Nurses' Use of Global Information Systems for Provision of Outreach Reproductive Health Services to Internally Displaced Persons

2008 ◽  
Vol 23 (S1) ◽  
pp. s35-s38 ◽  
Author(s):  
Masood A. Shaikh
Keyword(s):  
Information Systems ◽  
Reproductive Health ◽  
Health Services ◽  
Healthcare Services ◽  
Internally Displaced Persons ◽  
Global Information ◽  
Reproductive Health Services ◽  
Internally Displaced ◽  
Global Information Systems ◽  
Reproductive Healthcare

AbstractIntroduction:A long and protracted civil war compounded by the occurrence of nature-related disasters have forced thousands of Somalis to take refuge in camps for internally displaced persons (IDPs) to escape violence and seek shelter. Dwellers of these camps have limited accessibility to and affordability of the fractured healthcare facilities located in nearby towns. A free, outreach, mobile, reproductive healthcare delivery system staffed with nurses and using an ambulance guided by a global information systems (GIS) map was established to address the accessibility and affordability issues hindering provision of quality reproductive healthcare to the women in the IDP camps and in the outskirts of Baidoa City, Somalia.Methods:All 14 IDP camps in Baidoa City were visited to determine the number of families/huts, and to acquire their global positioning system (GPS) central point locations. Global information systems (GIS) shape files containing major roads, river, and dwellings, and straight-line distances from the base clinic to each IDP camp were computed. The objective of creating and using this specially designed map was to help nurses in determining which camps realistically could be visited on a given day, and how best to access them considering the security situation and the condition of rain-affected areas in the city.Results:Use of the GIS map was instrumental in facilitating the delivery of healthcare services to IDPs and ensuring that resources were adequately utilized. Free healthcare services were provided each work day for the month long duration of the project; 3,095 consultations were provided, inclusive of 948 consultations for children under the age of 16 years, and delivery of three babies.Conclusions:Creation and use of a simple, need-specific GIS map in this pilot project effectively aided the logistical planning and delivery of mobile, outreach reproductive health services by directing the ambulance and nurses safely to accessible IDP camps in an area marred with long and protracted disasters from both natural and human causes.

scholarly journals Perceptions of Decision-making in Accessing Reproductive Healthcare Services of Urban Women

2019 ◽  
Vol 14 (1) ◽  
pp. 15-20
Author(s):  
Md Mahbubur Rahman ◽  
Taniza Tabassum ◽  
Md Shafiqur Rahman ◽  
Abu Noman Mohammed Mosleh Uddin ◽  
Mushtaq Ahmad ◽  
...  
Keyword(s):  
Decision Making ◽  
Reproductive Health ◽  
Health Services ◽  
Antenatal Care ◽  
Family Size ◽  
Urban Women ◽  
Healthcare Services ◽  
Reproductive Health Services ◽  
The Family ◽  
Reproductive Healthcare

Introduction:  Women’s healthcare during the reproductive period of life, especially decisions involving her own health is generally one of the least concerns to the common people. Women’s autonomy in decision-making within the family is fairly debatable and determines the health service seeking behaviour. Objective: To find out the perceptions about key persons involved in decision-making for accessing reproductive healthcare services as well as factors that influence those decisions among urban women of Bangladesh. Materials and Methods: The study was conducted by key informant interviewing (KII) of 72 respondents about their perceptions of decision-making in women’s reproductive health services in Dhaka South City Corporation during the period of January 2019 to April 2019. Health professionals of various levels, administrators, family heads were selected as key informants by purposive sampling method. An open-ended semi-structured questionnaire was used for data collection. Result: Among the key informants, more than half were doctors (58.3%). The majority of the respondents were female (72%) and having educational qualification up to graduate level (40.3%). Majority of the informants (73.9%) mentioned ‘both parents’ as key persons in under 18 marriage of their daughters; 57.1% of respondents opined that ‘Factors like social environment, social status, uncertainty to find better groom, dowry etc.’ influences in decision-making. All of the respondents felt antenatal care ‘essential’ and about half of them (50.0%) mentioned the importance of complication detection and treatment during pregnancy. According to the respondents, ‘mother-in-law’ is the key person in women’s decision-making regarding antenatal care (65.3%) and ‘husband’ is the key person regarding selection of the place of delivery and postnatal care (79.2%, 72.2%) respectively. Half of the respondents (50%) expressed the family size determination in an urban area is done mutually by ‘both partners’ while the role of the ‘husband’ is still perceived important (41.7%). Majority expressed that economic condition of the family (63.9%) have an influence in determining family size by the respondents. According to more than half of the respondents (52.8%), both partners take part in decision-making regarding family planning. Conclusion: Although the educated employed women enjoy some degree of autonomy in urban areas of Bangladesh, the decision-making in accessing woman’s reproductive healthcare services is directed by the husband. Involvement of both partners in decision-making is essential for better utilization of reproductive health services. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 15-20

