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25 results on '"Lhaki, Pema"'

4. The Political, Research, Programmatic, and Social Responses to Adolescent Sexual and Reproductive Health and Rights in the 25 Years Since the International Conference on Population and Development

Author

Chandra-Mouli, Venkatraman, Ferguson, B. Jane, Plesons, Marina, Paul, Mandira, Chalasani, Satvika, Amin, Avni, Pallitto, Christina, Sommers, Marni, Avila, Ruben, Eceéce Biaukula, Kalisito Va, Husain, Scheherazade, Janušonytė, Eglé, Mukherji, Aditi, Nergiz, Ali Ihsan, Phaladi, Gogontlejang, Porter, Chelsey, Sauvarin, Josephine, Camacho-Huber, Alma Virginia, Mehra, Sunil, Caffe, Sonja, Michielsen, Kristien, Ross, David Anthony, Zhukov, Ilya, Bekker, Linda Gail, Celum, Connie L., Dayton, Robyn, Erulkar, Annabel, Travers, Ellen, Svanemyr, Joar, Maksud, Nankali, Digolo-Nyagah, Lina, Diop, Nafissatou J., Lhaki, Pema, Adhikari, Kamal, Mahon, Teresa, Manzenski Hansen, Maja, Greeley, Meghan, Herat, Joanna, and Engel, Danielle Marie Claire

Published
2019
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10. Human Papillomavirus, Related Diseases, and Vaccination: Knowledge and Awareness Among Health Care Students and Professionals in Nepal

Author

Suhaila, Khawla, primary, Mukherjee, Amrita, additional, Maharjan, Bipu, additional, Dhakal, Amrit, additional, Lama, Mingma, additional, Junkins, Anna, additional, Khakurel, Uddhav, additional, Jha, Alok Nath, additional, Jolly, Pauline E., additional, Lhaki, Pema, additional, and Shrestha, Sadeep, additional

Published
2021
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11. Strengthening health care worker engagement with early adolescence in low- and middle-income countries: an overdue area for action.

Author

Sommer, Marni, Daly, Garrison, Kabiru, Caroline, Lhaki, Pema, Okwaro, Neville, and Chandra-Mouli, Venkatraman

Abstract

The very young adolescent population (ages 10–14) is currently under-served by health care systems, particularly in low- and middle-income countries. Although there is a substantial and growing effort to reach adolescents with the health services and commodities they need, such efforts often overlook the period of early adolescence given this population's lower vulnerability to risk-taking behaviors. However, early adolescence is a period of significant change, with the onset of puberty introducing physiological, emotional, and social changes in girls' and boys' lives. This period also represents a time of intensifying gendered norms, and the transition of youth from childhood focused health care (e.g. deworming programs, nutrition interventions) to additional mid- and older adolescent related care [e.g. human papilloma virus (HPV) vaccine, and contraceptive provision). Strengthening young adolescents' engagement with health care workers around preventative and promotive health behaviors could have profound impacts on their health and wellbeing, which in turn could have cascading effects across the course of their lives. Critically, young adolescents would gain trust in health care systems, and be more likely to return when significant health issues arise later in adolescence or adulthood. Such an effort requires sensitizing health care workers and building their capacity to respond to young adolescents' unique needs, by defining a package of actions that they are mandated to provide, training them, providing them with desk reference tools, and putting in place systems to provide supportive supervision and collaborative learning on the one hand, and encouraging caregivers to connect their pubescent-aged boys and girls with the health care system, on the other hand. This paper presents an argument for increased focus in particular on building attitudes and capacities of health care workers on engaging with early adolescents, applying Principle 3 of the Society of Adolescent Medicine's position paper entitled "Health Care Reform and Adolescents." [ABSTRACT FROM AUTHOR]

Published
2022
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14. IPVS Policy Statement addressing the burden of HPV disease for Indigenous peoples

Author

Lawton, Beverley, primary, Heffernan, Margaret, additional, Wurtak, George, additional, Steben, Marc, additional, Lhaki, Pema, additional, Cram, Fiona, additional, Blas, Magaly, additional, Hibma, Merilyn, additional, Adcock, Anna, additional, Stevenson, Kendall, additional, Whop, Lisa, additional, Brotherton, Julia, additional, and Garland, Suzanne M., additional

Published
2020
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20. Genomic diversity and phylogenetic relationships of human papillomavirus 16 (HPV16) in Nepal

Author

Makowsky, Robert, primary, Lhaki, Pema, additional, Wiener, Howard W., additional, Bhatta, Madhav P., additional, Cullen, Michael, additional, Johnson, Derek C., additional, Perry, Rodney T., additional, Lama, Mingma, additional, Boland, Joseph F., additional, Yeager, Meredith, additional, Ghimire, Sarita, additional, Broker, Thomas R., additional, and Shrestha, Sadeep, additional

