“Being a Woman” in the Shadow of Vaginismus: The Implications of Vaginismus for Women

Introduction: Vaginismus includes some psychological conditions such as fear of pain and avoidance from penetration. There is little knowledge about the effects of vaginismus. Objective: The present study aims to present the bio-psychosocial consequences of vaginismus in women life. Methods: The method of the present study is a review, which is conducted on the available resources. All relevant studies were included to present effects of vaginismus on the women. Results: Women who have vaginismus have many problems with self-identity, psychological and reproductive lives. Most of the effects of vaginismus lead to another deep effect on women. Women with vaginismus mostly describe themselves negatively. This negative self-perception affects women’s self-esteem levels which cause psychiatric disorders. The psychiatric disorders have been associated with vaginismus as a reason and result. It is stated in the studies that the general anxiety and, penetration specific anxiety are related to vaginismus. This result reflects that women with vaginismus have more anxiety about penetration. Women with vaginismus encounter reproductive problems, who are more likely to encounter increased cesarean section and fertility problems, they are reluctant to seek health care services, especially due to fear of the gynaecological examination. Conclusion: Although vaginismus is a common problem, there is little information about the effects of vaginismus on women. Vaginismus causes psychiatric disorders and reproductive problems. The researchers should examine how women live with vaginismus. It is also suggested that psychotherapy techniques should include couples interventions and, researchers should examine psychological health of women deeply.

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Characteristics of Morbidity and Choice of Health Care Facilities in Nepal

Journal of Advanced Academic Research ◽

10.3126/jaar.v2i2.16605 ◽

2017 ◽

Vol 2 (2) ◽

pp. 47-55

Author(s):

Arjun Kumar Thapa ◽

Shiva Raj Adhikari

Keyword(s):

Health Care ◽

Low Income ◽

Health Care Services ◽

Acute Illness ◽

Health Care Facilities ◽

Seek Health Care ◽

Care Services ◽

Primary Health ◽

Service Production ◽

Care Facilities

In aftermath of People’s Movement 2008, the Government of Nepal promulgated health as a component of basic human rights. But Nepalese health consumers can seek health care services in government primary health facilities, hospitals, private clinics or do self–medication. The study intends to describe the characteristics of morbidity and factors associated in choosing particular type of health facility. For data, the study depends on a nationally representative rich cross sectional household survey data (Nepal Living Standard Survey, 2010/11) of Nepal. The findings of the study show that around one fifth of the total population reported acute illness while near about 10 percent is facing chronic illness. Around 30 percent of people reporting acute illness do not seek any health care services. Most of the rural people and poor population seek health care services in government primary health care facilities and private pharmacies. People belonging to low income quintiles are likely to seek health care services in government primary facilities. Similarly people residing in mountain & hill are likely to utilize services of government primary facilities. The study shows that urbanites are more likely to seek services in hospitals and private clinics. Therefore a homogeneous health care service production and delivery cannot address the country wide demand of health care services.

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Place Attachment Dimensions and Role Assessment in Modern Hospitals

Modern Applied Science ◽

10.5539/mas.v9n12p183 ◽

2015 ◽

Vol 9 (12) ◽

pp. 183

Author(s):

Mohammadreza Rohani ◽

Vahid Shaliamini

Keyword(s):

Psychological Health ◽

Place Attachment ◽

Health Care Services ◽

Place Identity ◽

International Standards ◽

Spatial Behavior ◽

Quick Recovery ◽

Care Services ◽

Physical And Psychological Health ◽

Modern Hospital

<p class="zhengwen">Hospitals play a significant role in people’s physical and psychological health, as well as medical and ducational researches of the experts. Therefore, hospitals’ importance is due to both health-care services and the educational effect. Many hospitals do not meet international standards due to oldness and inattention to space users. Based on the studies on place attachment, dimension, and effects, the paper attempts to promote place attachment in clinical spaces through creative exploration. Qualities such as place identity, emotional attachment, place dependence, social bonding, spatial behavior, and functional attachment are the research analysis criteria. The research methods is practical and descriptive-analytic evaluating the problem’s invisible horizons through a critical, objective, and concrete viewpoint and makes creative strategies and models possible which are responsive to different environmental dimensions especially human dimension. To study the criteria for valuation and space creation, the users and what they admire, associate, understand, and use and for which they have “sense of belonging” were also considered. The research results reveal that designing a modern hospital based on the promotion of place attachment results in the quick recovery of the patients, hospital staff’s job satisfaction, medical education improvement and also solutions to the enhancement of the environment quality of the hospital.</p>

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Exploring the Experiences of Changes to Support Access to Primary Health Care Services and the Impact on the Quality and Safety of Care for Homeless People During the COVID-19 Pandemic: A Study Protocol for A Qualitative Mixed Methods Approach.

