scholarly journals Knowledge and sources of accessing sexual and reproductive health information among visually impaired women in Ghana

2019 ◽  
Author(s):  
Eric Badu ◽  
Isaac Mensah ◽  
Naomi Gyamfi ◽  
Elvis Agyei-Okyere ◽  
Eric Abodey ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Support Services ◽  
Visually Impaired ◽  
Qualitative Data ◽  
Sexual And Reproductive Health ◽  
Reproductive Health Services ◽  
Group Discussions ◽  
Awareness Campaigns ◽  
Care Information ◽  
Depth Interviews

Abstract Objective: This study aims to explore the knowledge and sources of accessing sexual and reproductive health services and care information among visually impaired women in Ghana. Qualitative data involving in-depth interviews and focus group discussions were conducted among 21 visually impaired women selected through purposive and snowballing sampling techniques. Thematic Analysis was used to analyse the data. Results: The study showed that visually impaired women were active seekers of SRH information (knowledgeable about SRH information and understand the relevance of accessing such information) and passive recipient of SRH information (through formal and informal sources). However, some contextual factors (lack of family and caregivers support services) created barriers for visually impaired women when accessing SRH information. Government advocacy and awareness campaigns on SRH services should consider both formal and informal sources. Family caregivers and SRH health centres should provide adequate support services for visually impaired women regarding information on SRH service.

scholarly journals Knowledge and sources of accessing sexual and reproductive health information among visually impaired women in Ghana

2019 ◽  
Author(s):  
Eric Badu ◽  
Isaac Mensah ◽  
Naomi Gyamfi ◽  
Elvis Agyei-Okyere ◽  
Eric Abodey ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Family Caregivers ◽  
Support Services ◽  
Visually Impaired ◽  
Sexual And Reproductive Health ◽  
Sources Of Information ◽  
Reproductive Health Services ◽  
Awareness Campaigns ◽  
Care Information ◽  
Gender Groups

Abstract Objective: This study explores the knowledge and sources of information in accessing sexual and reproductive health services and care information among visually impaired women in Ghana. Qualitative data involving In-depth Interviews and Focus Group Discussions were conducted among 21 visually impaired women, selected through purposive and snowballing sampling techniques. Thematic Analysis was used to analyse the data. Results: The study identified fives themes – knowledge, the relevance of accessing SRH services and care information, sources and content of the information as well as barriers to accessing such information. The study showed that visually impaired women were knowledgeable about the relevance of SRH services and care information. However, they had limited knowledge about the group of individuals that uses such services. The source of accessing information was formal and informal. Barriers to accessing information on SRH services and care was the lack of family caregivers and support services. The study recommends that current policies and programmes on SRH services and care should be made inclusive of visually impaired women. The advocacy and awareness campaigns on SRH services and care should educate visually impaired women, communities and family caregivers about services for individual gender groups as well as support services.

Sexual and Reproductive Health Information and Experiences Among Syrian Refugee Adolescent Girls in Lebanon

2021 ◽  
Vol 31 (5) ◽  
pp. 983-998
Author(s):  
L’Emira Lama El Ayoubi ◽  
Sawsan Abdulrahim ◽  
Maia Sieverding
Keyword(s):  
Reproductive Health ◽  
Adolescent Girls ◽  
Sexual And Reproductive Health ◽  
Well Being ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Syrian Refugee ◽  
Entry Points ◽  
Depth Interviews ◽  
Source Of Information

Providing adolescent girls with sexual and reproductive health (SRH) information protects them from risks and improves their well-being. This qualitative study, conducted in Lebanon, examined Syrian refugee adolescent girls’ access to SRH information about and experiences with puberty and menarche, sex, marriage, contraception, and pregnancy. We gathered data through three focus group discussions (FGDs) with unmarried adolescent girls, 11 in-depth interviews with early-married adolescents, and two FGDs with mothers. Our findings highlighted that adolescent participants received inadequate SRH information shortly before or at the time of menarche and sexual initiation, resulting in experiences characterized by anxiety and fear. They also revealed discordance between girls’ views of mothers as a preferred source of information and mothers’ reluctance to communicate with their daughters about SRH. We advance that mothers are important entry points for future interventions in this refugee population and offer recommendations aimed to improve adolescent girls’ SRH and rights.

scholarly journals Challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe: The case of Chitungwiza town

