scholarly journals Sexual and reproductive health needs assessment and interventions in a female psychiatric intensive care unit

2021 ◽  
pp. 1-7
Author(s):  
Elana Covshoff ◽  
Lucy Blake ◽  
Elizabeth Mary Rose ◽  
Adenike Bolade ◽  
Robert Rathouse ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Unmet Need ◽  
Fold Increase ◽  
Health Needs ◽  
Individual Risk ◽  
Health Needs Assessment ◽  
Barriers To Access

Aims and method To assess the sexual and reproductive health (SRH) needs of women admitted to a psychiatric intensive care unit (PICU), and acceptability of delivering specialist SRH assessments and interventions in this setting. Within a quality improvement framework, staff were trained, a clinical protocol developed and clinical interventions made accessible. Results Thirty per cent of women were identified as having unmet SRH needs and proceeded to a specialist appointment, representing a 2.5-fold increase in unmet need detection. Forty-two per cent of women were assessed, representing a 3.5-fold increase in uptake. Twenty-one per cent of women initiated SRH interventions, of which 14% had all their SRH needs met. Staff, patients and carers highlighted the acceptability and importance of SRH care, if interventions were appropriately timed and patients’ individual risk profiles were considered. Barriers to access included lack of routine enquiry, illness acuity and impact of the COVID-19 pandemic. Clinical implications SRH needs for PICU admissions are greater than previously realised. Providing a nurse-led SRH assessment is acceptable, feasible and beneficial for PICU patients.

scholarly journals Sexual and reproductive health needs assessment & interventions in a female psychiatric intensive care unit

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S47-S48
Author(s):  
Elizabeth Rose ◽  
Elana Covshoff ◽  
Lucy Blake ◽  
Adenike Bolade ◽  
Robert Rathouse ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Reproductive Health ◽  
Needs Assessment ◽  
Sexual And Reproductive Health ◽  
Unmet Need ◽  
Fold Increase ◽  
Individual Risk ◽  
Activity Data

AimsTo assess the sexual and reproductive health (SRH) needs of women admitted to a psychiatric intensive care unit (PICU), and acceptability of delivering specialist SRH assessments/interventions in this setting. Secondary aims were to explore the barriers to access and the feasibility of providing SRH assessments and interventions in the PICU.MethodA retrospective analysis of fifteen months’ activity data found that only 25 SRH referrals had been made across 205 PICU admissions. This low referral rate of 12% likely reflected pathway barriers and was unlikely to represent the actual clinical need in female PICU patients. A bi-monthly SRH in-reach clinic and a nurse led SRH referral pathway were implemented on the PICU over a seven-month period. Within a quality improvement framework, a staff training needs assessment was performed, training delivered, a protocol developed, staff attitudes explored, and patient and carer engagement sought.ResultA quality improvement approach streamlined SRH assessments on the PICU and resulted in 42% of women being assessed and a 3.5-fold increase in uptake. At least 30% of the women in the PICU had unmet SRH needs identified and proceeded to a specialist appointment. This amounts to a minimum 2.5-fold increase in SRH unmet need detection.The most common SRH needs were complex gynaecological issues (such as period problems, pelvic pain, vaginal discharge), STI advice/testing and contraception advice/options. 21% of women initiated SRH interventions, and 14% completed all the interventions required for their needs. The most common interventions were in the areas of contraception advice/family planning and STI advice/testing.Staff confidence on assessing SRH topics was identified as a barrier to access with a positive shift noted after bespoke SRH training was implemented and a protocol introduced: on a scale of 0-10 (with 10 being high), 81.3% of staff rated their confidence 8 or above in relation to discussing contraception/sexually transmitted infections (pre-training: 25.0%), and 93.8% in relation to discussing risky behaviours (pre-training: 18.8%). All 11 patient and carer participants felt it was important to have a forum to talk about SRH and 8 (72.7%) agreed it was important in the PICU.ConclusionResults identify that SRH needs for PICU admissions are greater than previously realised. Staff highlighted the acceptability and importance of SRH care, if interventions are appropriately timed and the patient's individual risk profile considered. Providing a nurse led referral pathway for an SRH in-reach clinic is acceptable, feasible and beneficial for PICU patients.

scholarly journals Sexual and reproductive health needs assessment with deaf people in Ghana: Methodological challenges and ethical concerns

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Wisdom K. Mprah
Keyword(s):  
Reproductive Health ◽  
Needs Assessment ◽  
Research Methods ◽  
Sexual And Reproductive Health ◽  
Health Needs ◽  
Deaf People ◽  
Health Needs Assessment ◽  
Ethical Concerns ◽  
Methodological Challenges ◽  
Key Informant

