“Having to MacGyver it”: Provider Perceptions of Barriers and Facilitators to Sexual and Reproductive Health Care for Welfare-Involved Youth.

Author(s):  
Stacy Barron ◽  
MarySue V. Heilemann ◽  
Rebecca N. Dudovitz ◽  
David L. Richards
Sexual Health ◽  
2016 ◽  
Vol 13 (4) ◽  
pp. 299 ◽  
Author(s):  
Zelalem Birhanu Mengesha ◽  
Tinashe Dune ◽  
Janette Perz

The proportion of women from culturally and linguistically diverse backgrounds is growing in Australia. Synthesising existing evidence concerning the views and experiences of these women in accessing sexual and reproductive health care is crucial to future policy and service development. A systematic review of scientific articles and grey literature published in English between 1990 and 2015 was conducted to identify the barriers and facilitators in accessing sexual and reproductive health care in Australia experienced by culturally and linguistically diverse women. The search strategy covered seven electronic databases (ProQuest, PubMed, EMBASE/Elsevier, SCOPUS, PsycINFO, CINAHL and Infomit) and websites. Thematic analysis methodology was used to analyse and interpret the data extracted from individual studies. From the 1401 potentially relevant articles identified, 22 articles that represent the views and experiences of 1943 culturally and linguistically diverse women in accessing sexual and reproductive health care in Australia were reviewed. The main barriers and facilitators identified were grouped into three major themes. These include personal level experiences of accessing health care, women’s interaction with the healthcare system and women’s experience with healthcare providers. Implications for clinical practice and future research are discussed based on the findings of the review.


2013 ◽  
Vol 39 (4) ◽  
pp. 285-288 ◽  
Author(s):  
Jill Shawe ◽  
Sarah Cox ◽  
Nikki Penny ◽  
Alison White ◽  
Christopher Wilkinson

2021 ◽  
pp. 088307382110418
Author(s):  
Laura Kirkpatrick ◽  
Amy Collins ◽  
Elizabeth Harrison ◽  
Elizabeth Miller ◽  
Christina Patterson ◽  
...  

Objective: To explore perspectives of pediatric neurologists regarding sexual and reproductive health care for adolescent women with epilepsy (WWE) and intellectual disability. Methods: We interviewed pediatric neurologists regarding sexual and reproductive health for WWE with intellectual disability. We audio-recorded and transcribed interviews and conducted qualitative analysis. Results: 16 pediatric neurologists participated. Themes included the following: (1) Pediatric neurologists have differing perspectives about how intellectual disability affects WWE’s sexual and reproductive health needs, (2) pediatric neurologists provide sexual and reproductive health counseling variable in content and frequency to this population, (3) pediatric neurologists tend to recommend longer-term methods of contraception for this population, and (4) pediatric neurologists are asked to be involved in decision-making around sterilization, yet express ethico-legal reservations. Conclusion: Our findings suggest pediatric neurologists provide variable, often suboptimal, sexual and reproductive health care for WWE and intellectual disability. Themes reveal ethical concerns among neurologists about sexual and reproductive health practices including sterilization. More tailored clinical guidelines and provider training on sexual and reproductive health for this population may be beneficial.


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