scholarly journals Understanding the impacts of child marriage on the health and well-being of adolescent girls and young women residing in urban areas in Egypt

2022 ◽  
Vol 19 (1) ◽  
Author(s):  
Shatha Elnakib ◽  
May Elsallab ◽  
Maha Abdel Wanis ◽  
Shadia Elshiwy ◽  
Nishan Prasana Krishnapalan ◽  
...  

Abstract Background Egypt has made progress in delaying age at marriage, but child marriage continues to be practiced in many places across the country. This study investigates the impacts of child marriage on the health and wellbeing of girls residing in urban Egypt using a multi-method approach. Methods The quantitative component leveraged data from the 2014 Egypt Demographic and Health Survey and focused on (1) reproductive health, (2) maternal health and (3) social outcomes among a subsample of ever-married urban women ages 20–24 (N = 1041). Simple and multivariable logistic regressions were used to estimate prevalence odds ratios and 95% confidence intervals for associations between child marriage and the three sets of outcomes. The qualitative component drew from 11 focus groups, 23 in-depth interviews, and 13 key informant interviews conducted in three urban sites in Egypt. The data was thematically analyzed using a combination of inductive and deductive coding. Results The prevalence of marriage under age 18 was 13.22%. Child marriage was significantly associated with ever use of contraception (Adjusted Odds Ratio (AOR) 2.95 95% CI 1.67–5.19), multiple births (AOR 12.93 95% CI 5.45–30.72), rapid repeat childbirth (AOR 2.20 95% CI 1.34–3.63), and pregnancy termination (AOR 1.89 95% CI 1.11–3.23). Many of these associations disappeared after adjusting for marriage duration. Girls married under age 18 had larger spousal age gaps (AOR 2.06; 95% CI 1.24–3.41) and higher odds of FGM (AOR 2.14; 95% CI 1.11–4.13). They were significantly more likely to report receiving no ANC care (AOR 0.39; 95% CI 0.19–0.80), and less likely to deliver through C-section (AOR: 0.53; 95% CI 0.34–0.83). Consequences emerging from the qualitative data centered around five themes: (1) Access to and use of sexual and reproductive health services; (2) exposure to FGM; (3) marriage and birth registration; (4) marital relations; and (5) relationship with in-laws. Conclusion Findings provide important insights into the practice of child marriage in urban areas in Egypt and illustrate a range of adverse consequences associated with the practice.

2021 ◽  
Vol 31 (5) ◽  
pp. 983-998
Author(s):  
L’Emira Lama El Ayoubi ◽  
Sawsan Abdulrahim ◽  
Maia Sieverding

Providing adolescent girls with sexual and reproductive health (SRH) information protects them from risks and improves their well-being. This qualitative study, conducted in Lebanon, examined Syrian refugee adolescent girls’ access to SRH information about and experiences with puberty and menarche, sex, marriage, contraception, and pregnancy. We gathered data through three focus group discussions (FGDs) with unmarried adolescent girls, 11 in-depth interviews with early-married adolescents, and two FGDs with mothers. Our findings highlighted that adolescent participants received inadequate SRH information shortly before or at the time of menarche and sexual initiation, resulting in experiences characterized by anxiety and fear. They also revealed discordance between girls’ views of mothers as a preferred source of information and mothers’ reluctance to communicate with their daughters about SRH. We advance that mothers are important entry points for future interventions in this refugee population and offer recommendations aimed to improve adolescent girls’ SRH and rights.


Author(s):  
Andi Bunga ◽  
Ranti Salsabila ◽  
Rehan Aula ◽  
Shania Maharani

Reproductive health is a state of complete physical, mental and social well-being. The main problem of Indonesian youth is ignorance of the actions that must be taken, especially reproductive health problems. This is indicated by the low knowledge of adolescents about reproductive health. This study aims to determine the description of reproductive health knowledge in adolescents, Muhammadiyah University, Jakarta. This type of research is descriptive using a qualitative approach. The subjects in the study were 4 adolescent informants. Data collection techniques with in-depth interviews and observation. Adolescent knowledge about reproductive health is obtained through the internet and courses. In maintaining the health of their reproductive organs, teenagers live a healthy life and avoid risky sexual behavior. As a result of risky sexual behavior that can be exposed to sexually transmitted diseases such as HIV / AIDS and others. In controlling their reproductive health, adolescents have never been examined by health services. The view of teenagers regarding deviant sexual behavior is that it is illegal which if done is a big sin and can interfere with brain health.


