scholarly journals Maternal health among Venezuelan women migrants at the border of Brazil 

2020 ◽  
Author(s):  
Luis Bahamondes ◽  
Montas Laporte ◽  
Deborah Margatho ◽  
Helder de Amorin ◽  
Cinthia Brasil ◽  
...  

Abstract Background: Guaranteeing the sexual and reproductive health and rights (SRHR) of populations living in fragile and humanitarian settings is essential and constitutes a basic human right. Compounded by the inherent vulnerabilities of women in crises, substantial complications are directly associated with increased risks of poor SRHR outcomes for displaced populations. The migration of Venezuelans, displaced due to current economic circumstances, is one of the largest in Latin America’s history. This study aims to provide an overview of the sexual and reproductive health (SRH) issues affecting migrant Venezuelan women in the state of Roraima, Brazil.Methods: Face-to-face interviews were conducted from 24 to 30 November 2019. Data collection covered various issues involving access to and use of SRH services by 405 migrant Venezuelan women aged 18-49 years. The Minimum Initial Service Package readiness assessment tools, available from the Inter-Agency Working Group on Reproductive Health in Crises, were used in the data collection.Results: Most commonly, the women reported unmet family planning needs. Of these, a significant proportion reported being unable to obtain contraceptive methods, particularly long-acting reversible contraceptives, either due to the woman’s inability to access them or their unavailability at healthcare centres. Although a significant proportion of women were largely satisfied with the attention received at the maternity hospital, both before and during childbirth, 24.0% of pregnant or postpartum women failed to receive any prenatal or postnatal care. Conclusion: Meeting the essential SRHR needs of migrant Venezuelan women in Roraima, Brazil is a challenge that has yet to be fully addressed. Given the size of this migrant population, the Brazilian healthcare system has failed to adapt sufficiently to meet their needs; however, problems with healthcare provision are similar for migrants and Brazilian citizens. Efforts need to be encouraged not only in governmental health sectors, but also with academic, non-governmental and international organisations, including a coordinated approach to ensure a comprehensive SRHR response. Given the current high risks associated with the SARS-CoV-2 pandemic, meeting the SRHR needs of migrant populations has become more critical than ever.

2020 ◽  
Author(s):  
Luis Bahamondes ◽  
Montas Laporte ◽  
Deborah Margatho ◽  
Helder de Amorin ◽  
Cinthia Brasil ◽  
...  

Abstract Background: Guaranteeing the sexual and reproductive health and rights (SRHR) of populations living in fragile and humanitarian settings is essential and constitutes a basic human right. Compounded by the inherent vulnerabilities of women in crises, substantial complications are directly associated with increased risks of poor SRHR outcomes for displaced populations. The migration of Venezuelans, displaced due to current economic circumstances, is one of the largest in Latin America’s history. This study aims to provide an overview of the sexual and reproductive health (SRH) issues affecting migrant Venezuelan women in the state of Roraima, Brazil.Methods: Face-to-face interviews were conducted from 24 to 30 November 2019. Data collection covered various issues involving access to and use of SRH services by 405 migrant Venezuelan women aged 18-49 years. The Minimum Initial Service Package readiness assessment tools, available from the Inter-Agency Working Group on Reproductive Health in Crises, were used in the data collection.Results: Most commonly, the women reported unmet family planning needs. Of these, a significant proportion reported being unable to obtain contraceptive methods, particularly long-acting reversible contraceptives, either due to the woman’s inability to access them or their unavailability at healthcare centres. Although a significant proportion of women were largely satisfied with the attention received at the maternity hospital, both before and during childbirth, 24.0% of pregnant or postpartum women failed to receive any prenatal or postnatal care. Conclusion: Meeting the essential SRHR needs of migrant Venezuelan women in Roraima, Brazil is a challenge that has yet to be fully addressed. Given the size of this migrant population, the Brazilian healthcare system has failed to adapt sufficiently to meet their needs; however, problems with healthcare provision are similar for migrants and Brazilian citizens. Efforts need to be encouraged not only in governmental health sectors, but also with academic, non-governmental and international organisations, including a coordinated approach to ensure a comprehensive SRHR response. Given the current high risks associated with the SARS-CoV-2 pandemic, meeting the SRHR needs of migrant populations has become more critical than ever.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
L. Bahamondes ◽  
M. Laporte ◽  
D. Margatho ◽  
H. S. F. de Amorim ◽  
C. Brasil ◽  
...  

