scholarly journals When political solutions for acute conflict in Yemen seem distant, demand for reproductive health services is immediate: a programme model for resilient family planning and post-abortion care services

2019 ◽  
Vol 27 (2) ◽  
pp. 100-111 ◽  
Author(s):  
Catherine N Morris ◽  
Kate Lopes ◽  
Meghan C Gallagher ◽  
Sarah Ashraf ◽  
Shihab Ibrahim
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Reproductive Health Services ◽  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
Post Abortion

scholarly journals Continuity of Essential Sexual and Reproductive Health Services During Covid-19 Pandemic in the Who African Region

2021 ◽  
Author(s):  
George Ochieng Otieno ◽  
Leopold Ouedraogo ◽  
Triphonie Nkurunziza ◽  
Chilanga Asmani ◽  
Hayfa Elamin ◽  
...  
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Abortion Care ◽  
Sexual Reproductive Health ◽  
Post Abortion Care ◽  
Comprehensive Abortion Care ◽  
Post Abortion

Abstract Background: The COVID-19 pandemic has had a major impact on the capacity of health systems to continue the delivery of essential health services. While health systems around the world are being challenged by increasing demand for care of COVID-19 patients, it is critical to all other services including sexual reproductive health services. Countries are expected to ensure optimal balance between fighting the COVID-19 pandemic and maintenance of essential health services like sexual reproductive health. The purpose of this report was to assess and document continuity of sexual and reproductive health services with a focus on safe abortion, post abortion care and family planning services during the COVID -19 pandemic in selected countries of the World Health Organization Africa Region.Methods: A descriptive survey using a simplified and user-friendly virtual web based rapid needs assessment through a questionnaire was filled in by key informants drawn from the ministries of health from 30 countries in July 2020. The questionnaires were filled in by the World Health Organization staff in charge of sexual reproductive health services in collaboration with their counterparts in the ministries of health and uploaded in excel data sheets and categorized in to thematic areas for analysis.Results: Responses were received from 17 countries out of the 30 countries that received the questionnaires. Of the 17 countries, only 2 (12%) countries reported that sexual and reproductive health services are not integrated in the essential health services package. All the sexual reproductive health elements-family planning/contraception and comprehensive abortion care, including post abortion care are integrated in the essential health services package in 12 (80%) of the 15 countries that have sexual reproductive health integrated. Also,14(82%) countries reporting having ongoing awareness raising campaigns/communication messages about family planning, comprehensive abortion care and post abortion care during the COVID pandemic. 9(59%) of the countries reported reduction in the use of family planning services, 6(35%) indicated no changes in the use of family planning services with only 2(12%) countries providing no response. Conclusion: The survey provides information on the weak health systems of the participating member states of the WHO Africa Region and the magnitude of disruptions of sexual reproductive health services in selected countries. Further, strategies adopted by countries to ensure continuity of sexual reproductive health services amidst COVID -19 like communications, Countries finally identified key areas that need to be supported in family planning/contraception, comprehensive abortion care and post abortion care during the COVID-19 pandemic.

DELIVERING POST-ABORTION CARE THROUGH A COMMUNITY-BASED REPRODUCTIVE HEALTH VOLUNTEER PROGRAMME IN PAKISTAN

2012 ◽  
Vol 44 (6) ◽  
pp. 719-731 ◽  
Author(s):  
SYED KHURRAM AZMAT ◽  
BABAR T SHAIKH ◽  
GHULAM MUSTAFA ◽  
WAQAS HAMEED ◽  
MOHSINA BILGRAMI
Keyword(s):  
Reproductive Health ◽  
Group Discussions ◽  
Community Based ◽  
Family Planning Services ◽  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
Post Abortion ◽  
Depth Interviews

SummaryThis qualitative study was conducted in May–June 2010 with women using post-abortion care (PAC) services provided by the Marie Stopes Society in Pakistan during the six month period preceding the study, more than 70% of whom had been referred to the clinics by reproductive health volunteers (RHVs). The aim of the study was to establish the socio-demographic profile of clients, determine their preferred method of treatment, explore their perceptions of the barriers to accessing post-abortion services and to understand the challenges faced by RHVs. The sample women were selected from six randomly selected districts of Sindh and Punjab. Eight focus group discussions were conducted with PAC clients and fifteen in-depth interviews with RHVs. In addition, a quantitative exit interview questionnaire was administered to 76 clients. Medical, rather than surgical, treatment for incomplete and unsafe abortions was preferred because it was perceived to ‘cause less pain’, was ‘easy to employ’ and ‘having fewer complications’. Household economics influence women's decision-making on seeking post-abortion care. Other restraining factors include objection by husbands and in-laws, restrictions on female mobility, the views of religious clerics and a lack of transport. The involvement of all stakeholders could secure social approval and acceptance of the provision of safe post-abortion care services in Pakistan, and improve the quality of family planning services to the women who want to space their pregnancies.

