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The Life Story of Drug-user Women in Tehran-Iran
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| Presenter(s):
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| Jila Mirlashari, Tehran University of Medical Sciences, jmirlashari@yahoo.com
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| Apo Demirkol, University of Sydney, demirkolster@gmail.com
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| Mahvash Salsali, Tehran University of Medical Sciences, m_salsali@hotmail.com
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| Hassan Rafiey, University of Social Welfare and Rehabilitation Science, hassan441015@gmail.com
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| Jahanfar Jahanbani, Tehran Islamic Azad University, jjahanbani@yahoo.com
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| Abstract:
There is limited information on drug dependency among Iranian women. Most of the time using drugs among women in Iran is a hidden process. The aim of this qualitative study is to explore the components which might play a role in initiation of drug use among Iranian young women.14 in-depth interviews were conducted with young drug user women and their family members.
Based on our data analysis, traumatic events during childhood, significant disconnection between these individuals, their families and the society, aimless way of living, wrong information regarding drugs and addiction, continuous feeling of grief, loneliness, and helplessness and having a drug user husband or boyfriend were identified as important determinants of substance use. The results of this research suggest that dealing with a major problem such as drug dependency among women needs early intervention and comprehensive assessment of the context in which they live and use substances.
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Effects of Social Injustice on Abnormal Mammography Follow-up among Low-income Women
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| Presenter(s):
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| Shelly-Ann Bowen, University of South Carolina, bowensk2@mailbox.sc.edu
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| Michael Byrd, University of South Carolina, mdbyrd01@mailbox.sc.edu
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| Chayah Stoneberg-Cooper, University of South Carolina, chayah.cooper@nyu.edu
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| Abstract:
Objectives. The social justice perspective can address inequitable health outcomes for women who receive abnormal breast screening. This study explored the role of social injustice on disparities in follow up of abnormal mammography.
Methods. A cross-sectional qualitative telephone study designed to explore factors influencing the cognitive processing of an abnormal breast screening result was conducted among low-income women participating in a free breast cancer screening program. Interviews were transcribed and analysis was performed using grounded theory approach to elicit psychosocial themes related to follow-up.
Results. During the study period we interviewed 72% (16) of the women referred for case management. Findings revealed the impact of psychosocial context, structural and cultural barriers on the cognitive representation of breast cancer and health seeking behaviors of the women.
Conclusions. Factors such as low SES, stage of diagnosis, delayed treatment, and structural and cultural barriers need to be addressed efficiently to eliminate disparities in breast cancer mortality.
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Using Most Significant Change Methodology to Evaluate Impact of Scaling up of a Health Innovation in Four Countries
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| Presenter(s):
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| Susan Igras, Georgetown University, smi6@georgetown.edu
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| Elizabeth Salazar, Georgetown University, es336@georgetown.edu
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| Rebecka Lundgren, Georgetown University, lundgrer@georgetown.edu
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| Marie Mukabatsinda, Georgetown University, awarenessrda@rwanda1.net
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| Sekou Traore, Georgetown University, irhmali_straore@yahoo.fr
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| Donald Cruz, Georgetown University, irhguatemala@yahoo.com
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| Abstract:
In a multi-year, multi-organizational process to scale up a new family planning (FP) method, M&E indicators measure the extent of method integration into norms, reporting, training, and other health systems elements. To learn about values, meanings, and unanticipated effects in stakeholder groups and how those involved are affected, inductive methodologies play important roles. Most Significant Change (MSC), a participatory, story-based methodology was adapted for use in evaluation of scale up of integrating the Standard Days Method (SDM) into FP programs in Guatemala, Mali, Rwanda, and India. Organizations involved in introducing SDM were trained on MSC, collected, analyzed, and selected top MSC stories at user/client, provider, and program manager/policy maker levels. Over 100 stories from male and female scale up participants were collected, triaged, analyzed, and later shared with FP stakeholders, which led to new understandings of scale up processes and effects and led to adjustments in scale up strategies.
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