Abstract Background Guaranteeing the sexual and reproductive health and rights (SRHR) of populations living in fragile and humanitarian settings is essential and constitutes a basic human right. Compounded by the inherent vulnerabilities of women in crises, substantial complications are directly associated with increased risks of poor SRHR outcomes for displaced populations. The migration of Venezuelans, displaced due to current economic circumstances, is one of the largest in Latin America’s history. This study aims to provide an overview of the sexual and reproductive health (SRH) issues affecting migrant Venezuelan women in the state of Roraima, Brazil. Methods Face-to-face interviews were conducted from 24 to 30 November 2019. Data collection covered various issues involving access to and use of SRH services by 405 migrant Venezuelan women aged 18–49 years. The Minimum Initial Service Package readiness assessment tools, available from the Inter-Agency Working Group on Reproductive Health in Crises, were used in the data collection. Results Most commonly, the women reported unmet family planning needs. Of these, a significant proportion reported being unable to obtain contraceptive methods, particularly long-acting reversible contraceptives, either due to the woman’s inability to access them or their unavailability at healthcare centres. Although a significant proportion of women were largely satisfied with the attention received at the maternity hospital, both before and during childbirth, 24.0% of pregnant or postpartum women failed to receive any prenatal or postnatal care. Conclusion Meeting the essential SRHR needs of migrant Venezuelan women in Roraima, Brazil is a challenge that has yet to be fully addressed. Given the size of this migrant population, the Brazilian healthcare system has failed to adapt sufficiently to meet their needs; however, problems with healthcare provision are similar for migrants and Brazilian citizens. Efforts need to be encouraged not only in governmental health sectors, but also with academic, non-governmental and international organisations, including a coordinated approach to ensure a comprehensive SRHR response. Given the current high risks associated with the SARS-CoV-2 pandemic, meeting the SRHR needs of migrant populations has become more critical than ever.


2020 ◽  
Author(s):  
Luis Bahamondes ◽  
Montas Laporte ◽  
Deborah Margatho ◽  
Helder de Amorin ◽  
Cinthia Brasil ◽  
...  

Abstract Background: Guaranteeing the sexual and reproductive health and rights (SRHR) of populations living in fragile and humanitarian settings is essential and constitutes a basic human right. Compounded by the inherent vulnerabilities of women in crises, substantial complications are directly associated with increased risks of poor SRHR outcomes for displaced populations. The migration of Venezuelans, displaced due to current economic circumstances, is one of the largest in Latin America’s history. This study aims to provide an overview of the sexual and reproductive health (SRH) issues affecting migrant Venezuelan women in the state of Roraima, Brazil.Methods: Face-to-face interviews were conducted from 24 to 30 November 2019. Data collection covered various issues involving access to and use of SRH services by 405 migrant Venezuelan women aged 18-49 years. The Minimum Initial Service Package readiness assessment tools, available from the Inter-Agency Working Group on Reproductive Health in Crises, were used in the data collection.Results: Most commonly, the women reported unmet family planning needs. Of these, a significant proportion reported being unable to obtain contraceptive methods, particularly long-acting reversible contraceptives, either due to the woman’s inability to access them or their unavailability at healthcare centres. Although a significant proportion of women were largely satisfied with the attention received at the maternity hospital, both before and during childbirth, 24.0% of pregnant or postpartum women failed to receive any prenatal or postnatal care. Conclusion: Meeting the essential SRHR needs of migrant Venezuelan women in Roraima, Brazil is a challenge that has yet to be fully addressed. Given the size of this migrant population, the Brazilian healthcare system has failed to adapt sufficiently to meet their needs; however, problems with healthcare provision are similar for migrants and Brazilian citizens. Efforts need to be encouraged not only in governmental health sectors, but also with academic, non-governmental and international organisations, including a coordinated approach to ensure a comprehensive SRHR response. Given the current high risks associated with the SARS-CoV-2 pandemic, meeting the SRHR needs of migrant populations has become more critical than ever.


