scholarly journals O05.2 A mixed-method investigation into challenges in accessing sexual and reproductive health (SRH) services in Britain during the COVID-19 pandemic (Natsal-COVID)

2021 ◽  
Author(s):  
D Reid ◽  
E Dema ◽  
R Boso Perez ◽  
K Maxwell ◽  
C Tanton ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Mixed Method ◽  
Sexual And Reproductive Health

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.

scholarly journals Predictors of young people’s use of sexual and reproductive health services in Nigeria: a mixed-method approach

2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Demographic Factors ◽  
Reproductive Health Services ◽  
System Factors ◽  
Socio Demographic Factors

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for the prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods The study adopted mixed-method research employing a cross-sectional research design. The population of the study comprised young people between the ages of 12 and 22 years. A multi-stage sampling procedure was used to select 1,447 young people used for the study. A questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.ResultsSocio-demographic factors of gender, age, education, income, and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income, and living status), psycho-cultural, and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery, and policy reforms.

scholarly journals Predictors of young people’s use of sexual and reproductive health services in Nigeria: a mixed-method approach

2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Demographic Factors ◽  
Reproductive Health Services ◽  
System Factors ◽  
Socio Demographic Factors

Abstract Background: Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods: The study adopted mixed method research employing cross-sectional research design. The population of the study comprised young people within the ages of 12 and 22 years. Multi-stage sampling procedure was used to select 1,447 young people used for the study. Questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software. Results: Socio-demographic factors of gender, age, education, income and living status ( p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors ( p = < .05) were also significant predictors of utilization of SRHS. Conclusion: The study concluded that some socio-demographic factors (of gender, age, level of education, income and living status), psycho-cultural and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms

Effect of life-style related practices on sexual and reproductive health of eligible couples: A mixed method exploratory study

2016 ◽  
Vol 15 (3) ◽  
pp. 220
Author(s):  
Sanjeev Davey ◽  
Santosh Raghav ◽  
Jaivir Singh ◽  
Anuradha Davey ◽  
Shailendra Kumar ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Mixed Method ◽  
Life Style ◽  
Exploratory Study ◽  
Sexual And Reproductive Health

scholarly journals Predictors of adolescents’ use of sexual and reproductive health services in Nigeria: a mixed-method approach

2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
Health Care Providers ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Services Delivery ◽  
System Factors

Abstract Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among adolescents and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the adolescents. This study sought to determine factors that predict adolescents’ utilization of SRHS in Enugu State, Nigeria.MethodsThe study adopted mixed method research employing cross-sectional research design. The population of the study comprised adolescents (12-22 years). Multi-stage sampling procedure was used to select 1,447 adolescents used for the study. Questionnaire, in-depth interview and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.ResultsSocio-demographic factors of gender, age, education, location and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.ConclusionThe study concluded that some socio-demographic, psycho-cultural and health system factors are predictors of adolescents’ access to and utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms

scholarly journals Factors affecting utilization of sexual and reproductive health services among women with disabilities- A mixed-method cross-sectional study from Ilam district, Nepal

2020 ◽  
Author(s):  
Rupa Shiwakoti ◽  
Yogendra Bahadur Gurung ◽  
Ram Sharan Pathak ◽  
Ram Chandra Poudel ◽  
Sandesh Neupane ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Facility ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Related Disease ◽  
Disease Condition

