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Setting Research Priorities for Cervical Cancer Prevalence, Prevention and Treatment in WHO Africa Region

Advances in Reproductive Sciences 2021年第1期9卷 41-49页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Chilanga Asmani Hayfa Elamin Souleymane Zan bigirimana françoise Mihretu Belete Gbenou Dina Dadji Kwami Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent Reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of Reproductive Health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa Health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: Cervical cancer has been ranked among the leading causes of deaths among women in Africa. Despite this, priority setting mechanisms used in planning for programmes and interventions that respond to sexual and reproductive health and rights services particularly in cervical cancer prevalence, prevention and treatment have not adequately taken into account research based evidence to respond appropriately. Methods: We adapted the Child Health and Nutrition Research Initiative method. A wide range of stakeholders identified potential research areas in an online survey. A technical working group comprising of 67 participants reviewed the questions for modification and removal of out scope questions. Finally, scoring and ranking was done to provide the top ten priorities questions. Results: “Cost-benefit analysis of systematic human papillomavirus vaccination compared to the current cost of cervical cancer in public health care systems” scored 27. This was followed by two research questions ranked at 24 points: “assessment of women’s and girls’ knowledge on the importance of early cervical cancer screening,” and “human papilloma virus vaccination and contributions of new technologies to the supply and storage of vaccines, including human papillomavirus vaccine”. Conclusion: The study identified 10 priority research questions that can guide the agenda for cervical cancer prevalence, prevention and treatment in the WHO Africa region. The identified priorities will be of use to policy makers, researchers and programmers and other stakeholders who can invest in areas that greatly affect cervical cancer prevalence, prevention and treatment.

关键词： Cervical Cancer Screening Secondary Prevention HPV Vaccination Sexual and Reproductive Health

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Setting Regional Research Priorities for Sexual and Reproductive Health and Rights Services in Humanitarian Settings

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Advances in Reproductive Sciences 2021年第1期9卷 60-68页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Chilanga Asmani Hayfa Elamin bigirimana françoise Souleymane Zan Gbenou Dina Mihretu Belete Dadji Kwami Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent Reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of Reproductive Health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa Health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: Despite increased recognition of the need for sexual and reproductive health and rights in humanitarian settings, evidence focusing on mainstreaming reproductive health services such as maternal, neonatal mortality, human immunodeficiency virus transmission and unsafe abortion still remains inadequate. The ability to understand the magnitude of the needs and highlight existing gaps is supported by improved data which is critical to informing effective policies, programming and funding decisions. The purpose of this report is to present the results of a research prioritization exercise on sexual and reproductive health and rights services in humanitarian settings for the WHO Africa region for the next three years. Methods: We adapted the Child Health and Nutrition Research Initiative method in three phases. Experts from the region participated in an online survey to identify key areas for research in sexual and reproductive health and rights. To identify potential areas for research, the experts ensured answerability, effectiveness, deliverability, equity and potential impact of the questions. The research areas they identified were reviewed by World Health Organization technical team from headquarters. In a meeting of 67 participants, the questions were subjected to further review and analysis. Using a modified for scoring criteria, the questions were scored and ranked to provide the top ten priority questions to address sexual and reproductive health and rights services in humanitarian settings. Results: A list of 21 priority research questions on sexual and reproductive health and rights services in humanitarian settings were scored and ranked. Top ten priorities research questions were identified. Those that scored highly by scoring 30 points out of the possible maximum of 30 include: “determining the prevalence and associated factors of unwanted pregnancies and abortions performed in emergency and hu

关键词： Humanitarian Conflicts Crisis Sexual and Reproductive Health and Rights

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Research Priorities for Addressing Gender Based Violence in the WHO Africa Region

