scholarly journals The impact of a community-based HIV and sexual reproductive health program on sexual and healthcare-seeking behaviors of female entertainment workers in Cambodia

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Siyan Yi ◽  
Sovannary Tuot ◽  
Pheak Chhoun ◽  
Carinne Brody ◽  
Khimuy Tith ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Program ◽  
Community Based ◽  
Healthcare Seeking ◽  
Sexual Reproductive Health ◽  
Female Entertainment Workers ◽  
The Impact

scholarly journals Can sexual health interventions make community-based health systems more responsive to adolescents? A realist informed study in rural Zambia

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Chama Mulubwa ◽  
Anna-Karin Hurtig ◽  
Joseph Mumba Zulu ◽  
Charles Michelo ◽  
Ingvild Fossgard Sandøy ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Systems ◽  
Contextual Factors ◽  
Realist Evaluation ◽  
Health Interventions ◽  
Alternative Theory ◽  
Health Coverage ◽  
Programme Theory ◽  
Community Based ◽  
Sexual Reproductive Health

Abstract Introduction Community-based sexual reproductive interventions are key in attaining universal health coverage for all by 2030, yet adolescents in many countries still lack health services that are responsive to their sexual reproductive health and rights’ needs. As the first step of realist evaluation, this study provides a programme theory that explains how, why and under what circumstances community-based sexual reproductive health interventions can transform (or not) ‘ordinary’ community-based health systems (CBHSs) into systems that are responsive to the sexual reproductive health of adolescents. Methods This realist approach adopted a case study design. We nested the study in the full intervention arm of the Research Initiative to Support the Empowerment of Girls trial in Zambia. Sixteen in-depth interviews were conducted with stakeholders involved in the development and/or implementation of the trial. All the interviews were recorded and analysed using NVIVO version 12.0. Thematic analysis was used guided by realist evaluation concepts. The findings were later synthesized using the Intervention−Context−Actors−Mechanism−Outcomes conceptualization tool. Using the retroduction approach, we summarized the findings into two programme theories. Results We identified two initial testable programme theories. The first theory presumes that adolescent sexual reproductive health and rights (SRHR) interventions that are supported by contextual factors, such as existing policies and guidelines related to SRHR, socio-cultural norms and CBHS structures are more likely to trigger mechanisms among the different actors that can encourage uptake of the interventions, and thus contribute to making the CBHS responsive to the SRHR needs of adolescents. The second and alternative theory suggests that SRHR interventions, if not supported by contextual factors, are less likely to transform the CBHSs in which they are implemented. At individual level the mechanisms, awareness and knowledge were expected to lead to value clarification’, which was also expected would lead to individuals developing a ‘supportive attitude towards adolescent SRHR. It was anticipated that these individual mechanisms would in turn trigger the collective mechanisms, communication, cohesion, social connection and linkages. Conclusion The two alternative programme theories describe how, why and under what circumstances SRHR interventions that target adolescents can transform ‘ordinary’ community-based health systems into systems that are responsive to adolescents.

Assessment of male reproductive function and prevention of androgen deficiency

2020 ◽  
Vol 60 (11) ◽  
pp. 746-748
Author(s):  
P. A. Vuytsik
Keyword(s):  
Reproductive Health ◽  
Health Program ◽  
Harmful Effect ◽  
Reproductive Function ◽  
Social Significance ◽  
Reproductive Disorders ◽  
Male Reproductive Function ◽  
Human Pathology ◽  
Demographic Processes ◽  
The Impact

Introduction. Reproductive problems in marriage are an important component of demographic processes; therefore, attempts to resolve them have not only medical but also social significance. The state of male reproductive health plays an important role in demographic indicators, in particular, in population reproduction. This dictates the need to increase the volume of preventive measures, which requires early detection of reproductive disorders due to the impact of environmental factors, including occupational ones, that have a harmful effect on men. The aim of the study is to develop a prevention program aimed at preserving and improving the reproductive health of employees engaged in harmful working conditions. Materials and methods. To predict the quality of health of a future individual, it is necessary to consider many risk factors that can participate in the development of human pathology. Methods for studying reproductive health disorders in men include both conventional, classical methods of examining men by urologists, andrologists, and expert ones, which allow us to find out the role of harmful factors in the development of reproductive disorders of professional etiology by specialists in occupational medicine. The implementation of a reproductive health program requires monitoring the progress of the actions taken and evaluating their effectiveness. Results. Implementing a reproductive health program requires monitoring the progress of actions and evaluating their effectiveness. Conclusions. The ability to assess the risk of damage to reproductive health and the health of the offspring makes it possible to manage this risk, to prevent and reduce the levels of occupationally determined morbidity and morbidity associated with exposure to harmful factors.

