Institutionalization of postpartum intrauterine devices.

Globally, 225 million women need contraception. Birth spacing reduces perinatal and maternal morbidity and mortality. PPIUD is cost‐effective and reversible with minimal expulsions and complications

Radiative corrections for (e,e′p) reactions at GeV energies

A general framework for applying radiative corrections to (e,e′p) coincidence reactions at GeV energies is presented, with special emphasis to higher-order bremsstrahlung effects, radiation from the scattered hadron, and the validity of peaking approximations. The sensitivity to the assumptions made in practically applying radiative corrections to (e,e′p) data is extensively discussed. The general framework is tested against experimental data of the 1H(e,e′p) reaction at momentum transfer values larger than 1.0 (GeV/c)^2, where radiative processes become a dominant source of uncertainty. The formulas presented here can easily be modified for any other electron-induced coincidence reaction

Improving post-partum family planning services provided by female community health volunteers in Nepal: a mixed methods study.

BACKGROUND: Family planning services in the post-partum period, termed post-partum family planning (PPFP) is critical to cover the unmet need for contraception, especially when institutional delivery rates have increased. However, the intention to choose PPFP methods such as post-partum intrauterine devices (PPIUD) remains low in countries such as Nepal. Community health workers such as Female Community Health Volunteers (FCHVs) could play an important role in improving the service coverage of PPFP in Nepal. However, their knowledge of PPFP and community-based services related to PPFP remain unclear. This study aims to assess the effect on community-based PPFP services by improving FCHV's knowledge through orientation on PPFP. METHODS: We conducted this mixed-methods study in Morang District in Nepal. The intervention involved orientation of FCHVs on PPFP methods. We collected quantitative data from three sources; via a survey of FCHVs that assessed their knowledge before and after the intervention, from their monthly reporting forms on counseling coverage of women at different stages of pregnancy from the communities, and by interviewing mothers in their immediate post-partum period in two selected hospitals. We also conducted six focus group discussions with the FCHVs to understand their perception of PPFP and the intervention. We performed descriptive and multivariable analyses for quantitative results and thematic analysis for qualitative data. RESULTS: In total, 230 FCHVs participated in the intervention and their knowledge of PPFP improved significantly after it. The intervention was the only factor significantly associated with their improved knowledge (adjusted odds ratio = 24, P < 0.001) in the multivariable analysis. FCHVs were able to counsel 83.3% of 1872 mothers at different stages of pregnancy in the communities. In the two hospitals, the proportion of mothers in their immediate post-partum period whom reported they were counseled by FCHVs during their pregnancy increased. It improved from 7% before the intervention to 18.1% (P < 0.001) after the intervention. The qualitative findings suggested that the intervention improved their knowledge in providing PPFP counseling. CONCLUSION: The orientation improved the FCHV's knowledge of PPFP and their community-based counseling. Follow-up studies are needed to assess the longer term effect of the FCHV's role in improving community-based PPFP services

Color Transparency via Coherent Exclusive rho Production

We examine the potential of the COMPASS experiment at CERN to study color transparency via exclusive coherent vector meson production in hard muon-nucleus scattering. It is demonstrated that COMPASS has high sensitivity to test this important prediction of perturbative QCD.Comment: Feasibility study for COMPASS collaboration, 3 pages, no figures, 1 table. This contribution is based on talk presented at the Workshop on Spin Physics, Trento, Italy, July 2001. The conference www site is http://ECTstar.ect.it/contents.html The proceedings of the workshop will be published as a special issue of Nuclear Physics B (proc suppl), eds. S Bass, A De Roeck and A Deshpande. A more complete 26 page feasibility study with 7 figures and 3 tables is available as A. Sandacz et al., hep-ex/0106076 Revision of 26 Sept. for Ref. 11 modificatio

Prevalence of Postpartum Family Planning Service Coverage in Selected Referral Facilities of Nepal

Introduction: Nepal Society of Obstetricians and Gynecologists jointly with the Nepalese government and with the support from the International Federation of Obstetrics and Gynecology has implemented an initiative to institutionalize postpartum family planning services in selected major referral facilities of Nepal to address the gap of low uptake of postpartum family planning in Nepal. The aim of the study is to find the prevalence of the service coverage of postpartum contraception in the selected facilities. Methods: A descriptive cross-sectional study was conducted in seven major referral facilities across Nepal. Data were collected from the hospital records of all women who delivered in these facilities between October 2018 and March 2019. Ethical approval for this study was obtained from Nepal Health Research Council. Data analysis was done with SPSS version 23. Results: Among the 29,072 deliveries from all the facilities, postpartum family planning counseling coverage was 27,301 (93.9%). The prevalence of uptake of Postpartum Intrauterine Device is 1581 (5.4%) and female sterilization is 1830 (6.3%). In total 11387 mothers (52.2%) had the intention to choose a postpartum family planning method. However, 36% of mothers neither used nor had the intention to choose a postpartum family planning method. Conclusions: The coverage of Postpartum Intrauterine Device counseling service coverage in Nepal is higher in 2018 as compared to 2016-2017 and in other countries implementing Postpartum Intrauterine Device initiatives. However, the prevalence of service coverage of immediate Postpartum Family Planning methods, mainly Postpartum Intrauterine Device in 2018 is lower in Nepal as compared to 2016-2017, and other countries implementing Postpartum Intrauterine Device initiative. More efforts are needed to encourage mothers delivering in the facilities to use the postpartum family planning method

Do final state interactions obscure short range correlation effects in quasielastic A(e,e′p)A(e,e'p) scattering?