Published
2016
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23. Assessment of High-Risk Human Papillomavirus Infections Using Clinician- and Self-Collected Cervical Sampling Methods in Rural Women from Far Western Nepal

Author

Johnson, Derek C., primary, Bhatta, Madhav P., additional, Smith, Jennifer S., additional, Kempf, Mirjam-Colette, additional, Broker, Thomas R., additional, Vermund, Sten H., additional, Chamot, Eric, additional, Aryal, Shilu, additional, Lhaki, Pema, additional, and Shrestha, Sadeep, additional

Published
2014
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24. Strengthening health care worker engagement with early adolescence in low- and middle-income countries: an overdue area for action

Author

Sommer, Marni, Daly, Garrison, Kabiru, Caroline, Lhaki, Pema, Okwaro, Neville, and Chandra-Mouli, Venkatraman

Abstract

The very young adolescent population (ages 10–14) is currently under-served by health care systems, particularly in low- and middle-income countries. Although there is a substantial and growing effort to reach adolescents with the health services and commodities they need, such efforts often overlook the period of early adolescence given this population’s lower vulnerability to risk-taking behaviors. However, early adolescence is a period of significant change, with the onset of puberty introducing physiological, emotional, and social changes in girls’ and boys’ lives. This period also represents a time of intensifying gendered norms, and the transition of youth from childhood focused health care (e.g. deworming programs, nutrition interventions) to additional mid- and older adolescent related care [e.g. human papilloma virus (HPV) vaccine, and contraceptive provision). Strengthening young adolescents’ engagement with health care workers around preventative and promotive health behaviors could have profound impacts on their health and wellbeing, which in turn could have cascading effects across the course of their lives. Critically, young adolescents would gain trust in health care systems, and be more likely to return when significant health issues arise later in adolescence or adulthood. Such an effort requires sensitizing health care workers and building their capacity to respond to young adolescents’ unique needs, by defining a package of actions that they are mandated to provide, training them, providing them with desk reference tools, and putting in place systems to provide supportive supervision and collaborative learning on the one hand, and encouraging caregivers to connect their pubescent-aged boys and girls with the health care system, on the other hand. This paper presents an argument for increased focus in particular on building attitudes and capacities of health care workers on engaging with early adolescents, applying Principle 3 of the Society of Adolescent Medicine’s position paper entitled “Health Care Reform and Adolescents.”

Published
2019
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25. Assessment of High-Risk Human Papillomavirus Infections Using Clinician- and Self-Collected Cervical Sampling Methods in Rural Women from Far Western Nepal

Author

Shrestha, Sadeep, Lhaki, Pema, Vermund, Sten H., Johnson, Derek C., Chamot, Eric, Smith, Jennifer S., Bhatta, Madhav P., Kempf, Mirjam-Colette, Broker, Thomas R., and Aryal, Shilu

Subjects
3. Good health
Abstract

IntroductionNepal has one of the highest cervical cancer rates in South Asia. Only a few studies in populations from urban areas have investigated type specific distribution of human papillomavirus (HPV) in Nepali women. Data on high-risk HPV (HR-HPV) types are not currently available for rural populations in Nepal. We aimed to assess the distribution of HR- HPV among rural Nepali women while assessing self-collected and clinician-collected cervico-vaginal specimens as sample collection methods for HPV screening.MethodsStudy participants were recruited during a health camp conducted by Nepal Fertility Care Center in Achham District of rural far western Nepal. Women of reproductive age completed a socio-demographic and clinical questionnaire, and provided two specimens; one cervical-vaginal specimen using a self-collection method and another cervical specimen collected by health camp auxiliary nurse midwives during a pelvic examination. All samples were tested for 14 different HR-HPV mRNA and also specific for HPV16/18/45 mRNA.ResultsOf 261 women with both clinician- and self-collected cervical samples, 25 tested positive for HR-HPV, resulting in an overall HR-HPV prevalence of 9.6% (95% confidence Interval [CI]: 6.3–13.8). The overall Kappa value assessing agreement between clinician- and self-collected tests was 0.62 (95% CI: 0.43–0.81), indicating a “good” level of agreement. Abnormal cytology was reported for 8 women. One woman identified with squamous cell carcinoma (SCC), and 7 women with high grade squamous intraepithelial lesions (HSIL). Seven of the 8 women tested positive for HR-HPV (87.5%) in clinician-collected samples and 6 in self-collected samples (75.0%).ConclusionThis is the first study to assess HR-HPV among rural Nepali women. Self-collected sampling methods should be the subject of additional research in Nepal for screening HR-HPV, associated with pre-cancer lesions and cancer, in women in rural areas with limited access to health services.

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