The Mississippi Appendectomy

2019 ◽  
pp. 93-112
Author(s):  
Tina K. Sacks
Keyword(s):  
Black Women ◽  
Reproductive Health ◽  
Practice Patterns ◽  
Healthcare Providers ◽  
Theoretical Framework ◽  
Health Issues ◽  
Invasive Procedures ◽  
Contemporary Practice ◽  
Reproductive Healthcare ◽  
Historical Antecedents

This chapter begins with a discussion of the historical antecedents of reproductive healthcare for Black women in America, including an overview of the overuse of hysterectomies among Black women, sometimes referred to as the “Mississippi Appendectomy.” The chapter outlines a theoretical framework, including racial essentialism in medicine, from which to understand contemporary reproductive health issues—particularly in the treatment of fibroids and hysterectomy. The chapter also illustrates contemporary practice patterns in which healthcare providers seemed to vacillate between dismissing women’s healthcare concerns to recommending intensive interventions, like major surgeries, to address common gynecological problems that may be treated with less invasive procedures.

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 Integrated Multicomponent Interventions for Safety and Health Risks Among Black Female Survivors of Violence: A Systematic Review

2017 ◽  
Vol 20 (5) ◽  
pp. 720-731 ◽  
Author(s):  
Bushra Sabri ◽  
Andrea Gielen
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Black Women ◽  
Reproductive Health ◽  
Stress Reduction ◽  
Partner Violence ◽  
Health Issues ◽  
Post Traumatic Stress ◽  
Safety And Health ◽  
Multicomponent Interventions

The epidemic of violence disproportionately affects women, including Black women. Black women survivors of violence have been found to face multiple safety and health issues such as depression, post-traumatic stress disorder, HIV, and poor reproductive health. Many health issues co-occur, and this co-occurrence can be associated with additional safety and health-related challenges for survivors. Consequently, there is a need for multicomponent interventions that are designed to concurrently address multiple health issues commonly faced by Black survivors of violence. This systematic review of literature determines the efficacy of various strategies used in the existing evidence-based multicomponent interventions on violence reduction, promotion of reproductive health, reduction in risk for HIV, reduction in levels of stress, and improvement in mental health. Sixteen intervention studies were identified. Examples of components found to be efficacious in the studies were safety planning for violence, skill building in self-care for mental health, education and self-regulatory skills for HIV, mindfulness-based stress reduction for reducing stress, and individual counseling for reproductive health. Although some strategies were found to be efficacious in improving outcomes for survivors, the limitations in designs and methods, and exclusive focus on intimate partner violence calls for more rigorous research for this population, particularly for Black survivors of all forms of violence. There is also need for culturally responsive multicomponent interventions that account for diversity among Black survivors.

Reproductive health issues in patients with psoriasis (literature review)

2019 ◽  
Vol 1 (7) ◽  
pp. 5-8
Author(s):  
L. S. Kruglova ◽  
A. A. Osina ◽  
A. A. Khotko
Keyword(s):  
Drug Therapy ◽  
Reproductive Health ◽  
Literature Review ◽  
Pregnancy Outcomes ◽  
Adverse Pregnancy Outcome ◽  
Certolizumab Pegol ◽  
Genetically Engineered ◽  
Health Issues ◽  
Degree Of Confidence ◽  
Adverse Pregnancy

Among patients with psoriasis, approximately 50% are women and almost 75 % of them are under the age of 40 years. Thus, most women with psoriasis have childbearing potential. When pregnancy occurs in 22 % of patients, the activity of psoriasis persists, characteristic of the course before pregnancy, in 23 % of women, the course of the disease worsens. The article provides up-to-date data on the management of pregnant patients with psoriasis. To improve pregnancy outcomes in patients with psoriasis, it is important to prevent exacerbation of the disease. The choice of drug therapy in this case is based on an assessment of the ratio of the risk of undesirable effects of the drugs on the developing fetus and the risk of the development of exacerbation of psoriasis, which can cause an adverse pregnancy outcome. Despite the fact that the available clinical experience of using genetically engineered drugs is still limited, with a certain degree of confidence we can say that there is no increase in the risk of adverse pregnancy outcomes associated with therapy with certolizumab pegol.

