scholarly journals International Sexual Health And REproductive health (I-SHARE) survey during COVID-19: study protocol for online national surveys and global comparative analyses

2020 ◽  
pp. sextrans-2020-054664
Author(s):  
Kristien Michielsen ◽  
Elin C Larrson ◽  
Anna Kågesten ◽  
Jennifer Toller Erausquin ◽  
Sally Griffin ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexual Health ◽  
Study Protocol ◽  
Partner Violence ◽  
Sexual And Reproductive Health ◽  
Multilevel Modelling ◽  
Intimate Partner ◽  
Reproductive Health Services ◽  
National Surveys ◽  
Share Study

BackgroundCOVID-19 may have a profound impact on sexual health, reproductive health and social life across the world. Shelter in place regulations that have extended across the globe may influence condomless sex, exacerbate intimate partner violence and reduce access to essential reproductive health services. Population representative research is challenging during shelter in place, leaving major gaps in our understanding of sexual and reproductive health during COVID-19. This International Sexual Health And ReproductivE health (I-SHARE) study protocol manuscript describes a common plan for online national surveys and global comparative analyses.MethodsThe purpose of this cross-sectional study is to better understand sexual and reproductive health in selected countries during the COVID-19 pandemic and facilitate multinational comparisons. Participants will be recruited through an online survey link disseminated through local, regional and national networks. In each country, a lead organisation will be responsible for organising ethical review, translation and survey administration. The consortium network provides support for national studies, coordination and multinational comparison. We will use multilevel modelling to determine the relationship between COVID-19 and condomless sex, intimate partner violence, access to reproductive health services, HIV testing and other key items. This study protocol defines primary outcomes, prespecified subanalyses and analysis plans.ConclusionThe I-SHARE study examines sexual and reproductive health at the national and global level during the COVID-19 pandemic. We will use multilevel modelling to investigate country-level variables associated with outcomes of interest. This will provide a foundation for subsequent online multicountry comparison using more robust sampling methodologies.

scholarly journals Sexual health (excluding reproductive health, intimate partner violence and gender-based violence) and COVID-19: a scoping review

2021 ◽  
pp. sextrans-2020-054896
Author(s):  
Navin Kumar ◽  
Kamila Janmohamed ◽  
Kate Nyhan ◽  
Laura Forastiere ◽  
Wei-Hong Zhang ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Health Disparities ◽  
Reproductive Health ◽  
Sexual Health ◽  
Scoping Review ◽  
Partner Violence ◽  
Intimate Partner ◽  
Gender Based Violence ◽  
Gender Based ◽  
And Gender

ObjectivesThe COVID-19 pandemic has exposed and exacerbated existing socioeconomic and health disparities, including disparities in sexual health and well-being. While there have been several reviews published on COVID-19 and population health disparities generally—including some with attention to HIV—none has focused on sexual health (ie, STI care, female sexual health, sexual behaviour). We have conducted a scoping review focused on sexual health (excluding reproductive health (RH), intimate partner violence (IPV) and gender-based violence (GBV)) in the COVID-19 era, examining sexual behaviours and sexual health outcomes.MethodsA scoping review, compiling both peer-reviewed and grey literature, focused on sexual health (excluding RH, IPV and GBV) and COVID-19 was conducted on 15 September 2020. Multiple bibliographical databases were searched. Study selection conformed to Joanna Briggs Institute (JBI) Reviewers’ Manual 2015 Methodology for JBI Scoping Reviews. We only included English-language original studies.ResultsWe found that men who have sex with men may be moving back toward pre-pandemic levels of sexual activity, and that STI and HIV testing rates seem to have decreased. There was minimal focus on outcomes such as the economic impact on sexual health (excluding RH, IPV and GBV) and STI care, especially STI care of marginalised populations. In terms of population groups, there was limited focus on sex workers or on women, especially women’s sexual behaviour and mental health. We noticed limited use of qualitative techniques. Very few studies were in low/middle-income countries (LMICs).ConclusionsSexual health research is critical during a global infectious disease pandemic and our review of studies suggested notable research gaps. Researchers can focus efforts on LMICs and under-researched topics within sexual health and explore the use of qualitative techniques and interventions where appropriate.

