scholarly journals A Study to Assess the Knowledge on Respectful Maternal Care Among the Health Workers Working in Selected Hospital/Health Centers at Meerut

2021 ◽  
Vol 9 (12) ◽  
pp. 941-946
Author(s):  
Ms. Blessy Mathew
Keyword(s):  
Human Rights ◽  
Sex Education ◽  
Maternity Care ◽  
Health Workers ◽  
Demographic Variable ◽  
Respectful Maternity Care ◽  
Adequate Knowledge ◽  
Significant Difference ◽  
Basic Infrastructure ◽  
The Right

Abstract: The pregnancy and mother hood is the right of a women. During the time of labour, the women suffer shouting, slapping, pinching, hitting, and also application of extreme fundal pressure which is against human rights. Respectful maternity care (RMC) is a rightful expectation of every woman. Care during this period needs to encompass basic human rights, including the rights to respect, dignity, confidentiality, information and informed consent, the right to the highest attainable standard of health, and freedom from discrimination and from all forms of ill-treatment including making abuse to mother in labour including lack of treatment with dignity, delivery by unqualified personnel, lack of privacy, demand for informal payments, and lack of basic infrastructure, hygiene, and sanitation . Objectives 1) To assess the knowledge on respectful maternity care among the health worker. 2) To determine the association between the knowledge on respectful maternity care with the selected demographic variable. Hypothesis H1-There will be significant difference on knowledge about respectful maternity care. H2-There will be significant association between the knowledge and the socio demographic variable. Methodology: A descriptive research design was undertaken for this study. The population of the study consists of health workers at selected hospitals of Meerut. With the sample size of 30 were selected by using non probability convenient sampling. Result: Among 30 Health Workers Sample 15(50%) Were Having Moderate Knowledge ,12(40%) Were Having Adequate Knowledge and Only 03(10%) Were Having Inadequate Knowledge About Respectful Maternity Care. And there was significant association with number of deliveries whereas there is no significant association between age, sex, education, years of experience, area of working and attending any midwifery related training Conclusion: The study concluded that the most of the health workers are having moderate knowledge regarding the respectful maternity care and there was significant association among the students. Keywords: Respectful maternity care, assess, knowledge

Midwives' perceptions of disrespect and abuse of women during labour and childbirth in Lusaka, Zambia

2021 ◽  
Vol 15 (3) ◽  
pp. 1-12
Author(s):  
Namayipo Stella Wamukankamba Nankamba ◽  
Catherine Mubita Ngoma ◽  
Maureen Masumo Makoleka
Keyword(s):  
Logistic Regression ◽  
Maternity Care ◽  
Health Workers ◽  
Multivariate Logistic Regression Analysis ◽  
Study Data ◽  
Respectful Maternity Care ◽  
Disrespect And Abuse ◽  
Multivariate Logistic Regression ◽  
Abuse Of Women ◽  
And Training

Background/Aims Disrespect and abuse is a frequent occurrence in labour wards around the world. Disrespect and abuse during care by health workers can prevent pregnant women from seeking care during labour and childbirth, which can lead to increased maternal and neonatal mortality rates. This study aimed to explore midwives' perceptions of disrespect and abuse of women during labour and childbirth in Lusaka. Methods A concurrent convergent mixed-method approach was used for this study. Data were collected through a self-administered questionnaire given to 217 midwives actively practicing in maternal health services across Lusaka randomly sampled for the quantitative arm of the study. The data were analysed using bivariate and multivariate logistic regression, with P<0.05 used to indicate significance. For the qualitative component of the study, 13 purposively selected key informants were interviewed with an interview guide. Results Most of the respondents (88.5%) perceived disrespect and abuse of women during labour and childbirth as a negative phenomenon. However, almost half (40.1%) had provided care which was disrespectful and abusive during their practice and the majority (68.7%) had observed disrespect and abuse by other midwives. Bivariate and multivariate logistic regression analysis found an association between midwives' perception of disrespect and abuse and witnessing or participating in disrespectful and abusive behaviour during practice. In the qualitative arm of the study, midwives reported that disrespect and abuse occurred in labour wards across Lusaka, demonstrating an urgent need to prevent such practices. Midwives suggested actions such as increased sensitisation and training of midwives on respectful maternity care and improved staffing levels as ways to prevent this practice Conclusions Disrespect and abuse of women during labour and childbirth should be prevented. Increasing health education and training for both the public and midwives on respectful maternity care can help to achieve this goal. Midwives need to be motivated through good working environments, increased wages and increased time to rest while working, as the heavy workload was found to contribute to disrespect and abuse in labour wards.

