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Search Results: 1 - 10 of 34036 matches for " reproductive health. "
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Utilization of Youth Reproductive Health Services and Associated Factors among High School Students in Bahir Dar, Amhara Regional State, Ethiopia  [PDF]
Meskerem Abebe, Worku Awoke
Open Journal of Epidemiology (OJEpi) , 2014, DOI: 10.4236/ojepi.2014.42012
Abstract: Introduction: Young people in Ethiopia face greater reproductive health risks than adults. Despite efforts that were made on youth to utilize reproductive health service, studies show that there is little information about the extent to which youth utilize available health services. For the proper planning of appropriate health services for youth, it is crucial to have knowledge on the pattern of their use and its associated factors. So this study was conducted from June to September 2013 to assess utilization of youth reproductive health and its associated factors among high school students in Bahir Dar town, Amhara region, Ethiopia, 2013. Methods: Institutional based cross-sectional study was conducted among High school student from June to September 2013. Multistage sampling technique was used to select the total of 818 study participants. Data were collected by means of a pretested standardized questionnaire; analysis was carried out using SPSS version 16. Crude and adjusted odds ratio with 95% confidence interval was calculated using binary logistic regression; p-value less than 0.05 was considered as statistically significant. Results: The study indicated that among 818 students, 480(58.7%) were females. The data indicates that, 32% of youth utilized youth reproductive health service. Barriers in utilizing reproductive health services, for 31% of the students were due to inconvenience hours and 28.5% were due to fear of being seen by parents or people whom they know. Among socio-demographic predictors, age and reproductive health problems showed a significant association with utilization of youth reproductive health services. Students with age 20-24 were 2.31 times more likely to utilize reproductive health service than age15-19 (AOR = 2.31, CI 95% (1.01, 5.28)). Similarly, students who had reproductive health problems were 1.54 times more likely to utilize reproductive health services than students who had no reproductive illness. Conclusions: The majority of youth were not utilizing reproductive health services. Age and reproductive health problems showed a significant association with utilization of youth reproductive health services.

Sexual and reproductive health needs of adolescent girls from conservative and low-income families in Erzurum, Turkey  [PDF]
Nesrin Reis, Dilek Kilic, Raziye Engin, Ozlem Karabulutlu
Health (Health) , 2011, DOI: 10.4236/health.2011.36063
Abstract: The objective of this survey was to determine the sexual and reproductive health needs of conservative and/or economically challenged adolescent girls. A total of 310 subjects (16.5 ± 2.2 years old), attending three private institutes teaching Islamic matter and the holy Quran and two private institutes teaching carpet-weaving in Erzurum, Turkey, were interviewed between November 2004 and February 2005. The ques-tionnaire covered knowledge on reproductive health and sexual matters to attain their feelings prior to their first menarche, their practices during menstruation, and their awareness of gynecological and sexually transmitted dis-eases as well as their attitudes toward and re-sponsiveness to domestic violence. Their re-sponses showed that these issues were con-sidered taboo and/or embarrassing to share. Also, a considerable percentage of the girls had no or limited knowledge on reproductive health and sexual matters and mismanaged gyneco-logical problems and domestic violence. More-over, those had knowledge revealed that their sources were non-scientific information from unprofessional individuals. In conclusion, the conservative and/or economically challenged adolescent girls who are not attending regular high schools need professional lectures on re-productive health and sexual matters.
Engaging Civil Society Organizations in Adolescent Reproductive Health Policy Process in Mainland of China  [PDF]
Xu Jieshuang, Verhart Noortje, Stephen Pearson, Qian Xu
Chinese Studies (ChnStd) , 2013, DOI: 10.4236/chnstd.2013.23019
Abstract: This paperexploredhow Chinese civil society organizations (CSOs) had been involved in an adolescent reproductive health policy process and its implications for other developing countries with similar political and social contexts. The case study was the 6th cycle of the Country Program on adolescent reproductive health (Jan. 2006-Dec. 2010). It was a multi-phased, retrospective qualitative study in Guangxi autonomous region. Six categories of policy actors including politician, CSO, policy-maker, health manager, development partner and researcher were interviewed, 34 documents were reviewed and 1 participatory stakeholder workshop was held between Jun. 2007 and Apr. 2008. We focused on different CSOs that had been involved in different stages of the policy process, what strategies they had used to interact with the policy process and how they influenced the content and implementation of the policy. Our results showed that new forms of CSOs in China were emerging, with different mechanisms being used to express their voice and influence the policy process. The involvements of CSOs in the adolescent reproductive health policy process also showed how new opportunities were arising in a rapidly changing Chinese political context, but various factors might affect their involvement in policy process. Critical amongst these were the characteristics of the CSOs, the wider political context of the country and the nature of the policy itself.
The perspective of peer educators: What are their experiences, feelings, and thoughts?  [PDF]
Dilek Güldal, Vildan Mevsim, Tolga Günvar, Nilgün ?z?akar
Health (Health) , 2012, DOI: 10.4236/health.2012.47057
Abstract: Introduction: Although peer education is accepted as one of the most effective methods for sexual and reproductive health education, the feelings, thoughts and self-affection of peer educators are not very well known. Our aim is to investigate what it is like to be a peer educator. Methods: This phenomenological study was conducted in Izmir as a part of “Modern Stork Legends” project supported by the European Union. Two focus group interviews were made with 18 peer educators of the project. Data were analyzed with NVivo 8 BS software. Results: All of the students stated that they participate in the project “to enhance their knowledge” and “to inform their social circle”. They are concerned about the tasks and expectations, and anxious about the subject of counseling. They think that anything related with sexuality is taboo in Turkey and it was also the same for them. They observed that, gender defined roles are reflected on students’ behaviors and attitudes. Their tolerance in understanding of inhibitions and hesitations of their peers formed the basis of their success. They stated that working in this project helped them to overcome their prejudices and contributed their development in many ways. Conclusion: Peer educators internalize substantial amount of knowledge and gain self-confidence and important skills such as communication, problem solving and access to information.
Healthcare access and the patterns of maternal health care utilization among poor and non-poor women living in urban areas in Portugal  [PDF]
Isabel Craveiro, Paulo Ferrinho, Bruno de Sousa, Luzia Gon?alves
Health (Health) , 2013, DOI: 10.4236/health.2013.512265