2020 ◽  
Author(s):  
Luis Guillermo Bahamondes ◽  
Montas Laporte ◽  
Deborah Margatho ◽  
Helder de Amorin ◽  
Cinthia Brasil ◽  
...  

Abstract Background: Meeting the Sexual and reproductive health and rights (SRHR) for populations living in fragile and humanitarian settings is critical, essential as well as a basic human right. Compounded with the inherent vulnerabilities of women in crises, there are substantial complications that directly associated with increasing the risks of poor SRHR outcomes for displaced populations. The current forced displacement of the Venezuelans migrants is one of the largest in the Latin America’s history. Our research aimed to assess sexual and reproductive health and rights (SRHR) situation among Venezuelan women in Roraima State, Brazil. Methods: A study with face-to-face interviews was conducted. Data collection covered various issues pertaining to SRHR services, access and use among Venezuelan migrant’s women aged 18-49 years old. We used to data collection the Minimum Initial Service Package readiness assessment tools from the Inter-Agency Working Group on Reproductive Health. Results: We present results of interviews with 405 women were conducted between 24 and 30 November 2019. The most common observed findings in our research as reported by women were unmet family planning needs. A significant proportion of women who needed family planning reported that they were unable to access family planning. This was attributed to either inability to access them and unavailability at the health care centres. Further, 25.0% of pregnant women or postpartum women did not receive antenatal or postnatal care. Conclusion: Meeting the essential SRHR needs among Venezuelan’s migrant women in Roraima, State, Brazil appears to be limited and challenging. Given the high and growing numbers of this migrant population in Brazil, the Brazilian health system must be adaptable to meet the needs of this population. Efforts among not only health governmental sectors, but also academic, non-governmental and international organisations need to be encouraged as well as coordinated for a comprehensive SRHR response. Given the current high risks associated with the Covid-19 pandemic. Meeting the SRH needs migrant populations has become more critical than ever given the current COVID-19 pandemic.


Author(s):  
Marie Thoma ◽  
Carie Cox ◽  
Jasmine Fledderjohann ◽  
Rudolph Kantum Adageba

This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Global Public Health. Please check back later for the full article. Infertility remains a neglected area in sexual and reproductive health, yet its consequences are staggering. Infertility is estimated to impact about 15% (estimates range from 48 million to 180 million) of couples of reproductive age worldwide. It is associated with adverse physical and mental health outcomes, financial distress, severe social stigma, increased risk of domestic abuse, and marital instability. While men and women are equally likely to be infertile, women often bear the societal burden of infertility, particularly in societies where a woman’s identity and social value is closely tied to her ability to bear children. Despite these consequences, disparities in access to infertility treatment between low- and high-income populations persist, given the high cost and limited geographic availability of diagnostic services and assisted reproductive technologies. In addition, a significant proportion of infertility arises from preventable factors, such as smoking, sexually transmitted infections, pregnancy-related infection or unsafe abortion, and environmental contaminants. Accordingly, programs that address the equitable prevention and treatment of infertility are not only in keeping with a reproductive rights perspective, but can also improve public health. However, progress on infertility as a global concern in the field of sexual and reproductive health and rights is stymied by challenges in understanding the global epidemiology of infertility, including its causes and determinants, barriers to accessing quality infertility care, and a lack of political will and attention to this issue. Tracking and measurement of infertility is highly complex, resulting in considerable ambiguity about its prevalence and stratification of reproduction globally. A renewed global focus on infertility epidemiology, risk factors, and access to and receipt of quality of care will support individuals in trying to reach their desired number and spacing of children and improve overall health and well-being.