Challenges of Seeking Reproductive Health Care in People Experiencing Intimate Partner Violence

2020 ◽  
pp. 088626052095962
Author(s):  
Carly O’Connor-Terry ◽  
Danielle Burton ◽  
Tejasvi Gowda ◽  
Adrianne Laing ◽  
Judy C. Chang
Keyword(s):  
Health Care ◽  
Intimate Partner Violence ◽  
Reproductive Health ◽  
Partner Violence ◽  
Low Cost ◽  
Intimate Partner ◽  
Reproductive Health Services ◽  
Structured Interviews ◽  
Reproductive Health Care ◽  
Title X

Title X is a federally funded family planning initiative that provides low-cost and confidential reproductive health services to its clients. In recent years, Title X has been the subject of debate as its core tenants have been revised by the current administration. Though advocates have fought against these changes, the voices of survivors on intimate partner violence are absent from this conversation. This study was designed to elicit the opinions and experiences on survivors of intimate partner violence on reproductive decision-making, their access to care, and their opinions about political efforts to restrict this access. Twenty-six semi-structured interviews were conducted with women who were seeking services for intimate partner violence. These interviews were audio-recorded, transcribed, and coded. Codes were then organized into themes. Participants endorsed the need for confidential services due to experiences of coercion from their partners and the fear of retaliation against them. Participants largely supported accessible contraception but reported the need for contraception to be reliable. Participants addressed pregnancy and its many complexities and advocated for nondirective options-counseling. Overall, participants spoke about their challenges with reproductive health care and their opinions on how best to service survivors of intimate partner violence. This study asserts the need for advocates for survivors to advocate for the preservation of Title X and establishes the need for future studies on the prevalence of intimate partner violence in Title X clinics.

scholarly journals In the Pursuit of Reproductive Justice in Lebanon

2018 ◽  
Vol 4 (Winter) ◽  
pp. 151-172
Author(s):  
Rola Yasmine ◽  
Batoul Sukkar
Keyword(s):  
Partner Violence ◽  
Sexual And Reproductive Health ◽  
Assisted Reproductive Technologies ◽  
Reproductive Technologies ◽  
Intimate Partner ◽  
Reproductive Justice ◽  
Reproductive Health Services ◽  
Multiple Systems ◽  
Movement Building ◽  
And Gender

Reproductive justice is a framework encompassing reproductive and sexual health and rights in a social justice lens that targets reproductive oppression inflicted through multiple systems of oppression of race, class, and gender. In this paper, we aim to highlight the importance and relevance of adopting a Reproductive Justice framework, as opposed to a reproductive rights one, in order to build cross-movement solidarities that organize against the multiplicity of oppressions and inequalities facing women and trans* persons in Lebanon. Through a Reproductive Justice lens, we analyze the points of convergence of citizenship, migration, refuge, domestic violence, intimate partner violence, sexual violence, access to sexual and reproductive health services, in addition to gender identity and sexual orientation, adoption and assisted reproductive technologies, and environmental justice. Mobilizing under Reproductive Justice as a holistic framework, and away from operating in silos within the confines of singular rights, connects different struggles and creates a remarkable opportunity for cross-movement building and solidarities.

scholarly journals Use of sexual health services at hospitals by cleaning workers in Bogotá D.C. 2016

2018 ◽  
Vol 66 (4) ◽  
pp. 617-622
Author(s):  
Diana Marcela Hernández-Pérez ◽  
María Natalia Moreno-Ruíz ◽  
Anderson Iván Rocha-Buelvas ◽  
Arsenio Hidalgo-Troya
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Sexual Health ◽  
Risk Behaviors ◽  
Sexual And Reproductive Health ◽  
Negative Impact ◽  
Bivariate Analysis ◽  
Reproductive Health Services ◽  
Sexually Transmitted

Introduction: Poverty and social inequalities together with sexually transmitted diseases have a negative impact on women’s health, which is considered to be a public health problem.Objective: To analyze barriers to accessing sexual and reproductive health services in cleaning workers.Materials and methods: A survey was administered to a sample of 37 female cleaning workers at a hospital in Bogotá D.C. A bivariate analysis was performed with chi-square test, as well as a multivariate analysis with binomial logistic regression.Results: Need factors showed greater association with non-use of sexual health services. All married women had accessed the service over the past 12 months, but there were 5.9 less possibilities of using sexual and reproductive health services when there was no awareness about risk behaviors of sexually transmitted diseases.Conclusion: The determining factor for the utilization of sexual health services is the health care need factor. Variables such as perception of risk behaviors and appropriateness of health care significantly influence the use of the service.