Introduction: Studies on attitudes and practices are increasingly used but not specifically related to the motivations for the use of reproductive health care among women of fertile age, living in urban areas and in different social contexts. Objectives: The aim of this study was to estimate the associations between the variables of social status (degree of poverty in the studied groups) and the variables of fecundity (representations, tensions, practices and control of fertility) and, in addition, to compare access to health care in the different studied groups, assessing the association between use of maternal health care and poverty in urban areas. Design: A case-control study was conducted in the Municipality of Lisbon, Portugal, with a total sample of 1513 women of fertile age: 499 cases of women considered very poor were selected from the database of beneficiaries of RSI (Social Welfare Payment for Inclusion); 1014 controls (two controls for each selected case), divided as 507 poor women selected from the other beneficiaries of Santa Casa da Misericórdia in Lisbon and 507 non-poor women selected from four Health Centers from the Municipality of Lisbon, Portugal. A total of 1054 women answered the questionnaire: 304 cases (response rate of 61%) and 750 (response rate of 74%) controls. The statistical analysis involved descriptive analysis and multinomial logistic regression. Results: The analysis confirms the association between poverty and patterns and representations of fecun

dity regarding pregnancy planning. The results of this study thus show the existence of different distributions on several variables and the gradients of poverty. Regarding access to health care, the major impact of poverty on women

