2^nd International Conference on Women^`s Health, Obstetrics and Female Reproductive System July 27-28, 2018 Vancouver, British Columbia, Canada

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Bhaskar Chakravorti has Pharmaceutical Marketing background which spans over 30 years in India and Sudan. His expertise is in formulating business strategies, developing new products & markets, launching new products and strengthening territorial markets. He has built people and brands in his career. Having worked with both multinational and regional companies, he has experienced the evolution of production-oriented marketing, sales-oriented marketing, doctor-centric marketing and finally to Patient-centric Marketing in Healthcare industry. He is a blogger, active in social media, photographer, TEDx speaker, Trainer, Speaker and a Social Entrepreneur.

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Pharmaceutical companies must keep the patients at the top of their minds. On one hand Pharma companies don’t want to upset Doctors by bypassing them and on the other hand, they have to function under stringent guidelines that regulate direct to consumer (DTC) marketing. The best way to do this is to focus on creating trust rather than building brands. With the increasing number of patients suffering from chronic illnesses such as diabetes and hypertension, noncompliance and nonadherence is a big problem which further increases the suffering of the patients. Patient Information Leaflets (PIL) are now being printed in local language e.g. Arabic in Sudan or Hindi in India. Patients can read about the several questions they have in mind about their medication, especially the side effects. Codes in the PIL can link to the company’s website. The patient can communicate directly with the company for various queries. The patients when they register themselves can receive online medication reminder service. Pharma companies also provide health information so that patients can manage their illness better. Pharma companies can create Advocacy groups from the patients who are opinion leaders. These patients have a lot of clouts both online and offline and these patients can be engaged periodically under the supervision of Physicians who are Key Opinion Leaders. Some of the patients in the Advocacy group are frequent bloggers and active in social media and thus can engage in chats with others interested in the specific disorder either Hypertension or Diabetes. This can benefit the patients to modify lifestyles and reduce risk factors to prolong life with less suffering.

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Margaret Kababu is a research scientist with ten years’ experience in multi-disciplinary research. She has been involved in operational research in HIV and Gender-Based Violence for the last four years. Margaret was previously a research scientist in an Integrated Pest Management and Malaria vector control program. She has experience in the design and development of research protocols; development of research IEC materials and data collection tools; training and coordination of field teams; qualitative and quantitative data management; analysis and documentation of research findings

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Background: Globally, about a third of women have experienced Intimate Partner Violence (IPV). IPV is linked to increased HIV risk and is a key barrier to uptake of HIV prevention and treatment services among women. LVCT Health integrated IPV counseling and support group interventions in HIV Testing Service (HTS) sites in Kenya. We conducted a study to measure the uptake of IPV interventions in HTS settings.

Methods: In this study, we recruited 146 women who screened positive for experiencing IPV in four HTS sites in rural and urban settings. Women accessing HTS were screened by HTS providers using the validated IPV screening tool. These women were enrolled in the IPV interventions. The IPV intervention comprised monthly one-on-one IPV counseling and support group sessions that ran for a period of six months. Baseline and end line surveys were conducted at the beginning and after 6 months using semi-structured questionnaires. We collected quantitative data on socio-demographics, willingness to take up IPV services, uptake of IPV interventions and reasons for non-uptake of IPV services. Descriptive analysis was done using SPSS version 22.

Results:  Enrolled women had a median age of 28 years and 89% were married. At baseline, 55% and 42% of the participants expressed a willingness to take up one-on-one counseling and support group interventions, respectively. However, 7% and 5% of the participants took up one-on-one IPV counseling and support group interventions, respectively over the 6 month period. Reasons for low uptake of the integrated IPV intervention included: lack of follow up after the sessions by HTS providers, busy with home chores, lack of childcare support and fear that spouse would find out which would, in turn, escalate the experience of violence.

Conclusion and recommendations: Low uptake of IPV interventions in HTS settings demonstrates the need for enhanced follow up of women taking up IPV services in HTS settings. Integration of IPV in HTS settings requires additional investment in human resources to manage the workload that comes with integration and communications to facilitate follow up.

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ANOUA Adou Serge Judicaël is a Doctor in socio-anthropology and Assistant in the Department of Anthropology and Sociology at the Alassane Ouattara University since July 2015. His domain of speciality is the socio-anthropology of health. The general problem that occupies its scientific reflection is the issue of Reproductive Health in rural Africa. He is particularly interested in the aspects of maternal and child health in Côte d'Ivoire. He is a member of the Laboratory of Studies and Research in Reproductive Health care Transition. He has published several articles in journals.

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Maternal and child health remains a current challenge in Côte d'Ivoire because of high maternal and child mortality rates in that country. This failure raises the limits of the biomedical sciences in reproductive health. In this field of health, there is undeniably a life quality problem. This concern is shared by socio-anthropology. As a matter of fact, how can we explain and understand the evolution of reproductive health problems in mothers and children? All the work carried out revolves around the issue of "obstetric culture and reproductive health". In other words, how can we explain and understand obstetric culture as a major determinant in the development of reproductive health in Côte d'Ivoire? In this context, reflections oriented through socio-anthropological research are constantly supported by the same precise thesis: "Taking into account socio-cultural determinants specific to the communities in question, impeding the health of the mother-child couple, could contribute to opening the communities studied to a safer motherhood." Starting from this fundamental aim, strategies for reducing dramas by taking into account the cultural markers of communities can be identified as well as actions for behavioral change can be planned. This orientation seems to us a hypothesis of possible solution to circumvent the epidemiological monopoly underlying the approach in public health.

