scholarly journals Barriers to Offering Vasectomy at Publicly Funded Family Planning Organizations in Texas

2017 ◽  
Vol 11 (3) ◽  
pp. 757-766 ◽  
Author(s):  
Kari White ◽  
Anthony Campbell ◽  
Kristine Hopkins ◽  
Daniel Grossman ◽  
Joseph E. Potter
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Women’S Health ◽  
Women's Health ◽  
Health Clinic ◽  
Publicly Funded ◽  
Reproductive Health Care ◽  
Title X ◽  
Planning Organizations

Few publicly funded family planning clinics in the United States offer vasectomy, but little is known about the reasons this method is not more widely available at these sources of care. Between February 2012 and February 2015, three waves of in-depth interviews were conducted with program administrators at 54 family planning organizations in Texas. Participants described their organization’s vasectomy service model and factors that influenced how frequently vasectomy was provided. Interview transcripts were coded and analyzed using a theme-based approach. Service models and barriers to providing vasectomy were compared by organization type (e.g., women’s health center, public health clinic) and receipt of Title X funding. Two thirds of organizations did not offer vasectomy on-site or pay for referrals with family planning funding; nine organizations frequently provided vasectomy. Organizations did not widely offer vasectomy because they could not find providers that would accept the low reimbursement for the procedure or because they lacked funding for men’s reproductive health care. Respondents often did not perceive men’s reproductive health care as a service priority and commented that men, especially Latinos, had limited interest in vasectomy. Although organizations of all types reported barriers, women’s health centers and Title X-funded organizations more frequently offered vasectomy by conducting tailored outreach to men and vasectomy providers. A combination of factors operating at the health systems and provider level influence the availability of vasectomy at publicly funded family planning organizations in Texas. Multilevel approaches that address key barriers to vasectomy provision would help organizations offer comprehensive contraceptive services.

scholarly journals Comprehensive Women Health Services at Beverage-Producing Industries of Limpopo (South Africa): Women’s Perspective

2020 ◽  
Vol 17 (22) ◽  
pp. 8293
Author(s):  
Livhuwani Muthelo ◽  
Masenyani Oupa Mbombi ◽  
Mamare Adelaide Bopape ◽  
Tebogo Maria Mothiba
Keyword(s):  
South Africa ◽  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Women’S Health ◽  
Women's Health ◽  
Reproductive Health Care ◽  
Women Health ◽  
Women’S Health Services ◽  
Experiences Of Women

(1) Background: Women remain highly vulnerable to numerous risks at work, including labor rights violations, violence and harassment, myriad general and reproductive health risks. The availability of the comprehensive services remains the only hope for these women, yet very little is known about their perspective. (2) Aim: To determine the experiences of women regarding the availability of comprehensive women’s health services in the industries of Limpopo (South Africa). (3) Methods: The project adopted the qualitative research method to determine the experiences of women related to the availability of comprehensive women’s health services. Non-probability purposive and convenience sampling was used to select 40 women employed in two beverage producing industries. A semi-structured interview with an interview guide was used to collect data that were analyzed using thematic analysis. (4) Results: Four themes emerged about the available health services in the two industries; diverse experiences related to available women’s health services, knowledge related to women’s health services, and diverse description of women’s health services practice and risks. The themes are interpreted into ten sub-themes. (5) Conclusions and Recommendations: There is a lack of available comprehensive women health services at the two beverage producing industries. Thus, women face challenges regarding accessing comprehensive women’s reproductive health care services as well as being exposed to health hazards such as burns, bumps, injuries and suffering from inhalation injuries and burns from moving machines, noise, slippery floors, and chemicals that are used for production in the industry. Women expressed dissatisfaction in the industries regarding the provided general health and primary healthcare services that have limited women’s health-specific services. We recommended that the industries should prioritize designing and developing the comprehensive women health services that to enable women at the industries to have access to good-quality reproductive health care and effective interventions.

“Reproductive Health Care,” the “Demographic Imperative,” and the Real Health Needs of Women in the Developing World (Part Two)

2009 ◽  
Vol 76 (2) ◽  
pp. 181-211 ◽  
Author(s):  
Steven W. Mosher
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Women’S Health ◽  
Women's Health ◽  
Developing World ◽  
Population Control ◽  
Unmet Need ◽  
Health Needs ◽  
Reproductive Health Care ◽  
Control Programs

Proponents of “reproductive health care” assert that the 1994 population conference in Cairo marked a watershed between two radically different approaches to reducing the fertility of women in the developing world. They concede that, prior to Cairo, population control programs were driven solely by a narrow demographic imperative. Following Cairo, however, they maintain that a broad approach to improving reproductive health was adopted that not only encouraged smaller families, but did so in the context of providing “client-centered” programs that conferred significant health and welfare benefits to their target population. This two-part article will show that these several claims are misleading, if not altogether false. In the first article, which was published in the previous issue, the failure of population control programs to address women's health needs was documented, as the women themselves perceive them. The rationalizations used to support an exclusive focus on contraception and sterilization (“latent demand” and “unmet need”) were examined, as well as the harm that has been done to women's health by such drugs and devices. In this, the second, article the post-Cairo conference rhetorical shift to “reproductive health” is discussed, and the claims that such programs have reduced maternal mortality, infant mortality, and the absolute number of abortions are analyzed. A discussion ensues of how the health needs of women in the developing world could be better met by redirecting existing resources to primary health care, including obstetric care.

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.

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