scholarly journals Perspectives of Muslim husbands' roles in women's health and cancer in Indonesia

2021 ◽  
Author(s):  
◽  
Restuning Widiasih

<p>In developing countries such as Indonesia, women face many health issues, including cancer. Social, cultural and economic factors are known barriers to women accessing health services and achieving a good health. Studies in Indonesia suggest that husbands’ support may influence women’s health behaviour, including women in breast and cervical screening and treatments. However, little is known in Indonesia about husbands’ roles in women’s health, including illness prevention, early detection, and treatment of women’s cancer. The main objectives of this study were to uncover Muslim husbands’ roles and perspectives regarding women’s health and women’s cancer, and to establish whether there were different perspectives of husbands’ roles related to geographical location, age or other social, health or cultural characteristics. This study used an Islamic ontological approach. The Basic Model of Religiosity and Health, the Health Belief Model, and the Help-Seeking Behaviour and Influencing Factors Framework theories informed data collection. A descriptive exploratory methodology was used. Methods included focus groups with 11 groups (n=73) of married Muslim men, and interviews with married Muslim women (n=20) and health professionals (n=10) from rural and urban areas of West Java province, Indonesia. Data were analysed using two techniques: the Comparative Analysis for Focus Group and the Comparative Analysis for Interviews. The findings revealed that Islamic teaching has an extremely significant position for Muslims husbands in guiding them in their family’s roles. Muslim husbands were very involved in women’s health and cancer. These roles were influenced by internal and external factors. Husbands’ significant roles in women’s health include maintaining women’s health and facilitating health treatments. However, they have a limited role in disease prevention, and early detection of women’s cancer. Muslim husbands’ limited health literacy of women’s cancer was a significant barrier in rural and downtown areas. This study’s findings contribute to a new perspective on religion as a vital influence and driver of health and health behaviour in nursing theory. There is a need for Indonesian nursing practice to incorporate a cultural safety approach to caring for Muslim husbands and wives, and for nurses to ensure men are more fully informed about women’s health. This study identified the need for improvements in health services and a reform of the health system especially in improving husbands’ knowledge and awareness of women’s cancer, and the dissemination of information about women’s cancer services, especially in rural and downtown areas. Additional health education programmes including some that target men’s health literacy are required alongside improvements in health services, especially women’s cancer services.</p>

2021 ◽  
Author(s):  
◽  
Restuning Widiasih

<p>In developing countries such as Indonesia, women face many health issues, including cancer. Social, cultural and economic factors are known barriers to women accessing health services and achieving a good health. Studies in Indonesia suggest that husbands’ support may influence women’s health behaviour, including women in breast and cervical screening and treatments. However, little is known in Indonesia about husbands’ roles in women’s health, including illness prevention, early detection, and treatment of women’s cancer. The main objectives of this study were to uncover Muslim husbands’ roles and perspectives regarding women’s health and women’s cancer, and to establish whether there were different perspectives of husbands’ roles related to geographical location, age or other social, health or cultural characteristics. This study used an Islamic ontological approach. The Basic Model of Religiosity and Health, the Health Belief Model, and the Help-Seeking Behaviour and Influencing Factors Framework theories informed data collection. A descriptive exploratory methodology was used. Methods included focus groups with 11 groups (n=73) of married Muslim men, and interviews with married Muslim women (n=20) and health professionals (n=10) from rural and urban areas of West Java province, Indonesia. Data were analysed using two techniques: the Comparative Analysis for Focus Group and the Comparative Analysis for Interviews. The findings revealed that Islamic teaching has an extremely significant position for Muslims husbands in guiding them in their family’s roles. Muslim husbands were very involved in women’s health and cancer. These roles were influenced by internal and external factors. Husbands’ significant roles in women’s health include maintaining women’s health and facilitating health treatments. However, they have a limited role in disease prevention, and early detection of women’s cancer. Muslim husbands’ limited health literacy of women’s cancer was a significant barrier in rural and downtown areas. This study’s findings contribute to a new perspective on religion as a vital influence and driver of health and health behaviour in nursing theory. There is a need for Indonesian nursing practice to incorporate a cultural safety approach to caring for Muslim husbands and wives, and for nurses to ensure men are more fully informed about women’s health. This study identified the need for improvements in health services and a reform of the health system especially in improving husbands’ knowledge and awareness of women’s cancer, and the dissemination of information about women’s cancer services, especially in rural and downtown areas. Additional health education programmes including some that target men’s health literacy are required alongside improvements in health services, especially women’s cancer services.</p>


