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The Bill and Melinda Gates Institute for Population and Reproductive Health

The Bill and Melinda Gates Institute for Population and Reproductive Health

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country-specific research

BURMA-THAILAND BORDER

Building Capacity for the Delivery and Assessment of Adapted Maternal Health Interventions for Internally Displaced Persons in Burma

Cynthia Maung, Mae Tao Clinic, Thailand
Chris Beyrer, Department of International Health, JHSPH

This collaboration is with the Mae Tao Clinic in the Thai-Burma border region to establish a network of six standardized, locally staffed, mobile centers for capacity building and referral care within communities of internally displaced persons. Basic obstetric services and contraception will be provided through backpack health workers and maternity outcomes will be monitored and evaluated.

CHINA

Leadership Training and Quality of FP Management and Services

Baofeng Huang, Nanjing College of Population Program Management
Henry Mosley, Department of Population, Family and Reproductive Health, JHSPH

This joint effort with the Nanjing College of Population Program Management implements an experimental project in Danyang County (intervention area) and Yangzhong County (control area), and is carried out in collaboration with the Zhenjiang Family Planning Committee. The study purposes are to enhance the strategic leadership capacity of local family planning committees and to assess how strengthened leadership capacity influences individuals’ informed choice and satisfaction with FP services.

Comparative Study of Different Sex Education and RH Counseling/Service Models Among Vocational School Students in Shanghai

Xiaowen Tu, Shanghai Institute of Planned Parenthood Research, China
Laurie Schwab Zabin, Department of Population, Family and Reproductive Health, JHSPH

This four-year study of school-based interventions evaluates sex education and RH services at three matched vocational schools. Separate interventions were put in place at two schools, and the third school was a comparison school. The high-intensity intervention involves dissemination of education materials, class discussion and on-site counseling and service provision, while the low-intensity intervention involves only the dissemination of informational materials and class discussion.

ETHIOPIA

Voluntary HIV Counseling (VCT) and Testing Integrated with Contraceptive Services Study

Tilahun Giday, Pathfinder International/Ethiopia
Aklilu Kidanu, Miz Hasab Research Center
Duff Gillespie, Heather Bradley, Heena Brahmbhatt, Department of Population, Family and Reproductive Health, JHSPH

This collaboration with Pathfinder International/Ethiopia and the Miz-Hasab Research Center will evaluate whether or not adding a family planning component to VCT programs fulfills an existing demand for contraception among VCT attendees, including both HIV-positive and HIV-negative individuals. Through a pre- and post-intervention survey design, the study will explore VCT clients’ contraceptive use, fertility intentions, unmet contraception needs and barriers to contraceptive use.

GHANA

Community-Based Assessment of Pelvic Floor Dysfunction and Obstetrical Injury in Ghana (Gates Scholar Bridge Grant)

Richard Adanu, Gates Scholar Alumnus, University of Ghana
Saifuddin Ahmed, Department of Population, Family and Reproductive Health, JHSPH
Robert Gutman, Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Johns Hopkins University
Anyetei Lassey, Department of Gynecology and Obstetrics, University of Ghana Medical School

The primary goal of this study is to determine the magnitude of pelvic floor dysfunction and obstetric injury from poorly managed labors, and identify the reasons why women fail to utilize institutional delivery services in Ghana. The findings from the study will become the basis for addressing modifiable risk factors to prevent obstetric injury and for rehabilitating women suffering from pelvic floor dysfunction secondary to obstetric injury.

INDIA

Strengthening Institutional Capacity for Applied FP/RH Research and Training in India

Mari Bhat, Director, International Institute for Population Sciences (IIPS), India
Michael Koenig, Department of Population, Family and Reproductive Health, JHSPH

The objective of this collaboration is to strengthen institutional capacity for applied research and training on FP/RH issues at the leading demographic research and training center in India. The project supports a coordinated program of applied research, policy dissemination, student and faculty mentoring, and faculty development, which collectively aims to enhance IIPS’s ability to play a central contributing role in applied policy research and program implementation in India.

INDONESIA

Strengthening of Leadership Capacity of Human Resources in Reproductive Health Programs to Support Decentralization of Health Services

Mohammad Hakimi, Gadja Mada University
Henry Mosley, Department of Population, Family and Reproductive Health, JHSPH

The objective of this collaboration with Gadja Madah University is to examine the impact of strengthening the district-level leadership capacity of policy and program managers in support of decentralized RH programs by 1) conducting commitment-building workshops for leadership programs in three districts and identifying program participants; 2) training approximately 60 persons in two districts on strategic leadership and management in RH and establishing district committees on RH; 3) developing research instruments for data collection and training and supervising the data collection process; and 4) analyzing the operations research findings and preparing reports for dissemination through appropriate channels.