scholarly journals Challenges of Reproductive Health Management in the Camps of Internally Displaced Persons: A Systematic Review

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Farin Fatemi ◽  
Shandiz Moslehi
Keyword(s):  
Systematic Review ◽  
Reproductive Health ◽  
Health Services ◽  
Health Management ◽  
Cochrane Library ◽  
Internally Displaced Persons ◽  
Displaced Persons ◽  
Cultural Issues ◽  
Reproductive Health Services ◽  
Internally Displaced

BACKGROUND Internally Displaced Persons (IDPs) in the camps face many reproductive health challenges. They should meet their needs timely to save their lives. This paper outlines a systematic review to discuss the challenges of reproductive health management in the camps of internally displaced persons.METHODS: For this research, electronic databases including PubMed, Science Direct, Scopus, Pro Quest, Google Scholar and Cochrane Library till January 1, 2020 were searched. A threestage screening process was used for the selection of literature due to PRISMA checklist. Finally, a thematic synthesis approach was applied to analyze the data.RESULTS: In total, 133 articles were identified; 11 articles met the inclusion criteria for entering the process of final analysis. The findings were demonstrated in six main categories of availability and accessibility of reproductive health services, sexual and gender-based issues, human rights, social and cultural issues, coordination and collaboration, and mental health issues. The remarkable result of this study highlighted that the main challenges are lack of access to health services, violence against women and lack of household education.CONCLUSION: Results of this systematic review present valuable advice for policy makers and managers to prepare and respond effectively and timely to reproductive health challenges of internally displaces persons. Disaster preparedness plans and contingency plans for maintaining and developing reproductive health in IDPs camps are recommended.

Understanding Reproductive Health Services in Eastern Uttar Pradesh, India: A Dalit Feminist Approach

2021 ◽  
pp. 2455328X2110281
Author(s):  
Priti Chandra
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Participant Observation ◽  
Uttar Pradesh ◽  
Healthcare Services ◽  
Indian Society ◽  
Reproductive Health Services ◽  
Qualitative Research Design ◽  
Dalit Women ◽  
Eastern Uttar Pradesh

The identity of women cannot be seen in isolation but one that exists along with other constituents that intersects with class, race, sexuality and caste also. Being a woman, a person is already at periphery, adding caste to it makes more vulnerable. Thus, Dalit women are more subjugated in Indian society whether it is about leading a normal life or availing reproductive health services. This study primarily draws from a Dalit feminist perspective to understand the subjectivity and nuisances of the Dalit women who avail reproductive health services. While availing reproductive health services, the sort of discrimination the Dalit women face are denial in providing reproductive health services, creating and observing distance with the Dalit women by the health practitioners, and also promotion of privatization of healthcare services. The study is based on qualitative research design basically, participant observation, in which the total 27 married women were selected for the in-depth interview, among them 16 women were from the Dalit community and 9 women were from the so-called upper caste community. This research was conducted from February to April 2015 in Mau district of Eastern Uttar Pradesh, India.

