scholarly journals The role of women self-help groups in reproductive health: an operational research

Author(s):  
Vaishnavi Devi Moola Amarnath ◽  
Anitha Rani Jeyaraju ◽  
Ramesh Harihara Iyer ◽  
Ramesh Harihara Iyer

Background: In India, women in the reproductive age group (15-44 years) comprise 53% of women population (according to 2011 census). In spite of continuous evolution to improve reproductive health services in India, there is insufficient progress in decline of maternal mortality rate at 2 percent per annuum. One of the innovative strategies identified in reproductive and child health (RCH) II program and UN millennium declaration was establishment of women self-help groups (SHG’s) particularly in rural regions with high levels of poverty. So this study is aimed to assess the current role of women SHG’s in, maternal health, Family welfare and associated maternity benefit schemes. And also, to find out the constraints in involvement of women SHG’s and to assess the feasibility of enhancing their role in reproductive health services.Methods: It is a population based cross sectional study carried out at Nemam sub centre area of Nemam primary health care centre under Thiruvallur housing and urban development. Women who have been a SHG member for more than 6 months were assessed quantitatively and qualitatively after obtaining informed consent which was approved by institutional ethics committee. Data was compiled and analyzed using SPSS 15.0. Qualitative data was analyzed using coding techniques.Results: A total of 56 self-help groups from 10 villages resulted in a total study population of 392 individuals. Before identifying their role, their awareness was also evaluated. Ninety percent of the SHG women were aware of most of the components of maternal health services. But the role was good among 58% of the SHG women. This study brings forth the gap in knowledge and their role which is because they were not confident of their knowledge.Conclusions: In a developing country like India, involving the well organized and available grass root volunteers like women SHG’s in reproductive health services will have a great bearing on the maternal health and consequently on health of children and community at large.

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Marianne Corine Darwinkel ◽  
Julius Maina Nduru ◽  
Reuben Waswa Nabie ◽  
John Anzetse Aswani

2020 ◽  
Author(s):  
Oluwasegun Jko Ogundele ◽  
Milena Pavlova ◽  
Wim Groot

Abstract Background To understand differences in access to reproductive healthcare services, the use of family planning and maternal care by women in Ghana and Nigeria is examined.Methods We used population-level data from the Ghana and Nigeria Demographic Health Surveys of 2014 and 2013 in two-step cluster analysis followed by multinomial logistic regression analysis.Results The initial two-step cluster analyses on family planning identify three groups of women in Ghana and Nigeria: women with high, medium and poor access to family planning services. The subsequent two-step cluster analyses identify five distinct groups: higher, high, medium, low and poor access to maternal health services in Ghana and Nigeria. The multinomial logistic regression shows that education and occupation are associated with access to family planning and maternal health services. Women without education often have poor access to reproductive health services in both countries. In Nigeria, household wealth is strongly associated with access to maternal health services but household wealth does not explain access in Ghana. Not having insurance in Ghana is associated with low access to family planning service, while this is not the case in Nigeria.Conclusions These differences confirm the importance of a focused context-specific approach towards reproductive health services, particularly to reduce inequality in access resulting from socioeconomic status.


1989 ◽  
Vol 15 (2-3) ◽  
pp. 204-210
Author(s):  
Albert P. Blaustein ◽  
Edward R. Grant ◽  
Ann-Louise Lohr ◽  
Kevin J. Todd

Webster v. Reproductive Health Services represented the first occasion in which a state, defending a challenge to its abortion laws, called for the Supreme Court to reconsider Roe v. Wade. This opportunity presented a two-fold challenge to those engaged in seeking the reversal of Roe through the courts. First was to persuade the Court that Roe had been erroneously decided. Second was to overcome the defense of Roe premised upon stare decisis.Two briefs, representing separate groups of Members of Congress and Senators as amici, were filed on behalf of the appellants, each addressed to one of these challenges.


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