Introduction: Practical Uses of Applied Anthropology

2010 ◽  
Vol 32 (4) ◽  
pp. 2-3
Author(s):  
Ron Loewe ◽  
Jayne Howell
Keyword(s):  
Water Resource Management ◽  
Health Program ◽  
Educational Interventions ◽  
Applied Anthropology ◽  
Policy Recommendations ◽  
Community Based ◽  
Community Based Research ◽  
The Public ◽  
Social Marketing Campaigns ◽  
The Impact

This issue of Practicing Anthropology is an editors' choice issue that combines a number of articles on advocacy, law, health, program evaluation and community-based research, so there is surely something for everyone. At the same time, we would like to take this opportunity to put out a call for papers on anthropology and the environment. Possible topics include, but are not limited to the following: the impact of global warming on a community, region or nation-state and indigenous responses to this danger, the formation or activities of environmental justice organizations and networks, problems in (and solutions to) water resource management, case studies on the impact of environmental hazards on health, subsistence and development, educational interventions or social marketing campaigns designed to inform the public about environmental risk, and environmental problems related to agriculture or food production. We are also interested in receiving manuscripts on immigration, transnationalism and, voluntary or involuntary resettlement, especially pieces that contain interesting policy recommendations.

The Impact of a Perinatal Reproductive Health Program in Honduras

1993 ◽  
Vol 19 (3) ◽  
pp. 103 ◽  
Author(s):  
Ricardo Vernon ◽  
Jose Ruben Lopez-Canales ◽  
Jose Arnulfo Carcamo ◽  
Judith Galindo
Keyword(s):  
Reproductive Health ◽  
Health Program ◽  
The Impact

scholarly journals The risk and protective factors for risky sexual behaviors among school-aged adolescents in Indonesia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Setio ◽  
J Pardosi ◽  
K Beek ◽  
H Razee
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Reproductive Health ◽  
Condom Use ◽  
Sexual Behaviors ◽  
Health Program ◽  
Risky Sexual Behaviors ◽  
Multivariate Logistic Regression ◽  
Multiple Partners ◽  
Sexual Reproductive Health

Abstract Background Indonesia's 65 million young people aged 10-24 comprise 28% of its total population. Studies revealed that adolescents who engage in early sexual activity are prone to sexually transmitted diseases, unwanted pregnancy, and unsafe abortion. This study examined the prevalence and associated factors of risky sexual behaviors among Indonesian secondary school adolescents using the 2015 Indonesia Global School-based Student Health Survey (GSHS). Methods A total of 11,142 students filled the self-administered questionnaire. Risky sexual behaviors measured included 1) ever had sexual intercourse, 2) multiple partners, 3) condom use. The determinant factors were sociodemographic characteristics, mental health-related factors, interpersonal variables, socioeconomic, and parental understanding. A multivariate logistic regression model was used to estimate the adjusted odds ratio and 95% CI. Results The prevalence of ever had sex was 5.3%; 1.2% of students had sexual intercourse with multiple partners; The prevalence of condom use was 34%. Results from the multivariate logistic regression indicated that ever-had sex had the strongest association with suicide ideation (aOR= 4.636; 95% CI = 4.542-4.732) and significantly lower among respondents who have a parental understanding (aOR = 0.318; 95% CI = 0.310-0.326). Having sex with multiple partners had the highest correlation with smoking behavior (aOR= 9.967; 95% CI = 9.816-10.12), significantly lower among respondents who have a parental understanding (aOR=0.644; 95% CI = 0.632-0.656). Having parental understanding had the strongest correlation with condom use (aOR= 6.597; 95% CI = 6.291-6.918), while loneliness had the lowest relation. (aOR= 0.706; 95% CI = 0.669-0.745). Conclusions Adolescent sexual reproductive health programs should employ a holistic approach involving mental health promotion and tobacco control programs. It is also essential to engage parents in any adolescent sexual reproductive health program. Key messages Risky sexual behaviors have a strong correlation with mental health. It is essential to engage parents in any adolescent sexual reproductive health program.

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