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HIV in PNG – An Ongoing Health Crisis

Over the past two decades, Papua New Guinea has been plagued by the highest incidence of HIV/AIDS in the Asia-Pacific region and there is no indication of the epidemic abating. In order to assess the prevalence of the disease in PNG it is crucial to ascertain the factors which have contributed and facilitated its spread alongside those factors which have hindered effective HIV prevention strategies.

In this essay Louella Fitzsimmons looks at the history of healthcare in Papua New Guinea as well as the political and societal landscape which has allowed HIV/Aids to take root with infection rates rise exponentially. She also contrasts the experience of PNG with that of Fiji.

Historical research of HIV in Papua New Guinea is sparse and so this paper provides a valuable insight into an overlooked Global Health topic.

This essay was submitted in part of the Masters in Social Science & International Development at RMIT University, Melbourne, Australia.

Author: Louella Fitzsimmons  

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The Intersection of Gender, Education and Health: A Community-level Survey of Education and Health Outcomes for Women in Southeastern Togo

Gendered education and health outcomes are of great importance for developing regions of the world where low standards of human health and low levels of education persist. Low levels of female education are common in low-income countries, where priority is often given to educating boys. The literature demonstrates that, in the African context, gendered education affects family health. This research examined gendered education and health outcomes at the community level in southeastern Togo. Very few studies document the socio-economic realities for women in southeastern Togo, and fewer still evaluate community-level data for these variables.

Data from the community of Ganavé, Maritime, Togo were collected by way of a household survey– administered home-to-home by field researchers. Data was analyzed using SPSS. Chi-square tests were used to assess the relationship between levels of maternal education and several measures of family or community health. This study found that levels of education were much lower among mothers than they were among fathers, but that education levels were very low for both. Maternal education, in particular, was found to be a significant determinant of family hygiene and sanitation, identification of intestinal worms as a health problem, and home birth rates. Analysis of child labor, school attendance, and child mortality variables was precluded by our small sample size. This data seems to support the idea that higher rates of female education in the West African sub-region would be expected to have a positive effect on maternal health, as well as family and community health. This study’s data from Ganavé, a village community in southeastern Togo, support the findings of other studies in sub-Saharan West Africa, that maternal education affects family health. Further research, with samples from a broader range of economic strata and possibly degrees of urbanization, may assess the strength of the relationship between female education and family health in West Africa.

Authors:Trevor V. Mattos, Miranda Adams MacKinnon & Dorothy F. Boorse

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The Learn Africa Project: Public Health, Applied Learning and Research Internship

Trevor Mattos is a Pike Scholar at Gordon College, Massachusetts. Earlier this year he and a colleague Miranda MacKinnon travelled to Togo, West Africa to direct a Development and Public Health project that had been planned since the previous year.

This project report details the establishment of the ‘The Learn Africa Project’ and highlights some of the challenges and planning required in establishing a community development and public health project from the base up in a Developing Country. It also highlights the principle research undertaken in preparation for the estabishment of the project.

Report Author: Trevor Mattos

Multi-sectoral Approaches to Migration of Health Professionals

In this editorial piece Krystle Lai highlights the issue of the migration of health workers from the Developing World to the Developed and that we must acknowledge the structural causes that are increasing the numbers of those who chose to migrate.

Written by:Krystle Lai

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Multi-sectoral Approaches to Migration of Health Professionals (2135)

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