VLIR

During war and armed conflict the vulnerability of children and adolescents increases, particularly cwhere their sexual and reproductive health rights and needs are concerned. Responding to these rights and needs requires a very specific approach.

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Education and training can play a vital role in the fight against HIV/AIDS. They can inform and empower children and youth and thereby have a direct impact on the evolution of the epidemic. Education and training can as well have an impact on society, by changing social norms, fighting stigma and discrimination or triggering economic development and thereby have an indirect impact on the evolution of HIV/AIDS. At the same time, the already under resourced and overcharged education systems in sub-Saharan Africa are also affected by the HIV/AIDS pandemic.

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In Nicaragua, a new model of integrated primary health care (MAIS, modelo de atención integral en salud), is currently being implemented in primary health centres. Although the new model gives opportunities for more qualitative, accessible and equitable health care, the implementation is hampered by organizational, communicative and technical insufficiencies.
The present project investigates strategies to strengthen the implementation of the model through academically guided activities related to organization, technical ability, communication and research. The pivotal theme of the project is reproductive health delivery, identified as one of the most vulnerable aspects in this transition phase.

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In the context of the University Development Cooperation, the Universidade Eduardo Mondlane (UEM), Mozambique, was selected as a partner institution of the VLIR-UDC-programme ‘Institutional University Cooperation’. The implementation of the Partner Programme with UEM (2008-2013) is coordinated by professor Marleen Temmerman. The programme is being implemented inter-university and has as central theme ‘Reproductive Health and HIV/AIDS’. It comprises, in this first phase, 8 projects. Five projects address a sub-theme of the central theme and 3 projects will strengthen capacity in specific areas.

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General Objectives
•To reduce the incidence, morbidity and mortality related to cervical cancer in Nicaragua.
•To upgrade the curricula of nursery, medicine and gynaecology at UNAN-Managua to international standards

Specific Objectives
•Nurses, doctors and gynaecologists graduating at UNAN-Managua will be competent to adequately diagnosing and managing precancerous lesions of the cervix, and this adapted to their clinical function.
•Patients with precancerous lesions of the cervix, presenting at Bertha Calderon Women´s Hospital, will be timely and correctly managed.

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Sexual and reproductive ill-health is a cause as well as a consequence of poverty among women who end in a down-ward trend together with their children. Overall policy makers pay little attention to the situation of poor women in the development of their poverty reduction strategy.

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This project aimed at formulating policy guidelines regarding prevention of gender based violence and health care interventions for victims of gender based violence.

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General objective:
•To assess the feasibility of interventions for primary and secondary prevention interventions to improve women's reproductive health (cervical cancer screening).

Specific objective:
•To validate and enhance the specificity of visual inspection (VIA) versus PAP smear.

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Main objective:
•to assess acceptability of, compliance with, and effectiveness of the diaphragm and cervical caps in a population of high-risk women

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