scholarly journals The no-go zone: a qualitative study of access to sexual and reproductive health services for sexual and gender minority adolescents in Southern Africa

2018 ◽  
Vol 15 (1) ◽  
Author(s):  
Alex Müller ◽  
Sarah Spencer ◽  
Talia Meer ◽  
Kristen Daskilewicz
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Southern Africa ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Gender Minority ◽  
Minority Adolescents ◽  
Sexual And Gender Minority ◽  
And Gender

Trainings needs of allied health professionals caring for sexual and gender minority adolescents and young adults with cancer: A qualitative analysis.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18532-e18532
Author(s):  
Ash B. Alpert ◽  
Vikas Gampa ◽  
Susan Thomas Vadaparampil ◽  
Gwendolyn P. Quinn
Keyword(s):  
Reproductive Health ◽  
Health Professionals ◽  
Allied Health ◽  
Educational Interventions ◽  
Adolescent And Young Adult ◽  
Allied Health Professionals ◽  
Gender Minority ◽  
Minority Adolescents ◽  
Sexual And Gender Minority ◽  
And Gender

e18532 Background: Little is known about the training needs of allied health professionals who provide reproductive health counseling and other support services to sexual and gender minority (SGM) adolescent and young adult (AYA) people with cancer. Methods: A 28-item electronic survey with 4 qualitative items was distributed to 601 allied health professionals who had participated in a training focused on reproductive health needs in AYA people with cancer. Open-ended questions invited respondents to describe personal experiences, reservations, and suggestions for improving SGM AYA cancer care. Using an interpretive description methodology, two investigators independently analyzed qualitative survey responses noting thematic saturation. Together, they refined themes, resolving disagreements with consensus. Interrater reliability was 88%. Results: 321 people participated in the survey and 190 answered open-ended questions. Themes included: 1) an ecosystem exists around patients’ interactions with clinicians and institutions; 2) institutional and individual assumptions result in stigmatization of SGM AYA people with cancer; 3) accommodating patients and providing clinicians with relevant education and experiences are initial steps to decrease stigma; and 4) improving the care for SGM AYA people with cancer may require transformative approaches that incorporate intersectional frameworks and challenge current systems. Conclusions: Improving the quality of care for SGM AYA people with cancer will require systemic and institutional change as well as educational interventions.

scholarly journals How to adapt sexual and reproductive health services to the needs and circumstances of trans people— a qualitative study in Colombia

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Mariana Calderón-Jaramillo ◽  
Ángel Mendoza ◽  
Natalia Acevedo ◽  
Luz Janeth Forero-Martínez ◽  
Sandra Marcela Sánchez ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Healthcare Services ◽  
Health Needs ◽  
Access Barriers ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Trans People

Abstract Background People living a trans-life require access to equitable healthcare services, policies and research that address their needs. However, trans people have experienced different forms of violence, discrimination, stigma, and unfair access barriers when dealing with healthcare providers. Therefore, adapting sexual and reproductive health services with the purpose of providing more equitable, inclusive and discrimination-free healthcare services is an urgent need. The article presents an example of how operative research can be used in order to adjust sexual and reproductive healthcare services to trans people’s needs, identities and circumstances. Methods This is a qualitative study written from a constructivist perspective, and it is based on the voices and experiences of trans people in four major cities in Colombia. The research used a combination of focus groups of discussion (n = 6) and in-depth interviews with trans people (n = 13) in Barranquilla, Bogota, Cali and Medellin. This research had two specific objectives: i) identifying the main sexual and reproductive health needs of people living a trans-life; and ii) generating new evidence in order to guide the adaptation of sexual and reproductive health services centered to trans people’s needs, identities, and circumstances. Qualitative data codification and analysis was using NVivo. Results Once access barriers to sexual and reproductive health services, unmet sexual and reproductive health needs were identified, the research helped define strategies to adapt sexual and reproductive health services to the needs, identities, and circumstances of people living a trans-life in Colombia. Amongst the main barriers found were healthcare costs, lack of insurance, stigmatization, discrimination and abuse by health care providers. Perhaps among the most notable sexual and reproductive health needs presented were trans-specific services such as sensitive assistance for the transition process, endocrinology appointments, and sex reaffirmation surgeries. Conclusions The evidence obtained from this research allowed Profamilia, a Colombian healthcare provider, to adapt the sexual and reproductive health services it provides to people living a trans-life in Colombia. Furthermore, it was possible for Profamilia to design and implement an inclusive sexual and reproductive health program that specifically addresses trans people’s needs, identities, and circumstances.

scholarly journals Women and substance use: a qualitative study on sexual and reproductive health of women who use drugs in Delhi, India

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018530 ◽  
Author(s):  
Vartika Sharma ◽  
Avina Sarna ◽  
Waimar Tun ◽  
Lopamudra Ray Saraswati ◽  
Ibou Thior ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Accurate Information ◽  
Unsafe Sex ◽  
Reproductive Health Services ◽  
Community Based ◽  
The Past ◽  
Women Who Use Drugs