Abstract Background Despite Sustainable Development Goals explicit call for ensuring “Universal access to Sexual and Reproductive Health(SRH)”, and specific articles in the United Nations Convention on the Rights of Persons with Disabilities, women with disabilities(WwD) continue to experience barriers to access SRH services in Nepal. This study assessed factors affecting utilization of SRH services among WwD in Ilam district, Nepal. Methods A mixed method cross-sectional study of 384 WwD of reproductive age was conducted in Ilam district, Nepal. Face-to-face interviews were conducted using structured questionnaire. Relationships between utilization of SRH services and associated factors were explored using multivariate logistic regression. In-depth interviews of WwD, key informant interviews of health workers and local political leaders, and focus group discussions with Female Community Health Volunteers were used to collect qualitative data and underwent thematic analysis. Data were analyzed using Health Belief Model. Results One in five (15%) WwD had ever utilized SRH services. No need of (57%) and unaware of SRH services (24%) were main reasons for not utilizing SRH services. Majority (81%) of them reported that nearest health facility was not disability-friendly (73%) specifically referring to road (48%). A multivariate analysis showed factors positively associated with utilization of SRH services that included being ever-married (AOR = 121.7, 95% CI: 12.206-1214.338), perceived need of SRH services (AOR = 5.5; 95% CI: 1.419–21.357) and perceived susceptibility to SRH related disease/condition (AOR = 6.0; 95% CI:1.978–18.370). Qualitative findings revealed illiteracy, low economic and social class, lack of information, severity of disability, lack of disability friendly environment (no family support, distant health facility, inaccessible-infrastructure, stigmatization, bad behavior and attitude of health care providers), perception that SRH is needed only for married, and negative individual perception towards SRH (no need of SRH services, not susceptible to SRH related disease/condition and SRH disease/condition is not severe) as barriers to utilization of SRH services among WwD. Conclusions Utilization of SRH services among WwD was very low in Ilam district, Nepal. Promoting awareness raising program, ensuring disability-friendly environment, and prioritizing SRH services irrespective of marital status could increase SRH service utilization among WwD.

scholarly journals Predictors of young people’s use of sexual and reproductive health services in Nigeria: a mixed-method approach

2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Demographic Factors ◽  
Reproductive Health Services ◽  
System Factors ◽  
Socio Demographic Factors

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods The study adopted mixed method research employing cross-sectional research design. The population of the study comprised young people within the ages of 12 and 22 years. Multi-stage sampling procedure was used to select 1,447 young people used for the study. Questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.Results Socio-demographic factors of gender, age, education, income and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income and living status), psycho-cultural and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms.

scholarly journals Predictors of adolescents’ use of sexual and reproductive health services in Nigeria: a mixed-method approach

2020 ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma OFUEBE ◽  
Anthony Ifeanyi ANIKE ◽  
Efiong S Samuel
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Demographic Factors ◽  
Care Providers ◽  
Reproductive Health Services ◽  
System Factors ◽  
Socio Demographic Factors

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for prevention and control of SRH problems among adolescents and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the adolescents. This study sought to determine factors that predict adolescents’ utilization of SRHS in Enugu State, Nigeria. Methods The study adopted mixed method research employing cross-sectional research design. The population of the study comprised adolescents (12-22 years). Multi-stage sampling procedure was used to select 1,447 adolescents used for the study. Questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software.Results Socio-demographic factors of gender, age, education, income and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS.Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income and living status), psycho-cultural and health system factors can be used to predict adolescents’ utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery and policy reforms

scholarly journals Predictors of young people’s use of sexual and reproductive health services in Nigeria: a mixed-method approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amelia Ngozi Odo ◽  
Justina Ifeoma Ofuebe ◽  
Anthony Ifeanyi Anike ◽  
Efiong Sunday Samuel
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
Mixed Method ◽  
Sexual And Reproductive Health ◽  
Demographic Factors ◽  
Reproductive Health Services ◽  
System Factors ◽  
Socio Demographic Factors

Abstract Background Sexual and Reproductive health Services (SRHS) are essential for the prevention and control of SRH problems among young people and the achievement of sustainable development goal 3. These services may be available but certain factors interfere with their access and utilization by the young people. This study sought to determine factors that predict the utilization of SRHS among young people in Enugu State, Nigeria. Methods The study adopted mixed-method research employing a cross-sectional research design. The population of the study comprised young people between the ages of 12 and 22 years. A multi-stage sampling procedure was used to select 1447 young people used for the study. A questionnaire, in-depth interview, and focus group discussion were used for data collection. Percentages, Chi-square, and logistic regression were used to analyse quantitative data, while qualitative data were thematically analysed using NVivo software. Results Socio-demographic factors of gender, age, education, income, and living status (p = < .05) were significant predictors of utilization of SRHS. Psycho-cultural and health system factors (p = < .05) were also significant predictors of utilization of SRHS. Conclusion The study concluded that some socio-demographic factors (of gender, age, level of education, income, and living status), psycho-cultural, and health system factors can be used to predict young people’s utilization of SRHS. These predictors could be addressed through home sex education, regular training of health care providers on youth-friendly services delivery, and policy reforms.

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