scholarly journals The Domestication of Misoprostol for Abortion in Burkina Faso: Interactions Between Caregivers, Drug Vendors and Women

2022 ◽  
pp. 57-71
Author(s):  
Seydou Drabo
Keyword(s):  
Burkina Faso ◽  
Health Workers ◽  
Post Partum ◽  
Safe Abortion ◽  
The Social ◽  
Post Partum Haemorrhage ◽  
Post Abortion ◽  
The Cost ◽  
Policy Communities ◽  
Induce Abortion

AbstractMisoprostol has been hailed as a revolution within global maternal health research and policy communities because of its potential to reduce maternal mortality from post-partum haemorrhage and unsafe abortion, allowing relatively safe abortion in legal and illegal settings. However, we know little about how women who want to use misoprostol access it to induce abortion. Based on 15 months of ethnographic fieldwork in Ouagadougou, Burkina Faso, this chapter describes and analyses how women gain access to misoprostol to induce abortion within a setting where induced abortion is legally restrictive and where the legal use of misoprostol is limited to post-abortion care and post-partum haemorrhage. The findings show that women seeking abortions in Ouagadougou are able to access misoprostol through unofficial channels, specifically through health workers and drug vendors. While this unofficial use of misoprostol is relatively safer, and more affordable than other options, access is not equally distributed and the cost women pay for the drug varies significantly. While women with strong social networks and financial resources can access misoprostol easily, other women who do not have money to buy misoprostol may become victims of sexual violence from men from whom they seek abortion services. In Ouagadougou, access to abortion with misoprostol is shaped by health workers and the social and economic conditions of the women who seek it. The study uses the concepts of ‘pharmaceutical diversion’ and ‘domestication’ as adjacent analytical frameworks to emphasize the changing pattern of access to misoprostol. The chapter introduces the importance of looking at safe access to safe abortion.

scholarly journals A Pill in the Lifeworld of Women in Burkina Faso: Can Misoprostol Reframe the Meaning of Abortion

2019 ◽  
Vol 16 (22) ◽  
pp. 4425 ◽  
Author(s):  
Seydou Drabo
Keyword(s):  
Burkina Faso ◽  
Health Workers ◽  
Fetal Malformation ◽  
Social Construct ◽  
Vacuum Aspiration ◽  
Global Discourse ◽  
Abortion Access ◽  
High Doses ◽  
Post Abortion ◽  
Induce Abortion

In Burkina Faso, induced abortion is socially stigmatized, condemned, disapproved and legally restricted to cases of rape, incest, fetal malformation or endangerment to the life of the mother. Many women often resort to unsafe procedures to induce abortion, which puts their health at great risk. Misoprostol, which is officially restricted to the treatment of postpartum hemorrhage or post-abortion care, is also used illegally by women to terminate their pregnancies. Misoprostol represents an addition to the existing abortion methods, such as vacuum aspiration, which health workers have often used to induce abortion clandestinely. Many women also use misoprostol to self-induce abortions, replacing abortifacients such as herbal teas, potions, high doses of antimalarial drugs, or bleach. Despite the changes that occur in abortion access due to the use of misoprostol, little is known about what the drug means to its users and how this meaning can in turn influence the meaning of abortion. The aim of this paper is to describe how the use of misoprostol to terminate pregnancy contributes to changing women’s perception of the meaning of abortion. This paper is based on ethnographic fieldwork conducted between March 2016 and February 2017 in the city of Ouagadougou, Burkina Faso. By examining the relation between the use of misoprostol and the meaning that women give to abortion, this study found that women experience abortion either spontaneously or using emergency contraception with misoprostol. Through the experience of women, this paper claims that the meaning of abortion should be seen as a social construct and fundamentally rooted in individual practices and experiences rather than being subject to dichotomist global discourse.

scholarly journals A study on training frontline health workers for prevention, early recognition and treatment or transfer of women with post-partum haemorrhage using mamanatalie

2018 ◽  
Vol 7 (10) ◽  
pp. 4156
Author(s):  
Nikhita B. Vadvadgi ◽  
Nageshu Shailaja ◽  
Lingegowda Krishna ◽  
Kirtan Krishna
Keyword(s):  
Rural Areas ◽  
Health Workers ◽  
Early Recognition ◽  
Post Partum ◽  
Skill Assessment ◽  
Knowledge And Skills ◽  
Skill Test ◽  
Frontline Health Workers ◽  
Post Partum Haemorrhage

Background: The objective of the present study was to train frontline health workers (FHW) on prevention, early recognition and treatment/transfer of women with post-partum haemorrhage using mamanatalie and to compare their pre-training and post training knowledge and skills, and to reassess the knowledge and skills of the trainees after six months.Methods: Training of 159 FHW belonging to the nine Primary Health Centres (PHC) of Kuppam constituency was conducted using mamanatalie. Pre and post training knowledge and skill assessment were compared using questionnaires and the mamanatalie. Reassessment of knowledge and skill was done after six months.Results: Among 159 participants 93% scored more, 3% scored same and 4% scored lesser in post training when compared to pre-training test. In the follow up knowledge assessment after six months 73 trainees were lost for follow up, among the remaining, 8% scored more, 16% scored same and 76% scored less when compared to the post training test. However, the follow up scores were higher than the pre-training scores. In the skill test, 82% scored more than 80%. Four trainees were lost for follow up skill assessment, among the remaining, 16% scored more, 23% scored same and 61% scored less when compared to the initial skill test scoresConclusions: The training increased knowledge, skill and confidence among the trainees. It has the potential to lead to improved clinical outcomes, especially in the rural areas. Revision sessions may help in better retention of knowledge and skill.