10.21203/rs.3.rs-91472/v1 ◽

2020 ◽

Author(s):

Kelly Howells ◽

Martin Burrows ◽

Mat Amp ◽

Rachel Brennan ◽

Wan-Ley Yeung ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Lived Experience ◽

Health Care Services ◽

Homeless People ◽

Health Care Need ◽

Seek Health Care ◽

Care Services ◽

High Level ◽

The Impact

Abstract Background: Despite high level of health care need amongst people experiencing homelessness, poor access is a major concern. This is sometimes due to organisational and bureaucratic barriers, but also because they often feel stigmatised and treated badly when they do seek health care. The COVID-19 pandemic and the required social distancing measures have caused unprecedented disruption and change for the organisation of primary care, particularly for people experiencing homelessness. Against this back drop, there are many questions to address regarding whether the recent changes required to deliver services to people experiencing homelessness in the context of COVID-19 will help to address or compound problems in accessing care and inequalities in health outcomes. Methods: An action led and participatory research methodology will be employed to address the study objectives. Interviews with people experiencing homelessness were will be conducted by a researcher with lived experience of homelessness. Researchers with lived experience are able to engage with vulnerable communities in an empathetic, non-judgemental way as their shared experience promotes a sense of trust and integrity, which in turn encourages participation in research and may help people speak more openly about their experience. Interviews with health professionals and stakeholders exploring their experiences of delivering and facilitating care for homeless people during the pandemic will also be explored.Discussion: It is important to explore whether recent changes to the delivery of primary care in in response to the COVID-19 pandemic compromise the safety of homeless people and exacerbate existing health inequalities. This could have implications for how primary healthcare is delivered to those experiencing homelessness not only for the duration of the pandemic but in the future.

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Factors Influencing Client's Decision-Making Process In Private Health Care Institutions In Nigeria

11th GLOBAL CONFERENCE ON BUSINESS AND SOCIAL SCIENCES - Global Conference on Business and Social Sciences Proceeding ◽

10.35609/gcbssproceeding.2020.11(102) ◽

2020 ◽

Vol 11 (1) ◽

pp. 102-102

Author(s):

VB Akponah Chinomona ◽

Emeritus NE Mazibuko ◽

J Kruger

Keyword(s):

Health Care ◽

Decision Making ◽

Health Care Services ◽

Well Being ◽

Decision Making Process ◽

Private Health Care ◽

Seek Health Care ◽

Care Services ◽

Health Care Institutions ◽

The Impact

The impact of the health care sector and economic vitality plays a major role in the upliftment of the welfare of the society. A country's stability and sustainability will depend on how healthy its population is (Patry, Morris & Leatherman, 2010). Therefore, the reduction in mortality rate and an increase in healthy work force that performs work duties are likely to promote economic activities which will in turn increase the country's wealth. Clients seek health care services that can improve the state of their well-being. Since health care services are needed to promote well-being, clients are particular about how and where they purchase health care services from (Akponah, Mazibuko & Krüger, 2015:153). Numerous researchers have studied the factors that determine clients' decision-making in the utilization of health care services. Andersen and Newman (2005:14) put forward that predisposing, enabling and illness level influence the clients' decision to utilize health care services. Mekonnen and Mekonnen (2002:2) report that gender as a demographic factor influences the decision-making of clients regarding the utilization of health care services. However, Williams (2005:35) maintains that client attitudes regarding their decisions to utilize and access health care services from private health care institutions are influenced by their social structure, occupation, education, ethnicity, cultural, attitudes and beliefs relating to values, knowledge and attitudes from past experience. This study investigates and answers the following questions: What factors influences clients' decision-making regarding the utilization of private health care institutions? Keywords: Health care services; decision-making process; health care institutions; health insurance; clients.

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A comparative study to assess the knowledge, attitude and practice regarding tuberculosis among the male and female TB patients in district Amritsar

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20192319 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2544

Author(s):

Pooja Sadana ◽

Vishal Verma ◽

Tejbir Singh ◽

S. S. Deepti

Keyword(s):

Gender Difference ◽

Disease Transmission ◽

Health Care Services ◽

Social Stigma ◽

Significant Gender Difference ◽

Seek Health Care ◽

Care Services ◽

Attitude And Practice ◽

And Gender ◽

Knowledge Attitude And Practice

Background: Lack of knowledge about tuberculosis could have an effect on the patients who seek health care services and continue the disease transmission within the public. Hence, the study was conducted in Amritsar district to assess knowledge, attitude and practice towards transmission and prevention of Tuberculosis.Methods: The study was conducted on 326 patients registered with district tuberculosis centre, Amritsar. Information was collected with reference to knowledge, attitude, and practice regarding TB.Results: A total of 228 patients participated in the study. 72.4% had heard of tuberculosis before being diagnosed, with significant gender difference (p=0.016). 19.3% were afraid to disclose the disease to others. The relation between fear of disclosing the disease and gender was found to be statistically significant (p=0.011). 23.5% male vs 8.3% females were worried about finances, which was found to be statistically significant (p=0.002). Regarding the practices, 72.4% of the patients used separate utensils. In response to stigma 9.2% patients had isolated themselves from other members and 34.6% had discontinued their work and there was significant gender difference seen with both these practices (p=0.0001).Conclusions: There were lot of unfavourable attitude and practices regarding TB. More male patients had heard of tuberculosis. Due to social stigma more males had isolated themselves and discontinued their work as compared to females. Females were worried that other family members may not get the disease.