Integrating Reproductive Health Services Into Intimate Partner and Sexual Violence Victim Service Programs

2017 ◽  
Vol 24 (13) ◽  
pp. 1557-1569 ◽  
Author(s):  
Theresa Gmelin ◽  
Claire A. Raible ◽  
Rebecca Dick ◽  
Surabhi Kukke ◽  
Elizabeth Miller
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual Violence ◽  
Partner Violence ◽  
Health Assessment ◽  
Intimate Partner ◽  
Reproductive Health Services ◽  
Service Programs ◽  
Victim Services ◽  
Program Leadership

This study assessed the feasibility of integrating reproductive health services into intimate partner violence/sexual violence (IPV/SV) programs. After a training for victim service agencies on integration of health services, we conducted semistructured interviews with IPV/SV program leadership. Leadership reported advocates were more likely to recognize the need to refer clients to health services, and revealed challenges operationalizing partnerships with health care centers. Training to integrate basic health assessment into victim services may be one way to address women’s urgent health needs. Formal partnership agreements, protocols to facilitate referrals, and opportunities to cross-train are needed to nurture these cross-sector collaborations.

scholarly journals What consultation resources are available to support delivery of integrated sexual and reproductive health services? A scoping review

2019 ◽  
Vol 46 (2) ◽  
pp. 88-99
Author(s):  
Susan Walker ◽  
Hilary Piercy ◽  
Katie Shearn ◽  
Faye Acton
Keyword(s):  
Reproductive Health ◽  
Sexual Health ◽  
Scoping Review ◽  
Sexual And Reproductive Health ◽  
Cochrane Library ◽  
Reproductive Health Services ◽  
Eligibility Criteria ◽  
Primary Focus ◽  
The Uk ◽  
Reproductive Healthcare

BackgroundContraceptive and sexual healthcare is increasingly delivered in an integrated setting in the UK and worldwide, requiring staff to be competent in differing styles of delivery, and to have a wide knowledge base.ObjectivesWe did a scoping review of the literature for evidence of the resources that exist for healthcare professionals to guide or structure the process of conducting an integrated sexual and reproductive health (SRH) consultation.Eligibility criteriaArticles were included in the review if (1) their primary focus was a consultation resource related to one or more aspects of an SRH consultation and (2) they provided details of the resource and/or its application including evaluation of use.Sources of evidencePeer-reviewed articles published in English, published non-peer-reviewed guides, and web-based guidelines addressing the conduct of a contraception or sexual health consultation were included. Date range: 1998–December 2018. Searches were carried out in the databases AMED (Ovid), ASSIA (ProQuest), CINAHL Complete (EBSCO), Cochrane Library (Wiley), HMIC (NHS Evidence), Medline (EBSCO), PsycINFO (Proquest) and Scopus (Elsevier) on 10 February 2017, and incremental searching performed until December 2018.ResultsA total of 12 peer-reviewed journal articles, two web-published guidelines from the Faculty of Sexual & Reproductive Healthcare and three published, non-peer-reviewed resources were included.ConclusionMany resources exist to guide either the contraceptive or sexual health consultations, but there is a lack of a comprehensive consultation resource to guide the conduct of an integrated consultation.

scholarly journals Staff and Users’ Experiences of Pharmacy-Based Sexual and Reproductive Health Services: A Qualitative Interview Study from the UK

Pharmacy ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 206
Author(s):  
Julia Gauly ◽  
Jonathan Ross ◽  
Joanne Parsons ◽  
Helen Atherton
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Qualitative Interview Study ◽  
Consultation Skills ◽  
The Uk

Since August 2015, a large range of sexual health and reproductive health services have been provided in more than 120 pharmacies across Birmingham (England). Our study aimed to explore how pharmacy staff and pharmacy users experience delivering or being provided with sexual health and reproductive health services. Between March and September 2019, semi-structured interviews were conducted with 15 pharmacy staff delivering sexual and reproductive health services and 15 people who had used a sexual and reproductive health service at the pharmacy. Interviews were analysed thematically. Pharmacy users found services convenient to use and were largely satisfied with pharmacy staff consultation skills. Staff were motivated to deliver the services, although some felt that they did not receive sufficient recognition for their work. Barriers to pharmacy-based sexual and reproductive health services were identified, including lack of privacy for users, lack of staff and user awareness of the services, lack of trained staff to deliver services and lack of capacity for copper coil insertions in females presenting for emergency contraception. The identification of barriers to effective service provision can be used to improve the delivery of sexual and reproductive health services in pharmacies and lead to a greater uptake.

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