Healthcare-based human rights monitoring in the acutely displaced: lessons from a community hospital by the eastern Democratic Republic of the Congo

: 1.089_NEP Syrian refugees’ health and mental health in Jordanian host communities Abstract Opted Out of Publication Abstract #: 1.090_NEP Contraceptive use and risk perceptions for STI and unintended pregnancy among adolescent females in San Diego County at the US-Mexico Border: 1.090_NEP Contraceptive use and risk perceptions for STI and unintended pregnancy among adolescent females in San Diego County at the US-Mexico Border M. Salazar, B. West, A. Raj, M. Torreblanca, E. Reed; UCSD, La Jolla, United States Background: Females aged 15-19 are among the groups with the highest burden of STI and unintended pregnancy in the US. In California, STI and adolescent pregnancy are highest in counties along the US-Mexico border, including San Diego. While both pregnancy and STI are critical health threats, little is known regarding female adolescents’ perceived risks related to STI and pregnancy and how this informs their decisions to use contraceptives, including condoms. Methods: Sexually active females (n1⁄420) aged 15-19 were recruited from an urban health clinic in San Diego County to participate in qualitative interviews on STI and pregnancy risk. Interviews were transcribed, coded, and analyzed using Atlas TI. Common themes were identified related to perceived risks for STI and pregnancy, types of contraceptives used and reasons for contraceptive use. Quantitative data was also collected (relationship status, contraceptive use, condom use frequency) to complement qualitative findings. Results: Participants reported pregnancy prevention, rather than protection against STIs, as the main reason for using condoms or other contraceptives. Notably, most of the sample (85%) reported having a steady relationship. While 61.5% of girls reported using condoms as their primary form of contraception, only 23.0% reported consistent use. Almost one quarter (23%) reported nonbarrier contraceptive use; among these, none reported condom use.. The remaining 15% did not report using condoms or other contraception. Qualitative data elaborated on reasons and preferences for specific contraceptive types, with most participants reporting worries about unintended pregnancy, not HIV/STI risk, as the sole factor in determining contraceptive method of choice. Conclusion: Future studies are needed to further investigate decisions for condom and non-barrier contraceptive use among adolescent females via a larger quantitative study. Current findings suggest the need for combined prevention approaches that address adolescents’ perceptions of their risk for both unintended pregnancy and STI risk. Abstract #: 1.091_NEP: 1.091_NEP Pediatric perioperative mortality rates in a sample of Kenyan hospitals: preliminary results in over 3,000 cases B. Sileshi, S.E. Hurt, M.D. McEvoy, J. Kimeto, J. Scherdin, W.S. Sandberg, M.W. Newton; Vanderbilt University Medical Center, Nashville, TN, USA, Vanderbilt University School of Medicine, Nashville, TN, USA, Kijabe AIC Hospital, Kijabe, Kenya, Vanderbilt Institute for Clinical and Translational Research, Nashville, TN, USA Background: Perioperative mortality rates (POMR) serve as an important indicator for the quantification of risk for surgery and anesthesia. Pediatric POMR data is lacking in low and middle-