Sexual and reproductive health and philanthropic funding in Australia

Sexual Health ◽  
2014 ◽  
Vol 11 (4) ◽  
pp. 298 ◽  
Author(s):  
Liz Gill-Atkinson ◽  
Cathy Vaughan ◽  
Hennie Williams
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
The United States ◽  
Government Funding ◽  
Limited Evidence ◽  
Research Grants ◽  
Government Grants ◽  
Grant Applications ◽  
Depth Interviews

Background Australia’s philanthropic sector is growing and could support efforts to improve sexual and reproductive health (SRH). However, philanthropy is often misunderstood in Australia and there is limited evidence of philanthropic support for SRH initiatives. Methods: We aimed to understand the barriers and facilitators to philanthropic funding of SRH initiatives in Australia. A qualitative approach was used and involved 13 in-depth interviews with professionals from the philanthropic sector, and from organisations and services involved in SRH. Results: Barriers to organisations in seeking philanthropic funding for SRH activities included insufficient resources for writing grant applications and the small financial value of philanthropic grants. Facilitators to seeking philanthropic funding for SRH included a perception that government funding is shrinking and that philanthropic research grants are less competitive than government grants. Philanthropic participants identified that barriers to funding SRH include the sensitive nature of SRH and the perceived conservative nature of philanthropy. Facilitators identified by these participants in supporting SRH initiatives included networking and relationships between grant-makers and grant-seekers. All participants agreed that philanthropy does and could have a role in funding SRH in Australia. Conclusions: The findings of this research suggest that barriers to philanthropic funding for SRH in Australia exist for organisations attempting to access philanthropic funding. Philanthropic organisations could provide more financial support to Australian SRH service providers, as happens in countries such as the United States and United Kingdom. Addressing these barriers and promoting the facilitators could lead to increased awareness of SRH by Australia’s philanthropic sector.

scholarly journals ‘Scrambling to figure out what to do’: a mixed method analysis of COVID-19’s impact on sexual and reproductive health and rights in the United States

2021 ◽  
pp. bmjsrh-2021-201081
Author(s):  
Malia Maier ◽  
Goleen Samari ◽  
Jennifer Ostrowski ◽  
Clarisa Bencomo ◽  
Terry McGovern
Keyword(s):  
United States ◽  
Reproductive Health ◽  
Mixed Method ◽  
Service Provision ◽  
Local Governments ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
The United States ◽  
Service Utilisation ◽  
Preparedness Planning

ObjectiveA weak and politicised COVID-19 pandemic response in the United States (US) that failed to prioritise sexual and reproductive health and rights (SRHR) overlaid longstanding SRHR inequities. In this study we investigated how COVID-19 affected SRHR service provision in the US during the first 6 months of the pandemic.MethodsWe used a multiphase, three-part, mixed method approach incorporating: (1) a comprehensive review of state-by-state emergency response policies that mapped state-level actions to protect or suspend SRHR services including abortion, (2) a survey of SRHR service providers (n=40) in a sample of 10 states that either protected or suspended services and (3) in-depth interviews (n=15) with SRHR service providers and advocacy organisations.ResultsTwenty-one states designated some or all SRHR services as essential and therefore exempt from emergency restrictions. Protections, however, varied by state and were not always comprehensive. Fourteen states acted to suspend abortion. Five cross-cutting themes surrounding COVID-19’s impact on SRHR services emerged across the survey and interviews: reductions in SRHR service provision; shifts in service utilisation; infrastructural impacts; the critical role of state and local governments; and exacerbation of SRHR inequities for certain groups.ConclusionsThis study demonstrates serious disruptions to the provision of SRHR care that exacerbated existing SRHR inequities. The presence or absence of policy protections for SRHR services had critical implications for providers and patients. Policymakers and service providers must prioritise and integrate SRHR into emergency preparedness planning and implementation, with earmarked funding and tailored service delivery for historically oppressed groups.

Sexual and Reproductive Health Information and Experiences Among Syrian Refugee Adolescent Girls in Lebanon

2021 ◽  
Vol 31 (5) ◽  
pp. 983-998
Author(s):  
L’Emira Lama El Ayoubi ◽  
Sawsan Abdulrahim ◽  
Maia Sieverding
Keyword(s):  
Reproductive Health ◽  
Adolescent Girls ◽  
Sexual And Reproductive Health ◽  
Well Being ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Syrian Refugee ◽  
Entry Points ◽  
Depth Interviews ◽  
Source Of Information

Providing adolescent girls with sexual and reproductive health (SRH) information protects them from risks and improves their well-being. This qualitative study, conducted in Lebanon, examined Syrian refugee adolescent girls’ access to SRH information about and experiences with puberty and menarche, sex, marriage, contraception, and pregnancy. We gathered data through three focus group discussions (FGDs) with unmarried adolescent girls, 11 in-depth interviews with early-married adolescents, and two FGDs with mothers. Our findings highlighted that adolescent participants received inadequate SRH information shortly before or at the time of menarche and sexual initiation, resulting in experiences characterized by anxiety and fear. They also revealed discordance between girls’ views of mothers as a preferred source of information and mothers’ reluctance to communicate with their daughters about SRH. We advance that mothers are important entry points for future interventions in this refugee population and offer recommendations aimed to improve adolescent girls’ SRH and rights.