scholarly journals The experiences of clients and healthcare providers regarding the provision of reproductive health services including the prevention of HIV and AIDS in an informal settlement in Tshwane

2016 ◽  
Vol 21 ◽  
pp. 67-76
Author(s):  
M. L.S. Mataboge ◽  
S. Beukes ◽  
A. G.W. Nolte
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Primary Healthcare ◽  
Informal Settlement ◽  
Healthcare Providers ◽  
Hiv And Aids ◽  
Reproductive Health Services ◽  
Healthcare Provision ◽  
Reproductive Healthcare ◽  
Prevention Of Hiv

Globally challenges regarding healthcare provision are sometimes related to a failure to estimate client numbers in peri-urban areas due to rapid population growth. About one-sixth of the world's population live in informal settlements which are mostly characterised by poor healthcare service provision. Poor access to primary healthcare may expose residents of informal settlement more to the human immunodeficiency virus (HIV) and to acquired immunodeficiency syndrome (AIDS) than their rural and urban counterparts due to a lack of access to information on prevention, early diagnosis and treatment. The objective of this study was to explore and describe the experiences of both the reproductive health services' clients and the healthcare providers with regard to the provision of reproductive health services including the prevention of HIV and AIDS in a primary healthcare setting in Tshwane. A qualitative, exploratory and contextual design using a phenomenological approach to enquire about the participants' experiences was implemented. Purposive sampling resulted in the selection of 23 clients who used the reproductive healthcare services and ten healthcare providers who were interviewed during individual and focus group interviews respectively. Tesch's method for qualitative data analysis was used. Ethical principles guided the study, and certain strategies were followed to ensure trustworthiness. The findings revealed that females who lived in informal settlements were aware of the inability of the PHC setting to provide adequate reproductive healthcare to meet their needs. The HCPs acknowledged that healthcare provision was negatively affected by policies. It was found that the community members could be taught how to coach teenagers and support each other in order to bridge staff shortages and increase health outcomes including HIV/AIDS prevention.

scholarly journals How to adapt sexual and reproductive health services to the needs and circumstances of trans people— a qualitative study in Colombia

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Mariana Calderón-Jaramillo ◽  
Ángel Mendoza ◽  
Natalia Acevedo ◽  
Luz Janeth Forero-Martínez ◽  
Sandra Marcela Sánchez ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Healthcare Services ◽  
Health Needs ◽  
Access Barriers ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Trans People

Abstract Background People living a trans-life require access to equitable healthcare services, policies and research that address their needs. However, trans people have experienced different forms of violence, discrimination, stigma, and unfair access barriers when dealing with healthcare providers. Therefore, adapting sexual and reproductive health services with the purpose of providing more equitable, inclusive and discrimination-free healthcare services is an urgent need. The article presents an example of how operative research can be used in order to adjust sexual and reproductive healthcare services to trans people’s needs, identities and circumstances. Methods This is a qualitative study written from a constructivist perspective, and it is based on the voices and experiences of trans people in four major cities in Colombia. The research used a combination of focus groups of discussion (n = 6) and in-depth interviews with trans people (n = 13) in Barranquilla, Bogota, Cali and Medellin. This research had two specific objectives: i) identifying the main sexual and reproductive health needs of people living a trans-life; and ii) generating new evidence in order to guide the adaptation of sexual and reproductive health services centered to trans people’s needs, identities, and circumstances. Qualitative data codification and analysis was using NVivo. Results Once access barriers to sexual and reproductive health services, unmet sexual and reproductive health needs were identified, the research helped define strategies to adapt sexual and reproductive health services to the needs, identities, and circumstances of people living a trans-life in Colombia. Amongst the main barriers found were healthcare costs, lack of insurance, stigmatization, discrimination and abuse by health care providers. Perhaps among the most notable sexual and reproductive health needs presented were trans-specific services such as sensitive assistance for the transition process, endocrinology appointments, and sex reaffirmation surgeries. Conclusions The evidence obtained from this research allowed Profamilia, a Colombian healthcare provider, to adapt the sexual and reproductive health services it provides to people living a trans-life in Colombia. Furthermore, it was possible for Profamilia to design and implement an inclusive sexual and reproductive health program that specifically addresses trans people’s needs, identities, and circumstances.

