scholarly journals THE DELINKING OF SEX AND MARRIAGE: PATHWAYS TO FERTILITY AMONG YOUNG FILIPINO WOMEN

2016 ◽  
Vol 49 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Jessica D. Gipson ◽  
Andrew L. Hicks
Keyword(s):  
Reproductive Health ◽  
Young Women ◽  
Teenage Pregnancy ◽  
The Philippines ◽  
Social Contexts ◽  
Sexual Initiation ◽  
Contextual Influences ◽  
Reproductive Health Services ◽  
Nutrition Survey ◽  
Health And Nutrition

SummaryPartnership and fertility patterns of young Filipinos have changed dramatically from previous generations, with a widening gap between sexual initiation and marriage, and concurrent increases in teenage pregnancy and unwanted fertility. Further understanding of young adults’ social contexts and partnership patterns are needed to inform reproductive health programmes and policies affecting young Filipinos. Multivariate Poisson regression models were conducted with longitudinal and inter-generational data from the Cebu Longitudinal Health and Nutrition Survey (1998–2009) to examine the predictors of young women’s fertility. Age at first sex, and number and duration of partnerships each independently and significantly predicted women’s fertility by 2009 after controlling for contextual influences. Young women with more conservative attitudes towards dating, sex and marriage, and who perceived their mothers to have more conservative attitudes, had higher fertility than their peers, as did young women with mothers who reported more adolescent sexual behaviours. In contrast, fertility was lower among daughters who had higher levels of communication with their mothers. Given high levels of unintended fertility and teenage pregnancy in the Philippines, the findings indicate that the interval between sexual initiation and first and subsequent partnerships may be ideal intervention points for reproductive health services for young Filipinos.

An application of Systematic Anomalous Case Analysis to improve models predicting contraceptive use in the Philippines

2021 ◽  
pp. 1-14
Author(s):  
Subasri Narasimhan ◽  
Jessica D. Gipson
Keyword(s):  
Reproductive Health ◽  
Health Outcomes ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Sexual Debut ◽  
Case Analysis ◽  
Reproductive Behaviour ◽  
The Philippines ◽  
Health And Nutrition ◽  
Depth Interviews

Abstract Amidst persistently high unintended pregnancy rates and lags in contraceptive use, novel methodological approaches may prove useful in investigating sexual and reproductive health outcomes in the Philippines. Systematic Anomalous Case Analysis (SACA) – a mixed-methods technique – was employed to examine predictors of women’s lifetime contraceptive use. First, multivariable, longitudinal Poisson regression models predicted fertility and sexual debut using the 1998–2009 Cebu Longitudinal Health and Nutrition Surveys (CLHNS), then regression outliers and normative cases were used to identify 48 participants for in-depth interviews (2013–2014) for further examination. Qualitative findings from 24 women highlighted ‘control over life circumstances’ was critical, prompting the addition of two items to the original quantitative models predicting any contraceptive use (n=532). Each of the items, ‘what happens to [them] is their own doing’ and ‘[I] do not [have] enough control over direction life is taking [me]’, significantly and independently predicted any contraceptive use (aOR: 2.37 (CI: 1.24–4.55) and aOR: 0.46 (CI: 0.28–0.77), respectively). The findings demonstrate the utility of SACA to improve the understanding and measurement of sexual and reproductive health outcomes and underscore the importance of integrating psychosocial constructs into existing models of fertility and reproductive behaviour in the Philippines to improve sexual and reproductive health outcomes.

scholarly journals Increasing Health and Nutrition Degrees of Young Women through Education on Reproductive Health and Nutrition (Application of Research-Based Learning Video Media)

2021 ◽  
Vol 5 (2) ◽  
pp. 269-280
Author(s):  
Rina Febriana ◽  
Yeni Yulianti
Keyword(s):  
Reproductive Health ◽  
Community Service ◽  
Young Women ◽  
Health Sector ◽  
Faculty Members ◽  
Health And Nutrition ◽  
Nutrition Science ◽  
Engineering Team ◽  
The Subject ◽  
Vocational High Schools