2017 ◽  
Vol 6 ◽  
Author(s):  
Tafadzwa Rugoho ◽  
France Maphosa
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Physical Disabilities ◽  
People With Disabilities ◽  
Reproductive Health Services ◽  
Women With Disabilities ◽  
Reproductive Services ◽  
Negative Perceptions ◽  
The Government ◽  
Depth Interviews

Background: Women with disabilities in Zimbabwe face numerous challenges in accessing sexual and reproductive health. Cultural belief still regards them as not sexually active. The government has also failed to promote policies that facilitate access to sexual and reproductive services by women with disabilities.Objectives: The reseach objectives were to explore the challenges faced by women with disabilities in accessing sexual and reproductive health in Zimbabwe.Method: The data were gathered using in-depth interviews with 23 purposively selected respondents. Thirteen women had physical disabilities, five were visually impaired, three were deaf and two were stammering. The respondents with physical disabilities were using wheelchairs, walking frames, prosthesis, crutches and caliper shoes. The participants’ ages ranged from 18 to 45 years. All interviews were transcribed and translated verbatim into English, and passages were extracted from the transcripts. Key themes and concepts were identified and coded to offer a rich framework for analysis, comparisons and presentation of the data.Results: Negative perceptions of health personnel towards people with disabilities, disability-unfriendly infrastructure at health facilities and absence of trained personnel for people with disabilities (sign language) are some of the challenges involved.Conclusion: The government, in partnership with other stakeholders, should address challenges faced by women with disabilities when accessing sexual and reproductive health services. Non-government, private hospitals and profit-making organisations should join hands with government in funding health requirements for women with disabilities.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Urban Health ◽  
Sexual And Reproductive Health ◽  
Health Facilities ◽  
Reproductive Health Services ◽  
Cross Sectional Survey ◽  
Services Delivery ◽  
Depth Interviews

Abstract Background: Access and utilization of quality and comprehensive sexual and reproductive health services (SRHS) is crucial for the health of young adolescents worldwide. This study assessed the quality of SRHS provided to Rwandan adolescents in urban health facilities in terms of availability, accessibility, cost, and counseling, with particular emphasis on HIV and family planning-related education.Method: The study was a descriptive cross-sectional survey conducted between May 2018 and May 2019 in six selected cities of Rwanda using a mixed-methods approach, including semi-structured questionnaire administration and in-depth interviews with 159 conveniently selected SRH services providers. All survey tools had been previously validated. SPSS version 20 was used for descriptive statistical analysis of quantitative data and ATLAS TI version 5.2 was used to code and analyze the qualitative data thematically.Results: Overall, the availability of adolescent SRHS is satisfactory in more than 80% of health facilities surveyed, including access to accurate SRH information, contraceptive methods, prevention and management of STIs and HIV, and counselling. However the accessibility of some services remains limited. According to respondents, some products such as female condoms are less in demand and often expire before they can be distributed. In-depth interviews revealed that 94.3% of centers provide information to adolescents on SRHS available and 51.6% affirmed delivering services at a low cost. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Private health facilities offer HIV testing for free, but for treatment and other services, they channel adolescents to public health facilities. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities. Religious leaders and family members may hinder adolescents from seeking behavior by promoting only abstinence and discouraging using protective means.Conclusion: SRHS were generally available for distribution to adolescents at most of the facilities but limited in access. Adolescents were said to face structural and social challenges towards accessing services. There is a need to improve the accessibility of SRH services delivery sites while considering innovative methods to broaden access to services.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Urban Health ◽  
Sexual And Reproductive Health ◽  
Healthcare Providers ◽  
Health Facilities ◽  
Reproductive Health Services ◽  
Services Delivery ◽  
Depth Interviews

