The State of Adolescent Sexual and Reproductive Health

OBJECTIVE The objective of this study is to assess performance in sexual and reproductive health of primary health care services of the Brazilian Unified Health System, in the State of São Paulo, Brazil. METHODS An evaluative framework was built for sexual and reproductive health with the categorization of 99 indicators in three domains: sexual and reproductive health promotion (25), sexually transmitted infections/AIDS prevention and care (43), and reproductive health care (31). This framework was applied to assess the services responses to the questionnaire of Quality Evaluation of Primary Health Care in the Municipalities of São Paulo State (QualiAB), in 2010. Percentages were calculated for positive responses to indicators and performance in the sexual and reproductive health dimension, according to domains, and their contribution to the overall score in sexual and reproductive health (Friedman), relative participation (Dunn), and correlation (Spearman) was verified. RESULTS Overall, 2,735 services participated in the study. They were located in 586 municipalities (distributed throughout the 17 regional health departments of São Paulo), of which 70.6% had fewer than 100,000 inhabitants. The overall average performance of these services for sexual and reproductive health is 56.8%. The actions are characterized by: prenatal with adequate beginning and exams, better organization for immediate rather than for late postnatal care, and selective reproductive planning for some contraceptives; prevention based on specific protection, limitations in the prevention of congenital syphilis, in the treatment of sexually transmitted infections, and in the screening of cervical and breast cancer; specific educational activities, with a restricted vulnerability approach, focus on sexuality over reproduction. The domain of reproductive health has greater participation in the overall score, followed by prevention/care and promotion. The three domains are correlated; the domain of prevention/care has the highest correlation with the other ones. CONCLUSIONS The implementation of sexual and reproductive health in primary health care in the services studied is incipient. The revision of the purpose of the work, the dissemination of technologies, and the investing in permanent education are needed. The evaluative framework built can be used by the sexual and reproductive health program services and management in primary health care, thereby contributing to their actions.

Download Full-text

The state of human rights in relation to key populations, HIV and sexual and reproductive health

Reproductive Health Matters ◽

10.1080/09688080.2018.1543992 ◽

2018 ◽

Vol 26 (52) ◽

pp. 46-50

Author(s):

Oagile Bethuel Key Dingake

Keyword(s):

Human Rights ◽

Reproductive Health ◽

Sexual And Reproductive Health ◽

The State ◽

Key Populations

Download Full-text

Male hypogonadism – brief review of symptoms, types and ways of treatment

Journal of Education, Health and Sport ◽

10.12775/jehs.2021.11.09.070 ◽

2021 ◽

Vol 11 (9) ◽

pp. 538-543

Author(s):

Ewa Tywanek ◽

Paulina Trojanowska ◽

Jakub Wronecki ◽

Katarzyna Wiśniewska-Ślepaczuk ◽

Robert Jan Łuczyk

Keyword(s):

Reproductive Health ◽

Sexual Function ◽

Special Interest ◽

Sexual And Reproductive Health ◽

Late Onset ◽

The State ◽

Male Hypogonadism ◽

Health It ◽

Metabolic Balance ◽

The Individual

Appropriate concentration of androgens is necessary for general men’s health, especially for development and maintain reproductive and sexual function, as well as metabolic balance. The state of deficiency of testosterone or its inadequate action, as well as inability to produce good quality semen is called hypogonadism. Depending on the function of the testicles, production of androgens and sperm is also conditioned on hypothalamus-pituitary axis, metabolic status and age of the individual. Considering that, hypogonadism of primary, secondary, functional or late-onset origin may be recognised. As it concerns susceptible matter of sexual and reproductive health, it requires special interest of differently clinicians, i.e. endocrinologists, andrologists or urologists.

Download Full-text

Judicial Lawfare: Analysis of Legal Arguments against Abortion Rights in Peruvian Courts

Revista Direito GV ◽

10.1590/2317-6172202146 ◽

2021 ◽

Vol 17 (3) ◽

Author(s):

Camila Gianella ◽

Brenda Álvarez

Keyword(s):

Reproductive Health ◽

Latin American ◽

Sexual And Reproductive Health ◽

The State ◽

Legal Mobilization ◽

Abortion Rights ◽

Legal Arguments ◽

Innovative Capacity ◽

Latin American Countries

Abstract This article analyzes the puzzling case of Peru, a country highlighted as an example of the internationalization of sexual and reproductive health and rights norms through supranational litigation, but where these legal victories have not prompted an expansion of abortion rights. Through the analysis of three judicial cases, with a focus on the legal arguments and strategies, the article argues that two features of the abortion legal mobilization in Peru are key to understand the lack of more positive developments: 1) formalistic feature of Peruvian Courts, that offers little space toward recognizing additional grounds for abortion, as has been the case in other Latin American countries; 2) innovative capacity of anti-abortion legal mobilization, that have forced to create a tacit alliance between the movement toward the recognition of abortion rights and the State, to defend the (restricted) abortion rights in the country.

Download Full-text