Perspectives of adolescents regarding the sexual and reproductive health self-care: a theory-based qualitative research

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Marjan Havaei ◽  
Sara Esmaelzadeh Saeieh ◽  
Leili Salehi
Keyword(s):  
Content Analysis ◽  
Reproductive Health ◽  
Self Efficacy ◽  
Socioeconomic Development ◽  
Sexual And Reproductive Health ◽  
Qualitative Content Analysis ◽  
Self Care ◽  
Analysis Data ◽  
Social Contexts ◽  
Health Priorities

AbstractObjectivesIt is widely accepted that sexual and reproductive health in adolescents are among the health priorities in the world that affects health aspects and the formation of beliefs and socioeconomic development in the community. However, achieving goals related to sexual and reproductive health is not possible without awareness and participation of the adolescents. On the other hand, proper knowledge about such issues can prevent many problems in this regard.MethodsThis qualitative study was carried out for one month in schools of Alborz University of Medical Sciences using content analysis. Data were collected from semi-structured, individual and in-depth interviews with female students. In addition, data analysis was performed using guided qualitative content analysis (theory-based).ResultsAnalysis of the data led to the extraction of 11 primary codes classified in six categories of protection motivation constructs (perceived sensitivity, perceived severity, response efficiency, response cost, self-efficacy, and internal rewards) and two additional categories (communications and social contexts).ConclusionAll interviewees found themselves exposed to sexually transmitted diseases and emphasized sexual self-care even though the majority of these individuals had inadequate self-efficacy.

Preparation for sexual and reproductive self-care in Iranian adolescent girls: a qualitative study

2017 ◽  
Vol 30 (1) ◽  
Author(s):  
Zainab Alimoradi ◽  
Nourossadat Kariman ◽  
Fazlollah Ahmadi ◽  
Masoumeh Simbar
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Reproductive Health ◽  
Data Collection ◽  
Qualitative Study ◽  
Adolescent Girls ◽  
Sexual Behaviors ◽  
Sexual And Reproductive Health ◽  
Self Care ◽  
Main Theme

AbstractBackgroundAdolescence is one of the most important stages in every individual’s life. Pubertal changes and acquiring reproduction capability require adolescents to perform special health care processes. Also the possibility of involvement in high-risk sexual behaviors endangers adolescent girls’ sexual and reproductive health.ObjectiveIncrease and deepen the understanding and knowledge of the factors affecting Iranian adolescent girls’ readiness to take care of their sexual and reproductive health.Materials and methodsThe present qualitative study was conducted using conventional content analysis method. The participants included 18 adolescents who were aged 13–19 years old, single, studying at high school, art school, or university and had no history of chronic medical or psychological diseases; further, most of them had the experience of menstruation. Purposive sampling was initiated and continued until data saturation. Data collection were performed using in-depth and unstructured interviews. Qualitative content analysis of the interviews was conducted simultaneously with data collection using the Graneheim and Lundman approach .MAXQDA 2010 software was used for storage, retrieval, and management of the data.FindingsPreparation for care was the main theme that emerged in this study along with 19 subcategories and four main categories, including desirable interaction between families and adolescents, readiness for puberty and menstruation, life skills and spiritual self-monitoring.ConclusionThe education and health care systems’ authorities of the country can exploit the results of this study for making policies and interventions expedient to the society’s cultural conditions in order to improve the reproductive and sexual self-care status of adolescents’ girls.

scholarly journals The role of partners in promoting self-care for misoprostol and subcutaneous DMPA in Pakistan

2021 ◽  
Vol 19 (S1) ◽  
Author(s):  
Qudsia Uzma ◽  
Nausheen Hamid ◽  
Rizwana Chaudhri ◽  
Nadeem Mehmood ◽  
Atiya Aabroo ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Private Sector ◽  
Healthcare System ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Self Care ◽  
Essential Element ◽  
Scaling Up ◽  
Reproductive Health Services

