scholarly journals Relationship between women’s decision-making power over their own health care and use of modern contraception in the Democratic Republic of the Congo: a cross-sectional secondary data analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Megan G. Butler ◽  
Melanie Walker ◽  
Lesley A. Pablo ◽  
Susan A. Bartels

Abstract Background In sub-Saharan Africa, the use of modern contraception (MC) is a critical intervention aimed at reducing mortality rates associated with unintended, high-risk pregnancies. However, among Congolese women aged 15–49, the prevalence of MC use is low. Research suggests that women’s general participation in decision-making is important in increasing MC use. However, little is known about the specific role of women’s decision-making power over their own health care and how it relates to MC use. Thus, this study aimed to investigate the relationship between women’s decision-making power over their own health care and use of MC. Methods A cross-sectional secondary data analysis was conducted using the most recent data from the 2013–2014 Democratic Republic of the Congo (DRC) Demographic and Health Survey. Women who were considered in need of contraception based on their family planning preferences were included in the study population (N = 6422). Multivariate logistic regression was used to determine whether women’s decision-making power over their own health care was associated with the use of MC. Results Only one in ten women reported using a modern method of contraception. Logistic regression showed that women who made decisions alone regarding their own health care were more likely to use MC than women who had no say in these decisions, even after controlling for important covariates (OR 1.48; 95% CI 1.00, 2.17). Conclusion The results of this study lend further support that promoting women’s autonomy and right to independently make decisions regarding their own health may be important in increasing the use of MC in the DRC. However, in order to effectively empower women to negotiate for the use of MC, qualitative research is needed to further assess the relationship between decision-making power and MC use.

2019 ◽  
Vol 31 (2) ◽  
pp. 209-215
Author(s):  
Christopher W. Blackwell

Introduction: Human Rights Campaign annually scores health care treatment of lesbian, gay, bisexual, transgender, and queer (LGBTQ) employees and clients among four measured dimensions in its Healthcare Equality Index (HEI). The purpose of this study was to determine if the score organizations earned on the 2018 HEI dimension measuring LGBTQ client services and support correlated with organizations’ American Nurses Credentialing Center Magnet® recognition status, a distinction of nursing excellence. Method: Using a secondary data analysis approach, data obtained from Human Rights Campaign that specifically rated LGBTQ client services and support in 2018 HEI participating organizations ( n = 626) were compared with the most recent inventory of American Nurses Credentialing Center Magnet health care organizations ( n = 477). Results: LGBTQ client services and support HEI scores positively correlated with Magnet status ( p = .0002). Discussion: Provision of LGBTQ client services and Magnet recognition is strongly related to higher quality nursing care, suggesting organizations earning Magnet recognition provide more equitable services to its LGBTQ clients.


2020 ◽  
Vol 8 (1) ◽  
pp. 1
Author(s):  
Dinda Maulidya Putri Maharani ◽  
Sulvy Dwi Anggraini ◽  
Trias Mahmudiono

Latar Belakang:Prevalensi padabayi yang mendapatkan ASI Eksklusif di Provinsi Jawa Timur tahun 2015sebesar 68,8% kemudian mengalami penurunan dibandingkan dengan tahun 2014, dan terus meningkat hinggatahun 2017 yaitu 75,7%. Penyakit infeksi dapat menurunkan nafsu makan pada bayi danberakibatkan penurunanstatus gizi. Pemberian makanan penamping ASI dapat mempengaruhi status gizi bayi. Provinsi Jawa Timurmerupakan salah satu provinsi dengan capaian ASI eksklusif dibawah target. Berdasarkan dari kabupaten/kotadiketahui bahwa cakupanbayi yang mendapatkan ASI eksklusif di Jawa Timur tahun 2018 sebanyak 77,0%.Tujuan:Penelitianuntuk menganalisis hubungan antara pemberian ASI Eksklusif dan pemberian makananselain ASI dengan kejadianunderweightpada bayi di Provinsi Jawa Timur tahun 2018Metode:Penelitian ini merupakan analisis data primer dan sekunder dngan survei laporan bulanan Gizi ASIEksklusif Provinsi Jawa Timur tahun 2018. Analisis data dilakukan dengan menggunakan ujiChi-squaredanRegresi Logistik.Hasil:Hasil penelitian menunjukkan ada hubungan antara pemberianmakanan selainASIEksklusif (<30hari,>30 hari) dengankejadianunderweight, (p=0,000010;OR=1,645;95%CI=1,319–2,052), ada hubunganpemberian ASI saja tanpa makanan selain ASI pada bayi dengan kejadianunderweight,(p = 0,000;OR=0,272;95%CI=0,217–0,341).Kesimpulan:Pemberian makanan selain ASI dan pemberian ASI Eksklusif pada bayi berhubungandengankejadianunderweight. Pemberian ASI Eksklusif sudah mencukupi kebutuhan nutrisi bayi usia 0-6 bulan. Pihakpelayanan kesehatan perlu meningkatkan program promosi kesehatan dengan sosialisasi tentang pentingnyapemberian ASI Eksklusif pada bayi baru lahir hingga usia 0-6 bulan dan pemberian makanan pendamping ASIpada usia sampai 2 tahun agar kebutuhannutrisinya terpenuhi.ABSTRACTBackground: The prevalence of the babies who received exclusive breastfeeding in the Province of East Java by2015 was 68.8% which is lower when it is compared to 2014, with 72.9%, and since then it continued toincrease until in 2017 it was 75.7%. Infectious diseases may reduce appetite in infants which resulted in lowernutritional status. Providing complementary foods for breast milk can affect the nutritional status of the infants.The East Java Province is one of the provinces with exclusive breastfeeding achievement below the target. Basedon the district/city the coverage of infants who received exclusive breastfeeding in East Java in 2018 was 77.0%.Objective:This research was conducted to analyze the relationship between exclusive breastfeeding and theconsumption of complementary food other than breast milk with the incidence of underweight found in infants ofEast Java Province in 2018Method:By analyzing the primary and secondary data with a survey of monthly reports on the East JavaProvince's ExclusiveNutrition of Breastfeeding in 2018. The analysis was performed through the Chi-squareand Logistic Regression test.Results:The results found that there is a relationship between the consumption of food other than breast milk(<30 days,>30 days) with theincidence of underweight, (p=0.000010; OR=1.645; 95% CI=1.319-2.052), as  well as between exclusive breastfeeding(breast milk only) in infants with the incidenceof underweight,(p=0.000; OR=0.272; 95% CI=0.217-0.341).Conclusion:The consumption of food other than breast milk and exclusive breastfeeding on infants associatedwith the incidence of underweight. Breast milk is sufficient for the nutritional needs of infants aged 0-6 monthsold. Health care officials need to improve health promotion programs bysocializing the importance of exclusivebreastfeeding for newborns up to ages of 0-6 months and providing complimentary food beside breast milk untilthe age of 2 years old to fulfill the nutritional needs of the child.


