Ian Askew
Dados Biográficos
| ID | 1446083 |
|---|---|
| NOME | Ian Askew |
| PRENOMES | Ian |
| SOBRENOME | Askew |
| ASSINATURA | ASKEW I |
| AFILIAÇÕES | British Council |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 31 |
| TOTAL DE CITAÇÕES | 66 |
| TOTAL COMO AUTOR | 31 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1983 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 5 |
Integrating maternal, newborn, child health and non-communicable disease care in the sustainable development goal era
Noncommunicable diseases (NCDs) and maternal newborn and child health (MNCH) are two deeply intertwined health areas that have been artificially separated by global health policies, resource allocations and programming. Optimal MNCH care can provide a unique opportunity to screen for, prevent and manage early signs of NCDs developing in both the woman and the neonate. This paper considers how NCDs, NCD modifiable risk factors, and NCD metabolic r…
A summative content analysis of how programmes to improve the right to sexual and reproductive health address power
INTRODUCTION: Power shapes all aspects of global health. The concept of power is not only useful in understanding the current situation, but it is also regularly mobilised in programmatic efforts that seek to change power relations. This paper uses summative content analysis to describe how sexual and reproductive health (SRH) programmes in low-income and middle-income countries explicitly and implicitly aim to alter relations of power. METHODS: …
Health systems and the SDGs
Fertility Transitions in Ghana and Kenya
Patterns and trends of postpartum family planning in Ethiopia, Malawi, and Nigeria
BACKGROUND: The first 12 months following childbirth are a period when a subsequent pregnancy holds the greatest risk for mother and baby, but also when there are numerous contacts with the healthcare system for postnatal care for mother and baby (immunisation, nutrition, etc.). The benefits and importance of postpartum family planning are well documented. They include a reduction in risk of miscarriage, as well as mitigation of (or protection ag…
Family planning use and fertility desires among women living with HIV in Kenya
NCT01694862
Cultural practices and sexual risk behaviour among adolescent orphans and non-orphans
Adolescent sexual risk reduction programs should be developed considering the specific cultural context, using strategies that empower communities to challenge the widely accepted cultural norms that may predispose young people in general to sexual risks while targeting those that unequally influence orphans
Safe motherhood voucher programme coverage of health facility deliveries among poor women in South-western Uganda
There has been increased interest in and experimentation with demand-side mechanisms such as the use of vouchers that place purchasing power in the hands of targeted consumers to improve the uptake of healthcare services in low-income settings. A key measure of the success of such interventions is the extent to which the programmes have succeeded in reaching the target populations. This article estimates the coverage of facility deliveries by a m…
Assessing the population-level impact of vouchers on access to health facility delivery for women in Kenya
Reducing Unmet Need by Supporting Women with Met Need
CONTEXT: The 2012 London Summit on family planning set a goal of providing modern contraceptives to 120 million women with unmet need by 2020. Reducing the high rate of contraceptive discontinuation by facilitating switching among methods will play a critical role in meeting that goal. METHODS: Data collected from married women in Demographic and Health Surveys conducted in 34 countries between 2005 and 2010 were used to estimate the potential co…
Understanding orphan and non-orphan adolescents’ sexual risks in the context of poverty
BACKGROUND: Some studies show orphanhood to be associated with increased sexual risk-taking while others have not established this relationship, but have found factors other than orphanhood as predictors of sexual risk behaviours and outcomes among adolescents. This study examines community members' perceptions of how poverty influences adolescent sexual behaviour and outcomes in four districts of Nyanza Province, Kenya. METHODS: Eight study site…
Community experiences and perceptions of reproductive health vouchers in Kenya
The findings of this paper showed that the voucher program in Kenya is viewed by the community members as a feasible system for increasing service utilization, improving quality of care, and reducing financial barriers to accessing reproductive health services. However, the techniques of program execution such as proper information and availability of the distributors as well as local attitudes influence whether vouchers are purchased and used
Community-level impact of the reproductive health vouchers programme on service utilization in Kenya
This paper examines community-level association between exposure to the reproductive health vouchers programme in Kenya and utilization of services. The data are from a household survey conducted among 2527 women (15-49 years) from voucher and comparable non-voucher sites. Analysis entails cross-tabulations with Chi-square tests and significant tests of proportions as well as estimation of multi-level logit models to predict service utilization b…