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Beyond the Individual: Social and Cultural Influences on the Health-Seeking Behaviors of African American Men

American Journal of Men s Health ◽

10.1177/1557988319829953 ◽

2019 ◽

Vol 13 (1) ◽

pp. 155798831982995 ◽

Cited By ~ 1

Author(s):

Natalie T. Eley ◽

Emily Namey ◽

Kevin McKenna ◽

Annette Carrington Johnson ◽

Greg Guest

Keyword(s):

African American ◽

Health Care Services ◽

African American Men ◽

Cultural Influences ◽

Health Seeking ◽

Seek Health Care ◽

Family Culture ◽

Care Services ◽

Health Seeking Behaviors ◽

The Individual

Morbidity and mortality rates are alarmingly high among African American men and are influenced by the health-seeking behaviors of this population. This study examined data from 40 focus groups with African American men in Durham, North Carolina, to better understand social and cultural influences on health-seeking behaviors. Data were analyzed using inductive thematic analysis. Three broad types of social/cultural influence on motivation to seek health care services were identified: family, culture and upbringing, and peers. Study findings confirm the importance of social relationships in influencing African American men’s health-seeking behaviors and offer characterization of the nature of influence across different types of relationships, according to the direct support or indirect messages they provide. Future programs can draw on these data to inform efforts to include family and peers as well as utilize existing cultural gender norms to the advantage of health promotion for African American men.

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Health Service Access among Indonesian Migrant Domestic Workers in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073759 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3759

Author(s):

Shuen-Fu Weng ◽

Azis Malik ◽

Utoomporn Wongsin ◽

Franziska Michaela Lohmeyer ◽

Li-Fong Lin ◽

...

Keyword(s):

Health Care ◽

Health Service ◽

Migrant Workers ◽

Health Care Services ◽

Domestic Workers ◽

Service Access ◽

Access To Health Services ◽

Health Service Access ◽

Seek Health Care ◽

Care Services

The number of migrant workers in Taiwan increases annually. The majority is from Indonesia and most of them are female caregivers. This study aims to determine the access to health services and the associated factors among Indonesian female domestic workers in Taiwan. In this cross-sectional study, data were collected from February to May 2019, using a structured questionnaire. Subsequently, multiple logistic regression was used to examine the association between socio-demographic factors and health service access. Two hundred and eighty-four domestic migrant workers were interviewed. Eighty-five percent of the respondents declared sickness at work, but only 48.8% seek health care services. Factors associated with health service access were marital status, income, and the availability of an attendant to accompany the migrant workers to the healthcare facilities. Language barrier and time flexibility were the main obstacles. Further research and an effective health service policy are needed for the domestic migrant workers to better access health care services.

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Role of Public–Private Partnerships in delivering Health Care Services in India

International Journal of Advanced and Integrated Medical Sciences ◽

10.5005/jp-journals-10050-10040 ◽

2016 ◽

Vol 1 (3) ◽

pp. 116-118 ◽

Cited By ~ 1

Author(s):

Medhavi Agarwal ◽

Ruchi Tanwar

Keyword(s):

Health Care ◽

Private Sector ◽

Health System ◽

Health Care Services ◽

Public Private Partnership ◽

Public Private Partnerships ◽

Private Partnership ◽

Seek Health Care ◽

Care Services

ABSTRACT A public–private partnership (PPP) is a contractual arrangement between a private sector and a government sector. Through this agreement, the skills and assets of each other are shared in delivering a service or facility for use of general public. In recent years, there have been many initiatives to improve the efficiency, effectiveness, and equity in provision of health care services in the country. Public–private partnership is one such initiative. Public–private partnership is the first step toward the health care services to improve quality, efficiency, accessibility, availability, acceptability, and equity of the services. It strengthens the existing health system by improving management of health within the government infrastructure and mobilizes the additional resources. Private sector is the most important source of health care services in India, providing maximum health services to the population. In absence of effective public health system, majority of household seek health care from nongovernment sectors. Various partnerships are being pursued under the existing program of ministry, especially RCH-2, independently by the state under their own resources. How to cite this article Tanwar R, Ojha R, Agarwal M, Singh A, Joshi HS. Role of Public–Private Partnerships in delivering Health Care Services in India. Int J Adv Integ Med Sci 2016;1(3):116-118.

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