Abstract Background Pakistan is among a number of countries facing protracted challenges in addressing maternal mortality with a concomitant weak healthcare system complexed with inequities. Sexual and reproductive health and rights (SRHR) self-care interventions offer the best solution for improving access to quality healthcare services with efficiency and economy. This manuscript documents country experience in introducing and scaling up two selected SRHR self-care interventions. A prospective qualitative study design was used and a semi-structured questionnaire was shared with identified SRHR private sector partners selected through convenience and purposive sampling. The two interventions include the use of misoprostol for postpartum hemorrhage and the use of subcutaneous depomedroxyprogesterone acetate (DMPA) as injectable contraceptive method. Data collection was done through emails and telephone follow-up calls. Results Nine of the 13 partners consulted for the study responded. The two selected self-care interventions are mainly supported by private sector partners (national and international nongovernmental organizations) having national or subnational existence. Their mandates include all relevant areas, such as policy advocacy, field implementation, trainings, supervision and monitoring. A majority of partners reported experience related to the use of misoprostol; it was introduced more than a decade ago, is registered and is procured by both public and private sectors. Subcutaneous DMPA is a new intervention, having been introduced only recently, and commodity availability remains a challenge. It is being delivered through health workers/providers and is not promoted as a self-administered contraceptive. Community engagement and awareness raising is reported as an essential element of successful field implementation; however, no beneficiary data was collected for the study. Training approaches differ considerably, are standalone or integrated with SRHR topics and their duration varies between 1 and 5 days, covering a range of cadres. Conclusion Pubic sector ownership and patronage is essential for introducing and scaling up self-care interventions as a measure to support the healthcare system in delivering quality sexual and reproductive health services. Supervision, monitoring and reporting are areas requiring further support, as well as the leadership and governance role of the public sector. Standardization of trainings, community awareness, supervision, monitoring and reporting are required together with integration of self-care in routine capacity building activities (pre- and in-service) on sexual and reproductive health in the country.

scholarly journals The role of self-care interventions on men’s health-seeking behaviours to advance their sexual and reproductive health and rights

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Manjulaa Narasimhan ◽  
Carmen H. Logie ◽  
Kevin Moody ◽  
Jonathan Hopkins ◽  
Oswaldo Montoya ◽  
...  
Keyword(s):  
Public Health ◽  
Reproductive Health ◽  
Social Norms ◽  
Sexual And Reproductive Health ◽  
Self Care ◽  
Men’S Health ◽  
Men's Health ◽  
Health Seeking ◽  
Digital Platforms ◽  
Care Practices

Abstract Background Self-care interventions are influencing people’s access to, expectation and understanding of healthcare beyond formal health delivery systems. In doing so, self-care interventions could potentially improve health-seeking behaviours. While many men proactively engage in maintaining and promoting their health, the focus on men’s health comes from the recognition, at least partially, that male socialization and social norms can induce men and boys to have a lower engagement in institutionalized public health entities and systems around their sexual and reproductive health and rights, that could impact negatively on themselves, their partners and children. Main text A research agenda could consider the ways that public health messaging and information on self care practices for sexual and reproductive health and rights could be tailored to reflect men’s lived realities and experiences. Three examples of evidence-based self-care interventions related to sexual and reproductive health and rights that men can, and many do, engage in are briefly discussed: condom use, HIV self-testing and use of telemedicine and digital platforms for sexual health. We apply four core elements that contribute to health, including men’s health (people-centred approaches, quality health systems, a safe and supportive enabling environment, and behaviour-change communication) to each intervention where further research can inform normative guidance. Conclusion Engaging men and boys and facilitating their participation in self care can be an important policy intervention to advance global sexual and reproductive health and rights goals. The longstanding model of men neglecting or even sabotaging their wellbeing needs to be replaced by healthier lifestyles, which requires understanding how factors related to social support, social norms, power, academic performance or employability conditions, among others, influence men’s engagement with health services and with their own self care practices.

scholarly journals Are rhetorical commitments to adolescents reflected in planning documents? An exploratory content analysis of adolescent sexual and reproductive health in Global Financing Facility country plans