Author(s):  
Michelle M. Mann

Women’s well-being is dependent on access to reproductive health care. Around the world, however, many women do not have adequate access to this essential health service. Barriers to accessing reproductive health services are especially problematic for Canadian First Nations youth, especially those living in rural and remote communities. This article explores the unique challenges of and approaches to teen reproductive health and sustainable development internationally. The international context of reproductive health and sustainable development can inform and set the context for a discussion of Canadian First Nations teens’ reproductive health. Of special interest is how the United Nations and the international community approached sensitive issues and generated consensus among many different countries, cultures, religions, and customs.


2017 ◽  
Vol 6 ◽  
Author(s):  
Tafadzwa Rugoho ◽  
France Maphosa

Background: Women with disabilities in Zimbabwe face numerous challenges in accessing sexual and reproductive health. Cultural belief still regards them as not sexually active. The government has also failed to promote policies that facilitate access to sexual and reproductive services by women with disabilities.Objectives: The reseach objectives were to explore the challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe.Method: The data were gathered using in-depth interviews with 23 purposively selected respondents. Thirteen women had physical disabilities, five were visually impaired, three were deaf and two were stammering. The respondents with physical disabilities were using wheelchairs, walking frames, prosthesis, crutches and caliper shoes. The participants’ ages ranged from 18 to 45 years. All interviews were transcribed and translated verbatim into English, and passages were extracted from the transcripts. Key themes and concepts were identified and coded to offer a rich framework for analysis, comparisons and presentation of the data.Results: Negative perceptions of health personnel towards people with disabilities, disability-unfriendly infrastructure at health facilities and absence of trained personnel for people with disabilities (sign language) are some of the challenges involved.Conclusion: The government, in partnership with other stakeholders, should address challenges faced by women with disabilities when accessing sexual and reproductive health services. Non-government, private hospitals and profit-making organisations should join hands with government in funding health requirements for women with disabilities.


2019 ◽  
Author(s):  
Eric Badu ◽  
Isaac Mensah ◽  
Naomi Gyamfi ◽  
Elvis Agyei-Okyere ◽  
Eric Abodey ◽  
...  

Abstract Objective: This study aims to explore the knowledge and sources of accessing sexual and reproductive health services and care information among visually impaired women in Ghana. Qualitative data involving in-depth interviews and focus group discussions were conducted among 21 visually impaired women selected through purposive and snowballing sampling techniques. Thematic Analysis was used to analyse the data. Results: The study showed that visually impaired women were active seekers of SRH information (knowledgeable about SRH information and understand the relevance of accessing such information) and passive recipient of SRH information (through formal and informal sources). However, some contextual factors (lack of family and caregivers support services) created barriers for visually impaired women when accessing SRH information. Government advocacy and awareness campaigns on SRH services should consider both formal and informal sources. Family caregivers and SRH health centres should provide adequate support services for visually impaired women regarding information on SRH service.


2017 ◽  
Vol 1 (5) ◽  
pp. 240
Author(s):  
Kelwyn Craig Browne

Sexual and Reproductive Health attainment is a vital yet silent component of the Sustainable Development Goals. Sexual health and wellbeing remain neglected in terms of targeted funding and programatic support. The paper argues for a renewed attention on sexual well being in clinical as well as population health settings, due to current unmet as well emerging needs.


2014 ◽  
Vol 21 (06) ◽  
pp. 1092-1097
Author(s):  
Kanwal Asghar ◽  
Ashfaq Ahmad Maan ◽  
Khalid Mahmood Ch ◽  
Farkhanda Anjum ◽  
Ijaz Ashraf ◽  
...  