The Effect of Strategic Leadership–Learning Organization (SLLO) Training and Translation on Reproductive Health Improvement in Lombok, West Nusa Tenggara Province

H. M. Husni Mu’adz, University of Mataram
Henry Mosley, Department of Population, Family and Reproductive Health, JHSPH

The objective of this collaboration with the University of Mataram is to assess the implementation of SLLO training and translation in strengthening leadership capabilities at the district and sub-district levels to improve reproductive health conditions in the community. The project will 1) identify and measure the changes in the stakeholders’ leadership abilities in the intervention as compared to the control sub-districts; and 2) relate the changes in stakeholders’ leadership capacities and capabilities to improvements in RH services.

Institutionalization of Strategic Leadership Development in the Faculty of Public Health, University of Indonesia

Purnawan Junadi, Department of Health Policy and Administration, University of Indonesia
Henry Mosley, Department of Population, Family and Reproductive Health, JHSPH

The objective of this collaboration with the University of Indonesia is to strengthen district-level leadership with an organizational structure for dialogue, decision-making, program implementation and monitoring to engage all parties in facilitating improvement in RH. The most important issue is whether SLLO training and translation result in the initiation of fundamental changes in public health and related institutions at the district level leading to the reformulation of policies and programs to improve RH.

Action Research on Strategic Leadership–Learning Organization Training and Translation in Improving the Referral System for Reproductive Health Services in South Sulawesi

Abdul Razak Thaha, University of Hasanuddin
|Henry Mosley, Department of Population, Family and Reproductive Health, JHSPH

The objective of this collaboration with the University of Hasanuddin is to improve the leadership capacities of individuals, institutions and communities to facilitate improvements in RH policies and programs at the district and lower levels. The specific objectives are 1) to measure change in leadership capacity of individuals and entities; 2) to compare changes in leadership capacities among intervention and control communities; 3) to compare changes of RH services and client satisfaction; and 4) to identify any factors that may facilitate or impede the process of change.

NIGERIA

Influence of Early Pregnancy Losses, New Paternity and Duration of Cohabitation on Risk of Hypertensive Disorders of Pregnancy in Ibadan, Nigeria (Gates Scholar Bridge Grant)

Oladapo Olayemi, Gates Scholar, College of Medicine, University of Ibadan
Donna Strobino, Department of Population, Family and Reproductive Health, JHSPH

This study will test the hypothesis that by increasing the duration of pre-conception cohabitation, nulliparous women can be protected against pregnancy-induced hypertension. If findings support the hypothesis, then prolonging pre-pregnancy cohabitation by new couples may have a non-contraceptive benefit, i.e., protection against pregnancy-induced hypertension. Such evidence can be used to motivate couples to delay first pregnancies.

PAKISTAN

Funding Small-Scale Research Projects in Reproductive Health in Pakistan

Zeba Sathar, Population Council/Islamabad
Stan Becker, Department of Population, Family and Reproductive Health, JHSPH

This project provides funding for small-scale sexual and reproductive health (SRH) research projects in Pakistan, where there has been little emphasis on research and evidence-based decision making. This joint program, implemented through a Reproductive Health Research Working Group and organized by the Population Council, will also have the dual aim of building the capacity of junior RH researchers, in addition to filling the gaps in existing knowledge in the priority areas of RH. The grant will enable collaboration between more experienced and established researchers who will act as mentors to junior researchers.

UGANDA

Strategic Leadership for District Health Teams

Joel Okullo, Institute of Public Health and Institute of Statistics and Applied Economics, Makerere University
Henry Mwebesa, Ministry of Health, Uganda
Gideon Rutaremwa, Institute of Statistics and Applied Economics, Makerere University
Henry Mosley, Department of Population, Family and Reproductive Health, JHSPH
Gbola Oni, Department of Population, Family and Reproductive Health, JHSPH

This collaboration involves the Ministry of Health and the Regional Center for Quality of Care, Makerere University. The project aims to build capacity in strategic leadership and management for population and reproductive health (PRH) at the district and sub-district levels. In 1997 the government enacted a policy to decentralize governance in Uganda. The policy ensures the transfer of some of the powers at the national level to the districts, thereby empowering the local communities to actively participate in decision-making on matters affecting them, including the delivery of health services in which population and reproductive health services are major components. However, there subsequently has been a lack of capacity at the local levels to effectively implement the decentralization policy, a gap to be addressed by this project.

making an impact

Babita Thapa

Babita Thapa
Summer Institute Participant
Small Grant Recipient
NEPAL

It was my pleasure to participate in the Gates Summer Institute on Reproductive Health and Development in 2004 and to get a small project grant in 2005. As a young woman from Nepal, traveling to the U.S. for such a useful training program related to my job was a dream come true. The experience changed me and my overall perception of reproductive health care. The training has given me a new outlook and a new lens to see things differently and keep a positive attitude. More...

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