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.

Differences in perceptions on sexual and reproductive health between service providers and people living with HIV: A qualitative elicitation study

2008 ◽  
Vol 13 (5) ◽  
pp. 516-528 ◽  
Author(s):  
Christiana Maria Nöstlinger ◽  
Victoria Gordillo ◽  
Ruth Borms ◽  
Cynthia Murphy ◽  
Johannes Bogner ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
People Living With Hiv ◽  
Elicitation Study ◽  
Living With Hiv

scholarly journals Trends and Differentials in Receipt of Sexual and Reproductive Health Services in the United States: Services Received and Sources of Care, 2006–2019

2021 ◽  
Author(s):  
Jennifer J. Frost ◽  
Jennifer Mueller ◽  
Zoe H. Pleasure
Keyword(s):  
Health Insurance ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
The United States ◽  
Reproductive Age ◽  
Hiv Care ◽  
Publicly Funded ◽  
Private Providers ◽  
Contraceptive Services ◽  
To Receive

Key Points Seven in 10 U.S. women of reproductive age, some 44 million women, make at least one medical visit to obtain sexual and reproductive health (SRH) services each year. While the overall number of women receiving any SRH service remained relatively stable between 2006–2010 and 2015–2019, the number of women receiving preventive gynecologic care fell and the number receiving STI testing doubled. Disparities in use of SRH services persist, as Hispanic women are significantly less likely than non-Hispanic White women to receive SRH services, and uninsured women are significantly less likely to receive services than privately insured women. Publicly funded clinics remain critical sources of SRH care for many women, with younger women, lower income women, women of color, foreign-born women, women with Medicaid coverage and women who are uninsured especially likely to rely on publicly funded clinics. Among women who go to clinics for SRH care, two-thirds report that the clinic is their usual source for medical care. Among those relying on both private providers and public clinics, the proportion of women who reported receiving a combination of contraceptive and STI/HIV care increased between 2006–2010 and 2015–2019. Implementation of the Affordable Care Act has likely contributed to some of the changes observed in where women receive contraceptive and other SRH services and how they pay for that care: The share of women receiving contraceptive services who go to private providers rose from 69% to 77% between 2006–2010 and 2015–2019, in part because more women gained private or public health insurance coverage and there was a greater likelihood that their health insurance would cover SRH services. There was a complementary drop in the share of women receiving contraceptive services who went to a publicly funded clinic, from 27% in 2006–2010 to 18% in 2015–2019. For non-Hispanic Black women, immigrant women and uninsured women, there was no increase in the use of private providers for contraceptive care from 2006–2010 to 2015–2019. Among women served at publicly funded clinics between 2006–2010 and 2015–2019, there were significant increases in the use of both public and private insurance to pay for their care.

scholarly journals Exploring Adolescent Characteristics, Experiences and Socio-environmental Responses on Premarital Pregnancy in Central Java Indonesia

2020 ◽  
Vol 202 ◽  
pp. 12030
Author(s):  
Zahroh Shaluhiyah ◽  
Antono Suryoputro ◽  
Aulia Novelira ◽  
Ratih Indraswari
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Parental Supervision ◽  
Premarital Pregnancy ◽  
Central Java ◽  
Partner Influence ◽  
Permissive Attitude ◽  
Environmental Responses ◽  
Depth Interviews ◽  
Main Factor

The aim of this study was to explore the phenomena of premarital pregnancy by exploring adolescent characteristics, experiences and socio- environmental responses. It employs descriptive study and phenomenology approach using in-depth interviews to explore adolescent’s premarital pregnancy experiences. A total of 49 adolescents aged 12-19 years with premarital pregnancy were willing to participate in this study and 10 respondents were interviewed in more deeply. The data were analyzed using thematic content analysis. The average age of the respondents were 17 years old and most of them had low educational level. Their knowledge on sexual and reproductive health was categorized as lack of knowledge. Nearly half of them were more permissive so that partner influence to have sex is main factor that is difficult to resist by the respondents. Parents and community responses were initially forced to resist their premarital pregnancy, but it gradually became normally accept. Premarital pregnancy was more influenced by peer’s permissive attitude, frequent access to pornography, and lack of parental supervision. There were four respondents who tried to seek abortion. It is recommended to provide comprehensive sexual and reproductive health education to adolescents in order to prevent premarital pregnancy.