This Community Service (P2M) activity aims to improve young women's health in the health sector, to improve the health of young women, especially reproductive health. One of the problems faced by adolescents is the lack of knowledge about health, especially reproductive health. Efforts to increase understanding of reproduction are by providing education. Counseling on reproductive health and nutrition for young women has given in basic nutrition subjects, which are adaptive in Vocational High Schools (SMK) in Catering expertise. The method used is by providing lectures, discussions, and evaluation of activities. The review has carried out by distributing a satisfaction questionnaire to P2M activities consisting of 10 statements. P2M was conducted at SMK Negeri 33 Jakarta online in the subject of Nutrition Science by involving the principal, vice-principal, 57 female students, three civil servant teachers, and four P2M Faculty members Engineering team. Activities will have held on Monday, 10 August 2020, from 07:30 to 10:00 WIB. The counseling material provided was beautiful to the participants, seen from the whole questionnaire items' average result that they were delighted with 59.4% and 37.5% expressed satisfaction. Thus the P2M activity on improving the degree of reproductive health and nutrition is beneficial for participants.

scholarly journals Health Care Providers as Agents of Change: Integrating PrEP With Other Sexual and Reproductive Health Services for Adolescent Girls and Young Women

2021 ◽  
Vol 3 ◽  
Author(s):  
Gabrielle O'Malley ◽  
Kristin M. Beima-Sofie ◽  
Stephanie D. Roche ◽  
Elzette Rousseau ◽  
Danielle Travill ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Young Women ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Worker

Background: Successful integration of pre-exposure prophylaxis (PrEP) with existing reproductive health services will require iterative learning and adaptation. The interaction between the problem-solving required to implement new interventions and health worker motivation has been well-described in the public health literature. This study describes structural and motivational challenges faced by health care providers delivering PrEP to adolescent girls and young women (AGYW) alongside other SRH services, and the strategies used to overcome them.Methods: We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) with HCWs from two demonstration projects delivering PrEP to AGYW alongside other SRH services. The Prevention Options for the Women Evaluation Research (POWER) is an open label PrEP study with a focus on learning about PrEP delivery in Kenyan and South African family planning, youth mobile services, and public clinics at six facilities. PrIYA focused on PrEP delivery to AGYW via maternal and child health (MCH) and family planning (FP) clinics in Kenya across 37 facilities. IDIs and FGDs were transcribed verbatim and analyzed using a combination of inductive and deductive methods.Results: We conducted IDIs with 36 participants and 8 FGDs with 50 participants. HCW described a dynamic process of operationalizing PrEP delivery to better respond to patient needs, including modifying patient flow, pill packaging, and counseling. HCWs believed the biggest challenge to sustained integration and scaling of PrEP for AGYW would be lack of health care worker motivation, primarily due to a misalignment of personal and professional values and expectations. HCWs frequently described concerns of PrEP provision being seen as condoning or promoting unprotected sex among young unmarried, sexually active women. Persuasive techniques used to overcome these reservations included emphasizing the social realities of HIV risk, health care worker professional identities, and vocational commitments to keeping young women healthy.Conclusion: Sustained scale-up of PrEP will require HCWs to value and prioritize its incorporation into daily practice. As with the provision of other SRH services, HCWs may have moral reservations about providing PrEP to AGYW. Strategies that strengthen alignment of HCW personal values with professional goals will be important for strengthening motivation to overcome delivery challenges.

scholarly journals Factors Influencing the Use of Reproductive Health Services among Young Women in Nepal: Analysis of the 2016 Nepal Demographic and Health Survey

2020 ◽  
Author(s):  
Naba Raj Thapa
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Young Women ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Reproductive Health Services ◽  
Skilled Birth Attendants ◽  
Birth Attendants ◽  
Factors Influencing ◽  
Modern Contraceptive Use