Around the world, the right to health and especially reproductive health right are far from a reality for many women. Reproductive health is of growing concern today. Reproductive health therefore implies that people are able to have a satisfying and safe sexual life and that they have the capability to reproduce and the freedom to decide if, when and how after to do so. Reproduction is a dual commitment but so after in much of the world, it is seen as wholly the women’s responsibility. There are four major problems commonly encountered by women in family planning and contraceptive use: accessibility to family planning information and services, quality of services, gender responsibilities and spousal communication. These problems become major obstacles preventing women from regularity fertility or exercising the reproductive rights. The importance of good health and education to women’s well being and that of her family and society cannot be overstated. Spousal Communication is crucial step toward increasing women’s participation in improving their health rights. Therefore the study was conducted to investigate the perception of married women about the role of spousal communication in establishing reproductive health security. For this purpose 200 married women of age group 15-45 with having at least one living child were selected through multistage sampling technique from urban areas of district Faisalabad. The study explored in bi-variate analysis that those women who were educated, younger and had a high economic status had a perception that the spousal communication plays a significant role in the development of women’s attitude towards their reproductive health security.


Author(s):  
Yeo Kee Jiar ◽  
Shih Hui Lee ◽  
Lina Handayani

Federation of Reproductive Health Association, Malaysia (FRHAM) is a pioneer Non-governmental Organization (NGO) in disseminating the knowledge and services of sexual reproductive health in Malaysia. A qualitative case study research design was employed to explore the roles of FRHAM in promoting Comprehensive Sexuality Education (CSE) for the well-being of locals and refugees’ communities. In-depth interviews were conducted with the staffs of FRHAM to inquire about their effort in delivering their services. The interviews were recorded, transcribed, coded and emergent themes were identified. FRHAM had played a part as educator, service provider, advocate and actively involved in improving the quality of life among the refugee community. The organization had developed modules for CSE and conducted programs for dissemination of knowledge. They also collaborated with local governmental agencies and other NGOs to promote awareness and utilization of services among the communities. Nevertheless, promoting CSE had experienced many challenges in Malaysia. The perceptions of Malaysian viewing sexuality education as taboos, cultural factors, the reluctance of educators in delivering, and the low visibility of FRHAM are the barriers encountered by FRHAM in promoting CSE. FRHAM recommended including parents, teachers and other stakeholders in the promotion of CSE and acknowledging CSE as an official subject to be implemented in schools.  The information from this study may encourage more partnerships between the stakeholders, policy makers and NGOs for providing high quality CSE and sexual reproductive health services.


2021 ◽  
pp. 30-34
Author(s):  
Suzana Ivete Alfredo Manhiça ◽  
Janete Ismael Mabui Gove

Sexual and reproductive health is the state of complete physical,mental and social well-being in all aspects related to the reproductive system. This implies that people must be able to obtain satisfaction and security in their sexual life, have the ability to reproduce including the freedom to decide when and how many children they want. However, the achievement of sexual and reproductive rights is impossible without male participation as users and partners in the SRH. It is imperative, therefore, that men take responsibility by invest in their own health and supporting the autonomy of women. The study aimed to analyse the factors that contribute to the use of sexual and reproductive health services among men in the district of Boane.Study is carried out in the health center of Boane district health services for women,it should be noted that for the materialization of this research,a cross-sectional descriptive study was used in a qualitative approach, non-probabilistic sampling for convenience, were part of the research 22 male users of the health service. There were asked about the use of Sexual and Reproductive Heath Service ( SRHS),the moment they used it,the type of services offered to men and if they were adequate.The data were collected in December 2020,through interview,where the semi-structured interview guide was used for this purpose.It is worth mentioning that at all time of the research the ethical precepts were respected.Results:Most of the interviewees (17) reported that they had heard of SRHS,(11) of the interviewees said that they offered family planning services and (08) said that they were unaware of the services offered (12) of the participants said they had never used the services and (08) said they did when they accompanied their wives. (15) of the interviewees said that they did not have an expectation when they went to these services: There were (02) who did not know if the services were adequate and (20) said that they were adequate. We concluded that there is a need for the most outstanding implementation of the drawn policies,new strategies in the approach of this question between men and adequacy of services so that they did not continue to be segregators and perpetuating the managing of gender.


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