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Advances in Reproductive Sciences 2021年第1期9卷 50-59页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi bigirimana françoise Chilanga Asmani Hayfa Elamin Souleymane Zan Mihretu Belete Gbenou Dina Dadji Kwami Theopista Kabuteni John Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent Reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of Reproductive Health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa Health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: There is an increasing emphasis on conducting research to identify gender based violence issues to enable development of appropriate programs and interventions. However, these efforts are mixed in quality and often raise ethical questions. The increased pressure on policy makers to move to a more evidence-based approach in addressing gender based issues creates the need for this research prioritization activity. Inadequate evaluative evidence in this area poses a challenge in the planning for responsive interventions especially in resource limited settings. The purpose of this paper is to present gender based violence research priority areas for the WHO Africa Region. Methods: We utilized a modified version of the Child Health and Nutrition Research Initiative approach to reach consensus on research priorities on the thematic area of gender based violence. In three phases, we first conducted an online survey with sexual and reproductive health and rights experts in academia, ministries of health, non-governmental organizations and other health actors with a wide range of experiences. These questions were consolidated by three experts from World Health Organization headquarters into themes. Secondly, experts were invited in a meeting in Cape Town South Africa to analyze and generate relevant areas of research based on the themes. Finally, a smaller group of experts prioritized research areas based on agreed criteria. Results: A list of 10 priority research questions for addressing gender based violence were scored and ranked. Four priority research questions scored 30 points out of the possible 30 points and were thus ranked as the highest priority. These included questions that “engage young adolescents in behavioral interventions to influence gender roles”, “determinants of gender based violence analysis”, “both long and short term complications of gender based violence on survivors” and “assessment of

关键词： Gender-Based Violence Gender Human Rights Sexual and Reproductive Health Violence

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Research Priorities for Preventing Unsafe Abortions in the WHO Africa Region

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Advances in Reproductive Sciences 2021年第1期9卷 24-32页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Chilanga Asmani Hayfa Elamin Souleymane Zan Mihretu Belete Gbenou Dina Theopista Kabuteni John bigirimana françoise Dadji Kwami Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent Reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of Reproductive Health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa Health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: Unsafe abortion is a commonly neglected sexual and reproductive health and rights issue despite the serious health problems it causes to women and girls in their reproductive ages. It is classified as a main cause of maternal mortality and morbidity. This paper has considered questions that have the greatest potential to successfully reduce unsafe abortions in the resource poor settings. Methods: We adapted the Child Health and Nutrition Research Initiative (CHNRI) to identify and prioritize many competing sexual and reproductive health and rights research ideas that impact the health of the populations. The implementation was done in three phases which included generation and collection of research ideas from various experts virtually in August 2019 consolidation of the potential questions through thematic analysis conducted in September 2019. Finally, scoring and ranking of the research questions was done in a workshop of experts. Results: Out of a list of 45 priority research questions, two questions were ranked the highest scoring 28 out of the possible 30. The research priorities include: “The effectiveness of interventions (e.g. counseling or incentives or home visits) to increase post abortion uptake and continuance”, “Reducing repeat abortion on improving maternal health outcomes” and “Evaluation of community-based awareness programs to reduce unwanted pregnancies and encourage women to seek help early”. Conclusions: Ten key research priorities in preventing unsafe abortion were identified. The priority list covers areas of focus that could effectively impact preventing unsafe abortions while also acting as a knowledge base for researchers, policy makers and other interested stakeholders who would want to invest in this area.

关键词： Unsafe Abortion Post-Abortion Contraception Sexual and Reproductive Health Unplanned Abortion

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The WHO African Region: Research Priorities on Sexual and Reproductive Health and Rights

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Advances in Reproductive Sciences 2021年第1期9卷 13-23页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Theopista Kabuteni John Chilanga Asmani Hayfa Elamin Symplice Mbola Mbassi Souleymane Zan bigirimana françoise Mihretu Belete Gbenou Dina Dadji Kwami Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent Reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of Reproductive Health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa Health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: Many policy makers deliberating on comprehensive sexual and reproductive health and rights services need reliable evidence to make choices that benefit women, adolescents, children and the wider society. While universal health coverage discourse provides an opportunity to expand access through evidence based interventions, many gaps exist. Research prioritization has proved to be very helpful in identifying relevant areas especially in constrained resource settings. The purpose of this paper is to present the results of the World Health Organization Africa Region research prioritization for sexual and reproductive health and rights. These priorities hope to guide the region for the next three years. Methods: We used the Child Health and Nutrition Research Initiative approach to identify priority questions among many potential areas for research prioritization on sexual and reproductive health and rights. The implementation process was organized in three phases. The first phase involved sending out an online survey to various experts with experience in sexual and reproductive health rights. These questions were received by a technical team from World Health Organization headquarters for review. 634 questions were identified for potential research and grouped into 12 themes. The second phase involved experts who reviewed the questions. The team merged questions with duplications, removed the questions that were out of scope and finally refined the wordings. In the final phase, experts worked in groups to score and rank top ten priority questions for each of the 12 thematic areas. Results: A list of 120 priority questions for sexual and reproductive health and rights were prioritized by 67 participants drawn from 16 organizations. Most of the priority research questions (45%) focused on the theme of gender-based violence, 35% prioritized services in sexual and reproductive health and rights in humanitarian

