Weight change over time during follow-up according to outcome status.

<p>Weight change over time during follow-up according to outcome status.</p

Weight change over time during treatment follow-up according to outcome status (adjusted model*).

<p>* Predicted lines were adjusted for age, gender, type of tuberculosis, scheme of treatment, HIV status, and sputum variation during follow-up.</p

Crude and adjusted marginal models assessing weight change over time according to outcome status.

<p>*Adjusted by age, gender, type of tuberculosis, scheme of treatment, HIV status, and sputum variation during follow-up.</p

Follow up of PREVEN Network members in 10 intervention cities, (2003–2006).

*<p>Percent in relation to 2003 PREVEN Network participants from each category.</p

Number of cases of STDs reported by PREVEN Network.

<p>The number of cases of urethral discharge, vaginal discharge, genital ulcer disease, and pelvic inflammatory disease reported by the PREVEN Network of pharmacies or boticas for 2004, 2005, and 2006 was substantially higher than the numbers reported by Network physicians and midwives, especially for urethral discharge, less so for suspected PID.</p

The Amazon Hope: A qualitative and quantitative assessment of a mobile clinic ship in the Peruvian Amazon

<div><p>The Loreto region of the Peruvian Amazon faces many obstacles to health care delivery. The majority of the population is river-bound and lives below the poverty line, with some of the worst health indicators in Peru. To overcome these barriers and fill a gap in health services, an NGO-based provider known as the Vine Trust has been providing care since 2001 via a mobile ship clinic called the Amazon Hope. This study presents an assessment of the Amazon Hope, first reporting health indicators of the program´s catchment area, services provided, and program utilization. It then describes perceptions of the program by community members and health workers, the program’s strengths and weaknesses in contributing to health service delivery, and provides recommendations addressing limitations. The qualitative analysis included 20 key informant interviews with community members and health service providers. In the quantitative analysis, 4,949 residents of the catchment area were surveyed about medical histories, experiences with the program, and suggestions for improvement. The survey showed poor indicators for reproductive health. The AH clinic was the main provider of health care among those surveyed. Community members reported satisfaction with the program’s quality of care, and health workers felt the program provided a unique and necessary service. However, community members requested prior notification and additional services, while health workers described misunderstandings in community-tailored care, and difficulties with continuity of care and coordination. Data show that the program has been successful in providing quality health care to a population but has room to improve in its health service delivery. Suggested improvements are provided based on participant suggestions and relevant literature. The study sheds light on the important role of mobile clinics in Peru, and the methodology can serve as a model for assessing the role of mobile clinics in other remote settings.</p></div

Sexual and reproductive health of 958 women 15–49 years of age who live in communities visited by the Amazon Hope program.

<p>Sexual and reproductive health of 958 women 15–49 years of age who live in communities visited by the Amazon Hope program.</p

Baseline census and training of pharmacy/botica workers, physicians and midwives in private practice in the 10 intervention cities.

*<p>Certification required attendance at all four seminars and passing the peer evaluation test and at least 60% correct answers to the written test.</p>**<p>Certification required attendance at two seminars, completion of homework and at least 60% correct answers to the written test.</p

Amazon Hope’s performance within the WHO components of service delivery.

<p>Amazon Hope’s performance within the WHO components of service delivery.</p

Results of evaluations by Simulated Patients.

<p>Evaluations to pharmacy workers at baseline both at intervention and control cities showed no significant differences in STD management or referral, or in recommendations for use of condoms or partner treatment. Subsequent evaluations at three, six and 18 months showed significantly better performance for all measures in intervention cities.</p