Sexual and Reproductive Health Information and Services for Deaf and Hard of Hearing Youth in Kenya

Various studies have indicated the disparities that exist between Deaf and Hard of Hearing youth in relation to adequate and accurate sexual and reproductive health knowledge. Even when efforts are geared towards improving sexual and reproductive health services and information processes for Deaf and Hard of Hearing youth, minimal adaption to the versatile virtual, social cultural, economic spaces in which these youth are embedded has compounded these disparities. This paper provides a perspective on these spaces from a perspective of the space they open and spaces that may close in such sites. We explore the various actual and symbolic services and information sites identified by Deaf and Hard of Hearing youth, how information is passed (pathways) in these sites, the barriers, tensions, attitudes of different providers at each site, as well as perceptions of effectiveness as well as normative and practical barriers. It is important to note that the problems Deaf and Hard of Hearing youth face are not just local, but should be seen from the context of both local level, contextual and macro level factors. In this paper therefore we also explore state policy and practice as an important site pertaining to people with disabilities but Deaf and Hard of Hearing youth in particular

Cooking as part of a global sustainable food system - a 6 country pilot survey

The cooking of food is a nexus point for multiple issues. Cooking is intertwined with dietary choices, affects the nutrient content and environmental impacts of food, and is linked to time use and gender roles in the home. Due to its intersectionality, changing cooking practices can potentially impact upon multiple Sustainable Development Goals. However, cookery is seldom considered in the wider perspective of a sustainable food system - with only ethnographic studies examining how cooking is performed being the norm. Overall there is a limited evidence base at the population level of how different nations/populations currently cook, and how changing this would result in changes to the environment, consumer health, and economy. The current research aims to create a wider evidence base to demonstrate and quantify why cooking and food practices are important, and how they differ by geography. In this research we piloted a ~40 minute survey using the Qualtrics online survey panel in 6 countries (Nigeria, Ghana, India, Kenya, Brazil, and the UK). Participants were asked a series of questions about their: dietary preferences (e.g. vegetarian, omnivore, etc.), cooking habits (e.g frequency of cooking at home), food preparation (e.g. time taken), cooking methods used (e.g. boil, fry, roast), and perceptions of food waste, food safety, calorie and carbon footprints, as well as food security and demographic questions. 10-15 culturally appropriate/popular foods were accessed through a food frequency questionnaire, containing images of food portion size estimates, from food manuals developed by a research group from the Federal University of Paraná (http://gupea.ufpr.br/?page_id=19; Additional images of bread were sourced from the Food4Me project (DOI: 10.2196/jmir.3105). Figure 1 presents this list of foods. Recruitment used Qualtrics global recruitment services as well the Prolific panel (for the UK). Participants were potentially given financial compensation for taking part by Qualtrics, but this was outside the control of the research team. The surveys were deployed from the 25th of March, 2020. There were slight recruitment issues for some countries due to parts of the survey being carried out in Ramadan and during the COVID-19 lockdown, and so the recruitment window had to be extended until the 1st of June 2020. Participant rates, gender splits (Figure 2) and dietary patterns (figure 3) varied by country. Figure 4 to 10 compare Chicken food habits and perceptions across the 6 countries

Using Dried Blood Spots for a Sero-Surveillance Study of Maternally Derived Antibody against Group B Streptococcus.

Vaccination during pregnancy could protect women and their infants from invasive Group B Streptococcus (GBS) disease. To understand if neonatal dried blood spots (DBS) can be used to determine the amount of maternally derived antibody that protects infants against invasive GBS disease, a retrospective case-control study was conducted in England between 1 April 2014 and 30 April 2015. The DBS of cases with invasive GBS disease (n = 61) were matched with healthy controls (n = 125). The haematocrit, DBS storage temperature, freeze-thaw cycle, and paired serum/DBS studies were set up to optimise the antibody assessment. The samples were analysed using a multiplex immunoassay, and the results were assessed using parametric and nonparametric tests. Antibody concentrations were stable at haematocrits of up to 50% but declined at 75%. DBS storage at room temperature was stable for three months compared with storage from collection at -20 °C and rapidly degraded thereafter. Total IgG levels measured in DBS and paired serum showed a good correlation (r2 = 0.99). However, due to suboptimal storage conditions, no difference was found in the GBS IgG levels between DBS samples from cases and controls. We have demonstrated a proof of concept that assays utilising DBS for assessing GBS serotype-specific antibodies in infants is viable. This method could be used to facilitate future large sero-correlate studies, but DBS samples must be stored at -20 °C for long term preservation of antibody

