Assessing the Reliability of the Retrospective Reproductive Calendar: Evidence from Urban Kenya

The reproductive calendar is a data collection tool that collects month-by-month retrospective histories of contraceptive use. This survey instrument is implemented in large-scale demographic surveys, but its reliability is not well-understood. Our analysis helps to address this research gap, using longitudinal panel data with overlapping calendars from urban Kenya. Our findings indicate calendar data collected in 2014 underestimated 2012 reports of current use by 5 percentage points. And while the overall percentage of women reporting at least one episode of contraceptive use was similar across the two calendars (67 percent vs. 70 percent), there was notable disagreement in contraceptive behavior when comparing the histories of individual women; less than 20 percent of women with any contraceptive use reported the exact same pattern of use in both calendars. Low calendar reliability was especially apparent for younger women and those with complicated contraceptive histories. Individual-level discordance resulted in a small difference in 12-month discontinuation rates for the period of calendar overlap; when surveyed in 2014, women reported a 12-month discontinuation rate of 39 percent, compared to a rate of 34 percent reported in 2012. When using retrospective calendar data, attention must be paid to the potential for individual reporting errors

Inferring physical conditions in interstellar clouds of H_2

We have developed a code that models the formation, destruction, radiative transfer, and vibrational/rotational excitation of H_2 in a detailed fashion. We discuss how such codes, together with FUSE observations of H_2 in diffuse and translucent lines of sight, may be used to infer various physical parameters. We illustrate the effects of changes in the major physical parameters (UV radiation field, gas density, metallicity), and we point out the extent to which changes in one parameter may be mirrored by changes in another. We provide an analytic formula for the molecular fraction, f_H2, as a function of cloud column density, radiation field, and grain formation rate of H_2. Some diffuse and translucent lines of sight may be concatenations of multiple distinct clouds viewed together. Such situations can give rise to observables that agree with the data, complicating the problem of uniquely identifying one set of physical parameters with a line of sight. Finally, we illustrate the application of our code to an ensemble of data, such as the FUSE survey of H_2 in the Large and Small Magellanic Clouds (LMC/SMC), in order to constrain the elevated UV radiation field intensity and reduced grain formation rate of H_2 in those low- metallicity environments.Comment: 33 pages (aastex, manuscript), 9 figures (3 color). accepted to Ap

Understanding healthcare provider absenteeism in Kenya: a qualitative analysis

Background: Healthcare worker absenteeism is common in resource limited settings and contributes to poor quality of care in maternal and child health service delivery. There is a dearth of qualitative information on the scope, contributing factors, and impact of absenteeism in Kenyan healthcare facilities. Methods: In-depth semi-structured interviews were conducted between July 2015 and June 2016 with 20 healthcare providers in public and private healthcare facilities in Central and Western Kenya. Interviews were audiorecorded, transcribed, coded, and analyzed using an iterative thematic approach. Results: Half of providers reported that absenteeism occurs in both private and public health facilities. Absenteeism was most commonly characterized by providers arriving late or leaving early during scheduled work hours. The practice was attributed to institutional issues including: infrequent supervision, lack of professional consequences, limited accountability, and low wages. In some cases, healthcare workers were frequently absent because they held multiple positions at different health facilities. Provider absences result in increased patient wait times and may deter patients from seeking healthcare in the future. Conclusion: There is a significant need for policies and programs to reduce provider absenteeism in Kenya. Intervention approaches must be cognizant of the contributors to absenteeism which occur at the institutional level

A Budget and Accounting of Metals at z~0: Results from the COS-Halos Survey

We present a budget and accounting of metals in and around star-forming galaxies at $z\sim 0$. We combine empirically derived star formation histories with updated supernova and AGB yields and rates to estimate the total mass of metals produced by galaxies with present-day stellar mass of $10^{9.3}$--$10^{11.6} M_{\odot}$. On the accounting side of the ledger, we show that a surprisingly constant 20--25% mass fraction of produced metals remain in galaxies' stars, interstellar gas and interstellar dust, with little dependence of this fraction on the galaxy stellar mass (omitting those metals immediately locked up in remnants). Thus, the bulk of metals are outside of galaxies, produced in the progenitors of today's $L^*$ galaxies. The COS-Halos survey is uniquely able to measure the mass of metals in the circumgalactic medium (to impact parameters of $< 150$ kpc) of low-redshift $\sim L^*$ galaxies. Using these data, we map the distribution of CGM metals as traced by both the highly ionized OVI ion and a suite of low-ionization species; combined with constraints on circumgalactic dust and hotter X-ray emitting gas out to similar impact parameters, we show that $\sim 40$% of metals produced by $M_{\star}\sim 10^{10}M_{\odot}$ galaxies can be easily accounted for out to 150 kpc. With the current data, we cannot rule out a constant mass of metals within this fixed physical radius. This census provides a crucial boundary condition for the eventual fate of metals in galaxy evolution models.Comment: 19 pages, 12 figures, 2 tables. ApJ, in pres

A Deep Search For Faint Galaxies Associated With Very Low-redshift C IV Absorbers: III. The Mass- and Environment-dependent Circumgalactic Medium