Family Planning Awareness, Perceptions and Practice among Community Members in the Kintampo Districts of Ghana  [PDF]
Obed Ernest A. Nettey, Yeetey A. Enuameh, Emmanuel Mahama, Abubakari Sulemana, George Adjei, Stephaney Gyaase, Samuel Afari-Asiedu, Robert Adda, Abena Konadu Yawson, Gifty Fosuaa Nuamah, Edward Apraku Anane, Livesy Abokyi, Charles Zandoh, Martha Abdulai, Ellen Abrafi Boamah, Kwame Adjei, Seeba Amenga-Etego, Francis Dzabeng, Charlotte Tawiah-Agyeman, Frank Baiden, Kwaku Poku Asante, Seth Owusu-Agyei
Advances in Reproductive Sciences (ARSci) , 2015, DOI: 10.4236/arsci.2015.31001
Abstract: Family planning is known to prevent maternal deaths, but some social norms, limited supplies and inconsistent use makes this difficult to achieve in most low- and middle-income countries. In spite of the high fertility levels in most sub-Saharan African countries and the potential economic benefits of family planning, its patronage remains very low in the sub-region. This study was with the objective of identifying the levels of awareness, utilization, access to and perceptions about family planning and contraception. A cross-sectional study design was used for the study, with data collected from multiple sources using both quantitative and qualitative approaches. Relevant findings included a marked disconnect between family planning/contraceptive knowledge and use. The pills and injectables were the most frequently used, but females in the study population poorly patronised emergency contraception. Supplies of most family planning methods were found to be health facility based, requiring clients to have to necessarily go there for services. Some respondents harboured perceptions that family planning was the responsibility of females alone and that it fuelled promiscuity among female users. Recommendations made include ensuring that health facilities had adequate staff and expertise to provide facility-based family planning services and also to disabuse the minds of community members of the negative perceptions towards family planning.
The Effects of Short Health Messages Intervention in Improving Knowledge and Attitude on Sexual and Reproductive Health among Late Adolescents at Colleges in Malaysia  [PDF]
Firdaus Ujang, Rosnah Sutan
Open Journal of Preventive Medicine (OJPM) , 2018, DOI: 10.4236/ojpm.2018.88019
Abstract: Sexual and reproductive health problems among adolescents are increasing in trend. Inadequate knowledge of sexual and reproductive health is the main cause of problems in sexual and reproductive health. Short messages service (SMS) intervention has been implemented widely in health education and the outcomes are positive. Hence, this study was conducted to evaluate the effects of mobile phone messaging in improving sexual and reproductive health among late adolescents (age 18 - 19 years old). A quasi-experimental study was conducted in two Professional Vocasional Colleges in Malaysia. A total of 116 respondents in the intervention group and 130 respondents in the control group had completed the study. There was a series of 24 messages (SMS) sent to the respondents biweekly for 12 weeks. The adolescent girls (mean knowledge score 15.90, sd ± 3.321) in the intervention group had a significantly (P = 0.007) higher mean score in knowledge of sexual and reproductive health than boys (mean knowledge score 13.87, sd ± 4.003) at post intervention. The adolescent boys (mean knowledge scores 15.35, sd ± 4.748) in the control group had a significantly (P = 0.009) higher mean score for knowledge on HIV/AIDS than girls (mean scores 13.08, sd ± 4.325) at post intervention. In the intervention group, the number of respondents with good knowledge and good attitude on HIV/AIDS increased at 3 months post intervention. SMS intervention on knowledge of sexual and reproductive health for adolescents was accepted and effectively improved the knowledge scores and sustained even after 3 months post intervention. Therefore, the SMS intervention should be implemented as an intervention package to improve knowledge and reduce risk in developing sexual and health related problems among adolescents.
Practicing of Women Reproductive Health Rights: A Road Map for HIV Prevention
Kanwal Asghar,Ashfaq Ahmad Maann,Muhammad Iqbal Zafar,Tanvir Ali
Pakistan Journal of Nutrition , 2010,
Abstract: Denying of reproductive health rights encompasses the problems of HIV and STDs/STIs, unintended pregnancy and abortion and infertility. The present study was designed to identify vulnerability (towards HIV/AIDS) and violence against women due to lack of knowledge at reproductive health rights. It was found that those married women who were agreed that HIV/AIDS and STD/STIs are preventable had ‘highly consistent’ attitude towards the RHR practice. Similarly, statistically highly significant positive relationship was observed from the correlation coefficient Somers’d (p<0.0001) between the perception of married women about the RH-Security and their attitude towards the practices of RHR. It was suggested that in addition to the information that HIV/AIDS and STD/STIs are preventable diseases married women must have information and knowledge about the preventive measures. Only then they can insist for the adoption of any RH-Service to her partner or spouse.
The Past, Present, and Future of Reproductive Health Surveillance in the US-Mexico Border Region
Jill A. McDonald, PhD
Preventing Chronic Disease , 2008,
Youth friendly health services and role of outreach activities to improve access to services  [PDF]
Ruchi Sogarwal, Murari Chandra, Sunil Mehra
Open Journal of Preventive Medicine (OJPM) , 2013, DOI: 10.4236/ojpm.2013.32026

An attempt has been made to assess the Youth Friendly Health Services (YFHS) from the clients’ perspectives and the role of outreach community-based approach (Youth Information Center, YIC) in improving access to services. A cross- sectional study was undertaken in Arajiline and Hoskote blocks in Varanasi and Bangalore districts respectively using primarily a quantitative technique. A consecutive sample of 120 clients from 4 selected clinics was interviewed after seeking services from YFHS. Additionally, facility assessment of clinics and 8 FGDs were conducted among community members and the young people in the community. Majority of the clients (90.8%) are aware that YFHS provide services to young males and females separately on specific day and time. Nearly 66% clients visited YFHS to sought treatment for three key health problems i.e. menstruation problems (25.4%) followed by general illness (22.8%) and swelling/itching of private parts (21.1%). In Hos- akote privacy was maintained during the con- sultation with the doctor, however, situation was relatively not better in Arajiline. Out of those clients who had visited YIC atleast once, 49 out of 53 in Arajiline and 51 out of 60 in Hasokote reported that the YIC staff/activities had motivated them to sought services at YFHS. Study concludes that while majority of the clients were satisfied with the services at YFHS, there is a need for strengthening the existing “package” of the services. At facility level, reassurance about the privacy and confidentially and alternative ways to promote access and utilization of services by active

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