Greetings Title X Grantee Agencies,
Welcome to the January 2008 RTC monthly Listserv!
As always, we have included the month's article highlights
below. You can simply open the attachments or follow the provided
link. Also, please remember to check out the announcements, meetings
and other calendar reminders at the end of this e-mail.
We know that you are all very busy providing much needed
services to your clients and staff. This is why we hope the Listserv
will serve as a resource to keep you up-to-date on the latest public
health information.
The Listserv e-mail will usually arrive in your inbox
on the last Tuesday of every month. Please respond to this e-mail
address if you have any questions, comments or additions to the monthly
Listserv. If you are looking for a past listserv, simply head to the
resources section of the new and improved www.famplan.org and click
on the listserv archive to find what you're looking for.
Thank you for your wonderful support of the RTC.
Happy New Year!
The JSI RTC Team
January 2008 Articles
HIV Integration Project - HIV
Teen Voices of AIDS: As the Epidemic Continues, Some Young Victims
Begin to Speak Up
By Susan Levine
Washington Post
Tuesday, January 8, 2008
http://www.washingtonpost.com/wp-dyn/content/article/2008/01/07/AR2008010702044_pf.html
Resources for HIV/AIDS & Sexual and Reproductive
Health Integration
http://www.hivandsrh.org/
This resource is designed to help you in your efforts to integrate
provision of sexual and reproductive health services with activities
for preventing and treating HIV/AIDS. Here you will find a selected
collection of documents and other materials which reflect field experience
and the latest thinking of the health community on integration of
HIV and sexual and reproductive health services. The site is designed
to identify a full range of resources upon which to develop policies,
guidelines, or practices.
Clinical Advisory Committee - CAC
Evaluation of a pregnancy prevention programme using the Contraceptive
Behavior Change model
Journal of Advanced Nursing: Volume 61 Issue 1 Page
81-91, January 2008
Min S. Chung-Park
This paper is a report of the findings of a study to
examine the effects of application of the Contraceptive Behavior Change
model on knowledge, attitudes, perceived benefits and barriers, self-efficacy
(SE), stages of change (SOC) and contraceptive behaviours. Unintended
pregnancy is a global issue; it is also a concern for the military,
as it impacts on mission readiness. Effective sexuality education
programmes are needed but, to date, an evaluation of existing programmes
using a conceptual model is lacking in the health literature. A sample
of 198 single, junior enlisted females was randomly recruited from
United States of America Navy ships. An experimental design was adopted.
The experimental group received two class sessions, 2 months apart,
while the control group received none. The variables measured were:
knowledge, attitudes, perceived benefits and barriers, SE, SOC and
contraceptive behaviours. Data were collected on three separate occasions
at 2-month intervals over a 4-month period in 2004-2005. Initially,
a striking lack of knowledge was evident among study participants.
The experimental groups' knowledge increased statistically significantly
with repeated interventions, while the control group's knowledge did
not change over the same period. Both groups started with no pregnancies,
and at the end of the study, the pregnancy rate between the two groups
was statistically significant: experimental group 0%, and control
group 14%. The intervention led to increased knowledge, which in turn
led to avoidance of pregnancy. The proposed model was appropriate
for the evaluation and consequently can be considered as an effective
tool to use for development or refinement of existing programmes.
(see attached)
Oral contraceptives in polycystic ovary syndrome:
Risk-benefit assessment
Seminars in Reproductive Medicine. 2008 Jan;26(1):111-120.Yildiz
BO
Combined oral contraceptive pills (OCPs) have been a key component
of the chronic treatment of polycystic ovary syndrome (PCOS) by improving
androgen excess and regulating menstrual cycles. Earlier epidemiologic
studies with second- and third-generation OCPs in the general population
have raised important questions regarding long-term cardiometabolic
effects of these agents. In PCOS, there are only a few short-term
studies with contradictory results evaluating potential adverse effects
of OCPs on cardiovascular risk factors and glucose homeostasis. These
studies included a small number of participants and did not take into
account several confounding factors that might influence the outcome.
Nevertheless, limited available data support the benefits of long-term
OCP use in PCOS. By contrast, solid evidence for cardiometabolic adverse
outcome with the use of these agents, especially with newer OCPs containing
antiandrogenic progestins, is lacking. More studies are needed to
resolve controversies regarding the safety of long-term OCP use in
PCOS. Meanwhile, assessment of each PCOS patient's personal cardiometabolic
risk profile should be an essential component of the evaluation before
prescribing OCPs and also during follow-up.