Abstract Background : Access and utilization of quality and comprehensive sexual and reproductive health services (SRHS) is a very crucial point for young adolescents worldwide. This study assessed the quality of SRHS provided to Rwandan adolescents in urban health facilities in terms of availability, accessibility, cost, counseling, with particular emphasis on HIV and family planning-related cases. Method : The study was a descriptive cross-sectional survey conducted during the year 2019 in six selected cities of Rwanda using a mixed-methods approach, including s emi-structured questionnaire administration and in-depth interviews with social and healthcare workers. The study sample consisted of 159 social and healthcare providers ( 54.5 % men and 45.5% women) enrolled by convenience based on their responsibilities in the selected entities. All survey tools were pre-tested. SPSS version 20 served for descriptive statistics analysis of quantitative data, whereas ATLAS TI version 5.2 helped to code and analyze the qualitative data thematically. Results : Overall, the availability of adolescents sexual reproductive health services is satisfactory in more than 80% of health facilities surveyed, but the accessibility is a little bit low for some services. According to the respondents dire, some products available like female condoms are less demanded and often expire unused. In-depth interviews revealed that 94.3% of centers provide information to adolescents on SRHS available, and 51.6% affirmed delivering services at a low cost. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Private health facilities offer HIV testing for free, but for treatment and other services, they channel adolescents to public health facilities. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities. Religious leaders and family members may hinder adolescents from seeking behavior. Conclusion : SRHS were generally physically available at most of the facilities but limited in access as not all facilities were allowed to deliver some services. Adolescents were said to face structural and social challenges towards accessing services. There is a need to improve the accessibility of SRH services delivery sites while considering innovative methods to broaden access to services.

scholarly journals Sexual and Reproductive Health Services Utilization among Wolaita Sodo University Students, Ethiopia: A Mixed Method Approach

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Muluken Gunta ◽  
Temesgen Tantu ◽  
Sintayehu Wolka ◽  
Mengistu Meskele ◽  
Asaminew Ayza ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
University Students ◽  
Mixed Method ◽  
Qualitative Data ◽  
Sexual And Reproductive Health ◽  
Health Services Utilization ◽  
Reproductive Health Services ◽  
Services Utilization ◽  
Wolaita Sodo

Background. Youths have been facing different sexual and reproductive health problems such as HIV infections and unplanned pregnancies. Therefore, this study aimed to assess reproductive health services utilization and their associated factors among Wolaita Sodo University students in Wolaita Sodo, Ethiopia. Methods. We conducted an institutionally-based mixed-method study among 759 regular undergraduate university students. Multistage random sampling and purposive sampling techniques have been used to recruit students for the quantitative and qualitative studies, respectively. A pretested self-administered questionnaire was used to collect the data. A logistic regression model was used for quantitative data analysis, whereas thematic analysis was used for qualitative data. We used open-code software-assisted qualitative data analysis. The statistical significance was declared at a P value less than 0.05. Results. We found that 378 (49.8%) (95% CI: 46.20–53.34) of respondents had utilized sexual and reproductive health services within the 12 months preceding the current survey. Being a first-year student (AOR = 1.57, 95% CI: 1.01–2.46), having ever had sexual intercourse (AOR = 5.12, 95% CI: 3.31, 7.96), participating in peer-to-peer discussion (AOR = 1.46, 95% CI: 1.02–2.02), and having ever had sexual transmitted infection syndrome (AOR = 3.91, 95% CI: 1.41–10.85) have increased the odds of using sexual and reproductive health services. Conclusion. Sexual and reproductive health services utilization among university students was inadequate and affected by several factors. Therefore, strengthening peer support networks and addressing the gap in services were highly recommended.

Multi-level Barriers for Utilization of Youth Friendly Reproductive Health Services (YFRHS) among Youths

2020 ◽  
Vol 8 ◽  
pp. 95-108
Author(s):  
Shanti Prasad Khanal
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
System Level ◽  
Mixed Method Research ◽  
Reproductive Health Services ◽  
Group Discussions ◽  
Personal Level ◽  
Multi Level ◽  
Youth Friendly

 The present study aims to examine the multi-level barriers to utilize by the youth-friendly reproductive health services (YFRHS) among the school-going youths of the Surkhet valley of Nepal. This study is based on the sequential explanatory research design under mixed-method research. The quantitative data were collected using the self- administered questionnaire from the 249 youths, aged between the 15-24 years, those selected by using random sampling. The qualitative data were collected using the Focus Group Discussions (FGDs) from the 12 participants who were selected purposively. The study confirmed that school-going youths do not have appropriate utilization of YFHS due to multi-layered barriers. However, the utilization of the service was higher among females, those the older age group, studying in the upper classes, the upper castes, and married youths. The key findings and themes are recognized as multi-layered barriers including personal-level, health system-level, community-level, and policy-level on the entire socio-ecological field. Among them, the existing health system is the foremost barrier. Multi-level interventions are, therefore, required to increase the YFRHS utilization and improve concerns for school-going-youths.  

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