Background: Deafness is a complex and multifaceted phenomenon. The different ways of perceiving and understanding deafness have practical implications for research with deaf people. Whilst the deaf community is not homogenous, it is generally distinct from the hearing population. Consequently, the appropriateness of applying research methods and informed concern processes designed for the hearing population in research with deaf people has been questioned.Objectives: This article reflected on some methodological challenges and ethical concerns arising from conducting a sexual and reproductive health needs assessment with deaf people in Ghana. The aim was to provide some perspectives on some of the challenges associated with doing research with deaf people.Method: The study was a two phase, sequential, mixed methods design, consisting of three focus groups to assist in the development of a survey and then the implementation of the survey for needs assessment data collection. The number of participants in the study was 179, consisting of 26 focus group participants: 7 executives of the Ghana National Association of the Deaf (GNAD), 10 male adults, and 9 female adults. There were 152 survey respondents (students, women and men) and one key informant. All participants, except the key informant, were deaf people.Results: The application of traditional research methods to studies involving deaf participants presents numerous methodological and ethical dilemmas associated mainly with deaf people’s unique cultural and linguistic characteristics.Conclusion: Research methods should not be taken as universal guidelines for conducting research in all settings because of differences in settings.

scholarly journals How prepared are young, rural women in India to address their sexual and reproductive health needs? a cross-sectional assessment of youth in Jharkhand

2015 ◽  
Vol 12 (1) ◽  
Author(s):  
Sushanta K. Banerjee ◽  
Kathryn L. Andersen ◽  
Janardan Warvadekar ◽  
Paramita Aich ◽  
Amit Rawat ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Rural Women ◽  
Sexual And Reproductive Health ◽  
Health Needs ◽  
Cross Sectional ◽  
Women In India

Sexual and Reproductive Health Needs of Sex Workers: Two Feminist Projects in Brazil

2007 ◽  
Vol 15 (29) ◽  
pp. 108-118 ◽  
Author(s):  
Alessandra S Chacham ◽  
Simone G Diniz ◽  
Mônica B Maia ◽  
Ana F Galati ◽  
Liz A Mirim
Keyword(s):  
Reproductive Health ◽  
Sex Workers ◽  
Sexual And Reproductive Health ◽  
Health Needs

scholarly journals Improving sexual and reproductive health knowledge and practice in Mozambican families with media campaign and volunteer family health champions

2019 ◽  
Vol 7 (4) ◽  
pp. e000089
Author(s):  
Paulo Henrique Pires ◽  
Ronald Siemens ◽  
Martins Mupueleque
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Health Knowledge ◽  
Unmet Need ◽  
Family Health ◽  
Media Campaign ◽  
Planning Practice ◽  
Cross Sectional ◽  
Before And After

ObjectiveTo increase knowledge, attitudes and practice of sexual and reproductive health and family planning and to reduce maternal and neonatal mortality rates in Mozambique.DesignAn implementation research project’s intermediate evaluation, applying two cross-sectional surveys. The surveys were planned for 316 subjects before and after interventions.SettingResearch performed in Natikiri district of Nampula province in northern Mozambique, targeting a suburban and rural populations in their homes.Participants452 people were surveyed (91 before, 361 after), all belonging to the Macua ethnic group.InterventionsA media campaign (2 weekly radio spots, bimonthly theatre performances) was performed for 8 months (2017 to 2018) and family health champions’ teachings (monthly home visits) performed for 3 months, on sexual and reproductive health and family planning. Outcome measures planned and measured were adolescent’s and adult’s knowledge, attitudes and practice about those. Data were analysed by gender, age group and frequencies, using a CI of 95% (p<0.5 statistically significant).ResultsRadio spots, community theatre and volunteer champions increased population’s knowledge about sexual and reproductive health and led to a more positive attitude toward family planning. Concerning attitude, results show differences between adults’ proportions before and after: (1) did you hear about sexual and reproductive health (p=0.0425); (2) knows project key messages (p<0.001); (3) knows prenatal visits importance (p=0.0301); (4) access to contraceptives was easy (p<0.001). Adolescents showed statistically significant differences before and after: (1) knows project key messages (p<0.001); (2) access to contraceptives was easy (p=0.0361). Family planning practice did not increase in both groups.ConclusionA health education intervention, using a media campaign and local volunteers, is useful to promote mother and child health. There is an unmet need for family planning and the use of modern contraception is below desired practice, needing further research about cultural barriers. Communication for behaviour change activities will pursue and impact will be assessed to document family planning practice improvement.

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