionedliving.com/ Hem white cheesecloth in thirty inch length, fold in a small square. Place the dry clean cloths in a fruit jar with a mixture of one pint hot water stirred with one-fourth cup lemon oil. With a stick, press the liquid into the cloth. Squeeze dry and hang in the air. Wash after using. Dusters must be kept clean. Free PDF Health Ebook ...
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Tofu Curry with Coconut - Ingredients: 1 block tofu, drained and sliced into 1 inch square oz coconut milk 1 tbsp curry powder (or more) 1 cup water 1 onion, chopped 3 cloves garlic, finely minced tsp freshly grated ginger 3 tbsp olive oil Red pepper flakes (optional) Instructions: In a blender, process the ginger, garlic, onion and a splash of olive oil, until smooth. Heat the 3 tbsp olive oil on medium high heat in a large wok and add the ginger/garlic mixture. Stir-f...
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Cap Barbell Kettlebell, Fast Delivery!, 70 Lbs. - An Excellent Tool For All-Around Fitness! YOUR Price: $174.99 Learn more about Cap Barbell Kettlebell, Fast Delivery!, 70 Lbs. now! Free PDF Health Ebook ...
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Herbs for Anxiety: How You Can Find an Alternative to Anti-Anxiety Prescription Medication - Anxiety Disorder can be a debilitating and all-consuming condition for many of those who suffer from it. Whether you are affected by Generalized Anxiety Disorder, Panic Disorder, Social Anxiety Disorder or one of the many other forms of the disorder, you may have investigated the option of using prescription medication as part of your treatment. With over 19 million people in the U.S. alone reporting suffering from some type of it, anxiety disor...
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True Detoxification is Not a Colon Cleanse or Liver Detox - Dr. Daniel Pompa reveals the true meaning of detoxification. Detox occurs at the cellular level. True Detox at the cellular level involves the acceleration of GSH production. When toxins are removed inflammation decreases, hormones balance, health restores, weight is lost and lives are restored. Free PDF Health Ebook ...
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Overcoming Side Effects Of Prozac - Overcoming side effects of Prozac is a puzzle and a problem that affects hundreds of thousands of people in the U.S. alone. Depression is a pervasive problem that is a part of the lives of over 12% of the population. With the advent of SSRI (Selective Serotonin Reuptake Inhibitor) drugs the treatment of depression left the closet and became a popular buzz word and fashion element. Unfortunately depression is more than fashionable. It is debil...
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Progryp 4 Firm Fit Padded Belt, Black, Medium - Two Tongue Buckle With Heavy Steel Roller! YOUR Price: $17.99 Learn more about Progryp 4 Firm Fit Padded Belt, Black, Medium now! Free PDF Health Ebook ...
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The Benefits of Activated Charcoal - Activated charcoal powder is an amazing substance and there are many benefits of activated charcoal. It adsorbs more poisons than any other substance known to mankind. Did you know about these benefits of activated charcoal? It can adsorb lead acetate, strychnine, DDT, many drugs (including cocaine, iodine, penicillin, aspirin, phenobarbital), and inorganic substances (chlorine, lead, and mercury). Activated charcoal powder can adsorb thousands ...
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Hot Rock Massage - This is a spa treatment from the Arizona desert. Select a large, flat smooth stone, the size of your palm Heat stone in a low temperature oven until warm but not hot. Rub some scented massage oil into the stone and use this heated rock to give your partner a soothing massage. The heat from the stone relaxes and penetrates the muscles. Use up to 15 drops of essential oil per 1 oz. of unscented carrier oil. Start with less drops, you can always ad...
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Tasty Fennel and Parmesan Salad - Tasty Fennel and Parmesan Salad Serves 4 Ingredients: 2 fennel bulbs 7 oz parmesan cheese, grated 1 garlic clove, crushed 4 tbsp extra virgin olive oil Juice of 1 lemon Salt and pepper Instructions: Slice the fennel bulbs very thinly (ideally with a food processor). Then arrange the fennel on a serving platter. Top with the grated parmesan cheese. In a small bowl, combine the olive oil, lemon juice and garlic. Drizzle over the fennel and gently ...
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Exploring Self Care Options For Those With Fibromyalgia - In order to really effectively deal with any chronic condition including fibromyalgia, the individual with the condition has to take an active role in educating him/herself about the condition, learn coping strategies, and learn how to participate in self care strategies so that lifestyle changes can be made to improve your life and allow you to be happier living it. Self care can involve learning how to effectively administer medications, monit...
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Spinach Artichoke Party Dip - Ingredients: 1 (10 oz) package frozen chopped spinach 1 cup Parmesan cheese, grated 1 cup Monterrey jack cheese, grated 2 (13 oz) cans artichoke hearts, drained and coarsely chopped cup mayonnaise cup sour cream Instructions: Preheat the oven to 350 degrees F. Grease a casserole dish slightly. Put the spinach in the microwave and heat on high for about 5 minutes. Squeeze dry. In a large bowl, combine all ingredients except the Monterrey cheese...
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Renew Life FishSMART Ultra, 90 Enteric-Coated Gel Caps - Ultra-Concentrated, High-Quality, Toxin-Free Fish Oil Rich In Omega-3 DHA, EPA! YOUR Price: $31.44 Learn more about Renew Life FishSMART Ultra, 90 Enteric-Coated Gel Caps now! Free PDF Health Ebook ...
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Metabolic Diet InControl, 90 Tablets- CLEARANCE! - Formulated To Enhance Various Mind And Memory Functions! YOUR Price: $32.98 Learn more about Metabolic Diet InControl, 90 Tablets- CLEARANCE! now! Free PDF Health Ebook ...
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Free Natural Pet Ebook: Natural Help for Horse First Aid - As part of our ongoing effort to provide our readers with quality information on natural pet health we#8217;d like to offer you this completely free ebook. Our ebooks cover a wide variety of topics including dog and cat health; horse training dog training and cat training; natural equine health and many ebooks which offer valuable information on unusual or exotic pets or information on many common pet health conditions. All ebooks are in pdf fo...
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Michael?s Blood Pressure, 90 Tablets - Important Nutrition For Supporting A Healthy Heart!* YOUR Price: $13.99 Learn more about Michael#8217;s Blood Pressure, 90 Tablets now! Free PDF Health Ebook ...
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When Your Skin Starts To Age - With the aging process, changes occur in the body. When it comes to the skin, these changes can be internal and external. External changes are associated with the skin's appearance while internal changes occur beneath the skin?s surface on a cellular level. As you may know. the skin has three layers: The Epidermis (Outermost layer) The Dermis (Middle layer) The Subcutaneous layer (Below the Dermis) As we age, the epidermis begins to thin and m...
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No More Excuses! 55 Easy Ways to Help Heal Our World - #8220;I really want to help make a difference in our world, it just breaks my heart when I see (insert #8216;hungry child#8217;, #8216;war#8217;, #8216;abuse#8217;, #8216;homelessness#8217; or a myriad of other social ills) but I just don#8217;t have the (insert #8216;time#8217;, #8216;extra money#8217;, #8216;resources#8217;) to make a real difference.#8221; I hear that nearly every day, from both folks who are online contacts and real-world fr...
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Free Natural Pet Ebook: Natural Help for Panic-Stricken Horses - As part of our ongoing effort to provide our readers with quality information on natural pet health we#8217;d like to offer you this completely free ebook. Our ebooks cover a wide variety of topics including dog and cat health; horse training dog training and cat training; natural equine health and many ebooks which offer valuable information on unusual or exotic pets or information on many common pet health conditions. All ebooks are in pdf fo...
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