Between 2009 and 2015, 1.2 million women received Implanon implants from trained Health Extension Workers. Of the approximately 7,000 implant service visits made during the first 6 months, 25% were among women who had never used contraception before.
Following the introduction of IUDs into the Ethiopian public health sector, use of the method increased from <1% in 2011 to 6% in 2014 in a sample of 40 health facilities. This shift occurred in the context of wide method choice, following provider training, provision of post-training supplies, and community-based awareness creation. The IUD was acceptable to a diverse range of clients, including new contraceptive users, those with little to no education, those from rural areas, and younger women, thus suggesting a strong latent demand for IUDs in Ethiopia.
Many similarities and differences are present among low-income populations in Pomona, California, as well as post-tsunami populations in Sri Lanka. These populations often live in close proximity to one another and may have a similar lack of access to health care. According to earlier studies, common health problems in low-income populations in the US are skin and respiratory conditions, but it is unclear whether these conditions dominate in post-disaster populations. In July 2005, we collected data from 263 tsunami victims in Sri Lanka and compared the health issues to data taken from 135 patients who attended Pomona Community Health Action Team clinics between September 2003 and January 2004. Diagnoses of the perspective populations were divided by organ system and 12 categories of illnesses. Statistical findings showed that the number of people who have dermatological and respiratory conditions are significantly higher in Sri Lanka than in Pomona. A possible explanation for these findings would be the role of the tropical climate of Sri Lanka. Though it is limited, access to medical care, improved hygienic conditions, and proper housing in Pomona is still considerably higher than in Sri Lanka. These factors could play a role in the health disparities between these two similar communities.
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