Prevalence and correlates of intimate partner violence among women attending child health services, Enugu State, Nigeria- 2015

: 1.043_NEP Low rates of screening and treatment of chronic hepatitis B, C, D (HBV, HCV, HDV), and hepatocellular carcinoma (HCC), associated barriers, and proposed solutions: results of a survey of physicians from all major provinces of Mongolia J. Estevez, Y.A. Kim, A. Le, D. Israelski, O. Baatarkhuu, T. Sarantuya, S. Narantsetseg, P. Nymadawa, H. Le, M.F. Yuen, G. Dusheiko, M. Rizzetto, M.H. Nguyen; Division of Gastroenterology and Hepatology at Stanford University, California, USA, Center for Innovation In Global Health at Stanford University, California, USA, Department of Infectious Diseases at Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia, Internal Medicine Department at United Family Intermed Hospital, Ulaanbaatar, Mongolia, The Third State Central Hospital of Mongolia, Ulaanbaatar, Mongolia, Public Health Branch, Mongolian Academy of Medical Sciences, Ulaanbaatar, Mongolia, Division of Gastroenterology and Hepatology at Queen Mary Hospital, Hong Kong, Royal Free Hospital and University College London School of Medicine in London, United Kingdom, Department of Gastroenterology at the University of Torino, Torino, Italy Background: Mongolia has the highest reported HCC incidence (78.1/100,000) in the world, in addition to some of the highest prevalence of HBV, HCV, and HDV infection. However, it is unclear whether there is sufficient screening and access to care for these diseases. We aim to estimate rates of screening, antiviral therapy, and barriers to care in Mongolia. Methods: Anonymous surveys of 121 physicians from major provinces of Mongolia, who attended a two-day continuing medical education and training workshop for viral hepatitis, cirrhosis, and HCC in Ulaanbaatar, on 9/2015. Findings: A total of 70-95 of 121 (58%-79%) physicians responded to our survey questions. Most participants were female (87%), age <50 (79%), and sub-specialists (76%). The majority practiced in urban areas (61% vs. 39% rural practices). Over 80% of respondents noted significant limitations to viral hepatitis or HCC screening, such as lack of financial resources, management guidelines, and patient awareness (Figure 1). More than 50% of patients were thought to no undergo necessary screening. Financial concerns were also the main barrier for viral hepatitis patients seeking care (40-46%). Hepatitis treatment rates were very low with 83% of respondents reporting treatment of <10 patients with HCV in the past year, and 86% reporting treatment of <10 HBV patients/month. Treatment barriers were multifactorial with medication cost as the principle barrier, followed by lack of both drug availability and management guidelines consensus, if financial barriers were not a concern (Figure 2). Top proposed solutions were universal screening policies (46%), removal of financial barriers (28%), and provider education (20%). Interpretation: Mongolian physicians, representing all major provinces, noted low screening for viral hepatitis and even lower treatment rates. Also, most surveyed physicians noted the need to remove financial barriers and increase educational efforts in order to improve access to care. Funding: Gilead Sciences, Inc. co-supported by Mongolia Ministry of Health, Ombol, LLC, Stanford University. Abstract #: 1.044_NEP: 1.044_NEP Prevalence and correlates of intimate partner violence among women attending child health services, Enugu State,

Royal Free Hospital and University College London School of Medicine in London,United Kingdom,9 Department of Gastroenterology at the University of Torino, Torino, Italy Background: Mongolia has the highest reported HCC incidence (78.1/100,000) in the world, in addition to some of the highest prevalence of HBV, HCV, and HDV infection. However, it is unclear whether there is sufficient screening and access to care for these diseases. We aim to estimate rates of screening, antiviral therapy, and barriers to care in Mongolia.
Methods: Anonymous surveys of 121 physicians from major provinces of Mongolia, who attended a two-day continuing medical education and training workshop for viral hepatitis, cirrhosis, and HCC in Ulaanbaatar, on 9/2015.
Findings: A total of 70-95 of 121 (58%-79%) physicians responded to our survey questions. Most participants were female (87%), age <50 (79%), and sub-specialists (76%). The majority practiced in urban areas (61% vs. 39% rural practices). Over 80% of respondents noted significant limitations to viral hepatitis or HCC screening, such as lack of financial resources, management guidelines, and patient awareness (Figure 1). More than 50% of patients were thought to no undergo necessary screening. Financial concerns were also the main barrier for viral hepatitis patients seeking care (40-46%). Hepatitis treatment rates were very low with 83% of respondents reporting treatment of <10 patients with HCV in the past year, and 86% reporting treatment of <10 HBV patients/month. Treatment barriers were multifactorial with medication cost as the principle barrier, followed by lack of both drug availability and management guidelines consensus, if financial barriers were not a concern (Figure 2). Top proposed solutions were universal screening policies (46%), removal of financial barriers (28%), and provider education (20%).
Interpretation: Mongolian physicians, representing all major provinces, noted low screening for viral hepatitis and even lower treatment rates. Also, most surveyed physicians noted the need to remove financial barriers and increase educational efforts in order to improve access to care.  Background: Intimate partner violence (IPV) is the major form of violence against women worldwide. It is estimated that one in every five women will experience some form of violence in their lifetime. The experience of violence during pregnancy has been linked to a number of negative health outcomes including preterm labour, ante partum haemorrhage, miscarriage and foetal death. This study determines the prevalence and correlates of intimate partner violence before and during pregnancy among women accessing child health services in Enugu State.