2018 ◽  
Vol 1 (1) ◽  
pp. 8
Author(s):  
Restuning Widiasih ◽  
Ermiati, Ermiati, ◽  
Anita Setyawati

Background Indonesia failed to achieve the maternal mortality rate target as the MDGs’ agreement in 2015. The Ministry of Health has developed health promotion and illness prevention programmes to improve women’s health and wealthiness. However, only few studies provide information of women’s health behaviour related to a health promotion and an illness prevention in the perinatal period comprehensively. This study aimed to determine women’s health behaviour related to the health promotion and the illness prevention in the perinatal period; pre, intra, and postnatal. Method This study applied a descriptive quantitative approach. Samples were chosen using the Convenience sampling method. 51 women from Sukapada, Bandung were involved in this study. Data were collected using a questionarrie and analysed using a frequency distribution. Result This study found that the majority of respondents (96%) visited health services for prenatal visit. Women also concerned with other health activities including having tetanus vaccination (49%), consuming Iron tables and nutrisious food (65% and 61% respectively), and having give birth at health facilities (100%). In contrast, this study also found that women’s participation in prenatal classes was limited (25%). In addition, to prevent prenatal and postnatal complications, women need to have a good understanding of dangerous signs in pregnancy and postpartum. However, the majority of them had limited health literacy about it. Conclusion Women’s health behaviour in the perinatal period is varied. Health education programmes are required for increasingwomen’s health literacy and awareness of health promotion and illness prevention in this period.Keywords: Health promotion, illness prevention, perinatal period. “Health Behaviour” Perempuan Usia Produktif saat Periode PerinatalAbstrakLatarbelakang, Target Millennium Development Goals tahun 2015 berkaitan dengan Angka Kematian Ibu tidak dapat dicapai oleh Indonesia. Kementerian kesehatan Republik Indonesia mengembangkan berbagai program promosi kesehatan dan pencegahan penyakit untuk meningkatkan kesehatan dan kesejahteraan perempuan. Namun, riset yang menginformasikan tentang perilaku kesehatan pada perempuan yang komprehensif berkaitan dengan promosi kesehatan dan prevensi pada periode perinatal masih terbatas. Penelitian ini bertujuan untuk mengidentifikasi perilaku perempuan berkaitan dengan promosi dan prevensi kesehatan pada periode perinatal yang meliputi: hamil, melahirkan, postpartum. Metode, Penelitian ini merupakan penelitian deskriptif kuantitatif. Sampel dipilih dengan menggunakan metode Convenience sampling. Sebanyak 51 perempuan dari Sukapada, Bandung berpartisipasi dalam penelitian ini. Data dikumpulkan menggunakan kuesioner dan kemudian dianalisa dalam bentuk distribusi frekwensi. Hasil menunjukan sebagian besar perempuan (96%) melakukan kontrol kehamilan, 49% mendapatkan immunisasi TT, 65% mengkonsumsi tablet Fe, 61% mengkonsumsi makanan bergizi, dan seluruh perempuan (100%) melahirkan dengan ditolong oleh pertugas kesehatan. Namun sebaliknya, sebagian kecil perempuan (25%) berpartisipasi dalam kelas prenatal. Selain itu, dalam upaya pencegahan komplikasi kehamilan dan postpartum, perempuan diharapkan memiliki pengetahuan tentang tanda bahaya kehamilan dan postpartum. Pada kenyataan nya hasil penelitian ini menunjukkan sebagian besar responden tidak mengetahui tanda bahaya pada kehamilan dan postpartum. Kesimpulan, perilaku perempuan dalam promosi dan prevensi kesehatan di masa perinatal berbeda-beda hal tersebut mungkin disebabkan oleh factor seperti pengetahuan kesehatan. Program pendidikan kesehatan berkaitan dengan periode perinatal dibutuhkan untuk meningkatkan pengetahuan dan kesadaran perempuan berkaitan dengan upaya promosi kesehatan dan pencegahan penyakit pada periode tersebut.Kata kunci: Promosi kesehatan, pencegahan penyakit, periode perinatal.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Foluso Ishola ◽  
U. Vivian Ukah ◽  
Arijit Nandi

