Early Adolescence in Madagascar: Girls’ Transitions Through Puberty in and out of School

2019 ◽  
Vol 40 (3) ◽  
pp. 354-376 ◽  
Author(s):  
Marni Sommer ◽  
Ava Skolnik ◽  
Ana Ramirez ◽  
Jana Lee ◽  
Hariniaina Rasoazanany ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Reproductive Health ◽  
Early Adolescence ◽  
Sexual And Reproductive Health ◽  
Educational Experiences ◽  
Educational Material ◽  
Early Puberty ◽  
Rural And Urban ◽  
Key Informant ◽  
Girls School

Evidence on girls’ transitions through puberty in Madagascar and ways in which menarche influences their educational experiences and future sexual and reproductive health is limited. We conducted qualitative research involving participatory activities with girls in rural and urban Madagascar to explore their transitions through early puberty. Key informant interviews were also conducted with adults interacting in girls’ lives. Findings revealed gaps in girls’ knowledge and support during puberty, varying guidance received about sexuality after menarche, and challenges managing menstruation in school. Given significant gaps in girls’ levels of knowledge and support, a clear need was demonstrated for educational material on puberty for early adolescents, along with teacher training about puberty. Improved toilet facilities are also needed to improve menstruating girls’ school-going experiences.

scholarly journals Teaching blind women about the anatomy and physiology of the female reproductive system through educational manual

2018 ◽  
Vol 18 (4) ◽  
pp. 755-761
Author(s):  
Mariana Gonçalves de Oliveira ◽  
Aline Cruz Esmeraldo Áfio ◽  
Paulo Cesar de Almeida ◽  
Márcia Maria Tavares Machado ◽  
Ana Cristina Lindsay ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Reproductive System ◽  
Sexual And Reproductive Health ◽  
Educational Material ◽  
Test Results ◽  
Methodological Development ◽  
Female Reproductive System ◽  
Anatomy And Physiology ◽  
Post Test ◽  
Individual Reading

Abstract Objectives: to evaluate blind women’s learning on the anatomy and physiology of the female reproductive system through the use of an educational material. Methods: methodological development study performed with blind women. The participants responded the pre-test to evaluate their knowledge on sexual and reproductive health and received a manual on anatomy and the reproduction of the physiology After an individual reading, in a period ranging from three to fifteen days, they responded the post-test. Results: there was an increase of correct answers in the post-test in all the items in relation to the categories of The Woman's Body and How One Gets Pregnant becoming significant in the following knowledge of “clitoris increases with the woman excited" (p=0.009), “the function of the vagina in a sexual intercourse "(p<0.001), “How does fertilization occurs”(p<0.001) and "the ovulating period" (p<0.001). Conclusions: the manual enabled the participants to learn about the female anatomy and the physiology of fertilization after educational assistive technology.

Sexual and reproductive health in the time of COVID-19 in Latvia, qualitative research interviews and focus group discussions, 2020 (in Latvian)

2021 ◽  
Author(s):  
Gunta Lazdane ◽  
◽  
Dace Rezeberga ◽  
Ieva Briedite ◽  
Elizabete Pumpure ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Focus Group ◽  
Reproductive Health ◽  
Pregnant Women ◽  
Sexual And Reproductive Health ◽  
People Living With Hiv ◽  
Care Providers ◽  
Focus Group Discussions ◽  
Group Discussions

Qualitative research is focused on the influence of COVID-19 pandemic and restriction measures on sexual and reproductive health in Latvia. Results of the anonymous online survey (I-SHARE) of 1173 people living in Latvia age 18 and over were used as a background in finalization the interview and the focus group discussion protocols ensuring better understanding of the influencing factors. Protocols included 9 parts (0.Introduction. 1. COVID-19 general influence, 2. SRH, 3. Communication with health professionals, 4.Access to SRH services, 5.Communication with population incl. three target groups 5.1. Pregnant women, 5.2. People with suspected STIs, 5.3.Women, who require abortion, 6. HIV/COVID-19, 7. External support, 8. Conclusions and recommendations. Data include audiorecords in Latvian of: 1) 11 semi-structures interviews with policy makers including representatives from governmental and non-governmental organizations involved in sexual and reproductive health, information and health service provision. 2) 12 focus group discussions with pregnant women (1), women in postpartum period (3) and their partners (3), people living with HIV (1), health care providers involved in maternal health care and emergency health care for women (4) (2021-02-18) Subject: Medicine, Health and Life Sciences Keywords: Sexual and reproductive health, COVID-19, access to services, Latvia

scholarly journals Integration of HIV and sexual and reproductive health in the era of anti-retroviral-based prevention: findings from assessments in Kenya, Malawi and Zimbabwe

2021 ◽  
Vol 5 ◽  
pp. 145
Author(s):  
Fannie Kachale ◽  
Imelda Mahaka ◽  
Fatima Mhuriro ◽  
Mary Mugambi ◽  
Joseph Murungu ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Reproductive Health ◽  
Program Implementation ◽  
Sexual And Reproductive Health ◽  
Scale Up ◽  
Hiv Infections ◽  
Sub Saharan Africa ◽  
Structural Factors ◽  
Hiv Epidemic ◽  
Key Informant

