Adrienne Kols

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CONTEXT The World Health Organization (WHO) has developed a decision-making tool to be used by providers and clients during family planning visits to improve the quality of services. It is important to examine the tool's usability and its impact on counseling and decision-making processes during family planning consultations. METHODS Thirteen providers in(More)
BACKGROUND An evidence-based strategy exists to reduce maternal morbidity and mortality associated with severe pre-eclampsia/eclampsia (PE/E), but it may be difficult to implement in low-resource settings. This study examines whether facilities that provide emergency obstetric and newborn care (EmONC) in Afghanistan have the capacity to manage severe PE/E(More)
The opinions expressed herein are those of the author and do not necessarily reflect the view of USAID. SUMMARY Context: Paternalistic models of health care, social distance between clients and service providers, and cultural norms discourage family planning clients from playing an active role in consultations. Interventions are needed to encourage clients(More)
BACKGROUND Family planning programmes in developing countries need a better understanding of nurse-patient communication in order to improve the quality of counselling. OBJECTIVES To identify factors in the clinic and in the community that enable nurses and patients to communicate effectively with one another. DESIGN The study explored the personal(More)
BACKGROUND The Zambia Defence Force (ZDF) has applied the Standards-Based Management and Recognition (SBM-R®) approach, which uses detailed performance standards, at some health facilities to improve HIV-related services offered to military personnel and surrounding civilian communities. This study examines the effectiveness of the SBM-R approach in(More)
BACKGROUND The Zambian Defence Force (ZDF) is working to improve the quality of services to prevent mother-to-child transmission of HIV (PMTCT) at its health facilities. This study evaluates the impact of an intervention that included provider training, supportive supervision, detailed performance standards, repeated assessments of service quality, and task(More)
Decisions made at the household level, for example, to seek antenatal care or breastfeed, can have a direct impact on the health of mothers and newborns. The SMART Community-based Initiatives program in Egypt worked with community development associations to encourage better household decision-making by training community health workers to disseminate(More)
BACKGROUND Complications of abortion are one of the leading causes of maternal mortality worldwide, along with hemorrhage, sepsis, and hypertensive diseases of pregnancy. In Afghanistan little data exist on the capacity of the health system to provide post-abortion care (PAC). This paper presents findings from a national emergency obstetric and neonatal(More)
BACKGROUND Resuscitation with bag and mask is a high-impact intervention that can reduce neonatal deaths in resource-poor countries. This study assessed the capacity to perform newborn resuscitation at facilities offering comprehensive emergency obstetric and newborn care (EmONC) in Afghanistan, as well as individual and facility characteristics associated(More)
  • Adrienne Kols, Ma, Robert Lande Research, Seth Rosenblatt, Mph, Jean Ahlborg +32 others
  • 2008
Vasectomy has advantages for both couples and programs. It is simpler and more cost-effective than female sterilization. It offers men convenient, effective contraception that they can use instead of or along with condoms— and a way to share responsibility for family planning. Men and their partners need the facts. Vasectomy is often the victim of rumors(More)
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