Understanding Reproductive Health Services in Eastern Uttar Pradesh, India: A Dalit Feminist Approach

2021 ◽  
pp. 2455328X2110257
Author(s):  
Priti Chandra
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Participant Observation ◽  
Uttar Pradesh ◽  
Healthcare Services ◽  
Indian Society ◽  
Reproductive Health Services ◽  
Qualitative Research Design ◽  
Dalit Women ◽  
Eastern Uttar Pradesh

The identity of women cannot be seen in isolation but as one that exists along with other constituents that intersect with class, race, sexuality and caste. Being a woman, a person is already at periphery and adding caste to it makes her more vulnerable. Thus, Dalit women are more subjugated in Indian society whether it is about leading a normal life or availing reproductive health services. This study primarily draws from a Dalit feminist perspective to understand the subjectivity and nuisances of the Dalit women who avail reproductive health services. While availing reproductive health services, the sort of discrimination the Dalit women face are denial in providing reproductive health services, creation and observation of distance from the Dalit women by the health practitioners and promotion of privatization of healthcare services. The study is based on qualitative research design which includes participant observation, in which a total of 27 married women were selected for the in-depth interview; among them, 16 women were from the Dalit community and 9 women were from the so-called upper caste community. This study was conducted in 2015 between February and April in Mau district of Eastern Uttar Pradesh, India.

Sustainable development goals and reproductive healthcare rights of internally displaced persons in India

2019 ◽  
Vol 12 (1) ◽  
pp. 38-49 ◽  
Author(s):  
Madhulika Sahoo ◽  
Jalandhar Pradhan
Keyword(s):  
Sustainable Development ◽  
Healthcare Services ◽  
Health Problems ◽  
Internal Displacement ◽  
Internally Displaced Persons ◽  
Displaced Persons ◽  
Content Type ◽  
Internally Displaced ◽  
The Government ◽  
Reproductive Healthcare

Purpose The internally displaced persons (IDPs) are often overlooked population, falling between the cracks of international and national commitments. Displaced women and children go through more hardship than the male counterpart, as they are frequently at greater risk and do not get adequate access to the reproductive healthcare rights; they suffer from poor health amid threats of eviction. The purpose of this paper is to look into the IDPs reproductive healthcare situation in India and sustainable development goal (SDG) role in addressing the reproductive healthcare rights of the IDPs in India. Design/methodology/approach This paper is based on the available literature on reproductive rights of IDPs in India, analysis of the SDGs 3 and other legal safeguards. Findings The newly arrived IDPs in the camps have complex needs and health problems. They are susceptible to a number of health problems due to the exposure to physical and environmental threats, violence and trauma. Many of them face a loss of social networks and assets, knowledge and information in the new environment, and lack food security. They have inadequate shelter, healthcare services, sanitation and access to safe water. Research limitations/implications This is a viewpoint paper and most of the information in this paper are taken from different sources which are cited in the reference section. There is a lack of sufficient data on IDPs in India. Most of the IDPs figures/data are quoted from Internal Displacement Monitoring Centre and other literature. Practical implications To achieve the SDGs by 2030, India needs to take account of all people’s vulnerabilities to address their humanitarian and sustainable development needs. It is important that the development, humanitarian actors, along with the local communities, work collectively to respond to the health needs of the IDPs. Moreover, the active role of the government can provide the necessary assistance to guarantee the rights of IDPs health, adequate standard of living and to social security. Originality/value This paper highlights the reproductive healthcare rights of the IDPs in India and the challenges faced by them. It has analyzed the policy gaps. The paper also suggests few measures that can be undertaken to address those challenges under the SDGs.