Background: Though substantial progress has been made to curb the HIV epidemic, high rates of new HIV infections persist among adolescent girls and young women (AGYW) in sub-Saharan Africa, reflecting critical gaps in reaching them with integrated HIV prevention and sexual and reproductive health (SRH) services. With the scale-up of oral pre-exposure prophylaxis (PrEP) and multiple novel HIV prevention products on the horizon, countries have a unique opportunity to expand innovative approaches to deliver comprehensive, integrated HIV/SRH services. Methods: This article is a comparative analysis of findings from rapid landscaping analyses in Kenya, Malawi and Zimbabwe to highlight cross-country trends and context-specific realities around HIV/SRH integration. The analyses in Kenya and Zimbabwe were completed by Ministries of Health (MOH) and the HIV Prevention Market Manager project and include 20 health facility assessments, 73 key informant interviews and six community dialogues. In Malawi, the analysis was completed by the MOH and Georgetown University Center for Innovation in Global Health and includes 70 key informant interviews and a review of national policies and program implementation in Blantyre. Findings were validated through a review of literature and policies in each country. Results: The policy environment in all three countries is conducive to HIV/SRH integration, though operationalization continues to present challenges, with most policies preceding and not accounting for oral PrEP rollout. National coordination mechanisms, youth-friendly health services and prevention of mother-to-child transmission programs are promising practices, while siloed and resource-constrained health systems, limited provider capacity, lack of support for demand generation and structural factors exacerbate barriers to achieving integration. Conclusions: As new HIV prevention products are introduced, demand for integrated HIV/SRH services is likely to grow. Investing in HIV/SRH integration can help to ensure sustainable, government-led responses to the HIV epidemic, streamline service delivery and improve the health outcomes and lives of AGYW.

Exploring professionals' perceptions of the barriers and enablers to young people with physical disabilities accessing sexual and reproductive health services in Australia

Sexual Health ◽  
2018 ◽  
Vol 15 (4) ◽  
pp. 312
Author(s):  
Georgia Ride ◽  
Danielle C. Newton
Keyword(s):  
Young People ◽  
Reproductive Health ◽  
Health Services ◽  
Young Women ◽  
Health Professionals ◽  
Sexual And Reproductive Health ◽  
Physical Disabilities ◽  
Barriers And Enablers ◽  
Key Informant ◽  
People With Physical Disabilities

Background There is a lack of research on young people with physical disabilities’ access to sexual and reproductive health (SRH) services in Australia. Research has found that there are attitudinal, physical and communication barriers for people with disability, in general, accessing health services, including SRH services. This paper explores key informant perceptions of the barriers and enablers to young people with physical disabilities accessing SRH services in Australia. Methods: This research used a qualitative approach and involved semi-structured interviews with key informants. Key informants were identified using purposive and snowball sampling, and included health professionals working in SRH services and disability-focussed organisations. Thematic analysis was used to analyse the data. Results: Key informant interviews were carried out with nine health professionals and professionals from disability-focussed organisations. Key themes were: attitudes, role and capacity of health professionals; and additional supports. These three broad areas can either act as barriers or enablers for young people with physical disabilities to access SRH services. This research highlighted that heterosexual and gender bias creates additional barriers for young women with physical disabilities and young people with physical disabilities who identify as lesbian, gay, bisexual, queer, transgender or intersex (LGBQTI). Conclusion: Young people with physical disabilities face barriers accessing SRH services. Additional barriers are faced by young women and LGBQTI young people with physical disabilities. This paper suggests strategies to overcome these barriers.

scholarly journals Sexual and reproductive health needs assessment with deaf people in Ghana: Methodological challenges and ethical concerns

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Wisdom K. Mprah
Keyword(s):  
Reproductive Health ◽  
Needs Assessment ◽  
Research Methods ◽  
Sexual And Reproductive Health ◽  
Health Needs ◽  
Deaf People ◽  
Health Needs Assessment ◽  
Ethical Concerns ◽  
Methodological Challenges ◽  
Key Informant

Background: Deafness is a complex and multifaceted phenomenon. The different ways of perceiving and understanding deafness have practical implications for research with deaf people. Whilst the deaf community is not homogenous, it is generally distinct from the hearing population. Consequently, the appropriateness of applying research methods and informed concern processes designed for the hearing population in research with deaf people has been questioned.Objectives: This article reflected on some methodological challenges and ethical concerns arising from conducting a sexual and reproductive health needs assessment with deaf people in Ghana. The aim was to provide some perspectives on some of the challenges associated with doing research with deaf people.Method: The study was a two phase, sequential, mixed methods design, consisting of three focus groups to assist in the development of a survey and then the implementation of the survey for needs assessment data collection. The number of participants in the study was 179, consisting of 26 focus group participants: 7 executives of the Ghana National Association of the Deaf (GNAD), 10 male adults, and 9 female adults. There were 152 survey respondents (students, women and men) and one key informant. All participants, except the key informant, were deaf people.Results: The application of traditional research methods to studies involving deaf participants presents numerous methodological and ethical dilemmas associated mainly with deaf people’s unique cultural and linguistic characteristics.Conclusion: Research methods should not be taken as universal guidelines for conducting research in all settings because of differences in settings.

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