Skills Gap among Sexual and Reproductive Healthcare Professionals in Cameroon

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael N. Nkwenti ◽  
Ishan Sudeera Abeywardena
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Critical Role ◽  
Health Sector ◽  
Healthcare Sector ◽  
High Fertility ◽  
Skills Gap ◽  
North West ◽  
Health Practitioners ◽  
Reproductive Healthcare

Over the last 10 years, the state of sexual and reproductive health in Cameroon has been challenging with rising levels of sexually transmitted diseases, the high fertility rate, and high infant and maternal mortality rates. Some researchers attributed these challenges to the limited number and quality of sexual and reproductive health personnel working in health facilities across the country. The North West Region of Cameroon was taken as a unit of study to probe into the skills gap among sexual and reproductive health practitioners. A total of n = 302 participants at a confidence interval of 95 per cent were selected using a stratified random sampling technique to take part in the study. The results indicated that a good number of them have no prior experience in the field of sexual and reproductive health. On the other hand, most of the practitioners’ skills level is situated between intermediate and competent with very few of them being at the expert skills level. It was therefore recommended that most of the participants needs improvement in (i) computer or information technology skills; (ii) research skills; and (iii) leadership development of the specialty. These areas need to be dealt with, as a matter of priority, through training and professional development to enable these professionals to deliver better service in the sexual and reproductive healthcare sector. It was also recommended that, in line with the critical role that sexual and reproductive health practitioners play in Cameroon’s health system, the Ministry of Public Health and other role players in the health sector make sufficient investments in the improvement of the health workforce’s accessibility to information and communication technology.

Reproductive health issues in female patients with beta-thalassaemia major: a narrative literature review

2020 ◽  
Vol 40 (7) ◽  
pp. 902-911 ◽  
Author(s):  
Malihe Nourollahpour Shiadeh ◽  
Elena Cassinerio ◽  
Maryam Modarres ◽  
Armin Zareiyan ◽  
Zeinab Hamzehgardeshi ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Literature Review ◽  
Thalassaemia Major ◽  
Health Issues ◽  
Female Patients ◽  
Beta Thalassaemia ◽  
Narrative Literature ◽  
Narrative Literature Review

scholarly journals Thirty Years of Human Rights Study in the Web of Science Database (1990–2020)

2021 ◽  
Vol 18 (4) ◽  
pp. 2131
Author(s):  
Priscilla Paola Severo ◽  
Leonardo B. Furstenau ◽  
Michele Kremer Sott ◽  
Danielli Cossul ◽  
Mariluza Sott Bender ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Human Rights ◽  
Network Analysis ◽  
Reproductive Health ◽  
Web Of Science ◽  
Health Issues ◽  
Human Beings ◽  
Field Of Study ◽  
The Web

The study of human rights (HR) is vital in order to enhance the development of human beings, but this field of study still needs to be better depicted and understood because violations of its core principles still frequently occur worldwide. In this study, our goal was to perform a bibliometric performance and network analysis (BPNA) to investigate the strategic themes, thematic evolution structure, and trends of HR found in the Web of Science (WoS) database from 1990 to June 2020. To do this, we included 25,542 articles in the SciMAT software for bibliometric analysis. The strategic diagram produced shows 23 themes, 12 of which are motor themes, the most important of which are discussed in this article. The thematic evolution structure presented the 21 most relevant themes of the 2011–2020 period. Our findings show that HR research is directly related to health issues, such as mental health, HIV, and reproductive health. We believe that the presented results and HR panorama presented have the potential to be used as a basis on which researchers in future works may enhance their decision making related to this field of study.

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