Sensitization meeting on RMNCAH and immunization budgeting in Kisumu County

Sensitization meeting on RMNCAH and immunization budgeting in Kisumu County

by Aarushi VenkatakrishnanNo Comments
By: Sandra Y. Oketch The Duke Center for Global reproductive health Kenya team had an interactive session on October 29, 2019 with the Ministry of Health and CSOs to discuss on Reproductive Maternal Neonatal Child and Adolescent Health (RMNCAH) and Immunization advocacy to ensure proper budgeting and sustainability. The discussions revolved around the critical pillars in budgeting that include: transparency and accountability; public participation and strategic planning. Some of the gaps in the Kisumu County Annual Development Plan (ADP) included: The lack of clear cut priorities for the FY 2019/20 and the public participation is not prioritized nor costed. All members present acknowledged the need for advocacy on the key stages in budgeting that include budget formulation, approval, implementation and Auditing. It was an exciting 1st advocacy collaborations to push for more transparent budget cycle on RMNCAH + Immunization with the CSO roles revolving around providing support in dissemination of the National County RMNCAH + Immunization policies and guidelines; Organize and conduct sensitization...
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Dr. Elizabeth Bukusi’s Work on HIV Prevention and Care

Dr. Elizabeth Bukusi’s Work on HIV Prevention and Care

by Aarushi VenkatakrishnanNo Comments
To commemorate World AIDS Day held each year on December 1, we are highlighting Dr. Elizabeth Bukusi’s HIV research in Kenya! Dr. Bukusi is one of the foremost advocates for HIV care. She has conducted various studies in evaluating treatment options for high-risk populations. In one of her recent studies, she explored the value of post-exposure prophylaxis (PEP) and the antibiotic doxycylcine (dPEP) as an STI prevention strategy in African women taking PrEP, PrEP, or HIV pre-exposure prophylaxis, has been used over the past decade to prevent against HIV, however, there has also been a rising incidence of curable STIs in populations taking PrEP. The disproportionate risk that African women face from overlapping HIV-STI epidemics makes them an essential study population. dPEP is beneficial because it can be "woman-controlled," meaning that the effectiveness is not determined by partner participation, and that it's been shown to be safe for women. Dr. Bukusi predicts that dPEP will lead to a substantial reduction in the amount of...
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Bass Connections Update

Bass Connections Update

by Aarushi VenkatakrishnanNo Comments
By Eugene Wang and Dennis Harrsch On November 21st, members of the Big Data for Reproductive Health (bd4rh) Bass Connections research team visited IntraHealth, a Chapel Hill-based international development nonprofit. While there, they presented to IntraHealth staff about the team’s work, with research lead Amy Finnegan, PhD speaking additionally about the value proposition of data science for the development space.  The bd4rh team is split into two main subteams: the machine learning (ML) team, and the research and policy stakeholder (RAPS) subteam. The ML team has been working on developing machine learning algorithms to accurately predict a woman’s contraceptive use patterns based on demographic survey data. They hope to integrate any promising results into their online tool, currently hosted as a website application that displays contraceptive use data through a easy-to-understand visual interface. The RAPS team has been identifying use cases for such a tool by interviewing stakeholders in order to shape the project’s trajectory and maximize deliverable value.  The bd4rh team is...
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Winter 2019 Director’s Message

by Megan HuchkoNo Comments
The end of the semester and calendar lend themselves to reflections on the progress and challenges of the past year, and global health is no exception. In fact, last year we highlighted some of the year’s ups and downs in reproductive health. Both myself and Konyin Adewumi, DGHI MSc ’17, concluded that despite some setbacks, 2018 left us optimistic about progress toward reproductive and sexual health, reflected in a global call toward cervical cancer elimination, a historic decision on abortion rights in Ireland and a record number of women seeking (and achieving) government office in the United States and around the world. This year, the 25th anniversary of the International Conference on Population and Development (ICPD) facilitates reflections on not just the past year, but the past 25 years of achievements in global reproductive health. The momentous discussion at the ICPD in Cairo, Egypt and the resultant 20-year Programme of Action were pivotal in shaping the agenda in women’s health around...
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Welcome Back!