关键词： Research Priorities Sexual and Reproductive Health and Rights Child Health and Nutrition Research Initiative

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Research Priorities for mHealth and Innovative Strategies in Sexual and Reproductive Health and Rights in the WHO Africa Region

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Advances in Reproductive Sciences 2021年第1期9卷 33-40页

作者： Leopold Ouedraogo Triphonie Nkurunziza Assumpta Muriithi Chilanga Asmani Hayfa Elamin Souleymane Zan bigirimana françoise Mihretu Belete Gbenou Dina Dadji Kwami Mekdes Daba Theopista Kabuteni John Hien Clotaire Kim Caron Rahn Ali Moazzam Tolu Lemi Blami Dao Issiaka Sombie Okech Mollent Reproductive Maternal Health and Ageing WHO Regional Office for Africa Brazzaville Congo Department of Reproductive Health and Research World Health Organization Geneva Switzerland JHPIEGO Ouagadougou Burkina Faso West Africa Health Organization Ouagadougou Burkina Faso Peak Moments Global HR Solutions Nairobi Kenya

Background: The use of mobile phones continues to rise rapidly in the provision of health related services. Many countries have adopted the use of mobiles to provide sexual and reproductive health and rights and especially among the adolescents where specific messages are tailored for various audiences with specific messages. The purpose of this paper is to present the results of a research priority setting exercise on mHealth and innovative strategies. Methods: We adapted Child Health and Nutrition Research Initiative methodology to identify and set research priorities on mHealth and innovative strategies that respond to sexual and reproductive health and rights services. General potential research questions were gathered online from multiple stakeholders in the region and sent for consolidation consolidated to technical experts in World Health Organization headquarters. The second phase involved a meeting with experts to review and thematically analyze the questions list of 33 questions producing a list of 22 research questions. The questions were scored against a six point criteria and ranked accordingly. Ten top priority research questions were identified. Results: Lists of 33 priority research questions for mHealth and innovative strategies were proposed for discussions by 67 stakeholders. The questions were reviewed, scored and ranked in a technical meeting by experts. The highest ranking questions at 87% include evaluation of mHealth for data management and sexual and reproductive health and rights decision making, assessment of innovative local financing techniques to support community based sexual reproductive health and rights and evaluation of the role of mobile technologies in referral and counter referral. Conclusions: Information and communication technology is developing drastically and has a great potential in improving health especially in sexual and reproductive health and rights s

关键词： mHealth Mobile Phones Sexual and Reproductive Health and Rights Technology

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Analysis of Mobile and Internet Network Coverage: Propagation of Electromagnetic Waves and Concept of Digital Divide in Burundi

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Open Journal of Antennas and Propagation 2024年第1期12卷 1-18页

作者： Apollinaire bigirimana Jérémie Ndikumagenge Sami Tabbane Romeo Nibitanga Hassan Kibeya Center for Research in Infrastructure Environment and Technology (CRIET) Doctoral School of the University of Burundi Bujumbura Burundi Center for Research in Infrastructure Environment and Technology (CRIET) University of Burundi Bujumbura Burundi Higher School of Communications of Tunis Technological City of Communications Ariana Tunisia Faculty of Engineering Sciences Universit du Burundi Bujumbura Burundi

Mobile and Internet network coverage plays an important role in digital transformation and the exploitation of new services. The evolution of mobile networks from the first generation (1G) to the 5th generation is still a long process. 2G networks have developed the messaging service, which complements the already operational voice service. 2G technology has rapidly progressed to the third generation (3G), incorporating multimedia data transmission techniques. It then progressed to fourth generation (4G) and LTE (Long Term Evolution), increasing the transmission speed to improve 3G. Currently, developed countries have already moved to 5G. In developing countries, including Burundi, a member of the East African Community (ECA) where more than 80% are connected to 2G technologies, 40% are connected to the 3G network and 25% to the 4G network and are not yet connected to the 5G network and then still a process. The objective of this article is to analyze the coverage of 2G, 3G and 4G networks in Burundi. This analysis will make it possible to identify possible deficits in order to reduce the digital divide between connected urban areas and remote rural areas. Furthermore, this analysis will draw the attention of decision-makers to the need to deploy networks and coverage to allow the population to access mobile and Internet services and thus enable the digitalization of the population. Finally, this article shows the level of coverage, the digital divide and an overview of the deployment of base stations (BTS) throughout the country to promote the transformation and digital inclusion of services.