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Professor van Servellen is a noted author, consultant, and educator. Her book: Communication Skills for the Health Professional: Context, Concepts, Practice, and Evidence is in its 3^rd edition and will be available September 2018. She completed her BS and MS in Nursing at the University of California, San Francisco and her PhD from Stanford University, Palo Alto, California. She has published extensively on issues of quality care, treatment adherence, and patient satisfaction and obtained research funding on these topics. She is a reviewer for several journals including those in Nursing, Psychology, Public Health, and Social Science in Medicine. She is an editorial board member for Nursing and Health Sciences. After retiring from UCLA (2007) she held positions in research and administration at three additional major universities. Her passion about communications and quality care are quite obvious from her widely read publications and invitations to consult in the US and aboard.

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There is ample evidence that health professionals do not always communicate as well as they should. Nursing is not alone; this can be said about most health professionals having direct encounters with patients and their families Noted scholars and professional organizations emphasized that communication skills are critical to providing patient- and family-centered care and warn that health professionals lack adequate training and education in using communication skills to provide high-quality patient-centered care. The deficit in communication skill training is important across the board, but particularly in health promotion and chronic illness, two concerns driving the direction of healthcare worldwide. Quality communications promote high-quality patient-centered care, accurate identification of patients’ problems, health care utilization, adherence to treatment, shared decision-making, and satisfaction with care. Core competencies; include active listening, empathy and compassion, and appropriate use of questions. There is some evidence that lower work stress is associated with strong communication skills. In any case, the greater part of specialists doesn’t feel sure about their relational abilities or maybe have had no formal preparing by any means. If their skills were improved, it follows that quality of care could improve, and costs of this care might be reduced. Educational preparation is foundational, but supportive work environments are also extremely important. This presentation will focus on the role of communication skills in primary care practice and evidence to support the link between communication skills, quality care outcomes, and patient satisfaction. Samples of dialogue will be offered to illustrate points made. The role of informational technology in shaping healthcare communications, good and bad, will be highlighted.

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Ameneh Safarzadeh is working as faculty midwifery in pregnancy health research center, Zahedan university of medical sciences, Zahedan, Iran. She has 12 years experience in teaching and researching midwifery and have published more than 20 articles in English language journal.

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Objective: Sexual tolerability is one of the false convictions among ladies about sexual capacity, and ladies who have this conviction pick a dormant and aloof sexual part. The present examination was led intended to research the impact of conclusiveness construct sexuality mentoring with respect to the sexual capacity of wedded female understudies of University of Sistan and Baluchistan.

Materials and Methods: This semi exploratory examination was a pretest-posttest configuration led on 80 female wedded female understudies who were chosen and haphazardly doled out into two interventions(n=40) and control (n=40) gatherings. The data collection tool was a questionnaire of Rosen's Sexual Function. The mediation aggregate after pretest participated in four sessions under emphatics based sexual directing week after week in 2 sessions of 90 to 120 minutes. Both two groups filled out the questionnaires after the end of the waiting period (2 months) (post-test). Chi-square, covariance and independent, pair t-test was used to examine the mean of quantitative variables in the two groups.

Findings: The outcomes demonstrated that the mean score of sexual capacity list expanded in the meditation gathering and after sexual guiding and diminished in the control gathering. Independent T-test also showed that the mean score of sexual function index after sexual counseling in two intervention and control groups was not significant. But the mean change in total index score was significant in both groups (P=0.0001).

Conclusion: Counseling method based on sexual assertiveness has been able to influence sexual function, expressing sexual rights, and reducing the shame and contempt of women under study and cause significant results. It is safe to admit that this method can be used as a way to promote sexuality and to establish a more intimate relationship in marital life.

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Rita Giri has completed her Master in Nursing from Tribhuwan University. She has worked as staff nurse in different hospitals in Nepal and worked as lecturer and clinical supervisor in different Nursing College of Nepal.

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Cervical cancer is the second most common cancer in women living in less developed regions. In Nepal, Little is known about the knowledge regarding cervical cancer in a female young adult. A descriptive cross-sectional study was conducted to find out the knowledge regarding cervical cancer among undergraduate female students. Non-probability purposive sampling with the self-administered structured questionnaire was used to collect the information among 150 female students of Little Angels College of Management, Lalitpur, Nepal. The obtained data were analyzed using descriptive and inferential statistics. Among the respondents, the mean age was 19.3 ± 1.1 years. Almost all (95%) of the respondents had inadequate knowledge regarding cervical cancer. The respondents who knew the meaning of cervical cancer were 56%. Similarly, 35% of the respondents on an average had knowledge about the risk factor. Almost two-thirds of students knew that cervical cancer is preventable. Regarding the preventive measures, good hygiene was told by 68.5% of respondents followed by HPV vaccine 38.3%, using condom 19.5% and Pap smear test 8.7%. The knowledge about the HPV vaccine was only on 11.8% of respondents. There was no statistically significant association between knowledge with selected variables (age, religion, ethnicity, family income, smoking and sexual practice) in the study. Based on findings it is concluded that female students had inadequate knowledge regarding cervical cancer. This result reflects the need for health awareness campaigns to the students and community people regarding cervical cancer including the symptoms, causes, risk factors and preventive measures.

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