(article not available to Regional Training Center)
Emergency Contraceptive Pills (Second Edition)
Author: Pathfinder International
Pathfinder International is pleased to announce the
publication of Emergency Contraceptive Pills (Second Edition), a manual
designed to train physicians, nurses, and midwives in counseling and
provision of emergency contraceptive pills. It actively involves participants
in the learning process through simulation skills practice, discussions,
and clinical practice, using objective knowledge, attitude, and skills
checklists. The content includes a trainer's guide and participants'
handouts.
(see attached)
January Is Cervical Health Awareness Month!
From ARHP: free resources!
Patient Education Materials:
* Understanding the HPV Vaccine
* A Woman's Guide to Understanding HPV and Cervical Cancer / Comprendiendo
el Cancer Cervical
* Understanding Pap Test Results
Provider Resources:
* Managing HPV: A New Era in Patient Care program
* Archived accredited webinar - Managing HPV: A New Era in Patient
Care
* Health & Sexuality publication dedicated to Cervical Cancer
prevention
* For Epocrates subscribers - an ARHP- accredited MobileCME(TM) learning
module entitled External Genital Warts: Etiology, Diagnosis, Treatment,
and Patient Counseling will be launching January 24th.
For more information, visit
www.arhp.org/cervicalcancer
Male Advisory Committee - MAC
Short-Term Impact Evaluation of a Social Marketing
Campaign to Prevent Syphilis Among Men Who Have Sex With Men
By William W. Darrow and Susan Biersteker
Am J Public Health 2008;98 337-343
(see attached)
A Young Man Learns to 'Embrace' His HIV Status
By Susan Levine
Washington Post
Tuesday, January 8, 2008
Carl, a 19-year-old Prince George's County resident, spoke with reporter
Susan Levine about finding out that he was HIV-positive -- and about
his life after the diagnosis.
http://www.washingtonpost.com/wp-dyn/content/article/2008/01/07/AR2008010702047_pf.html
Other Articles
ACOG Committee Opinion No. 391, December 2007. Health
literacy.
Obstet Gynecol. 2007 Dec;110(6):1489-91.
According to the U.S. Department of Health and Human
Services, health literacy is the degree to which individuals have
the capacity to obtain, process, and understand basic health information
and services needed to make appropriate health decisions. The American
College of Obstetricians and Gynecologists (ACOG) is committed to
the promotion of health literacy for all. The purpose of this committee
opinion is to outline the complex issues surrounding health literacy
and offer strategies for increasing health literacy in clinical practice.
(see attached)
Calendar of Events
Keep an eye out for an email announcing the RTC's spring training
calendar.
Announcements
New OPA Website: http://www.hhs.gov/opa
From MPRES, Inc.:
Attached are 2 PDF files (front and back of notice) with information
about the upcoming Pap screening webcasts. They are free and open
to all for the entire month of Feb. After that, they'll be available
for purchase on DVD.
www.mpres.org
Title X National Clinical Conference--flyer attached
August 3-5, 2008
Copies of Counseling Teen Clients Experiencing Sexual
Coercion are still available!
Please complete and send the attached order form to order extra copies.
Video summary:
Family planning providers have the opportunity to help teen clients
avoid and resist sexual coercion, and the responsibility to comply
with laws requiring the reporting of suspected abuse, rape or incest.
Yet providers often feel unsure about how to raise these issues with
clients, and uncertain about how to respond when coercion or abuse
is revealed. This training video for family planning providers demonstrates
counseling approaches for situations commonly encountered in family
planning settings, and is designed to help providers buildupon their
experience working with teenage clients in difficult circumstances.In
one scenario a young client is being pressured by her teenage boyfriend;
the second scenario focuses on a teen experiencing sexual exploitation
at home.
The video is available in both VHS and DVD formats,
and is accompanied by a discussion guide.Additional resources on sexual
coercion can be found at: www.famplan.org/coerc.htm
Please contact Amy Behrens at abehrens@jsi.comwith
questions.
Region I Title X Family Planning Training Center
JSI Research & Training Institute, Inc.
44 Farnsworth Street
Boston, MA 02210
e-mail: rtctitlex@jsi.com
www.famplan.org
