Hybrid GRH

Our paper, “Uptake and correlates of cervical cancer screening among women attending a community-based multi-disease health campaign in Kenya,” is published in the BMC Women’s Health. In this paper, we describe the acceptability and uptake of a model of integrated HPV-based cervical cancer screening as part of a series of multi-disease community health campaigns offered in Kisumu, Kenya. We also describe the prevalence and predictors of both screening and positive HPV results among women attending these campaigns. Although there is an increased risk of cervical cancer among women living with HIV, many HIV-care programs do not offer integrated cervical cancer screening. To address the cervical cancer screening gap in Kenya, we leveraged the community health campaigns facilitated by the Family AIDS Care & Education Services and provided multi-disease testing to achieve a high population coverage for HIV-testing and HPV-based cervical cancer screening in western Kenya, an area with high rates of HIV. In addition to HIV testing, the campaigns provided screening...
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Jacob Stocks and his experience working on mSaada

Jacob Stocks and his experience working on mSaada

Duke MsGH ’20, Jacob Stocks, talks about his experience working on an mHealth app to support cervical cancer screening in western Kenya.  The app was developed by four Duke seniors (‘T20) as part of their Computer Science Capstone course. Stocks’ experience co-designing the app with end-users, clinicians and community health volunteers in Kenya, was published recently in JMIR Formative Research. In 2019, I worked alongside members of the Center for Global Reproductive Health to develop and pilot test mSaada, a mobile phone app for use by lay-providers during cervical cancer screening. This experience was an exercise in self-reflection, flexibility, and perseverance, as the study team had to acknowledge the gaps in our intervention and work effectively and efficiently to address them while adapting to additional challenges as they arose. Our team, working face-to-face with local collaborators as well as virtually with app developers, conducted feedback sessions with community health volunteers and clinicians in Kisumu and Migori, Kenya. The main findings of this...
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From Dormmates to Research Collaborators

From Dormmates to Research Collaborators

In fall 2019, when Rachel Mundaden and Ramya Ginjupalli (T’22) applied to spend the following summer in Kisumu, Kenya, as part of the Center’s Student Research Training program, no one could have predicted the COVID-19 pandemic, and the resultant global disruptions in almost every aspect of people’s lives.  Travel and fieldwork were soon out of the question, but these two were able to pivot to develop the content expertise and skills in qualitative methods necessary to carry out an analysis of focus groups discussions designed to better understand stigma related to cervical cancer and human papillomavirus in Kenya.  They spoke to DGHI about their experience and how it felt to have a published manuscript resulting from this work. Check it out here: https://globalhealth.duke.edu/news/dormmates-research-collaborators    ...
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Comfort Women?

Every Wednesday in front of the Japanese Embassy in Seoul, people gather around to demand the Japanese government formally apologize for their forced sexual slavery system during World War II. Even though it has been over 20 years of Koreans raising this issue, the Japanese government has only tried to offer monetary compensation, and has not issued an official apology. The Asian Women’s Fund estimates the number of victims ranges from 50,000 to a quarter million, but the number has remained vague due to incomplete data archives and stigma among victims after the war (1). A few survivors of this sexual slavery system have spoken in front of global leaders to raise awareness: one of them, Hak-sun Kim, delivered her first testimony in 1991. During this testimony, Kim said that when she was seventeen, she was forcibly sent to the Japanese military’s comfort station (a sexual slavery station) in China (2). She resisted, but soldiers threatened and kicked her to be...
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Contraceptive Calendar

Contraceptive Calendar

Our team seeks to understand how conflict impacts contraceptive use using data from Sub-Saharan African countries. More specifically, we are looking at trends in contraceptive use for women in the time preceding, during, and following the conflict period--to do so, we are utilizing geocoded data for sub-Saharan Africa from the Uppsala Conflict Dataset and contraceptive calendar data from the Demographic and Health Surveys. This research has important implications for women’s health: firstly, it can help us understand the demographic consequences of conflict on family planning, births, and outcomes, and secondly, it can help inform policy interventions that can target and improve reproductive health in humanitarian settings. We are personally interested in this project because, collectively, our team is passionate about understanding health inequities and empowering women by leveraging policy as a tool. Participation in this project can help to provide us a foundational understanding of how conflict interacts with women’s reproductive autonomy in a way that gives us independent research...
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Natural Language Processing Group