Study protocol for the Integra Initiative to assess the benefits and costs of integrating sexual and reproductive health and HIV services in Kenya and Swaziland
Current Controlled Trials NCT01694862
Exploring the effectiveness of the output-based aid voucher program to increase uptake of gender-based violence recovery services in Kenya
The above findings suggest that there is a need to build the capacity of health care providers and police officers, strengthen the community strategy component of the OBA program to promote the GBVR services voucher, and conduct widespread community education programs aimed at prevention, ensuring survivors know how and where to access services and addressing stigma and cultural barriers
Risky Sexual Behavior Among Orphan and Non-orphan Adolescents in Nyanza Province, Western Kenya
Evaluation of the impact of the voucher and accreditation approach on improving reproductive health behaviors and status in Kenya
A quasi-experimental study will investigate the impact of the voucher approach on improving reproductive health behaviors, reproductive health status and reducing inequities at the population level; and assessing the effect of vouchers on increasing access to, and quality of, and reducing inequities in the use of selected reproductive health services. The study comprises of four populations: facilities, providers, women of reproductive health age…
The Effectiveness of a Community‐based Education Program on Abandoning Female Genital Mutilation/Cutting in Senegal
A pre‐ and post‐test comparison‐group design was used to evaluate the effect of a community education program on community members' willingness to abandon female genital mutilation/cutting (FGM/C) in rural areas of southern Senegal. Developed by TOSTAN (a Senegalese nongovernmental organization), the education program aimed to empower women through a broad range of educational and health‐promoting activities. Our findings suggest that information…
Methodological issues in measuring the impact of interventions against female genital cutting
With increasing efforts being made to introduce systematic interventions for encouraging abandonment of female genital cutting (FGC) comes the need to better understand how such interventions work and what effects they have. Many interventions are based on theoretical models of behaviour change and so studies to evaluate them should develop indicators appropriate to the type of behaviour change anticipated. Systematic evaluations need also to use…
The Contribution of Sexual and Reproductive Health Services to the Fight against HIV/Aids
Approximately 80% of HIV cases are transmitted sexually and a further 10% perinatally or during breastfeeding. Hence, the health sector has looked to sexual and reproductive health programmes for leadership and guidance in providing information and counselling to prevent these forms of transmission, and more recently to undertake some aspects of treatment. This paper reviews and assesses the contributions made to date by sexual and reproductive h…
Female Genital Cutting Practices in Burkina Faso and Mali and Their Negative Health Outcomes
Observations of the types of female genital cutting and possible associated gynecological and delivery complications were undertaken in 21 clinics in rural Burkina Faso and in four rural and four urban clinics in Mali. Women who came to the clinics for services that included a pelvic exam were included in the study, and trained clinic staff observed the presence and type of cut and any associated complications. Ninety‐three percent of the women i…
Using operations research to guide family planning program development and policy formulation in sub-Saharan Africa
Using Situation Analysis Data to Assess the Functioning of Family Planning Clinics in Nigeria, Tanzania, and Zimbabwe
Situation analyses conducted in Nigeria. Tanzania, and Zimbabwe have revealed problems in the functioning of many of the subsystems of family planning service delivery, namely in supplies of commodities; in facilities and equipment; in staffing and training; in information, education, and communication; and in record keeping. Although a clear pattern of clinic use exists, in that only a few service-delivery points provide contraceptive services t…
Indicators for Measuring the Quality of Family Planning Services in Nigeria
This article presents the Situation Analysis approach as a means of collecting data that can be used to assess the quality of care provided by family planning service-delivery points (SDPs), and describes the quality of services offered in Nigeria. Elements of the quality of services provided at 181 clinical service-delivery points in six states of Nigeria are described. The substantive results from the study suggest that although most of the 181…
Quality of care in family planning programmes
The family planning programme in Burkina Faso is relatively new, with services being provided through public sector clinics since 1985. The government strongly supports family planning and is seeking to expand and improve the current programme. To be able to plan for this effectively, the Ministry of Health and Social Action undertook a study to rapidly assess both the functional capacity of the programme's subsystems (for example, logistics, equ…
Fertility Transitions in Ghana and Kenya
Female Genital Cutting Practices in Burkina Faso and Mali and Their Negative Health Outcomes