Using Hubble Space Telescope Cosmic Origins Spectrograph observations of 89 QSO sightlines through the Sloan Digital Sky Survey footprint, we study the relationships between C IV absorption systems and the properties of nearby galaxies as well as large-scale environment. To maintain sensitivity to very faint galaxies, we restrict our sample to 0.0015 < z < 0.015, which defines a complete galaxy survey to L > 0.01 L* or stellar mass log M_* > 8 Msun. We report two principal findings. First, for galaxies with impact parameter rho < 1 rvir, C IV detection strongly depends on the luminosity/stellar mass of the nearby galaxy. C IV is preferentially associated with galaxies with log M_* > 9.5 Msun; lower mass galaxies rarely exhibit significant C IV absorption (covering fraction f = 9 +12-6% for 11 galaxies with log M_* < 9.5 Msun). Second, C IV detection within the log M_* > 9.5 Msun population depends on environment. Using a fixed-aperture environmental density metric for galaxies with rho < 160 kpc at z < 0.055, we find that 57+/-12% (8/14) of galaxies in low-density regions (regions with fewer than seven L > 0.15 L* galaxies within 1.5 Mpc) have affiliated C IV absorption; however, none (0/7) of the galaxies in denser regions show C IV. Similarly, the C IV detection rate is lower for galaxies residing in groups with dark-matter halo masses of log Mhalo > 12.5 Msun. In contrast to C IV, H I is pervasive in the CGM without regard to mass or environment. These results indicate that C IV absorbers with log N(C IV) > 13.5 cm^-2 trace the halos of log M_* > 9.5 Msun galaxies but also reflect larger scale environmental conditions.Comment: 26 pages, 13 figures. ApJ, in pres

New HST Observations of the Halo Gas of NGC 3067: Limits on the Extragalactic Ionizing Background at Low Redshift and the Lyman Continuum Escape Fraction

We present UV spectroscopy from HST/GHRS and reanalyze existing H_alpha images of the quasar/galaxy pair 3C 232/NGC 3067 and of the halo gas associated with NGC 3067. The spectra permit measurement of, or limits on, the column densities of Fe I, Fe II, Mg I, and Mg II in the absorbing cloud. Two distinct models of the extragalactic radiation field are considered: (1) the ionizing spectrum is dominated by a power-law extragalactic continuum, and (2) the power-law spectrum contains a Lyman break, implying enhanced flux longward of 912 A relative to the hydrogen-ionizing flux. The H_alpha images constrain the escape fraction of Lyman continuum photons from the galaxy to f_esc <= 0.02. With the assumption that the cloud is shielded from all galactic contributions, we can constrain the intensity and shape of the extragalactic continuum. For an AGN-dominated power-law extragalactic spectrum, we derive a limit on the extragalactic ionizing flux Phi_ion >= 2600 photons cm^-2 s^-1, or I_0 >= 10^-23 erg cm^-2 s^-1 Hz^-1 sr^-1 for an ionizing spectrum with power-law index of 1.8 and a cloud of constant density. When combined with previous upper limits from the absence of H_alpha recombination emission from intergalactic clouds, our observations require 2600 <= Phi_ion <= 10000 photons cm^-2 s^-1. We show that if galactic contributions to the incident radiation are important, it is difficult to constrain Phi_ion. These results demonstrate that galactic halo opacities and their wavelength dependence are crucial to understanding the abundance of low-ionization metals in the IGM.Comment: 25 Pages LaTex, 8 PostScript Figures, accepted for publication in AJ, Nov. 99 issu

Probing the IGM/Galaxy Connection V: On the Origin of Lya and OVI Absorption at z<0.2

We analyze the association of galaxies to Lya and OVI absorption, the most commonly detected transitions in the low-z intergalactic medium (IGM), in the fields of 14 quasars with z_em = 0.06-0.57. Confirming previous studies, we observe a high covering fraction for Lya absorption to impact parameter rho = 300kpc: 33/37 of our L>0.01L* galaxies show Lya equivalent width W_Lya>50mA. Galaxies of all luminosity L>0.01L* and spectral type are surrounded by a diffuse and ionized circumgalactic medium (CGM), whose baryonic mass is estimated at ~10^(10.5 +/- 0.3) Msun for a constant N_H. The virialized halos and extended CGM of present-day galaxies are responsible for most strong Lya absorbers (W_Lya > 300mA) but cannot reproduce the majority of observed lines in the Lya forest. We conclude that the majority of Lya absorption with W_Lya=30-300mA occurs in the cosmic web predicted by cosmological simulations and estimate a characteristic width for these filaments of ~400kpc. Regarding OVI, we observe a near unity covering fraction to rho=200kpc for L>0.1L* galaxies and to rho = 300kpc for sub-L* (0.1 L*<L<L*) galaxies. Similar to our Lya results, stronger OVI systems (W_OVI > 70mA) arise in the virialized halos of L>0.1L* galaxies. Unlike Lya, the weaker OVI systems (W_OVI~30mA) arise in the extended CGM of sub-L* galaxies. The majority of OVI gas observed in the low-z IGM is associated with a diffuse medium surrounding individual galaxies with L~0.3L*, and rarely originates in the so-called warm-hot IGM (WHIM) predicted by cosmological simulations.Comment: Submitted to the Astrophysical Journal; 26 pages, 9 figures. See http://www.ucolick.org/~xavier/WFCCDOVI/index.html for mor