Welcome Back!

by Megan HuchkoNo Comments
With classes back in session, the halls are flowing with students talking about the trials and triumphs of their summers—whether they were in the field, interning in DC, trying out consulting work or just had an amazing vacation. The new school year brings with it a sense of new beginning and purpose—and sometimes an overwhelming feeling of everything needing to get “scheduled” during these first weeks of September.  A colleague recently started an email with the greeting: “did you have a relaxing or productive summer?  I feel like it’s either one or the other.”  It made me reflect on how we take advantage of being out of the classroom, trying to fit in various opportunities for travel, fieldwork and writing time that become harder during the semester, while also taking time to regroup and relax with family and friends. I hope everyone was able to have a little balance this summer, and come into the new school year with renewed...
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Re-building Rwanda’s Access to Ob/Gyn Services

Re-building Rwanda’s Access to Ob/Gyn Services

by Stacey DixsonNo Comments
"In 2011 the Rwandan government embarked on a novel medical education program to improve their health care system.  Human Resources for Health (HRH) Rwanda, a partnership between the government of Rwanda and a consortium of 22 U.S. academic institutions, was designed as a 7-year training program to produce qualified medical personnel with the aim of increasing quality and access to health care for Rwandans."  As one of the earliest ob/gyn specialists to work in Rwanda with HRH, Duke's Dr. Maria Small led an evaluation of the first five years of the program with the aims of 1) examining the number of trained ob/gyn specialists who graduated from the University of Rwanda as beneficiaries of the HRH program, and 2) conducting a geospatial analysis of pregnant women’s access to Rwandan public hospitals with trained Obstetrics and Gynecology providers using a WorldPop data set. Study Results: "In 2011, there were only 14 ob/gyns in the country.  By the end of HRH year 5,...
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Perspectives of women participating in a cervical cancer screening campaign with community-based HPV self-sampling in rural western Kenya: a qualitative study

Perspectives of women participating in a cervical cancer screening campaign with community-based HPV self-sampling in rural western Kenya: a qualitative study

by Stacey Dixson2 Comments
Our very own Sandra Oketch has published a research article in BMC Women's Health about our cervical cancer screening work in western Kenya.  Congrats, Sandra!    ...
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Expect the Unexpected

Expect the Unexpected

by Megan HuchkoNo Comments
As students and faculty start lifting their heads from the end of semester rush and head off to Summer adventures, we have a chance to reflect on all we have accomplished this past year and to celebrate our graduating students. I had the opportunity to think more about this as I prepared my remarks for DGHI's undergraduate commencement on May 10. The opportunity to speak to graduates and their families was one of the most meaningful experiences I’ve had since joining the Duke faculty in 2016. Asked to talk about my journey from Duke student to a career in medicine and global health, I told the students that they need to expect the unexpected, be prepared for— and maybe even proud of— the inevitable failures, and to take chances on new adventures and challenges. As we embark on new and exciting projects with learners across the university and medical school this summer, I am encouraged to see a new generation of researchers and...
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Expect the Unexpected

Expect the Unexpected

by Aarushi VenkatakrishnanNo Comments
As students and faculty start lifting their heads from the end of semester rush and head off to Summer adventures, we have a chance to reflect on all we have accomplished this past year and to celebrate our graduating students. I had the opportunity to think more about this as I prepared my remarks for DGHI's undergraduate commencement on May 10. The opportunity to speak to graduates and their families was one of the most meaningful experiences I’ve had since joining the Duke faculty in 2016. Asked to talk about my journey from Duke student to a career in medicine and global health, I told the students that they need to expect the unexpected, be prepared for— and maybe even proud of— the inevitable failures, and to take chances on new adventures and challenges. As we embark on new and exciting projects with learners across the university and medical school this summer, I am encouraged to see a new generation of researchers and...
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Introducing the New mSaada Mobile App for Community Health Volunteers

Introducing the New mSaada Mobile App for Community Health Volunteers

by Stacey DixsonNo Comments
Guest Blog by Catie Grasse Meaning "help" in Swahili, the mobile "saada"  application aims to improve the efficacy and efficiency of community health volunteers screening patients for cervical cancer in Kisumu, Kenya. This project is the extension of a previous project for the Duke class CS408: Delivering Software to Client, which pairs student developers and designers with a client team to build a specialized application. The mSaada developer team is composed of four Duke seniors: Our designer, Rachel Settle is a Computer Science major, Visual Media Studies minor, and pursuing the Information Science certificate. Working on the user experience is Carly Levi, a senior studying Computer Science and Global Health who is particularly interested in women's and reproductive health and hopes to use her background in technology to come up with effective interventions around the world. Focusing on the back-end database design is Catie Grasse, a senior majoring in Computer Science and minoring in Visual Media Studies.  Also working on the...
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