Observations of the types of female genital cutting and possible associated gynecological and delivery complications were undertaken in 21 clinics in rural Burkina Faso and in four rural and four urban clinics in Mali. Women who came to the clinics for services that included a pelvic exam were included in the study, and trained clinic staff observed the presence and type of cut and any associated complications. Ninety‐three percent of the women i…
Using Situation Analysis Data to Assess the Functioning of Family Planning Clinics in Nigeria, Tanzania, and Zimbabwe
Situation analyses conducted in Nigeria. Tanzania, and Zimbabwe have revealed problems in the functioning of many of the subsystems of family planning service delivery, namely in supplies of commodities; in facilities and equipment; in staffing and training; in information, education, and communication; and in record keeping. Although a clear pattern of clinic use exists, in that only a few service-delivery points provide contraceptive services t…
Indicators for Measuring the Quality of Family Planning Services in Nigeria
This article presents the Situation Analysis approach as a means of collecting data that can be used to assess the quality of care provided by family planning service-delivery points (SDPs), and describes the quality of services offered in Nigeria. Elements of the quality of services provided at 181 clinical service-delivery points in six states of Nigeria are described. The substantive results from the study suggest that although most of the 181…
Community-level impact of the reproductive health vouchers programme on service utilization in Kenya
This paper examines community-level association between exposure to the reproductive health vouchers programme in Kenya and utilization of services. The data are from a household survey conducted among 2527 women (15-49 years) from voucher and comparable non-voucher sites. Analysis entails cross-tabulations with Chi-square tests and significant tests of proportions as well as estimation of multi-level logit models to predict service utilization b…
The Effectiveness of a Community‐based Education Program on Abandoning Female Genital Mutilation/Cutting in Senegal
A pre‐ and post‐test comparison‐group design was used to evaluate the effect of a community education program on community members' willingness to abandon female genital mutilation/cutting (FGM/C) in rural areas of southern Senegal. Developed by TOSTAN (a Senegalese nongovernmental organization), the education program aimed to empower women through a broad range of educational and health‐promoting activities. Our findings suggest that information…
The location of service facilities in rural areas
Askew I. (1983) The location of service facilities in rural areas: a model for generating and evaluating alternative solutions, Reg. Studies 17, 305–314. The problem of the accessibility of public service facilities in rural areas is considered using a locational model. The model is in two stages. The first uses a location-allocation algorithm to generate alternative sets (strategies) of facility locations for a region. The second uses a time-geo…
Health systems and the SDGs
Quality of care in family planning programmes
The family planning programme in Burkina Faso is relatively new, with services being provided through public sector clinics since 1985. The government strongly supports family planning and is seeking to expand and improve the current programme. To be able to plan for this effectively, the Ministry of Health and Social Action undertook a study to rapidly assess both the functional capacity of the programme's subsystems (for example, logistics, equ…
Community Participation in National Family Planning Programs
Organizing Community Participation in Family Planning Projects in South Asia
Community participation" is a popular phrase with policymakers but the operational implications of putting the idea into practice are not clearly understood. This paper presents the findings from a comparative analysis of seven case studies of community participation projects implemented by the nongovernmental Family Planning Associations (FPAs) of India, Bangladesh, Pakistan, Sri Lanka, and Nepal. The analysis focuses on the interactions between…
Safe motherhood voucher programme coverage of health facility deliveries among poor women in South-western Uganda
There has been increased interest in and experimentation with demand-side mechanisms such as the use of vouchers that place purchasing power in the hands of targeted consumers to improve the uptake of healthcare services in low-income settings. A key measure of the success of such interventions is the extent to which the programmes have succeeded in reaching the target populations. This article estimates the coverage of facility deliveries by a m…
Assessing the population-level impact of vouchers on access to health facility delivery for women in Kenya
The location of service facilities in rural areas
Askew I. (1983) The location of service facilities in rural areas: a model for generating and evaluating alternative solutions, Reg. Studies 17, 305–314. The problem of the accessibility of public service facilities in rural areas is considered using a locational model. The model is in two stages. The first uses a location-allocation algorithm to generate alternative sets (strategies) of facility locations for a region. The second uses a time-geo…