scholarly journals The impact of COVID-19 on the provision of respectful maternity care: findings from a global survey of health workers

2021 ◽  
Author(s):  
Anteneh Asefa ◽  
Aline Semaan ◽  
Therese Delvaux ◽  
Elise Huysmans ◽  
Anna Galle ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Maternity Care ◽  
Qualitative Data ◽  
Health Workers ◽  
Qualitative Content Analysis ◽  
Standards Of Care ◽  
Respectful Maternity Care ◽  
The Impact ◽  
Maternal And Newborn

Background Significant adjustments to the provision of maternity care in response to the COVID-19 pandemic and the direct impacts of COVID-19 can compromise the quality of maternal and newborn care. Aim To explore how the COVID-19 pandemic affected frontline health workers' ability to provide respectful maternity care globally. Methods We conducted a global online survey of health workers to assess the provision of maternal and newborn healthcare during the COVID-19 pandemic. We collected quantitative and qualitative data between July and December 2020 and conducted a qualitative content analysis to explore open-ended responses. Findings Health workers (n=1,127) from 71 countries participated; and 120 participants from 33 countries provided qualitative data. The COVID-19 pandemic negatively affected the provision of respectful maternity care in multiple ways. Six central themes were identified: less family involvement, reduced emotional and physical support for women, compromised standards of care, increased exposure to medically unjustified caesarean section, and staff overwhelmed by rapidly changing guidelines and enhanced infection prevention measures. Further, respectful care provided to women and newborns with suspected or confirmed COVID-19 infection was severely affected due to health workers' fear of getting infected and measures taken to minimise COVID-19 transmission. Discussion Multidimensional and contextually-adapted actions are urgently needed to mitigate the impacts of the COVID-19 pandemic on the provision and continued promotion of respectful maternity care globally in the long-term. Conclusions The measures taken during the COVID-19 pandemic disrupted the quality of care provided to women during labour and childbirth generally, and respectful maternity care specifically. Keywords Maternal health; Quality of care; Labour; Childbirth; Newborn health; Intrapartum care, Antenatal care, Postnatal care

scholarly journals Operationalizing respectful maternity care at the healthcare provider level: a systematic scoping review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
R. Rima Jolivet ◽  
Jewel Gausman ◽  
Neena Kapoor ◽  
Ana Langer ◽  
Jigyasa Sharma ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare Provider ◽  
Maternity Care ◽  
Grey Literature ◽  
Respectful Maternity Care ◽  
Maternal And Newborn Health ◽  
Qualitative Synthesis ◽  
The Right ◽  
Evidence Generation ◽  
Respectful Care

Abstract Background Ensuring the right to respectful care for maternal and newborn health, a critical dimension of quality and acceptability, requires meeting standards for Respectful Maternity Care (RMC). Absence of mistreatment does not constitute RMC. Evidence generation to inform definitional standards for RMC is in an early stage. The aim of this systematic review is clear provider-level operationalization of key RMC principles, to facilitate their consistent implementation. Methods Two rights-based frameworks define the underlying principles of RMC. A qualitative synthesis of both frameworks resulted in seven fundamental rights during childbirth that form the foundation of RMC. To codify operational definitions for these key elements of RMC at the healthcare provider level, we systematically reviewed peer-reviewed literature, grey literature, white papers, and seminal documents on RMC. We focused on literature describing RMC in the affirmative rather than mistreatment experienced by women during childbirth, and operationalized RMC by describing objective provider-level behaviors. Results Through a systematic review, 514 records (peer-reviewed articles, reports, and guidelines) were assessed to identify operational definitions of RMC grounded in those rights. After screening and review, 54 records were included in the qualitative synthesis and mapped to the seven RMC rights. The majority of articles provided guidance on operationalization of rights to freedom from harm and ill treatment; dignity and respect; information and informed consent; privacy and confidentiality; and timely healthcare. Only a quarter of articles mentioned concrete or affirmative actions to operationalize the right to non-discrimination, equality and equitable care; less than 15%, the right to liberty and freedom from coercion. Provider behaviors mentioned in the literature aligned overall with seven RMC principles; yet the smaller number of available research studies that included operationalized definitions for some key elements of RMC illustrates the nascent stage of evidence-generation in this area. Conclusions Lack of systematic codification, grounded in empirical evidence, of operational definitions for RMC at the provider level has limited the study, design, implementation, and comparative assessment of respectful care. This qualitative systematic review provides a foundation for maternity healthcare professional policy, training, programming, research, and program evaluation aimed at studying and improving RMC at the provider level.

scholarly journals The impact of COVID-19 on the provision of respectful maternity care: Findings from a global survey of health workers

