Knowledge Assessment of the Effect of Environmental Contaminants on Reproductive Health in Jigawa Rural Communities, Nigeria

2012 ◽  
Vol 44 (2) ◽  
pp. 78-83 ◽  
Author(s):  
Cynthia H. Chuang ◽  
Sandra W. Hwang ◽  
Jennifer S. McCall-Hosenfeld ◽  
Lara Rosenwasser ◽  
Marianne M. Hillemeier ◽  
...  

2004 ◽  

The Division of Reproductive Health (DSR) of the Senegal Ministry of Health and Social Action, in partnership with the Population Council’s FRONTIERS in Reproductive Health program and Management Sciences for Health (MSH), conducted a study to test and compare three ways of providing reproductive health services to rural communities in the Kébémer district of Senegal in terms of their effectiveness, cost, and cost-effectiveness. FRONTIERS and MSH collaborated with the DSR to design the interventions, MSH supported the DSR in implementing the interventions, and FRONTIERS undertook the evaluation. This study, funded by USAID, responded to the recommendations of a 1999 workshop, organized by FRONTIERS and the DSR, on the community-based distribution (CBD) approach, which defined alternative CBD models appropriate for Senegal. The DSR sees the development of community-based service delivery models as essential for the future of health care in Senegal. As noted in this report, the general objective of the study was to contribute to the development of an integrated cost-effective program to increase the accessibility and availability of reproductive health information and services in rural areas of Senegal.


2020 ◽  
Vol 12 (1) ◽  
pp. 49 ◽  
Author(s):  
Sarah Ireland ◽  
Suzanne Belton ◽  
Frances Doran

ABSTRACT INTRODUCTIONRegardless of geographical location, safe and legal abortion is an essential reproductive health service. Accessing an abortion is problematic for women in rural areas. Although telemedicine is globally established as safe and effective for medical abortion in urban settings, there is a paucity of research exploring access to telemedicine abortion for women in rural locations. AIMThe aim of this qualitative research is to explore and better understand women’s access to telemedicine abortion in Australian rural areas. METHODSStructured interviews were conducted with women (n=11) living in rural areas who had experienced a telemedicine abortion within the last 6 months. Phone interviews were recorded and transcribed verbatim. Data underwent a Patient-Centred Access framework analysis and were coded according to the domain categories of approachability/ability to perceive, acceptability/ability to seek, availability/ability to reach, affordability/ability to pay, and appropriateness/ability to engage. RESULTSRural women had severely limited access to abortion care. The five domains of the Patient-Centred Access model demonstrated that when women with the prerequisite personal skills and circumstances are offered a low-cost service with compassionate staff and technical competence, telemedicine can innovate to ensure rural communities have access to essential reproductive health services. DISCUSSIONTelemedicine offers an innovative model for ensuring women’s access to medical abortion services in rural areas of Australia and likely has similar applicability to international non-urban contexts. Strategies are needed to ensure women with lower literacy and less favourable situational contexts, can equitably access abortion services through telemedicine.


2019 ◽  
pp. 38-43
Author(s):  
Mohammed Tanko Naziru ◽  
Fred Yao Gbagbo ◽  
Evans Kofi Agbeno ◽  
Easmon Otupiri

Introduction: Ghana developed her adolescent reproductive health policy in october 2000 to guide implementation of adolescent reproductive health and related services. Despite a comprehensive policy implementation strategy, the burden of adolescent pregnancies in rural Ghana remains a public health challenge since little is known about the core predictors. This study therefore explores socio-demographic and economic predictors of the pregnancies in Amenfi West district. Methods: The study design was a community based case-control study involving 80 cases and 220 controls. Data was collected using structured questionnaires and analyzed by Stata version 11 to examine associations between predictors of pregnancy and background characteristics of adolescents. Results: Findings show that, being in school, coming from a wealthy household, contraceptive use, parental monitoring and relationship counselling offered significant protection against adolescent pregnancy (p<0.05). However, factors such as violent parental attitudes towards boy/girlfriend relationships, demanding financial support from adolescents for housekeeping and peer pressure from ever been pregnant friends predisposes adolescents to pregnancy. Conclusion: Advocacy for increased social/parental support for adolescents, education on modern contraception and availability of services are keys to preventing adolescent-pregnancies in rural communities.


2019 ◽  
Vol 77 ◽  
pp. 210-217 ◽  
Author(s):  
Yanmin Ma ◽  
Xin He ◽  
Keyan Qi ◽  
Tong Wang ◽  
Yongchao Qi ◽  
...  

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