Telepsychiatry for the Rohingya refugees (Preprint)

2018 ◽  
Author(s):  
Tanjir Rashid Soron
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Care ◽  
Social Networking Sites ◽  
Health Workers ◽  
Mobile Apps ◽  
The Social ◽  
Health Need

UNSTRUCTURED Though health and shelter are two basic human rights, millions of refugees around the world are deprived of these basic needs. Moreover, the mental health need is one of least priority issues for the refugees. Bangladesh a developing country in the Southeast Asia where the health system is fragile and the sudden influx of thousands of Rohingya put the system in a more critical situation. It is beyond the capacity of the country to provide the minimum mental health care using existing resource. However, the refuges need immediate and extensive mental health care as the trauma, torture and being uprooted from homeland makes them vulnerable for various mental. Telepsychiatry (using technology for mental health service) opened a new window to provide mental health service for them. Mobile phone opened several options to reach to the refugees, screen them with mobile apps, connect them with self-help apps and system, track their symptoms, provide distance intervention and train the frontline health workers about the primary psychological supports. The social networking sites give the opportunity to connect the refugees with experts, create peer support group and provide interventions. Bangladesh can explore and can use the telepsychiatry to provide mental health service to the rohingya people.

scholarly journals Where Do We Go After Surviving the Virus? Cross-Country Documentary Analysis of the Social Consequences Faced by COVID-19 Survivors

2021 ◽  
pp. 0272684X2110221
Author(s):  
Alfred F. S. Owusu ◽  
Alhassan Abdullah ◽  
Godfred H. Pinto ◽  
Hajara Bentum ◽  
Janet Tein Ni Moo ◽  
...  
Keyword(s):  
Health Care Professionals ◽  
Health Workers ◽  
Interprofessional Collaboration ◽  
Social Consequences ◽  
Medical Practitioners ◽  
News Reports ◽  
Documentary Analysis ◽  
The Social ◽  
Recovery Narratives ◽  
Personal Accounts

In this study, we attempted to move beyond the skewed discussions on stigma to unravel other social consequences that are experienced by persons who have recovered from COVID-19. We conducted a documentary review of published news reports from 14 highly ranked news portals in Ghana and Malaysia (published between 1st January 2020 and 30th August 2020) that contained personal accounts from the recovered patients about their lived experiences with the virus and social consequences encountered after recovery. Narratives from the recovered patients were extracted and analyzed following the narrative thematic analysis procedure. Common themes identified from the narratives included: 1) Stigma impacting mental health, 2) Assault and abuse 3) Experiences of treatment. The findings show the need for interprofessional collaboration between social and health care professionals such as social workers, community health workers, medical practitioners and psychologists to prevent and address issues of abuse and other social consequences experienced by COVID-19 survivors.

Constructing Images of Deviance: A Look at State Intervention into the Problem of Wife-Battery

1983 ◽  
Vol 31 (1_suppl) ◽  
pp. 60-76
Author(s):  
Patricia A. Morgan
Keyword(s):  
Social Problem ◽  
State Intervention ◽  
The United States ◽  
The State ◽  
Structural Position ◽  
Wife Battering ◽  
The Social ◽  
Class Context ◽  
Definition Of ◽  
The Cost

Patricia Morgan's paper describes what happens when the state intervenes in the social problem of wife-battering. Her analysis refers to the United States, but there are clear implications for other countries, including Britain. The author argues that the state, through its social problem apparatus, manages the image of the problem by a process of bureaucratization, professionalization and individualization. This serves to narrow the definition of the problem, and to depoliticize it by removing it from its class context and viewing it in terms of individual pathology rather than structure. Thus refuges were initially run by small feminist collectives which had a dual objective of providing a service and promoting among the women an understanding of their structural position in society. The need for funds forced the groups to turn to the state for financial aid. This was given, but at the cost to the refuges of losing their political aims. Many refuges became larger, much more service-orientated and more diversified in providing therapy for the batterers and dealing with other problems such as alcoholism and drug abuse. This transformed not only the refuges but also the image of the problem of wife-battering.

scholarly journals Neonatal care practices in Buikwe District, Uganda: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marte Bodil Roed ◽  
Ingunn Marie Stadskleiv Engebretsen ◽  
Robert Mangeni
Keyword(s):  
Health Workers ◽  
Post Partum ◽  
Newborn Care ◽  
Neonatal Care ◽  
Sub Saharan Africa ◽  
Cord Clamping ◽  
Care Practices ◽  
Sub Saharan ◽  
Skin To Skin ◽  
User Perspectives

Abstract Background Sub-Saharan Africa is the region with the highest neonatal mortality rate, with Uganda reporting 20 deaths per 1000 live births. The Uganda Clinical Guidelines (UCG) from 2016 have detailed descriptions on care for mothers and their newborns during pregnancy, delivery and the post-partum period. The objective of the study was to identify provider and user perspectives regarding the knowledge of and adherence to the UCG recommendations in aspects of delivery and newborn care, both in cases of normal as well as complicated births. Methods The study used qualitative methods with data collection from participant observations, interviews with key-informants and focus group discussions. Malterud’s Systematic Text Condensation (STC) was used for analysis. Results The study found low knowledge about the UCG among the health workers. Various discrepancies between performed hands-on-procedures and the UCG were found related to neonatal care practices, including low use of partograms, uncertainty around timing for cord clamping, routine oronasopharyngeal suction of newborns and inadequate implementation of skin-to-skin care. Conclusions Continued focus on systemic strategies for further implementation of the UCG is recommended.

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