2021 ◽  
Author(s):  
Anteneh Asefa ◽  
Aline Semaan ◽  
Therese Delvaux ◽  
Elise Huysmans ◽  
Anna Galle ◽  
...  
Keyword(s):  
Maternity Care ◽  
Health Workers ◽  
Respectful Maternity Care ◽  
Global Survey ◽  
The Impact

scholarly journals HUKUM ABORSI DALAM PERSPEKTIF INTERKONEKTIF (TINJAUAN DARI HUKUM ISLAM DAN HUKUM POSITIF INDONESIA)

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Sigit Wibowo
Keyword(s):  
Human Rights ◽  
Islamic Law ◽  
Health Workers ◽  
Legal Aspects ◽  
High Rate ◽  
Religious Leader ◽  
Right To Life ◽  
Law Enforcement Officials ◽  
Legal Position ◽  
The Right

Abstrak Pasal 3 Deklarasi Universal Hak Asasi Manusia 1948 menyatakan bahwa "setiap orang memiliki hak untuk hidup, kebebasan, dan keamanan pribadi". Demikian juga dalam pasal 28 huruf A UUD 1945 bahwa "Setiap orang memiliki hak untuk hidup dan memiliki hak untuk mempertahankan kehidupan dan hidupnya". Ini berarti bahwa hak untuk hidup dijamin oleh hukum. Legalisasi Aborsi di Indonesia adalah percakapan yang cukup populer di kalangan aparat penegak hukum dan petugas kesehatan (kedokteran). Selain itu, ini menyangkut aspek interkoneksi-integrasi antara aspek hukum positif dan aspek hukum Islam. Oleh karena itu menimbulkan masalah mengenai bagaimana posisi hukum tindakan aborsi dalam perspektif interkoneksi hukum Islam dan hukum Indonesia yang positif? Posisi hukum Aborsi adalah tindakan yang melanggar hukum dan tidak dibenarkan dalam keadaan apa pun kecuali untuk kepentingan ibu. Ini telah diatur dalam hukum negara, juga dalam hukum Islam termasuk fatwa MUI nomor 4 tahun 2005 yang pada dasarnya melarang karena lebih banyak ruginya daripada manfaatnya. Aborsi memiliki dampak yang sangat berbahaya pada seseorang yang melakukannya, baik dari segi kesehatan maupun sosial, termasuk degradasi moral bagi para pelaku. Pelaku juga dijerat dengan hukuman fisik dalam bentuk penjara setelah menerima keputusan oleh hakim yang telah memperoleh kekuatan hukum. Untuk menghilangkan tingginya tingkat aborsi, termasuk kematian yang disebabkan oleh aborsi yang tidak aman, diperlukan tiga pendekatan, yaitu hukum, medis dan agama, serta moral. Kata Kunci: Hak Asasi Manusia, Aborsi, Hukum Islam. Abstract Article 3 Universal Declaration of Human Rights 1948 states that "everyone has the right to life, liberty, and security of person". Likewise in article 28 point A of the 1945 Constitution that "Every person has the right to live and has the right to defend his life and life". This means that the right to life is guaranteed by law. Legalization of Abortion in Indonesia is a conversation that is quite popular among law enforcement officials and health workers (medicine). Moreover, it concerns the interconnective-integration aspects between positive legal aspects and aspects of Islamic law. Therefore it raises problems regarding how the legal position of abortion acts in the interconnective perspective of Islamic law and positive Indonesian law? The legal position of Abortion is an act that violates the law and is not justified under any circumstances except for the benefit of the mother. This has been regulated in State law, as well as in Islamic law including the Indonesian Religious Leader (MUI) Fatwa Number 4 of 2005 which essentially prohibits because more harm than benefits. Abortion has a very dangerous impact on someone who does it, both in terms of health and social, including moral degradation for the perpetrators. The perpetrator was also ensnared by a physical sentence in the form of a prison after receiving a decision by a judge who had obtained legal force. To eliminate the high rate of abortion, including deaths caused by unsafe abortion, three approaches are needed, namely legal, medical and religious, as well as moral. Keywords: Human Rights, Abortion, Islamic Law.

scholarly journals Attitudes of High School Students Towards Sex: Implications to Sex Education and Guidance

2012 ◽  
Vol 7 (1) ◽  
Author(s):  
Fructuoso C. Baliton
Keyword(s):  
High School ◽  
High School Students ◽  
Sex Education ◽  
Correlation Method ◽  
Sexual Relationships ◽  
Adolescent Sexuality ◽  
School Students ◽  
Significance Level ◽  
Adequate Knowledge ◽  
Significant Difference

