Improving Access to and Quality of Sexual and Reproductive Health Services for Adolescents in the United States

2022 ◽  
Vol 31 (1) ◽  
pp. 7-12
Author(s):  
Anna W. Brittain ◽  
Riley J. Steiner ◽  
Amy M. Fasula ◽  
Kendra Hatfield-Timajchy ◽  
Aniket Kulkarni ◽  
...  
Keyword(s):  
United States ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
The United States ◽  
Reproductive Health Services

scholarly journals Self-care and remote care during pregnancy: a new paradigm?

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
A. Metin Gülmezoglu ◽  
Anne Ammerdorffer ◽  
Manjulaa Narasimhan ◽  
Alyce N. Wilson ◽  
Joshua P. Vogel ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Healthcare Providers ◽  
Self Care ◽  
Reproductive Health Services ◽  
New Paradigm ◽  
Remote Care

Abstract Self-care interventions and remote care offer innovative and equitable ways to strengthen access to sexual and reproductive health services. Self-isolation during COVID-19 provided the opportunity for obstetric facilities and healthcare providers to integrate and increase the usage of interventions for self-care and remote care for pregnant women and to improve the quality of care overall.

scholarly journals Listening to Immigrant Latino Men in Rural Oregon

2012 ◽  
Vol 7 (2) ◽  
pp. 142-154 ◽  
Author(s):  
S. Marie Harvey ◽  
Meredith R. Branch ◽  
Deanne Hudson ◽  
Antonio Torres
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Cultural Context ◽  
Sexual And Reproductive Health ◽  
High Growth ◽  
The United States ◽  
Structural Factors ◽  
Reproductive Health Services ◽  
Latino Men ◽  
Individual Level

This study explored factors that affect access to and use of sexual and reproductive health services including family planning among immigrant Latino men residing in rural Oregon communities that have experienced a high growth in their Latino population. In-depth interviews were conducted with 49 sexually active men aged 18 to 30 years who recently immigrated to the United States. Findings from content analysis identified multiple overlapping individual-level barriers, including lack of knowledge, perception of personal risk for unintended pregnancy and STIs, and fear of disease. On a service delivery level, structural factors and the importance of confianza when interacting with providers and clinic staff were dominant themes. The majority of these themes were grounded in a cultural context and linked to men’s cultural background, beliefs, and experiences. Examining the needs of immigrant Latino men through this cultural lens may be critically important for improving access and use of sexual and reproductive health services.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Urban Health ◽  
Sexual And Reproductive Health ◽  
Health Facilities ◽  
Reproductive Health Services ◽  
Cross Sectional Survey ◽  
Services Delivery ◽  
Depth Interviews

Abstract Background: Access and utilization of quality and comprehensive sexual and reproductive health services (SRHS) is crucial for the health of young adolescents worldwide. This study assessed the quality of SRHS provided to Rwandan adolescents in urban health facilities in terms of availability, accessibility, cost, and counseling, with particular emphasis on HIV and family planning-related education.Method: The study was a descriptive cross-sectional survey conducted between May 2018 and May 2019 in six selected cities of Rwanda using a mixed-methods approach, including semi-structured questionnaire administration and in-depth interviews with 159 conveniently selected SRH services providers. All survey tools had been previously validated. SPSS version 20 was used for descriptive statistical analysis of quantitative data and ATLAS TI version 5.2 was used to code and analyze the qualitative data thematically.Results: Overall, the availability of adolescent SRHS is satisfactory in more than 80% of health facilities surveyed, including access to accurate SRH information, contraceptive methods, prevention and management of STIs and HIV, and counselling. However the accessibility of some services remains limited. According to respondents, some products such as female condoms are less in demand and often expire before they can be distributed. In-depth interviews revealed that 94.3% of centers provide information to adolescents on SRHS available and 51.6% affirmed delivering services at a low cost. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Private health facilities offer HIV testing for free, but for treatment and other services, they channel adolescents to public health facilities. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities. Religious leaders and family members may hinder adolescents from seeking behavior by promoting only abstinence and discouraging using protective means.Conclusion: SRHS were generally available for distribution to adolescents at most of the facilities but limited in access. Adolescents were said to face structural and social challenges towards accessing services. There is a need to improve the accessibility of SRH services delivery sites while considering innovative methods to broaden access to services.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Urban Health ◽  
Sexual And Reproductive Health ◽  
Healthcare Providers ◽  
Health Facilities ◽  
Reproductive Health Services ◽  
Services Delivery ◽  
Depth Interviews

Abstract Background : Access and utilization of quality and comprehensive sexual and reproductive health services (SRHS) is a very crucial point for young adolescents worldwide. This study assessed the quality of SRHS provided to Rwandan adolescents in urban health facilities in terms of availability, accessibility, cost, counseling, with particular emphasis on HIV and family planning-related cases. Method : The study was a descriptive cross-sectional survey conducted during the year 2019 in six selected cities of Rwanda using a mixed-methods approach, including s emi-structured questionnaire administration and in-depth interviews with social and healthcare workers. The study sample consisted of 159 social and healthcare providers ( 54.5 % men and 45.5% women) enrolled by convenience based on their responsibilities in the selected entities. All survey tools were pre-tested. SPSS version 20 served for descriptive statistics analysis of quantitative data, whereas ATLAS TI version 5.2 helped to code and analyze the qualitative data thematically. Results : Overall, the availability of adolescents sexual reproductive health services is satisfactory in more than 80% of health facilities surveyed, but the accessibility is a little bit low for some services. According to the respondents dire, some products available like female condoms are less demanded and often expire unused. In-depth interviews revealed that 94.3% of centers provide information to adolescents on SRHS available, and 51.6% affirmed delivering services at a low cost. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Private health facilities offer HIV testing for free, but for treatment and other services, they channel adolescents to public health facilities. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities. Religious leaders and family members may hinder adolescents from seeking behavior. Conclusion : SRHS were generally physically available at most of the facilities but limited in access as not all facilities were allowed to deliver some services. Adolescents were said to face structural and social challenges towards accessing services. There is a need to improve the accessibility of SRH services delivery sites while considering innovative methods to broaden access to services.

Conclusion: The Future of Abortion as a “Private Choice”

1989 ◽  
Vol 15 (2-3) ◽  
pp. 233-243
Author(s):  
Edward R. Grant
Keyword(s):  
United States ◽  
Reproductive Health ◽  
Health Services ◽  
Supreme Court ◽  
The United States ◽  
Public Hospitals ◽  
Reproductive Health Services ◽  
The Supreme Court ◽  
The Future ◽  
State Employees

The immediate impact of Webster v. Reproductive Health Services on the majority of abortions performed in the United States will be marginal. Even if most states enact provisions similar to those approved in Webster, no abortions would be outlawed, and only abortions performed after viability or performed in public hospitals would be directly affected. At one point, Webster had the potential for breaking new constitutional ground on the extent to which states may restrict counseling for abortion in state facilities, and by state employees. However, due to Missouri's failure to appeal the invalidation of some of these provisions, and to the limiting construction given to the provisions that were appealed, these issues were not fully joined before the Supreme Court. Their resolution is postponed to another day.

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