Author(s):  
Zainab Alimoradi ◽  
Nourossadat Kariman ◽  
Fazlollah Ahmadi ◽  
Masoumeh Simbar

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.


2021 ◽  
Vol 9 ◽  
Author(s):  
Pedro Candeias ◽  
Violeta Alarcão ◽  
Miodraga Stefanovska-Petkovska ◽  
Osvaldo Santos ◽  
Ana Virgolino ◽  
...  

The increasing number of international migrants (ranging from 153 million in 1990 to ~272 million in 2019) brought to attention the wide variation of national contexts concerning the policy measures to protect migrants' rights and ensuring their equal access to basic and essential services, namely in health. Sexual and Reproductive Health (SRH) is a key component to the overall health and quality of life and is impacted by power inequities inherent to society's institutions, environment, economics, and culture. In Portugal, guidelines for intervention in SRH are insufficient, a gap that is more pronounced with migrant populations due to the absence of culturally sensitive indicators to assess and monitor SRH. The aim of this work was 2-fold: to identify good practices in the SRH field, with a particular focus, whenever possible, on migrant populations, and to identify relevant and inclusive indicators to monitor SRH in Portugal. A Delphi panel (via online survey) with 66 experts (researchers, teachers, and health professionals) and 16 stakeholders (non-governmental organizations, civil society, and governmental organizations) was implemented in two rounds. Panelists were asked to state their level of agreement (5-point Likert-type scale) regarding four different SRH areas: Sexual Health, Reproductive Health, Social-Structural Factors, and Good Practices. Items were based on literature review and a World Café with 15 experts and stakeholders. Participation rate was 68% and response rate was 97% on the first round. From the initial list of 142 items, a total of 118 (83%) items were approved by consensus. Findings may provide extended opportunities for the healthcare system to engage in better informed decisions and more inclusive and integrative strategies regarding SRH, contributing to build political measures toward sexual and reproductive justice.


2013 ◽  
Vol 141 (9-10) ◽  
pp. 653-658 ◽  
Author(s):  
Mirjana Rasevic ◽  
Katarina Sedlecki

Introduction. Investigation of sexual and reproductive behaviour of youth in Serbia has not been performed by Internet, although it is their popular information and communication channel. Objective. Analysis of the Internet acceptability among adolescent females as a research method for sexual and reproductive behaviour, identification of the common girl from Serbia, which is informed via the Internet, as well as an overview of the most important problems in the field of sexual and reproductive health of our adolescents. Methods. The possibility of using the Internet is perceived on the basis of the number of girls aged 19?20 years who responded to certain questions asked on the website of the Association of Reproductive Health of Serbia, and reliability of the findings by monitoring the consistency of the obtained responses. Girl?s profile is defined according to most commonly selected answer to a particular issue, and the most important problems by selecting answers to some questions chosen by a significant proportion of patients. Results. Internet has proven to be the accepted research tool among young people, according to a large number of adolescent females who responded to the given questionnaire. The common girl lives in the city (78%), with parents (53%), in the functional family (78%) and belongs to a higher economic stratum (47%). She declares having many friends (44%), being a student, and financially completely relying on parents (67%). She had first sexual intercourse at the age of 17 (20%) and sexual experience with one partner (46%). Her main motive for sexual activity is being in love (64%), and is satisfied with her sexual life (64%). She prefers condom as a contraceptive method, has not been pregnant (90%), and has not been diagnosed with STI (85%). At the same time, serious problems, which may affect sexual and reproductive health, have been identified in a significant proportion of respondents. Conclusion. Internet has a great potential for defining the model of sexual and reproductive behavior of youth, and offers the possibility of alleviating these problems by a variety of activities, including sending motivational messages via Internet.


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