A major source of sexual learning is sex education classes in school (Levy 1992). In the absence of effective sex education, the immature adolescent must make major decisions without adequate knowledge (Bjorklund 1998). This descriptive survey correlation method of research was undertaken to come up with findings on attitude towards sex of Villaba National High School students. It was also its purpose that this study may be instrumental in the proper guidance of the said students particularly in the area of adolescent sexuality. Simple frequency counts were used to determine their Attitude towardss the various aspects of sexual relationships and average scores determined their Attitude towards the ten aspects of sexual relationships. Z-test was used to test the null hypothesis which states that, “there is no significant difference between the attitudes of boys and girls on the ten aspects of sexual relationships,” at the significance level of 0.05. This research finally concluded that there are differences between the attitudes of boys and girls towards the various aspects of sexual relationships particularly on courtship, petting, pre-marital sex, and trial marriage or live-in. Z-test established a significant difference between the attitudes of boys and girls on the ten aspects of sexual relationships. Keywords - attitude towards sex, sex education, instruction and guidance, adolescent sexuality, sexual relationships.

scholarly journals Myths, beliefs, and perceptions about COVID-19 in Ethiopia:  A need to address information gaps and enable combating efforts

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0243024
Author(s):  
Yohannes Kebede ◽  
Zewdie Birhanu ◽  
Diriba Fufa ◽  
Yimenu Yitayih ◽  
Jemal Abafita ◽  
...  
Keyword(s):  
Information Needs ◽  
Health Workers ◽  
Illness Behavior ◽  
World Health ◽  
P Value ◽  
Significant Difference ◽  
Precautionary Measures ◽  
Health Organization ◽  
The Right ◽  
Information Gaps

Background The endeavor to tackle the spread of COVID-19 effectively remains futile without the right grasp of perceptions and beliefs presiding in the community. Therefore, this study aimed to assess myths, beliefs, perceptions, and information gaps about COVID-19 in Ethiopia. Methods An internet-based survey was conducted in Ethiopia from April 22 to May 04, 2020. The survey link was promoted through emails, social media, and the Jimma University website. Perceptions about COVID-19 have considered the World Health Organization (WHO) resources and local beliefs. The data were analyzed using Statistical Package for Social Science (SPSS) software version 20.0. Classifications and lists of factors for each thematic perception of facilitators, inhibitors, and information needs were generated. Explanatory factor analysis (EFA) was executed to assist categorizations. Standardized mean scores of the categories were compared using analysis of variance (ANOVA) and t-tests. A significant difference was claimed at p-value <0.05. Results A total of 929 responses were gathered during the study period. The EFA generated two main categories of perceived facilitators of COVID-19 spread: behavioral non-adherence (55.9%) and lack of enablers (86.5%). Behavioral non-adherence was illustrated by fear of stigma (62.9%), not seeking care (59.3%), and hugging and shaking (44.8%). Perceived lack of enablers of precautionary measures includes staying home impossible due to economic challenges (92.4%), overcrowding (87.6%), and inaccessible face masks (81.6%) and hand sanitizers (79.1%). Perceived inhibitors were categorized into three factors: two misperceived, myths (31.6%) and false assurances (32.9%), and one correctly identified; engagement in standard precautions (17.1%). Myths about protection from the virus involve perceived religiosity and effectiveness of selected food items, hot weather, traditional medicine, and alcohol drinking, ranging from 15.1% to 54.7%. False assurances include people’s perception that they were living far away from areas where COVID-19 was rampant (36.9%), and no locally reported cases were present (29.5%). There were tremendous information needs reported about COVID-19 concerning protection methods (62.6%), illness behavior and treatment (59.5%), and quality information, including responses to key unanswered questions such as the origin of the virus (2.4%). Health workers were perceived as the most at-risk group (83.3%). The children, adolescents, youths were marked at low to moderate (45.1%-62.2%) risk of COVID-19. Regional, township, and access to communication showed significant variations in myths, false assurances, and information needs (p <0.05). Conclusions Considering young population as being at low risk of COVID-19 would be challenging to the control efforts, and needs special attention. Risk communication and community engagement efforts should consider regional and township variations of myths and false assurances. It should also need to satisfy information needs, design local initiatives that enhance community ownership of the control of the virus, and thereby support engagement in standard precautionary measures. All forms of media should be properly used and regulated to disseminate credible information while filtering out myths and falsehoods.