Malaria is an uncommon cause of adult sepsis in south-western Uganda

Malaria is often considered a cause of adult sepsis in malaria endemic areas. However, diagnostic limitations can make distinction between malaria and other infections challenging. Therefore, the objective of this study was to determine the relative contribution of malaria to adult sepsis in south-western Uganda

Food insecurity, food waste, food behaviours and cooking confidence of UK citizens at the start of the COVID-19 lockdown

Purpose The current pilot study explored food insecurity, food waste, food related behaviours and cooking confidence of UK consumers following the COVID-19 lockdown. Design/methodology/approach Data were collected from 473 UK-based consumers (63% female) in March 2020. A cross-sectional online survey measured variables including food insecurity prevalence, self-reported food waste, food management behaviours, confidence and frequency of use of a range of cooking methods, type of food eaten (ultra-processed, semi-finished, unprocessed) and packaging type foods are purchased in. Findings 39% of participants have experienced some food insecurity in the last 12 months. Being younger, having a greater BMI and living in a smaller household were associated with food insecurity. Green leaves, carrots, potatoes and sliced bread are the most wasted of purchased foods. Polenta, green leaves and white rice are the most wasted cooked foods. Food secure participants reported wasting a smaller percentage of purchased and cooked foods compared to food insecure participants. Overall, participants were most confident about boiling, microwaving and stir-frying and least confident with using a pressure cooker or sous vide. Food secure participants were more confident with boiling, stir-frying, grilling and roasting than insecure food participants. Practical implications This has implications for post lockdown policy, including food policies and guidance for public-facing communications. Originality/value We identified novel differences in self-report food waste behaviours and cooking confidence between the food secure and insecure consumers and observed demographics associated with food insecurity

Bridging the gap: evaluating high TB burden country data needs to support the potential introduction of TB vaccines for adolescents and adults: a workshop report

High tuberculosis (TB) burden countries (HBCs) need to prepare for TB vaccine implementation alongside licensure, to ensure rapid rollout. WHO policy/implementation frameworks have been created to support this effort. Using WHO frameworks, we convened a workshop to ask HBC experts about what epidemiological, impact, feasibility and acceptability data they anticipated they would need to guide TB vaccine introduction. For required data, we asked HBC and global experts which data were already available, data collection planned, or gaps. HBC experts expressed high demand for epidemiological, impact, feasibility and acceptability data, reported variable availability of existing epidemiological data, and low availability for impact, feasibility, and acceptability data. Global experts reported additional knowledge of existing data on impact, upcoming collection of infection prevalence, acceptability and feasibility data, and potential epidemiological data collection on adolescents, adults, people living with HIV, and underweight individuals. HBC and global experts made key recommendations for: a coordinated data collation, collection, analysis and sharing system; updating existing HBC health and economic impact estimates and extending impact analyses to other HBCs; demand/market forecasting; resource gap mapping; aligning delivery strategies; addressing manufacturing, procurement, delivery, and regulatory barriers; sharing potential vaccine licensure timing; incorporating TB vaccine introduction strategies into NSPs, immunization programs, and health services; collecting vaccine hesitancy, mistrust, and misinformation data; collecting adolescent/adult vaccine demand generation data, and identifying funding. Experts recommended expanding this analysis to other areas of the WHO frameworks, including more HBC stakeholders, and repeating this analysis after country and community advocacy and socialization around different vaccine candidates