2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Asha S. George ◽  
Tanya Jacobs ◽  
Mary V. Kinney ◽  
Annie Haakenstad ◽  
Neha S. Singh ◽  
...  
Keyword(s):  
Content Analysis ◽  
Reproductive Health ◽  
Health Services ◽  
Adolescent Health ◽  
Teenage Pregnancy ◽  
Sexual And Reproductive Health ◽  
Democratic Republic Of Congo ◽  
Social Determinant ◽  
Project Appraisal ◽  
School Based

Abstract Background The Global Financing Facility (GFF) offers an opportunity to close the financing gap that holds back gains in women, children’s and adolescent health. However, very little work exists examining GFF practice, particularly for adolescent health. As momentum builds for the GFF, we examine initial GFF planning documents to inform future national and multi-lateral efforts to advance adolescent sexual and reproductive health. Methods We undertook a content analysis of the first 11 GFF Investment Cases and Project Appraisal Documents available on the GFF website. The countries involved include Bangladesh, Cameroon, Democratic Republic of Congo, Ethiopia, Guatemala, Kenya, Liberia, Mozambique, Nigeria, Tanzania and Uganda. Results While several country documents signal understanding and investment in adolescents as a strategic area, this is not consistent across all countries, nor between Investment Cases and Project Appraisal Documents. In both types of documents commitments weaken as one moves from programming content to indicators to investment. Important contributions include how teenage pregnancy is a universal concern, how adolescent and youth friendly health services and school-based programs are supported in several country documents, how gender is noted as a key social determinant critical for mainstreaming across the health system, alongside the importance of multi-sectoral collaboration, and the acknowledgement of adolescent rights. Weaknesses include the lack of comprehensive analysis of adolescent health needs, inconsistent investments in adolescent friendly health services and school based programs, missed opportunities in not supporting multi-component and multi-level initiatives to change gender norms involving adolescent boys in addition to adolescent girls, and neglect of governance approaches to broker effective multi-sectoral collaboration, community engagement and adolescent involvement. Conclusion There are important examples of how the GFF supports adolescents and their sexual and reproductive health. However, more can be done. While building on service delivery approaches more consistently, it must also fund initiatives that address the main social and systems drivers of adolescent health. This requires capacity building for the technical aspects of adolescent health, but also engaging politically to ensure that the right actors are convened to prioritize adolescent health in country plans and to ensure accountability in the GFF process itself.

scholarly journals Regulatory standards and processes for over-the-counter availability of hormonal contraception and drugs for medical abortion in five countries in the Eastern Mediterranean Region

2021 ◽  
Vol 19 (S1) ◽  
Author(s):  
Anne Ammerdorffer ◽  
Mark Laws ◽  
Arinze Awiligwe ◽  
Florence Erb ◽  
Wallada Im-Amornphong ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health System ◽  
Emergency Contraception ◽  
Sexual And Reproductive Health ◽  
Self Care ◽  
Medical Abortion ◽  
Health System Strengthening ◽  
World Health ◽  
Over The Counter ◽  
Regulatory Status

AbstractThe World Health Organization 2019 WHO consolidated guideline on self-care interventions for health: sexual and reproductive health and rights includes recommendations on self-administration of injectable contraception, over-the-counter (OTC) oral contraception and self-management of medical abortion. A review of the regulatory status of these two self-care interventions can highlight processes required to ensure that the quality of the medicines and safety of individuals are safeguarded in the introduction and scale-up in countries. This review outlines the legal regulatory status of prescription-only medicine (POM) and OTC contraceptives, including emergency contraception, and drugs for medical abortion in Egypt, Jordan, Lebanon, Morocco and Tunisia using information obtained from internet searches, regulatory information databases and personal contacts. In addition, the review examines whether the national medicines regulatory authorities have documented procedures available to allow for a change in status from a POM to OTC to allow for increased accessibility, availability and uptake of self-care interventions recommended by WHO. Egypt, Jordan and Lebanon have a documented national OTC list available. The only contraceptive product mentioned in the OTC lists across all five countries is ellaOne (ulipristal acetate for emergency contraception), which is publicly registered in Lebanon. None of the five countries has an official documented procedure to apply for the change of POM to OTC. Informal procedures exist, such as the ability to apply to the national medicines regulatory authority for OTC status if the product has OTC status in the original country of manufacture. However, many of these procedures are not officially documented, highlighting the need for establishing sound, affordable and effective regulation of medical products as an important part of health system strengthening. From a public health perspective, it would be advantageous for licensed products to be available OTC. This is particularly the case for settings where the health system is under-resourced or over-stretched due to health emergencies. Readiness of national regulatory guidelines and OTC procedures could lead to increased access, availability and usage of essential self-care interventions for sexual and reproductive health and rights.

