scholarly journals Prevalence of syphilis, gonorrhoea and chlamydia in women in Fiji, the Federated States of Micronesia, Papua New Guinea and Samoa, 1995–2017: Spectrum-STI model estimates

2020 ◽  
Vol 11 (1) ◽  
pp. 27-40
Author(s):  
Takeshi Nishijima ◽  
Devina Nand ◽  
Nefertti David ◽  
Mathias Bauri ◽  
Robert Carney ◽  
...  
Keyword(s):  
Papua New Guinea ◽  
Rural Areas ◽  
Test Performance ◽  
Control Strategies ◽  
New Guinea ◽  
Federated States Of Micronesia ◽  
Sexually Transmitted ◽  
Diagnostic Test Performance ◽  
Urban And Rural Areas ◽  
Active Syphilis

Objectives: To estimate prevalence levels of and time trends for active syphilis, gonorrhoea and chlamydia in women aged 15–49 years in four countries in the Pacific (Fiji, the Federated States of Micronesia [FSM], Papua New Guinea [PNG] and Samoa) to inform surveillance and control strategies for sexually transmitted infections (STIs). Methods: The Spectrum-STI model was fitted to data from prevalence surveys and screenings of adult female populations collected during 1995−2017 and adjusted for diagnostic test performance and to account for undersampled high-risk populations. For chlamydia and gonorrhoea, data were further adjusted for age and differences between urban and rural areas. Results: Prevalence levels were estimated as a percentage (95% confidence interval). In 2017, active syphilis prevalence was estimated in Fiji at 3.89% (2.82 to 5.06), in FSM at 1.48% (0.93 to 2.16), in PNG at 3.91% (1.67 to 7.24) and in Samoa at 0.16% (0.07 to 0.37). For gonorrhoea, the prevalence in Fiji was 1.63% (0.50 to 3.87); in FSM it was 1.59% (0.49 to 3.58); in PNG it was 11.0% (7.25 to 16.1); and in Samoa it was 1.61% (1.17 to 2.19). The prevalence of chlamydia in Fiji was 24.1% (16.5 to 32.7); in FSM it was 23.9% (18.5 to 30.6); in PNG it was 14.8% (7.39 to 24.7); and in Samoa it was 30.6% (26.8 to 35.0). For each specific disease within each country, the 95% confidence intervals overlapped for 2000 and 2017, although in PNG the 2017 estimates for all three STIs were below the 2000 estimates. These patterns were robust in the sen sitivity analyses. Discussion: This study demonstrated a persistently high prevalence of three major bacterial STIs across four countries in WHO’s Western Pacific Region during nearly two decades. Further strengthening of strategies to control and prevent STIs is warranted.

scholarly journals Individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea: insights from a nationwide demographic and health survey

2020 ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Ebenezer Agbaglo ◽  
Louis Kobina Dadzie ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
...  
Keyword(s):  
Papua New Guinea ◽  
Health Survey ◽  
Rural Areas ◽  
Contextual Factors ◽  
Statistical Significance ◽  
New Guinea ◽  
Wealth Quintile ◽  
Demographic And Health Survey ◽  
Outcome Variable ◽  
Factors Associated

Abstract Background This study sought to assess the individual and contextual factors associated with barriers to accessing healthcare among women in Papua New Guinea. Methods The study was conducted among 14 653 women aged 15–49 y using data from the 2016–2018 Papua New Guinea Demographic and Health Survey. The outcome variable was barriers to accessing healthcare. Descriptive and multilevel logistic regression analyses were conducted. Statistical significance was declared at P < 0.05. Results Women aged 15–19 y were more likely to experience at least one barrier compared with those aged 40–49 y (adjusted OR [AOR]=1.48; 95% CI 1.18 to 1.86). Women with secondary/higher education (AOR=0.68; 95% CI 0.57 to 0.81), women in the richest wealth quintile (AOR=0.36; 95% CI 0.28 to 0.46) and those in the least disadvantaged socioeconomic status (AOR=0.46; 95% CI 0.33 to 0.64) had lower odds of having challenges with at least one barrier to healthcare. However, living in rural areas increased the odds of facing at least one barrier to healthcare (AOR=1.87; 95% CI 1.27 to 2.77). Conclusions This study has demonstrated that both individual and contextual factors are associated with barriers to healthcare accessibility among women in Papua New Guinea. To enhance the achievement of the Sustainable Development Goals 3.1, 3.7 and 3.8, it is critical to deem these factors necessary and reinforce prevailing policies to tackle barriers to accessing healthcare among women in Papua New Guinea.

scholarly journals Exploring the sustaining factors that motivate nurses to work in the rural areas of Papua New Guinea

2021 ◽  
Author(s):  
◽  
Priscilla Poga
Keyword(s):  
Developing Countries ◽  
Papua New Guinea ◽  
Latin American ◽  
Rural Areas ◽  
Work Experience ◽  
New Guinea ◽  
Social Aspect ◽  
Rural Nurses ◽  
Rural Work ◽  
Personal Challenges