Are short range correlations in the ground state of the target nucleus (initial state correlations ISC)observable inexperiments on quasielastic $A(e,e'p)$ scattering at large missing momentum $p_{m}$? Will the missing momentum spectrum observed at CEBAF be overwhelmed by final state interactions of the struck proton? Taking the $^{4}He$ nucleus with a realistic model wave function for a testing ground, we present a full calculation of the missing momentum distribution in inclusive $^{4}He(e,e'p)$ scattering. We find a complex interplay and strong quantum-mechanical interference of FSI and ISC contributions to scattering at large $p_{m}$, with drastic change of the interference pattern from the (anti)parallel to transverse kinematics. We show that in all the kinematical conditions, for missing momenta p_{m}\gsim 1\,fm$^{-1}$, quasielastic scattering is dominated by FSI effects and the sensitivity to details of the nuclear ground state is lost. The origin of the FSI dominance is well understood and can be traced back to the anisotropic behaviour of FSI which is long ranged in the longitudinal direction and short ranged in the transverse direction in the opposite to the short ranged ground state correlations

Factors influencing the likelihood of acceptance of postpartum intrauterine devices across four countries: India, Nepal, Sri Lanka, and Tanzania.

OBJECTIVE: To examine the factors that positively influenced the likelihood of accepting provision of postpartum intrauterine devices (PPIUDs) across four countries: Sri Lanka, Nepal, Tanzania, and India. METHODS: Healthcare providers were trained across 24 facilities in counselling and insertion of PPIUDs as part of a large multicountry study. Women delivered were asked to take part in a 15-minute face-to-face structured interview conducted by in-country data collection officers prior to discharge. Univariate analysis was performed to investigate factors associated with acceptance. RESULTS: From January 2016 to November 2017, 6477 health providers were trained, 239 033 deliveries occurred, and 219 242 interviews were conducted. Of those interviewed, 68% were counselled on family planning and 56% on PPIUD, with 20% consenting to PPIUD. Multiple counselling sessions was the only factor resulting in higher consent rates (OR 1.30-1.39) across all countries. Odds ratios for women's age, parity, and cadre of provider counselling varied between countries. CONCLUSION: Consent for contraception, specifically PPIUD, is such a culturally specific topic and generalization across countries is not possible. When planning contraceptive policy changes, it is important to have an understanding of the sociocultural factors at play

A Test of the Eikonal Approximation in High-Energy (e,e'p) Scattering

The Glauber method is extensively used to describe the motion of a hadronic projectile in interaction with the surrounding nuclear medium. One of the main approximations consists in the linearization of the wave equation for the interacting particle. We have studied the consequences of such an assumption in the case of the $^{12}\mathrm{C(e,e}'\mathrm{p)}^{11}\hbox{\rm B}^*$ reaction at high proton momenta by comparing the results with the predictions obtained when all the ingredients of the calculation are unchanged but the second-order differential equation for the scattered wave, which is solved exactly for each partial wave up to a maximum of 120 spherical harmonics. We find that the Glauber cross section is always larger by a factor $10 \div 20 \%$, even at vanishing missing momenta. We give a quantum-mechanical explanation of this discrepancy. Nevertheless, a good correlation is found between the two predictions as functions of the missing momentum, especially in parallel kinematics.Comment: LaTeX, 8 pages, 4 figures uuencoded, accepted for publication on Phys. Lett.

Nuclear transparencies for nucleons, knocked-out under various semi-inclusive conditions

Using hadron dynamics we calculate nuclear transparencies for protons, knocked-out in high-$Q^2$, semi-inclusive reactions. Predicted transparencies are, roughly half a standard deviation above the NE18 data. The latter contain the effects of binned proton missing momenta and mass, and of finite detector acceptances. In order to test sensitivity we compare computed transparencies without restrictions and the same with maximal cuts for missing momenta and the electron energy loss. We find hardly any variation, enabling a meaningful comparison with data and predictions based on hadron dynamics. Should discrepancies persist in high-statistics data, the above may with greater confidence be attributed to exotic components in the description of the outgoing proton.Comment: 13 pages + 3 figsin appended PS file, report # WIS-94/43/Oct-P

The electron-nucleon cross section in (e,e′p)(e,e'p) reactions

We examine commonly used approaches to deal with the scattering of electrons from a bound nucleon. Several prescriptions are shown to be related by gauge transformations. Nevertheless, due to current non-conservation, they yield different results. These differences reflect the size of the uncertainty that persists in the interpretation of $(e,e'p)$ experiments.Comment: 6 pp (10 in preprint form), ReVTeX, (+ 4 figures, uuencoded