We are the Natural Language Processing group from the Big Data for Reproductive Health Bass Connections team. Our names are Lynne Wang, Foxx Hart, Alexandra Lawrence, and Neha Shrishail. Currently, we are working through “Text Mining with R” to gain a better understanding of text mining, sentiment analysis, and topic modeling. Additionally, we are examining the stigma summary scale as well as other texts related to stigma to form a solid foundation on the resources at hand. We are interested in this project for the opportunity to learn new technical and project management skills, as well as dive deeper into the emerging interdisciplinary space between quantitative machine learning and qualitative social science research. We’re especially excited to apply these methods to an important area in global reproductive health. At the end of our research, we hope to become proficient in using natural language processing and gain a better understanding of how it can be applied to future projects....
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Analyzing access to modern contraception and understanding reproductive rights among women with intellectual and developmental disabilities in North Carolina: A mixed methods study

The reproductive health needs of persons with intellectual and developmental disabilities (IDDs) have been historically overlooked. Despite having an equal or greater chance of pregnancy, women with IDDs face significant barriers to accessing contraception. Publicly available survey data exclude individuals who live in institutional settings or require communication assistance, and little is known about the landscape of sexual and reproductive health services within residential facilities. To address these gaps, this Bass Connections Student Research Award project aims to analyze differences in access to and use of contraceptive services among women of reproductive age in North Carolina, as well as understand offerings, needs, facilitators, and barriers relating to contraception within public and private residential facilities. Linear regression and clustering techniques will be applied to a robust Medicaid claims dataset to evaluate contraceptive insertion, surveillance, and removal by disability status. In addition, in-depth interviews will be conducted with administrators, clinicians, and social workers at six residential facilities in North Carolina. The final...
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Note from Lauren Mitchell, Director of the Working Group for Sexual and Reproductive Health

During the Spring 2021 semester, the Working Group for Sexual and Reproductive Health grew its community of over 115 students, researchers, and advocates working across the SRH field through programming events, the Mentorship Program, and email newsletters. After being founded in the fall of 2019 by Saumya Sao, a Duke 2020 graduate, its goals of building a collaborative community, fostering relationships, and eliminating barriers to entry into SRH research for students were temporarily put on hold due to COVID-19. However, on March 19, the Working Group hosted 13 speakers at a virtual SRH Research Symposium, highlighting the work being done in the Triangle area and connecting students to potential opportunities for engagement. Speakers presented their current research across four themed areas—Digital Health and Data Science, Mental Health, Family Planning, and Innovations in HIV Care—and shared insight on how students can engage with the SRH field, both at Duke and beyond. Additionally, the SRH Advocacy Panel event on April 16 featured...
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Reflection on Contraceptive Product Development and Introduction Panel

During one of Duke’s wellness days, Kate Rademacher and Rebecca Callahan from FHI 360 presented the work being done at FHI 360 related to contraceptive development and accessibility/ acceptability in low- to middle- income countries (LMIC). As a part of FHI 360’s Contraceptive Technology Innovation Team and a public health scientist, Rebecca Callahan researches new contraceptive methods and product availability; As a technical director for the LEAP Initiative for FHI 360, Kate Rademacher supports the development of long-active contraceptives for low resources settings. At the start of the panel, Dr. Callahan introduced the research being done in FHI 360, exploring different forms of existing contraceptives and how they differ in use world-wide. Notably, she focuses on contraceptive usage in LMIC and discusses how for contraceptives to be properly received by these populations, they must have qualities like “safe and effective”, “discreet”, “low cost”, etc. Because contraceptive development is not as profitable for larger pharmaceutical companies, FHI 360 engages research for the...
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Student Spotlight: Ema Kuczura and Sarah Hubner

Student Spotlight: Ema Kuczura and Sarah Hubner

As we just finished the end of the spring semester, we wanted to highlight the work of two of our talented students: Ema Kuczura and Sarah Hubner. Q: Tell us a little bit about yourself.  Ema: I am originally from Chicago, IL. I recently graduated Duke where I majored in Public Policy and Global Health. I am a member of the Duke Women's Rowing team where I am finishing up my last season. While at Duke, I also participated in the Rubenstein-Bing Athlete Civic Engagement program, served as Co-President of the One Love student club, and served on the executive board of Duke SHAPE (Sexual Harassment and Assault Prevention and Education). Sarah: I am originally from Long Island, New York. I studied Political Science with a concentration in Security Peace, and Conflict and Global Health, and pursued a Markets and Management Studies Certificate. I have long been interested in the intersection of US foreign policy and economic development on health outcomes among marginalized populations...
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