scholarly journals A Scoping Review of the Health of Conflict-Induced Internally Displaced Women in Africa

2020 ◽  
Vol 17 (4) ◽  
pp. 1280 ◽  
Author(s):  
Oluwakemi C. Amodu ◽  
Magdalena S. Richter ◽  
Bukola O. Salami
Keyword(s):  
Mental Health ◽  
Reproductive Health ◽  
Health Services ◽  
Central Africa ◽  
Internal Displacement ◽  
Reproductive Health Services ◽  
Internally Displaced ◽  
Care Giving ◽  
South Central ◽  
Review Team

Armed conflict and internal displacement of persons create new health challenges for women in Africa. To outline the research literature on this population, we conducted a review of studies exploring the health of internally displaced persons (IDP) women in Africa. In collaboration with a health research librarian and a review team, a search strategy was designed that identified 31 primary research studies with relevant evidence. Studies on the health of displaced women have been conducted in South- Central Africa, including Democratic Republic of Congo (DRC); and in Eastern, East central Africa, and Western Africa, including Eritrea, Uganda, and Sudan, Côte d’Ivoire, and Nigeria. We identified violence, mental health, sexual and reproductive health, and malaria and as key health areas to explore, and observed that socioeconomic power shifts play a crucial role in predisposing women to challenges in all four categories. Access to reproductive health services was influenced by knowledge, geographical proximity to health services, spousal consent, and affordability of care. As well, numerous factors affect the mental health of internally displaced women in Africa: excessive care-giving responsibilities, lack of financial and family support to help them cope, sustained experiences of violence, psychological distress, family dysfunction, and men’s chronic alcoholism. National and regional governments must recommit to institutional restructuring and improved funding allocation to culturally appropriate health interventions for displaced women.

scholarly journals Satisfaction with Quality of Sexual and Reproductive Health Services Provided by Governmental Health Care System in the Gaza Strip, Palestine

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Nasser Ibrahim Abu-El-Noor ◽  
Bettina Bottcher ◽  
Maysoon K. Abu-El-Noor
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Gaza Strip ◽  
Healthcare Services ◽  
Reproductive Health Services ◽  
The Gaza Strip ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background and aim: In our dynamically changing world, incorporating patients’ perception into quality assessment and assessing clients’ satisfaction about provided services became a major component in the healthcare mission. The aim of this study is to assess clients’ satisfaction with sexual and reproductive health services provided by governmental primary health care centers in the Gaza Strip. Methods: A cross-sectional, descriptive design was used. A total of 128 clients who used sexual and reproductive healthcare services provide by governmental primary health care centers completed a survey that was prepared by the research team. Results: The majority of participants (77.3%) were satisfied with the services they received. Most of the items of the questionnaire received scores close to the neutral point of 3 on a Likert scale of 1-5. The only demographic variable that influenced participants’ level of satisfaction was age. Conclusion: Although the majority of participants in this study were satisfied with the sexual and reproductive health services they received, the mean scores for most items of the questionnaire were around the neutral point of three. This should be an impetus for healthcare policy makers and healthcare providers to work harder to improve quality of provided healthcare services, and thus; improving clients’ satisfaction with provided services.

scholarly journals Reproductive Health Issues AfTecting Displaced Populations

Refuge ◽  
2000 ◽  
pp. 22-25
Author(s):  
Samantha Guy
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Lessons Learned ◽  
Health Issues ◽  
Reproductive Health Services ◽  
Internally Displaced ◽  
International Conference ◽  
Displaced Populations

The provision of reproductive health services for displaced populations has gained momentum since the 1994 International Conference on Population and Development (ICPD). The ICPD Programme of Action sets reproductive health within a rights framework and highlights the needs of refugees and internally displaced populations. This paper looks at the background to reproductive health for refugees, offers some lessons learned from Marie Stopes International's refugee programming experience and highlights possible future interventions.

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