Applying operations research to health planning
Accessibility to health care facilities, particularly in rural areas with dispersed populations, is a major concern of primary health care policies. The physical accessibility of rural health care facilities is often assessed in terms of their location relative to those who will use them. However, the final choice of location for a facility will often depend on a trade-off between many criteria including not only its physical accessibility for th…
Physicians' Views of Periodic Abstinence Methods
A study of the knowledge, perceptions, and behavioral intentions of physicians regarding periodic abstinence (PA) methods was undertaken in Mauritius, Peru, the Philippines, and Sri Lanka. Most respondents considered PA to be useful, although even the PA providers prescribed mainly non-PA methods. Detailed knowledge of PA methods was not evident, but most physicians were willing to initiate general discussion about PA with patients. Physicians fa…
Community Development and Family Planning
This book presents the findings of a four-year evaluation of the community development and family planning education program carried out in Egyptian villages in the late 1970s. Interviewing thousands of male and female villagers researchers elicited data about knowledge of contraception attitudes toward family size and family planning family planning practices and actual fertility rates. Also included in the survey were the social and economic ch…
Organizing Community Participation in Family Planning Projects in South Asia
Community participation" is a popular phrase with policymakers but the operational implications of putting the idea into practice are not clearly understood. This paper presents the findings from a comparative analysis of seven case studies of community participation projects implemented by the nongovernmental Family Planning Associations (FPAs) of India, Bangladesh, Pakistan, Sri Lanka, and Nepal. The analysis focuses on the interactions between…
Community Participation in National Family Planning Programs
Quality of care in family planning programmes
The family planning programme in Burkina Faso is relatively new, with services being provided through public sector clinics since 1985. The government strongly supports family planning and is seeking to expand and improve the current programme. To be able to plan for this effectively, the Ministry of Health and Social Action undertook a study to rapidly assess both the functional capacity of the programme's subsystems (for example, logistics, equ…
Using Situation Analysis Data to Assess the Functioning of Family Planning Clinics in Nigeria, Tanzania, and Zimbabwe
Situation analyses conducted in Nigeria. Tanzania, and Zimbabwe have revealed problems in the functioning of many of the subsystems of family planning service delivery, namely in supplies of commodities; in facilities and equipment; in staffing and training; in information, education, and communication; and in record keeping. Although a clear pattern of clinic use exists, in that only a few service-delivery points provide contraceptive services t…
Indicators for Measuring the Quality of Family Planning Services in Nigeria
This article presents the Situation Analysis approach as a means of collecting data that can be used to assess the quality of care provided by family planning service-delivery points (SDPs), and describes the quality of services offered in Nigeria. Elements of the quality of services provided at 181 clinical service-delivery points in six states of Nigeria are described. The substantive results from the study suggest that although most of the 181…
Using operations research to guide family planning program development and policy formulation in sub-Saharan Africa
Female Genital Cutting Practices in Burkina Faso and Mali and Their Negative Health Outcomes
Observations of the types of female genital cutting and possible associated gynecological and delivery complications were undertaken in 21 clinics in rural Burkina Faso and in four rural and four urban clinics in Mali. Women who came to the clinics for services that included a pelvic exam were included in the study, and trained clinic staff observed the presence and type of cut and any associated complications. Ninety‐three percent of the women i…
The Contribution of Sexual and Reproductive Health Services to the Fight against HIV/Aids
Approximately 80% of HIV cases are transmitted sexually and a further 10% perinatally or during breastfeeding. Hence, the health sector has looked to sexual and reproductive health programmes for leadership and guidance in providing information and counselling to prevent these forms of transmission, and more recently to undertake some aspects of treatment. This paper reviews and assesses the contributions made to date by sexual and reproductive h…
Methodological issues in measuring the impact of interventions against female genital cutting
With increasing efforts being made to introduce systematic interventions for encouraging abandonment of female genital cutting (FGC) comes the need to better understand how such interventions work and what effects they have. Many interventions are based on theoretical models of behaviour change and so studies to evaluate them should develop indicators appropriate to the type of behaviour change anticipated. Systematic evaluations need also to use…
