Publications by authors named "Hanna Amanuel"

Introduction: Children of key population individuals (CPK) often face the same stigma and discrimination as their parents, limiting their access to HIV services. The Meeting Targets and Maintaining Epidemic Control project analyzed pediatric HIV testing data from project-supported sites to better understand risk among CKP and improve comprehensive prevention, testing, and treatment for KP families.

Methods: We conducted a retrospective analysis of routine program data collected October 1, 2021-September 30, 2022, in project-supported sites in Burundi, Côte d'Ivoire, Democratic Republic of Congo, Tanzania, and Togo.

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Background: Balanced energy protein (BEP) supplementation in pregnant women in low-and middle-income countries may reduce the risk of stillbirth and low birth weight.

Objectives: The objective of this study was to assess the adherence to and acceptability of a corn-soy blend (CSB) BEP product among pregnant women in rural Ethiopia.

Methods: This formative study was conducted from October to November 2018 among pregnant women in the rural Amhara region of Ethiopia prior to initiation of a clinical effectiveness study (ISRCTN: 15116516).

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Article Synopsis
  • The study focuses on how perceptions influence antenatal health-seeking behaviors among pregnant women, their families, community members, and healthcare providers in rural Amhara, Ethiopia.
  • It involved interviews with 40 participants in four rural districts to understand their experiences regarding pregnancy care from October 3 to October 14, 2018.
  • Findings indicate that early pregnancy disclosure is rare, women typically seek care only when unwell, and major barriers to accessing antenatal services include long distances, lack of transportation, challenging terrain, and discomfort with male healthcare providers.*
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Article Synopsis
  • Nutrition during pregnancy is crucial for the health of both mother and fetus, but many pregnant women in Ethiopia suffer from undernutrition due to limited access to healthy foods and various dietary restrictions.
  • Research conducted in rural areas of the Amhara region involved interviews with pregnant women, family members, and healthcare providers to explore local dietary practices and challenges.
  • Although there is an awareness of the benefits of a diversified diet, factors like religious fasting, food restrictions, and misconceptions about alcohol consumption significantly hinder proper nutrition for pregnant women.
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Introduction: Reproductive injustices such as forced sterilization, preventable maternal morbidity and mortality, restricted access to family planning services, and policy-driven environmental violence undermine reproductive autonomy and health outcomes, with disproportionate impact on historically marginalized communities. However, curricula focused on reproductive justice (RJ) are lacking in medical education.

Methods: We designed a novel, interactive, case-based RJ curriculum for postclerkship medical students.

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Background: The Covid-19 pandemic is straining healthcare systems in the US and globally, which has wide-reaching implications for health. Women experience unique health risks and outcomes influenced by their gender, and this narrative review aims to outline how these differences are exacerbated in the Covid-19 pandemic.

Observations: It has been well described that men suffer from greater morbidity and mortality once infected with SARS-CoV-2.

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This anthropological study explores why more women in the rural Sierra Madre region of Chiapas, Mexico birth at home rather than at the hospital. Between January and May of 2014, the primary investigator conducted in-depth, semi-structured interviews with twenty-six interlocutors: six parteras (home birth attendants), nine pregnant women, four mothers, four healthcare providers, and three local government leaders. Participant observation occurred in the health clinic, participants' homes, and other spaces in a community with a population of 1,188 people.

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Objective: The purpose of this study was to analyze the impact of easy access to alcohol and exposure to alcohol advertisements on women's alcohol consumption, reproductive history, and health and social outcomes in an urban and rural site in South Africa.

Method: Trained fieldworkers conducted face-to-face interviews with 1,018 women of childbearing age in the Moot, Mamelodi, and Eesterus areas of the City of Tshwane (Gauteng province) and in the rural Cederberg, Bergrivier, and Swartland municipalities (Western Cape province), recruited through random sampling and stratified cluster random sampling, respectively. Multivariate logistic regression analyses were conducted, stratified according to the urban and rural sites and controlled for four demographic factors.

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