Equality and the right to education: let’s talk about sex education

2018 ◽  
pp. 111-128
Author(s):  
Meghan Campbell
Keyword(s):  
Human Rights ◽  
Health Education ◽  
Gender Equality ◽  
Sex Education ◽  
Gender Norms ◽  
The State ◽  
Fundamental Rights ◽  
Right To Life ◽  
Right To Education ◽  
The Right

This chapter addresses the challenges girls face in accessing human rights-based sex education. Sex education sharply brings into focus the discriminatory gender norms that influence and undermine a girl's right to education and the accountability challenges that are becoming increasingly pervasive throughout all of education. The Convention on the Elimination of Discrimination Against Women (CEDAW), the prominent legal instrument on women's rights, offers new ways of conceptualising and addressing these challenges. There are specific obligations referring to sex education in the treaty and most importantly there is a positive obligation on the state to provide sex education to fulfil the fundamental rights of girls and women. Indeed, sex education is a necessary measure to ensure girls and women's right to life, health, education, gender equality, and freedom from violence.

scholarly journals Optimalisasi Stakeholder Dalam Pelayanan Kesehatan Narapidana Di Lembaga Pemasyarakatan

2020 ◽  
Vol 13 (2) ◽  
pp. 85-97
Author(s):  
Afif Adnan Zuhair
Keyword(s):  
Human Rights ◽  
Health Services ◽  
Health Workers ◽  
Secondary Data ◽  
Correctional Institutions ◽  
Descriptive Research ◽  
Aceh Province ◽  
The Right ◽  
To Receive

Abstrak. Hak asasi merupakan suatu hak yang dipunyai oleh manusia. Undang-Undang No. 12 Tahun 1995 pasal 14 mengenai permasyarakatan yang mana juga meliputi berbagai hak narapidana yakni: mendapatkan hak pelayanan kesehatan, hak mendapatkan mendapatkan makanan yang layak, hak mendapatkan perawatan secara jasmani dan rohani. Narapinda merupakan terpidana dimana melaksanakan pidana yang kehilangan kemerdekaanya dalam Lembaga Pemasyarakatan. Pemberian pelayanan kesehatan pada Lembaga Permasyarakatan adalah sebuah perwujudan Hak Asasi Manusia. Berhasilnya pelayanan kesehatan tersebut juga adanya sebuah peran dari aktor kebijakannya atau stakeholder. Penelitian ini berfokus pada pelayanan kesehatan narapidana pada lembaga permasyarakatan di Indonesia dan juga optimalisasi stakeholder dalam pelayanan kesehatan di lembaga permasyaratan di Indonesia. Penelitian ini menggunakan tipe penelitian deskriptif dengan pendekatan kualitatif. Metode pengumpulan data dilakukan melalui dokumentasi dengan menghimpun berbagai sumber data sekunder yang memiliki keterkaitan dengan penelitian ini. Pelayanan kesehatan pada beberapa lembaga permasyarakatan di Indonesia, seperti Lembaga Permasyarakatan Narkotika Kabupaten Langsa Provinsi Aceh, Lembaga Permasyarakatan Perempuan Kelas IIA Yogyakarta, Lembaga Permasyarakatan Kelas II Manado masih belum baik dikarenakan banyak kendala pada dana, petugas kesehatan dan koordinasi dengan stakeholder lainnya. Diperlukannya stakeholder pada posisi penyelamat (saviour) dan kawan (friend) dapat diisi oleh dokter ataupun perawat kesehatan, Dinas Kesehatan pada posisi penyelamat (saviour), narapidana pada posisi pemerhati (acquintance). Kata Kunci: Pelayanan Kesehatan, Narapidana, Stakeholder Optimization of Stakeholders in Inmate Health Services in Correctional Institutions Abstrack. Human rights are rights that belong to humans. Law Number 12 of 1995 Article 14 concerning prison which also includes various prisoners' rights, namely: getting the right to health services, the right to get proper food, the right to receive physical and spiritual care. Prisoners are convicted who carry out crimes who lost their independence in the Penitentiary. Providing health services to Penitentiaries is an embodiment of Human Rights. The success of the health service is also the role of the policy actor or stakeholder. This research focuses on prisoner health services in prison in Indonesia and also the optimization of stakeholders in health services in prison in Indonesia. This research uses descriptive research type with a qualitative approach. The method of data collection is done through documentation by collecting various secondary data sources that are related to this research. Health services at several penitentiary institutions in Indonesia, such as the Narcotics Penitentiary in Langsa, Aceh Province, Yogyakarta Class IIA Women's Penitentiary, Manado Class II Penitentiary are still not good due to many constraints on funds, health workers and coordination with other stakeholders. The need for stakeholders in the position of savior (savior) and friend (friend) can be filled by doctors or health nurses, the Office of Health in the position of savior (savior), prisoners in the position of observers (acquintance). Keywords: Health Services, Prisoners, Stakeholders  

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