关键词： Coverage of Mobile Networks and Internet Digital Divide Rural and Isolated Areas Antenna Connectivity and Digital Inclusion

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How to Create Real Labor: the Study on Work-Based Learning Model in Zhejiang Technological and Vocational Colleges-Taking Zhejiang Industry Polytechnic College as An Example

How to Create Real Labor: the Study on Work-Based Learning M...

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作者： bigirimana Jean Claude 浙江师范大学

学位级别：硕士

The main objective of this research was to study the work-based learning model in Zhejiang Technological and Vocational Colleges and Zhejiang Industry Polytechnic College located in Shaoxing city was taken as a sample of vocational colleges in Zhejiang *** researcher wanted to explore the significant of the Work-based learning model as well as the strengths and challenges in implementing of this system especially by focusing on apprenticeship through practice in classroom *** study employed a qualitative research method and data were collected in Zhejiang Industry Polytechnic College in November ***（8）teachers and ten（10）students from different majors at that vocational college were participated in this *** was also employed interview with teachers,students in order to identify the strengths and challenges of the work-based learning practices in Zhejiang Province and how learners use materials available without forgetting to study the challenges encountered by teachers and students during practice in classroom *** study was analysed the link between theories in classroom and practice in classroom training through the teaching model available in work-based learning as well as the quality of the teaching assured in order to give some suggestions to policy makers and relevant stakeholders in Zhejiang Technological and Vocational *** data analysis,according to the participants’responses and the researcher’s observations the findings show strengths and challenges in work-based learning implementation in Zhejiang Industry Polytechnic College:firstly,the college has almost enough materials to train students in classroom training even if in some classroom the material is not totally due to the high number of students in some *** the classroom practices,the largest training centres named SHAOXING PUBLIC TRAINING CENTER（referred to as“the base”（基地））in Shaoxing city is located at Zhejiang Industry Polytechnic Coll

关键词： Higher Vocational Education classroom teaching Work-basedLearning

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Leveraging Pima Dataset to Diabetes Prediction: Case Study of Deep Neural Network

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Journal of Computer and Communications 2022年第11期10卷 15-28页

作者： Pélagie Hounguè Annie Ghylaine bigirimana Laboratory of Data Science and Digital Inclusion Institut de Mathématiques et de Sciences Physiques Université d’Abomey-Calavi Abomey-Calavi Bénin

Diabetes is a chronic disease. In 2019, it was the ninth leading cause of death with an estimated 1.5 million deaths. Poorly controlled, diabetes can lead to serious health problems. That explains why early diagnosis of diabetes is very important. Several approaches that use Artificial Intelligence, specifically Deep Learning, have been widely used with promising results. The contribution of this paper is in two-folds: 1) Deep Neural Network (DNN) approach is used on Pima Indian dataset to predict diabetes using 10 k-fold cross validation and 89% accuracy is obtained;2) comparative analysis of previous work is provided on diabetes prediction using DNN with the tested model. The results showed that 10 k-fold cross-validation could decrease the efficiency of diabetes prediction models using DNN.

关键词： Deep Learning Artificial Intelligence Deep Neural Network k-Fold Cross-Validation Diabete Mellitus

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The Role of Motivation in Contribution of Human Resource Management in the Organization Goals Achievement a Case Study of B. C. B

The Role of Motivation in Contribution of Human Resource Man...

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作者： bigirimana STEVE 华中师范大学

学位级别：硕士

The motivation concept is a strategy used by organization or financial institutions in order to implement performance among their employees. By motivation of employees we hear the implication of human resource management department which played an important role of planning, organizing, leading and controlling all activities and tasks of the organization human part. In that perspective the organization put in place enough resources in order to meet the fixed goals and the stakeholders' needs. Our research was based on "The Role of Motivation in Contribution of Human Resource Management in the Organization Goals Achievement". Ourcase study of Banque de Credit de Bujumbura. Our main objective was to determine the contribution of motivation trough human resource in the organization goals achievement. In order to well develop our research study, we elaborated research questions which leading us during the research progress. It was important also to notice that we used different instruments such as interviews, questionnaires and observation in order to well conduct our survey. After the data collection, we analyzed the data in the perspective of findings interpretation of results. The results finding during the survey shown that motivation factors are among the major contributors of the organization goals achievement. On the other hand others theories and studies from scholars revealed those motivation factors are not in the major contributors in to influence the employees' performance and then we judge necessary to formulates different recommendations in order to review and make some adaptations of motivation incentives.

关键词： Motivation Strategies Human Resource Management Practices Performance

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