Abstract Background: Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. Thus, the objective of this study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods: Data have been extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets wherein the weighted sample population size was restricted for modern contraceptive use to 1593 whereas for the antenatal care and skilled birth attendants to1606. This study has selected three reproductive health indicators as outcome variables of reproductive health service utilization for the analysis viz, modern contraceptive use, at least four antenatal care visits, and use of skilled birth attendants. Likewise, all calculations are based on standard sample weight of NDHS. Results: The study has found that 21% of young women used modern contraception, 71% attended at least four ANC visits, and 67% utilized a skilled birth attendant at delivery. Young Janajati women, women having 1-2, and 3 or more living children, women participating household decision-making, and the ones having exposure to media were more likely to use modern contraceptives, whereas the women who want more children were less likely to use them. Higher education attainments, higher wealth quintile, and lower birth order were associated with higher level of receiving at least four ANC visits and SBAs. However, the young women willing to have more children and having access to media have higher odds of receiving at least four ANC visits; and the women attending four and more ANC visits have higher odds of using SBAs. Conclusions: In order to improve the use of reproductive health services among young women, efforts should be made to enrich the young women of lower educational level, lower economic status, higher birth order, and lower exposure to media. Further research is required to detect the causes that affect the use of reproductive health services.

scholarly journals The Relationship between Intimate Partner Violence and Family Planning among Girls and Young Women in the Philippines

2016 ◽  
Vol 8 (9) ◽  
pp. 121 ◽  
Author(s):  
Laura Cordisco Tsai ◽  
Claudia Cappa ◽  
Nicole Petrowski
Keyword(s):  
Intimate Partner Violence ◽  
Family Planning ◽  
Reproductive Health ◽  
Young Women ◽  
Partner Violence ◽  
Unmet Need ◽  
Intimate Partner ◽  
The Philippines ◽  
Contraception Use ◽  
The Relationship

<p>This study explored the relationship between intimate partner violence (IPV) and family planning among adolescent girls and young women in formal unions in the Philippines. Analyzing a sample (n =1,566) from the 2013 Philippines Demographic and Health Survey, logistic regression models were separately run for current contraception use and unmet need for family planning on recent physical violence (yes/no), recent sexual violence (yes/no), and recent emotional (yes/no). Findings revealed that the odds of using contraception were significantly higher among girls and young women who reported recent physical IPV (OR=1.84; 95% CI=1.13, 2.99; p&lt;0.05) and sexual IPV (OR=2.18; 95% CI=1.17, 4.06; p&lt;0.05). No significant relationship between recent emotional IPV and contraception use was found. Having an unmet need for family planning showed no significant relationship to IPV. The study adds to a growing body of literature revealing a positive association between IPV and contraception use. Findings hold implications for the provision of family planning services for adolescents and young women in response to the recent passage of landmark legislation pertaining to reproductive health in the Philippines, the Responsible Parenthood and Reproductive Health Act. </p>

Sexual and reproductive health survey in the time of COVID-19 – Latvia, 2020

2021 ◽  
Author(s):  
Gunta Lazdane ◽  
◽  
Dace Rezeberga ◽  
Ieva Briedite ◽  
Inara Kantane ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Family Relationships ◽  
Online Survey ◽  
Gender Based Violence ◽  
Reproductive Health Services ◽  
Health And Nutrition ◽  
Validated Questionnaire ◽  
Variables Selection ◽  
Gender Based ◽  
And Gender

The results of the anonymous online survey of people living in Latvia age 18 and over, using internationally (I-SHARE) and nationally validated questionnaire. Data include following variables: Selection, socio-demographics, social distancing measures, couple and family relationships, sexual behavior, access to condoms and contraceptives, access to reproductive health services, antenatal care, pregnancy and maternal and child health, abortion, sexual and gender-based violence, HIV/STI, mental health, and nutrition. (2021-02-08)