Methods:
A cross-sectional survey of 702 women accessing child health services in secondary and primary health facilities in Enugu State, using a multi stage sampling technique was done. Quantitative and qualitative data collection methods were adopted to New and emerging priorities for global health A n n a l s o f G l o b a l H e a l t h , V O L . 8 2 , N O . 3 , 2 0 1 6 M a y eJ u n e 2 0 1 6 : 3 9 7 -4 3 6 generate data using semi-structured interviewer administered questionnaire and key informant interview guide respectively. Descriptive and analytical statistics were done.Bivariate analysis and multivariate logistic regressions were done at 0.05% level of significance to identify independent predictors of IPV in pregnancy. Background: Road traffic injury (RTI) surveillance systems are a fundamental component of organized injury prevention and trauma care efforts. Which data source provides the best capture of RTI events in low-and middle-income country (LMIC) contexts is unclear. We assessed the number of events captured and the information available in Yaoundé, Cameroon from three previouslydescribed LMIC injury data sources: hospital trauma registry, police records, and newspaper journals.

Findings
Methods: Data were collected from a single-center trauma registry, police records, and the six most widely circulated newspapers in Yaoundé over a 6-month period in 2009. The number of RTI events, mortality, injury context, and other variables commonly included in injury surveillance systems were recorded. Sources were compared using descriptive analysis.
Findings: Hospital, police, and newspaper sources captured 1686, 273, and 480 road traffic injuries, respectively. The hospital trauma registry provided the most complete data for the majority of variables explored; however the newspaper data source captured two mass-casualty train crash events that went unrecorded in the police and hospital systems. Police data provided the most complete information on first responder to the scene, missing in only 7%. Excluding train crash victims, 57 (73%) of newspaper RTIs and 107 (39%) of police records RTI were also captured in the trauma registry.
Interpretation: Investing in the hospital-based trauma registry may yield the best surveillance for road traffic injuries in Yaoundé, Cameroon; however police and newspaper reports may serve as alternative data sources when specific information regarding mass casualty events or prehospital context are needed.

Assessment of barriers to use of preventative screening tests for women in Trujillo, Peru
A. Fishler, K. Zappas, S. Benson; University of Utah, Salt Lake City, USA Background: Cervical cancer and breast cancer are the most common causes of female cancer in Peru. Screening tests such as: the papanicolaou smear test, clinical breast exams, and mammograms, can help to prevent cervical and breast cancer by detecting the cancer early and starting the individual on an effective treatment. The purpose of this study was to assess knowledge and use of these screening tests and identify possible barriers to accessing preventative care for women in the peri-urban area of Trujillo, Peru.
Methods: Researchers surveyed women door-to-door in the periurban area of Trujillo, Peru. Women were asked questions about their access to healthcare, sexual relations, use of contraceptives, and preventative women's healthcare. Survey data was analyzed using Excel.
Findings: Ninety-eight Peruvian women were surveyed and their answers regarding women's preventative healthcare were analyzed. It was found that 96% of women surveyed had knowledge of a papanicolaou smear test and the majority have received the screening test, however, only 69% of women know of a clinical breast exam and 56% of women know of a mammogram. The majority of women have not had a clinical breast exam and/or mammogram. All women who were surveyed reported barriers to accessing healthcare.
Interpretation: There are a number of barriers that prevent women in the peri-urban area Trujillo, Peru from receiving sufficient healthcare. By better understanding these barriers, the healthcare system can address these obstacles in order to improve early detection of both cervical and breast cancer.