POST-ABORTION CARE SERVICES FOR YOUTH AND ADULT CLIENTS IN KENYA: A COMPARISON OF SERVICES, CLIENT SATISFACTION AND PROVIDER ATTITUDES

2013 ◽  
Vol 46 (1) ◽  
pp. 1-15 ◽  
Author(s):  
EMILY EVENS ◽  
ROSE OTIENO-MASABA ◽  
MARGARET EICHLEAY ◽  
DONNA McCARRAHER ◽  
GWYN HAINSWORTH ◽  
...  
Keyword(s):  
Family Planning ◽  
Client Satisfaction ◽  
Provider Attitudes ◽  
Family Planning Services ◽  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
The Family ◽  
Unwanted Pregnancies ◽  
Post Abortion

SummaryUnsafe abortion accounts for 35% of maternal mortality in Kenya. Post-abortion care (PAC) reduces maternal death and provides an opportunity to prevent unwanted pregnancies. Few studies have documented how the receipt of PAC services varies by client age. In this study, descriptive data were collected from clients, providers and eight health facilities in Kenya's Central and Nairobi provinces to examine receipt of PAC services by client age, client satisfaction and provider attitudes. Delivery of PAC treatment, pain management, HIV and STI services and violence screening did not vary by age. However, fewer youth between the ages of 15 and 24 received a contraceptive method compared with adult clients (35% versus 48%; p=0.02). Forty-nine per cent of youth reported not using a family planning method due to fears of infertility, side-effects or lack of knowledge compared with 22% of adults. Additional efforts are needed in Kenya to bolster the family planning services that young PAC clients receive and increase the uptake of contraception.

Assessment of Post-abortion Care Services in Punjab Pakistan

2021 ◽  
Vol 15 (8) ◽  
pp. 2549-2552
Author(s):  
Aesha Sadaf Rizwan ◽  
Shazia Jang Sher ◽  
Umber Asad ◽  
Shazia Anwar ◽  
Irum Batool Hashmi ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Pain Management ◽  
Effective Treatment ◽  
Waiting Time ◽  
Treatment Cost ◽  
Abortion Care ◽  
Care Services ◽  
Post Abortion Care ◽  
Post Abortion

Background: Globally, Post abortion and pregnancy complications such as sepsis, hemorrhage and hypertensive diseases are the prominent bases of maternal mortality. Post-abortion family planning and effective treatment for unintended pregnancies could provide high quality post-abortion care. Limited data available in Punjab, Pakistan regarding post-abortion care services in health system. Aim: The purpose of the current study was to evaluate the post-abortion care services in health care system of Punjab, Pakistan. Materials and Methods: This cross-sectional study was carried out on 226 post-abortion patients of multi health care centers of Punjab, Pakistan from November 2020 to April 2021. Individual’s history, age, demographic characteristics, reproductive history, post-abortion attitude were surveyed using pre-designed and structured questionnaire. Also, post-abortion care such as pain management, treatment cost, waiting time, service confidentiality, contraceptive device cost, and patient’s interaction as well as family planning were assessed. Stata software was used for data analysis. Results: Of all the post-abortion cases, 207 (91.6%) were found satisfactory regarding post-abortion care. Effective pain management during treatment, treatment cost affordability, proper waiting time (< 0.5 hours), patient’s effective interaction, service’s confidentiality, and premises cleanliness were statistically significant when correlated with satisfied women (p-value<0.001). Conclusion: Our study found higher prevalence (91.6%) of post-abortion care satisfied women. However, effective treatment and regular follow-up should be assured for management of post-abortion complications such as services confidentiality, pain management, patient’s interaction and client’s optimal satisfaction with services. Keywords: Assessment, Post-abortion care, Health facilities

Conclusion

2018 ◽  
Author(s):  
Yana van der Meulen Rodgers
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Health Outcomes ◽  
Cost Effective ◽  
Reproductive Health Services ◽  
Cost Effective Approach ◽  
Restrictive Legislation

Chapter 7 concludes by highlighting the three biggest messages from the analysis presented in this book: (1) the global gag rule has failed to achieve its goal of reducing abortions; (2) restrictive legislation is associated with more unsafe abortions; and (3) the expanded global gag rule is likely to have negative repercussions across a range of health outcomes for women, children, and men. They are simple but powerful messages that should be heard by policymakers over the voices calling for an ideologically based policy that fails to achieve its desired outcome. The chapter closes with a more constructive and cost-effective approach for US family-planning assistance that targets integrated reproductive health services.

Needs assessment for gender sensitive reproductive health services for adolescents

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Fatemeh Rahmanian ◽  
Soheila Nazarpour ◽  
Masoumeh Simbar ◽  
Ali Ramezankhani ◽  
Farid Zayeri
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Needs ◽  
Reproductive Health Care ◽  
Care Services

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.

scholarly journals Challenges for Transforming Family Planning Rights into Practices in Nepal

2014 ◽  
Vol 12 (2) ◽  
pp. 42-46
Author(s):  
Khadga Bahadur Shrestha
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Reproductive Health Services ◽  
Family Planning Services ◽  
Developing Nation ◽  
Active Involvement ◽  
Self Reliance ◽  
High Level

Transforming family planning rights into practices is not an easy task especially in a developing nation like Nepal where society is patriarchal and literacy is low. Besides, coverage and quality of reproductive health services and active involvement of the community is crucial in the transformation. For properly addressing these challenges, all the sectors that provide family planning services need to act on advocacy, creating demand, reshaping service delivery, sustainability (financial and self-reliance) and high level political and financial commitments are necessary.DOI: http://dx.doi.org/10.3126/hprospect.v12i2.9874 Health Prospect Vol.12(2) 2013: 42-46

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