The Effectiveness of a Community‐based Education Program on Abandoning Female Genital Mutilation/Cutting in Senegal
A pre‐ and post‐test comparison‐group design was used to evaluate the effect of a community education program on community members' willingness to abandon female genital mutilation/cutting (FGM/C) in rural areas of southern Senegal. Developed by TOSTAN (a Senegalese nongovernmental organization), the education program aimed to empower women through a broad range of educational and health‐promoting activities. Our findings suggest that information…
Evaluation of the impact of the voucher and accreditation approach on improving reproductive health behaviors and status in Kenya
A quasi-experimental study will investigate the impact of the voucher approach on improving reproductive health behaviors, reproductive health status and reducing inequities at the population level; and assessing the effect of vouchers on increasing access to, and quality of, and reducing inequities in the use of selected reproductive health services. The study comprises of four populations: facilities, providers, women of reproductive health age…
Study protocol for the Integra Initiative to assess the benefits and costs of integrating sexual and reproductive health and HIV services in Kenya and Swaziland
Current Controlled Trials NCT01694862
Exploring the effectiveness of the output-based aid voucher program to increase uptake of gender-based violence recovery services in Kenya
The above findings suggest that there is a need to build the capacity of health care providers and police officers, strengthen the community strategy component of the OBA program to promote the GBVR services voucher, and conduct widespread community education programs aimed at prevention, ensuring survivors know how and where to access services and addressing stigma and cultural barriers
Risky Sexual Behavior Among Orphan and Non-orphan Adolescents in Nyanza Province, Western Kenya
Reducing Unmet Need by Supporting Women with Met Need
CONTEXT: The 2012 London Summit on family planning set a goal of providing modern contraceptives to 120 million women with unmet need by 2020. Reducing the high rate of contraceptive discontinuation by facilitating switching among methods will play a critical role in meeting that goal. METHODS: Data collected from married women in Demographic and Health Surveys conducted in 34 countries between 2005 and 2010 were used to estimate the potential co…
Understanding orphan and non-orphan adolescents’ sexual risks in the context of poverty
BACKGROUND: Some studies show orphanhood to be associated with increased sexual risk-taking while others have not established this relationship, but have found factors other than orphanhood as predictors of sexual risk behaviours and outcomes among adolescents. This study examines community members' perceptions of how poverty influences adolescent sexual behaviour and outcomes in four districts of Nyanza Province, Kenya. METHODS: Eight study site…
Community experiences and perceptions of reproductive health vouchers in Kenya
The findings of this paper showed that the voucher program in Kenya is viewed by the community members as a feasible system for increasing service utilization, improving quality of care, and reducing financial barriers to accessing reproductive health services. However, the techniques of program execution such as proper information and availability of the distributors as well as local attitudes influence whether vouchers are purchased and used
Community-level impact of the reproductive health vouchers programme on service utilization in Kenya
This paper examines community-level association between exposure to the reproductive health vouchers programme in Kenya and utilization of services. The data are from a household survey conducted among 2527 women (15-49 years) from voucher and comparable non-voucher sites. Analysis entails cross-tabulations with Chi-square tests and significant tests of proportions as well as estimation of multi-level logit models to predict service utilization b…
Cultural practices and sexual risk behaviour among adolescent orphans and non-orphans
Adolescent sexual risk reduction programs should be developed considering the specific cultural context, using strategies that empower communities to challenge the widely accepted cultural norms that may predispose young people in general to sexual risks while targeting those that unequally influence orphans
Safe motherhood voucher programme coverage of health facility deliveries among poor women in South-western Uganda
There has been increased interest in and experimentation with demand-side mechanisms such as the use of vouchers that place purchasing power in the hands of targeted consumers to improve the uptake of healthcare services in low-income settings. A key measure of the success of such interventions is the extent to which the programmes have succeeded in reaching the target populations. This article estimates the coverage of facility deliveries by a m…
Assessing the population-level impact of vouchers on access to health facility delivery for women in Kenya
Medicine (27 obras) · Environmental health (25 obras) · Population (25 obras) · Global Maternal and Child Health (18 obras) · Economic growth (16 obras) · Nursing (15 obras) · Business (14 obras) · Economics (12 obras) · Family planning (11 obras) · Political science (11 obras)