scholarly journals A qualitative study of factors influencing male participation in fertility research

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Alyssa F. Harlow ◽  
Amy Zheng ◽  
John Nordberg ◽  
Elizabeth E. Hatch ◽  
Sam Ransbotham ◽  
...  
Keyword(s):  
United States ◽  
Focus Group ◽  
Reproductive Health ◽  
Qualitative Study ◽  
The United States ◽  
Male Partners ◽  
Men And Women ◽  
Male Participation ◽  
Depth Interviews ◽  
Male Factors

Abstract Background Although fertility is a couple-based outcome, fertility studies typically include far fewer males than females. We know little about which factors facilitate or inhibit male participation in fertility research. In this study we aimed to explore factors that influence male participation in fertility research among North American couples trying to conceive. Methods We conducted a qualitative research study of male participation in Pregnancy Study Online (PRESTO), a prospective preconception cohort of couples actively trying to conceive in Canada and the United States. Between January–August 2019, we carried out 14 online one-on-one in-depth interviews and one online focus group of males and females with varying levels of participation. The in-depth interviews included females who enrolled in PRESTO but declined to invite their male partners to participate (n = 4), males who enrolled in PRESTO (n = 6), and males who declined to participate in PRESTO (n = 4). The focus group included 10 males who enrolled in PRESTO. We analyzed the transcriptions using inductive content analysis. Results Male and female participants perceived that fertility is a women’s health issue and is a difficult topic for men to discuss. Men expressed fears of infertility tied to masculinity. However, men were motivated to participate in fertility research to support their partners, provide data that could help others, and to learn more about their own reproductive health. Conclusions Male participation in fertility studies will improve our understanding of male factors contributing to fertility and reproductive health issues. Results indicate a need for more education and health communication on male fertility to normalize male participation in fertility and reproductive health research. Plain English Summary Men are much less likely than women to participate in research on fertility and pregnancy. However, it is important for men to participate in fertility research so that we gain a better understanding of male factors that impact fertility and pregnancy outcomes. In this qualitative study, we interviewed men and women from Canada and the United States who were trying to become pregnant to understand why men choose to participate in fertility research, why men choose not to participate in fertility research, and why women choose not to invite their male partners to participate in fertility research. We found that both men and women believe fertility is a woman’s health issue. Men find it difficult to talk about pregnancy and fertility and have fears of infertility tied to masculinity. However, men are motivated to participate in fertility research to support their partners, to help others, and to learn more about their own reproductive health.

scholarly journals Fertility, Migration and Acculturation (FEMINA): a research protocol for studying intersectional sexual and reproductive health inequalities

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Violeta Alarcão ◽  
Miodraga Stefanovska-Petkovska ◽  
Ana Virgolino ◽  
Osvaldo Santos ◽  
Sofia Ribeiro ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Reproductive Age ◽  
Cape Verdean ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Men And Women ◽  
Native Women ◽  
And Gender

Abstract Background The existing knowledge on the interplay between reproductive and sexual health, migration and acculturation is recent and inconsistent, particularly on the sociocultural motives and constraints regarding fertility. Therefore, sexual and reproductive health (SRH) surveys are needed to provide accurate and comparable indicators to identify and address SRH inequalities, with specific focus on under researched aspects, such as the interrelation between migration and gender. FEMINA (FErtility, MIgratioN and Acculturation) aims to investigate intersectional SRH inequalities among Cape Verdean immigrant and Portuguese native families and how they impact on fertility in Portugal. This study will use a comprehensive approach exploring simultaneously the components of SRH, namely regarding identities, perceptions and practices of both women and men among lay people and relevant experts and stakeholders. The project has three main goals: 1) to identify social determinants of SRH among Cape Verdean immigrant and Portuguese native men and women of reproductive age; 2) to gain understanding of the diversity of the sexual and reproductive experiences and expectations of Cape Verdean immigrant and Portuguese native men and women of reproductive age, considering the singularities of their migratory, social and family dynamics; and 3) to produce recommendations for policy makers, employers and service providers on how to better address the SRH needs of Portuguese-born and immigrant populations. Methods The study will address these goals using a mixed methods approach, including: a cross-sectional telephone survey with a probabilistic sample of 600 Cape Verdean immigrant and 600 Portuguese native women and men (women aged 18 to 49 and men aged 18 to 54), residents of the Greater Lisbon Area; a qualitative research through in-depth interviews with a subsample of 30 Cape Verdean immigrants and 30 Portuguese native men and women; and a Delphi technique for finding consensus on good practices in SRH for the entire population with a special emphasis on immigrants, namely extra-EU migrants. Discussion Data will be used to produce a comprehensive set of indicators to monitor SRH in Portugal, to foster a greater understanding of its specificities and challenges to policy and decision makers, and to provide targeted recommendations to promote inclusive and migrant sensitive SRH services.

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