AGE AT MENARCHE AND SEXUAL DEBUT AMONG YOUNG FILIPINO WOMEN

2018 ◽  
Vol 51 (1) ◽  
pp. 77-94 ◽  
Author(s):  
Nai-Peng Tey ◽  
Siow-Li Lai ◽  
Sor-Tho Ng
Keyword(s):  
Reproductive Health ◽  
Birth Cohort ◽  
Young Women ◽  
Sexual Debut ◽  
The Philippines ◽  
Age At Menarche ◽  
Demographic And Health Surveys ◽  
Early Sexual Debut ◽  
Filipino Women ◽  
Younger Age

SummaryThere has been a secular decline in age at menarche since the 19th century. Early-maturing women are more likely to have their sexual debut at a younger age, which in turn gives rise to a host of reproductive health and social problems. This study used data from five waves of National Demographic and Health Surveys conducted in the Philippines between 1993 and 2013 to examine the trends and socioeconomic differentials in age at menarche and sexual debut. The changing trend in age at menarche and sexual debut was examined across birth cohorts, and logistic regressions were used to identify the determinants of early sexual debut. In the Philippines, the mean and median ages at menarche declined from 13.2 years and 12.6 years, respectively, among young women born in 1973–1977, to 12.9 years and 12.3 years, respectively, among those born in 1993–1997. The proportion who had their sexual debut by age 20 increased from 41.2% for the 1968–1972 birth cohort to 53.4% for the 1988–1992 birth cohort. Filipino women with low education, from poor families and living in rural areas were more likely to have earlier sexual debut despite attaining menarche at a later age as compared with their higher educated counterparts, and those from wealthier families and urban areas. Logistic regression analysis showed that, besides marital status, women’s education and age at menarche were important determinants of early sexual debut. However, ethnicity, place of residence and family wealth had no significant effects on age at menarche. An increasing proportion of young women were found to be having unprotected sexual debut and at a younger age, with health and social ramifications. Hence, apart from increasing the enrolment of girls in schools and discouraging teenage marriage, there is a need for social and health agencies to implement appropriate adolescent sexual and reproductive health programmes such as counselling and educational campaigns, as well as support services, to address sexual problems among the youth.

scholarly journals Access and utilization of the youth-friendly sexual and reproductive health services in Nepal: What does literature show?

2021 ◽  
Vol 9 (01) ◽  
pp. 100-115
Author(s):  
Bhabani Adhikari ◽  
Ramesh Adhikari
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Teenage Pregnancy ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Safe Abortion ◽  
Peer Counselors ◽  
Online Databases ◽  
Inadequate Knowledge ◽  
Youth Friendly

This study has attempted to assess the access and utilization of youth-friendly sexual and reproductive health services in Nepal. Different literature regarding youth-friendly sexual and reproductive health services has been reviewed using online databases. A total of 125 relevant articles were assessed for the study. The literature was categorized and analyzed with five key thematic areas: knowledge on SRH among youths, the prevalence of child marriage and teenage pregnancy, attitudes towards premarital sex, utilization of SRHs, and barriers to utilizing the SRHS. This study has found that youths do not always utilize SRHS. Various barriers exist for providing and using YFSRHs in Nepal. Nepal's adolescents and youths face problems of STIs, HIV/AIDS, early pregnancy and parenthood, difficulties accessing contraception, and safe abortion. The study has also found that many countries have single youth-friendly sexual and reproductive health policies and that utilization of SRHS is also high in those countries. Moreover, this review has also found that because of inadequate knowledge and information on SRHS, Nepalese youths are facing numerous reproductive health problems. Multiple factors contribute as barriers to utilizing the SRHS. Therefore, there is a need for a program to motivate youths to respect their right to access reproductive health information and service, ensure the availability of peer counselors in the health centers, and increase the awareness level of the community so that they can utilize the quality of SRHS.

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