scholarly journals Self-care interventions for sexual and reproductive health and rights for advancing universal health coverage

2020 ◽  
Vol 28 (2) ◽  
pp. 1778610
Author(s):  
Manjulaa Narasimhan ◽  
Carmen H. Logie ◽  
Alice Gauntley ◽  
Rodolfo Gomez Ponce de Leon ◽  
Karima Gholbzouri ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Universal Health Coverage ◽  
Sexual And Reproductive Health ◽  
Self Care ◽  
Health Coverage ◽  
Universal Health

Mixed Methods Research in Knowledge Management Studies (2009–2014): A Content Analysis of Journal Articles

2020 ◽  
Vol 19 (03) ◽  
pp. 2050016
Author(s):  
Patrick Ngulube
Keyword(s):  
Knowledge Management ◽  
Content Analysis ◽  
Mixed Methods ◽  
Mixed Methods Research ◽  
Qualitative Content Analysis ◽  
Reliability And Validity ◽  
Social Contexts ◽  
Future Research ◽  
Qualitative Approaches ◽  
Complex Design

The purpose of this article is to investigate the adoption and utilisation of mixed methods research (MMR) in an emerging field, such as knowledge management (KM). Methodologies used by researchers have a bearing on the reliability and validity of the knowledge they produce. There is need to explore the prevalence in use of various methodologies over time. Such studies provide researchers time to reflect on their research practices. It is important to reflect on how researchers are adopting and utilising MMR approaches and what can be done to improve methodological approaches in research. A qualitative content analysis of articles from five leading KM-centric journals published between 2009 and 2014 was conducted for the research purpose. Our findings contribute to a better understanding of the utilisation of MMR in KM and provide guidance for those seeking to learn about and apply MMR approaches in research in context. Only 1.1% of the studies were classified as representing some form of MMR. Of the eight articles that were sampled, five of them did not explicitly identify themselves as MMR studies. Two of the articles did not give reasons for combining quantitative and qualitative approaches. None of the studies that were examined identified the MMR approach that was employed. Four of the MMR studies were exploratory, three were explanatory and one was convergent. All the articles were partially mixed studies. Few researchers indicated how they prioritised qualitative and quantitative strands. A handful of sampled studies used MMR and employed basic design typologies in contrast to complex typologies. It is recommended that KM research should embrace MMR and use complex design typologies in order to enhance their understanding of the complex problems that KM scholars encounter. Methodological pluralism has the potential of contributing to the growth in knowledge and development of many perspectives in the field: an appreciation of the advantages of using MMR and its potential to provide a holistic, innovative and robust perspective of research phenomena. The selection criteria in this study excluded other journals that cover KM research. Further research may uncover whether the prevalence rates reported in this study are consistent with those journals which were excluded in this study. Methodologies used by researchers for different kinds of research may be different. The research method employed in this study does not have the ability to establish that. Future studies may employ interviews and other data collection techniques in order to triangulate methods to determine why MMR was not prevalent. The future research directions should consider the extent to which personal, interpersonal and social contexts influence researchers to use MMR.

Misalignment of sexual and reproductive health priorities among older Latino adolescents and their mothers

Contraception ◽  
2019 ◽  
Vol 99 (3) ◽  
pp. 179-183 ◽  
Author(s):  
Vincent Guilamo-Ramos ◽  
Alex S. Bowman ◽  
Adam Benzekri ◽  
Yumary Ruiz ◽  
Oscar Beltran
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Health Priorities ◽  
Latino Adolescents
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