ObjectivesTo explore contextual factors that increase vulnerabilities to negative sexual and reproductive health (SRH) outcomes and possible differences in SRH-related behaviours and the needs of women who use drugs (WUD) through non-injecting and injecting routes.DesignQualitative study design using semi-structured in-depth interviews.ParticipantsTwenty women who injected drugs in the past 3 months and 28 women who reported using drugs through non-injecting routes in the past 1 month.SettingInterviews were conducted at community-based, drop-in centres in Delhi, India.ResultsStudy findings illustrate that WUD were sexually active and had multiple sex partners including clients of sex work. Transient relationships were reported and many participants engaged in unsafe sex. Factors which affected safe sex behaviours included: gender power imbalance, limited agency for decision-making, lack of accurate information for correct self-risk assessment, and being under the influence of drugs. Despite high awareness, low and inconsistent contraceptive use was reported. Some participants were coerced to conceive while a few others reported their inability to conceive. Violence was a key determinant for SRH outcomes. Perception of certain adverse health outcomes (such as infertility) to be ‘common and expected among WUD’ influenced access to healthcare. Further, healthcare providers’ stigmatising attitudes and lack of women-centric services deterred women from uptake of healthcare services.ConclusionFindings highlight that SRH-related behaviours and needs of this group are a complex interplay of multiple determinants which need to be addressed at all levels: individual, family, community and institutional. It is imperative to roll out a ‘one-stop-shop’ for a comprehensive package of health services. Expansion of existing drop-in-centres could be considered for setting-up community-based women-centric services with appropriate linkage to drug dependence treatment and reproductive health services.

scholarly journals Sexual and Reproductive Health Web Sites: An Analysis of Content for Sexual and Gender Minority Youth

2020 ◽  
Vol 34 (4) ◽  
pp. 393-401
Author(s):  
Jack Andrzejewski ◽  
Catherine N. Rasberry ◽  
Brian Mustanski ◽  
Riley J. Steiner
Keyword(s):  
Reproductive Health ◽  
Web Sites ◽  
Coming Out ◽  
Sexual And Reproductive Health ◽  
Screening Process ◽  
Specific Content ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Google Search

Purpose: Sexual and gender minority (SGM) youth face risks for negative sexual and reproductive health (SRH) outcomes; it is critical to provide these populations with health education that is both inclusive of and specific to their needs. We sought to characterize the strengths and weaknesses of SGM-related messages from web sites that address SRH for young people. We considered who is included, what topics are discussed, and how messages are framed. Methods: A systematic Google search and screening process was used to identify health promotion web sites with SRH content for adolescents and young adults. Using MAXQDA, we thematically coded and analyzed SGM content qualitatively. Results: Of 32 SRH web sites identified, 23 (71.9%) contained SGM content. Collectively, the sites included 318 unique SGM codes flagging this content. Approximately two-thirds of codes included messages that discussed SGM youth in aggregate (eg, lesbian, gay, bisexual, and transgender)—specific content about the diverse subpopulations within this umbrella term (eg, transgender youth) was more limited. In addition to SRH topics, most web sites had messages that addressed a broad array of other health issues including violence, mental health, and substance use (n = 17, 73.9%) and SGM-specific topics, for example coming out (n = 21, 91.3%). The former were often risk-framed, yet affirmational messages were common. Most web sites (n = 16; 69.6%) presented information for SGM youth both in stand-alone sections and integrated into broader content. Yet, integrated information was slightly more common (56.6% of all codes) than stand-alone content. Conclusions: Challenges of developing SRH content related to SGM youth include: (1) aggregate terms, which may not represent the nuances of sexual orientation and gender, (2) balancing risk versus affirmational messages, and (3) balancing stand-alone versus integrated content. However, SGM-related content also offers an opportunity to address diverse topics that can help meet the needs of these populations.

scholarly journals How Iranian men perceive sexual and reproductive health? A qualitative study

2019 ◽  
Author(s):  
Razieh Lotfi ◽  
Seyed Ali Azin ◽  
Effat Hatefnia ◽  
Mina Amiri ◽  
Masoumeh Simbar ◽  
...  
Keyword(s):  
Content Analysis ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Social Norms ◽  
Sexual And Reproductive Health ◽  
Social Issues ◽  
Reproductive Health Services ◽  
Sexual Reproductive Health ◽  
Conventional Content Analysis

Abstract Background Despite the effective role of men in promoting their sexual and reproductive health, they have been often been overlooked for cultural and social issues and limited data are available in this context. In developing countries, the majority of men have limited knowledge and ability in terms of reproductive and sexual health. Hence, this study aimed to investigate male perceptions of sexual and reproductive health concepts.Materials and methods Using the conventional content analysis approach, a qualitative study was conducted on data retrieved through semi-structured interviews with 19 adult males aged 18 to 59 years, purposefully selected from among populations of health centers in the province of Alborz, Iran.Results Three main concepts and 9 categories emerged from the conventional content analysis: 1) Needs including “access to sexual and reproductive health services”, “awareness”, and “high-quality and safe sex”; 2) Responsibilities including “health- seeking behaviors”, “sexual skills”, “childbearing responsibilities” and “ethical commitment”; and 3) Social norms including “gender role attitudes”, and “changing marriage rules”.Conclusion This study showed that structural factors along with cultural and social norms affect sexual and reproductive health in men, who are men not adequately taken care and many of their sexual and reproductive health needs have not yet been addressed. Participants believed that men are responsible for their sexual reproductive health, although they have often difficulties fulfilling their responsibilities because of inadequate knowledge on the subject and the lack of access to sexual/ reproductive health services. Hence, along with socioeconomic changes, the health care system should be prepared to meet these needs and responsibilities using preventive strategies and programs.

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