<p>Papua New Guinea is among other developing countries that are faced with a critical shortage in human resources in health, specifically nurses, and rural areas are the most affected. Initially, and perhaps unsurprisingly, there were only two relevant studies that directly related to Papua New Guinea in this area based on the literature search. The first of these two studies was focused on nurses and the social aspect of rural motivation compared to the other which was focused on rural health professionals in general. Nevertheless, other research studies were eventually found from other developing countries such as certain Pacific, African and Latin American countries that served to assist in focusing the research on the chosen topic.  This descriptive-exploratory study set out to explore the sustaining factors that influenced existing nurses to remain (or otherwise) in their work in Papua New Guinea’s rural areas. As such, the study involves 10 rural nurses with over two years of rural work experience in two different organisations; government and church. The interviews were semi-structured and were designed to explore the motivating factors for rural nurses and how any challenges, or demotivating factors, were overcome. The interviews were conducted in the common spoken language Tok Pisin which was translated into English, transcribed and analysed thematically.  Overall the study found that rural nurses are disadvantaged because they struggle with limited resources to deliver effective health care, and they also face several personal challenges which are often overlooked. The main findings are categorised under two major themes, 1) safety and 2) socioeconomic, and each are explored by further exploration of the themes and sub-themes that are evident in both. The implications of this study are examined, including recommendations, to develop policies that are designed to address the ongoing needs of rural nurses in Papua New Guinea.</p>

scholarly journals 1299. Iowa TelePrEP: Preliminary Experience with a Public Health-Partnered, Telemedical PrEP Delivery Model in a Rural State

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S397-S397 ◽  
Author(s):  
Angela Hoth ◽  
Cody Shafer ◽  
Dena Dillon ◽  
Constanza Scheetz ◽  
Seth Owens ◽  
...  
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Local Treatment ◽  
Linkage To Care ◽  
University Of Iowa ◽  
Transmitted Infection ◽  
Delivery Model ◽  
Sexually Transmitted ◽  
Urban And Rural Areas

Abstract Background Access to HIV pre-exposure prophylaxis (PrEP) is often poor in small urban and rural areas due to long distances to PrEP providers and stigma. In 2017, the Iowa Department of Public Health (IDPH), University of Iowa (UI), and community representatives collaborated to develop a public health-partnered telemedical PrEP delivery model to overcome these barriers (TelePrEP). IDPH personnel working in five sexually transmitted infection (STI) clinics and partner services (PS) programs in Eastern Iowa screened clients for PrEP indications and referred those with need to TelePrEP pharmacist providers at UI. Via collaborative practice, pharmacists completed initial and follow-up PrEP home video visits with clients on smart phones and laptops. Clients obtained laboratory monitoring and STI screening in public health-affiliated and local laboratories in accordance with USPHS/CDC guidelines, and received PrEP medication by mail. PS personnel linked TelePrEP clients with newly-identified STIs to local treatment. Methods Using the PrEP continuum as framework, we used IDPH databases and UI medical records to conduct a retrospective process evaluation of the TelePrEP model (February 2017–April 2018). Results TelePrEP received 44 referrals from public health and 59 self-referrals via advertising. Pharmacists completed 84 initial visits (81% of referrals), including 37 visits (84%) with clients referred by public health. Most (94%) started emtricitabine/tenofovir after initial visits. Retention in TelePrEP at 6 months was 87%. 96% of guideline-indicated laboratory tests (HIV, creatinine, STI, hepatitis) were completed at baseline and follow-up. Rates of extragenital chlamydia and gonorrhea screening were lower (74 of 104 completed screens) due to variable availability of swabs at local laboratories. 15 clients were diagnosed with 20 STIs on screening (6 syphilis, four gonorrhea, 10 chlamydia) and one unrecognized pregnancy was identified. PS linked all clients with STIs on screens to treatment within 14 days (80% in 3 days). Conclusion Using telemedicine, healthcare systems can partner with public health administered STI clinics and PS programs to create virtual PrEP delivery models in rural settings. Public health partnerships enhance client identification and ensure linkage to care for new STI diagnoses in telemedicine programs. Disclosures A. Hoth, Gilead Sciences, Inc.: Research team member, Research support. M. Ohl, Gilead Sciences, Inc.: Grant Investigator, Research grant.

scholarly journals The Prevalence of Sexually Transmitted Infections in Papua New Guinea: A Systematic Review and Meta-Analysis

PLoS ONE ◽  
2010 ◽  
Vol 5 (12) ◽  
pp. e15586 ◽  
Author(s):  
Andrew Vallely ◽  
Andrew Page ◽  
Shannon Dias ◽  
Peter Siba ◽  
Tony Lupiwa ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sexually Transmitted Infections ◽  
Papua New Guinea ◽  
Meta Analysis ◽  
New Guinea ◽  
Sexually Transmitted
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