Author(s):  
Nanang Nur Rozaq ◽  
Mochamad Sugiharto

The study on spatial dimension of buffalo development in Brebes is intended to (1) analyze the regional shifting patterns of buffalo development within a period of 5 years (2012-2016) and (2) to identify the relationship between the number of farmland areas and the population of buffalo in Brebes Regency. This research employs a secondary data analysis method by utilizing the available data analyzed using a spatial analysis. Location Quotient (LQ) analysis is conducted to analyze the regional shifting patterns of buffalo followed with a product moment correlation analysis to identify the relationship between the number of farmland areas and the population of buffalo livestock. The results show that the buffalo population is related to the number of ​​rice plant areas (P <0.05) as well as that of the peanut plant areas (P <0.01). For the last 5 years (2012-2016), there is no regional shifting pattern in the center for buffalo development in Brebes Regency. The centralization of buffalo develoment in Brebes Regency is located in Salem, Bumiayu, Sirampog, Tonjong, Larangan and Songgom sub-district


2017 ◽  
Vol 32 (12) ◽  
pp. 1285-1293 ◽  
Author(s):  
Rohit Devnani ◽  
James E. Slaven ◽  
Gabriel T. Bosslet ◽  
Kianna Montz ◽  
Lev Inger ◽  
...  

2018 ◽  
Author(s):  
Robert T Trotter II ◽  
Ricky Camplain ◽  
Emery R Eaves ◽  
Viacheslav Y Fofanov ◽  
Natalia O Dmitrieva ◽  
...  

BACKGROUND Incarcerated populations have increased in the last 20 years and >12 million individuals cycle in and out of jails each year. Previous research has predominately focused on the prison population. However, a substantial gap exists in understanding the health, well-being, and health care utilization patterns in jail populations. OBJECTIVE This pilot study has 5 main objectives: (1) define recidivists of the jail system, individuals characterized by high incarceration rates; (2) describe and compare the demographic and clinical characteristics of incarcerated individuals; (3) identify jail-associated health disparities; (4) estimate associations between incarceration and health; and (5) describe model patterns in health care and jail utilization. METHODS The project has two processes—a secondary data analysis and primary data collection—which includes a cross-sectional health survey and biological sample collection to investigate infectious disease characteristics of the jail population. This protocol contains pilot elements in four areas: (1) instrument validity and reliability; (2) individual item assessment; (3) proof of concept of content and database accessibility; and (4) pilot test of the “honest broker” system. Secondary data analysis includes the analysis of 6 distinct databases, each covered by a formal memorandum of agreement between Northern Arizona University and the designated institution: (1) the Superior Court of Arizona Public Case Finder database; (2) North Country Health Care; (3) Health Choice Integrated Care; (4) Criminal Justice Information Services; (5) Correctional Electronic Medical Records; and (6) iLEADS. We will perform data integration processes using an automated honest broker design. We will administer a cross-sectional health survey, which includes questions about health status, health history, health care utilization, substance use practices, physical activity, adverse childhood events, and behavioral health, among 200 Coconino County Detention Facility inmates. Concurrent with the survey administration, we will collect Methicillin-resistant and Methicillin-sensitive Staphylococcus aureus (samples from the nose) and dental microbiome (Streptococcus sobrinus and Streptococcus mutans samples from the mouth) from consenting participants. RESULTS To date, we have permission to link data across acquired databases. We have initiated data transfer, protection, and initial assessment of the 6 secondary databases. Of 199 inmates consented and enrolled, we have permission from 97.0% (193/199) to access and link electronic medical and incarceration records to their survey responses, and 95.0% (189/199) of interviewed inmates have given nasal and buccal swabs for analysis of S. aureus and the dental microbiome. CONCLUSIONS This study is designed to increase the understanding of health needs and health care utilization patterns among jail populations, with a special emphasis on frequently incarcerated individuals. Our findings will help identify intervention points throughout the criminal justice and health care systems to improve health and reduce health disparities among jail inmates. INTERNATIONAL REGISTERED REPOR RR1-10.2196/10337


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