Hygiene Practices Among Young Adolescents Aged 12-15 Years in Low- and Middle-Income Countries: A Population-Based Study

Objective Few data are available on cesarean delivery and operative vaginal delivery trends in low- and middle-income countries. Our objective was to analyze a prospective population-based registry including eight sites in seven low- and middle-income countries to observe trends in operative vaginal delivery versus cesarean delivery rates over time, across sites. Study Design A prospective population-based study, including home and facility births among women enrolled from 2010 to 2016, was performed in communities in Argentina, Democratic Republic of Congo, Guatemala, India, Kenya, Pakistan, and Zambia. Women were enrolled during pregnancy and delivery outcome data were collected. Results We analyzed 354,287 women; 4,119 (1.2%) underwent an operative vaginal delivery and 45,032 (11.2%) delivered by cesarean. Across all sites with data for 7 years, rates of operative vaginal delivery decreased from 1.6 to 0.3%, while cesarean delivery increased from 6.4 to 14.4%. Similar trends were seen when individual country data were analyzed. Operative vaginal delivery rates decreased in both hospitals and clinics, except in the hospital setting at one of the Indian sites. Conclusion In low- and middle-income countries, operative vaginal delivery is becoming less utilized while cesarean delivery is becoming an increasingly common mode of delivery.

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Suicide prevention in low- and middle-income countries: part perceptions, partial solutions

The British Journal of Psychiatry ◽

10.1192/bjp.bp.117.198150 ◽

2017 ◽

Vol 211 (5) ◽

pp. 264-265 ◽

Cited By ~ 2

Author(s):

K. S. Jacob

Keyword(s):

Public Health ◽

Suicide Prevention ◽

Cause Of Death ◽

Population Based ◽

Personal Distress ◽

Public Health Perspective ◽

Middle Income ◽

Common Cause ◽

Middle Income Countries ◽

Low And Middle Income

SummarySuicide, a common cause of death in many low- and middle-income countries, has often been viewed through a medical/psychiatric lens. Such perspectives medicalise social and personal distress and suggest individual and medication-based treatments. This editorial argues for the need to examine suicide from a public health perspective and suggests the need for population-based social and economic interventions.

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Psychological distress and parental involvement among adolescents in 67 low-income and middle-income countries: a population-based study

Journal of Affective Disorders ◽

10.1016/j.jad.2021.01.010 ◽

2021 ◽

Author(s):

Shun Tian ◽

Tian-Yang Zhang ◽

Yi-Ming Miao ◽

Chen-Wei Pan

Keyword(s):

Psychological Distress ◽

Parental Involvement ◽

Low Income ◽

Population Based ◽

Population Based Study ◽

Middle Income ◽

Middle Income Countries

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Effectiveness of population based risk reduction programs for risky sexual behavior among young people in low- and middle-income countries

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/jbisrir-2016-002967 ◽

2017 ◽

Vol 15 (9) ◽

pp. 2242-2248 ◽

Cited By ~ 2

Author(s):

Yeetey Akpe Kwesi Enuameh ◽

George Adjei ◽

Emmanuel Mahama ◽

Thomas Gyan ◽

Emmanuel Koku

Keyword(s):

Sexual Behavior ◽

Young People ◽

Risk Reduction ◽

Risky Sexual Behavior ◽

Population Based ◽

Middle Income ◽

Middle Income Countries ◽

Low And Middle Income

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Cancer control-planning and monitoring population-based systems

Tumori Journal ◽

10.1177/030089160909500501 ◽

2009 ◽

Vol 95 (5) ◽

pp. 568-578 ◽

Cited By ~ 12

Author(s):

Joe B Harford ◽

Brenda K Edwards ◽

Ambakumar Nandakumar ◽

Paul Ndom ◽

Riccardo Capocaccia ◽

...

Keyword(s):

Cancer Control ◽

Population Based ◽

Middle Income ◽

Cancer Risk Factors ◽

Middle Income Countries ◽

Care Services ◽

Aging Populations ◽

Global Health Issue ◽

Palliative Care Services ◽

Low And Middle Income

Cancer is a growing global health issue, and many countries are ill-prepared to deal with their current cancer burden let alone the increased burden looming on the horizon. Growing and aging populations are projected to result in dramatic increases in cancer cases and cancer deaths particularly in low- and middle-income countries. It is imperative that planning begin now to deal not only with those cancers already occurring but also with the larger numbers expected in the future. Unfortunately, such planning is hampered, because the magnitude of the burden of cancer in many countries is poorly understood owing to lack of surveillance and monitoring systems for cancer risk factors and for the documentation of cancer incidence, survival and mortality. Moreover, the human resources needed to fight cancer effectively are often limited or lacking. Cancer diagnosis and cancer care services are also inadequate in low-and middle-income countries. Late-stage presentation of cancers is very common in these settings resulting in less potential for cure and more need for symptom management. Palliative care services are grossly inadequate in low- and middle-income countries, and many cancer patients die unnecessarily painful deaths. Many of the challenges faced by low- and middle-income countries have been at least partially addressed by higher income countries. Experiences from around the world are reviewed to highlight the issues and showcase some possible solutions.

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