Abstract Background A country’s abortion law is a key component in determining the enabling environment for safe abortion. While restrictive abortion laws still prevail in most low- and middle-income countries (LMICs), many countries have reformed their abortion laws, with the majority of them moving away from an absolute ban. However, the implications of these reforms on women’s access to and use of health services, as well as their health outcomes, is uncertain. First, there are methodological challenges to the evaluation of abortion laws, since these changes are not exogenous. Second, extant evaluations may be limited in terms of their generalizability, given variation in reforms across the abortion legality spectrum and differences in levels of implementation and enforcement cross-nationally. This systematic review aims to address this gap. Our aim is to systematically collect, evaluate, and synthesize empirical research evidence concerning the impact of abortion law reforms on women’s health services and outcomes in LMICs. Methods We will conduct a systematic review of the peer-reviewed literature on changes in abortion laws and women’s health services and outcomes in LMICs. We will search Medline, Embase, CINAHL, and Web of Science databases, as well as grey literature and reference lists of included studies for further relevant literature. As our goal is to draw inference on the impact of abortion law reforms, we will include quasi-experimental studies examining the impact of change in abortion laws on at least one of our outcomes of interest. We will assess the methodological quality of studies using the quasi-experimental study designs series checklist. Due to anticipated heterogeneity in policy changes, outcomes, and study designs, we will synthesize results through a narrative description. Discussion This review will systematically appraise and synthesize the research evidence on the impact of abortion law reforms on women’s health services and outcomes in LMICs. We will examine the effect of legislative reforms and investigate the conditions that might contribute to heterogeneous effects, including whether specific groups of women are differentially affected by abortion law reforms. We will discuss gaps and future directions for research. Findings from this review could provide evidence on emerging strategies to influence policy reforms, implement abortion services and scale up accessibility. Systematic review registration PROSPERO CRD42019126927


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Peter Nugus ◽  
Joanne Travaglia ◽  
Maureen MacGinley ◽  
Deborah Colliver ◽  
Maud Mazaniello-Chezol ◽  
...  

PurposeResearchers often debate health service structure. Understanding of the practical implications of this debate is often limited by researchers' neglect to integrate participants' views on structural options with discourses those views represent. As a case study, this paper aims to discern the extent to which and how conceptual underpinnings of stakeholder views on women's health contextualize different positions in the debate over the ideal structure of health services.Design/methodology/approachThe researchers chose a self-standing, comprehensive women's health service facing the prospect of being dispersed into “mainstream” health services. The researchers gathered perspectives of 53 professional and consumer stakeholders in ten focus groups and seven semi-structured interviews, analyzed through inductive thematic analysis.Findings“Women's marginalization” was the core theme of the debate over structure. The authors found clear patterns between views on the function of women's health services, women's health needs, ideal client group, ideal health service structure and particular feminist discourses. The desire to re-organize services into separate mainstream units reflected a liberal feminist discourse, conceiving marginalization as explicit demonstration of its effects, such as domestic abuse. The desire to maintain a comprehensive women's health service variously reflected post-structural feminism's emphasis on plurality of identities, and a radical feminist discourse, holding that womanhood itself constituted a category of marginalization – that is, merely being at risk of unmet health needs.Originality/valueAs a contribution to health organizational theory, the paper shows that the discernment of discursive underpinnings of particular stakeholder views can clarify options for the structure of health services.


1998 ◽  
Vol 4 (2) ◽  
pp. 77
Author(s):  
Gai Wilson ◽  
Paul Butler ◽  
Tricia Szirom ◽  
Jenny Cameron

Victoria's Women's Health Services and Centres Against Sexual Assault have implemented a range of indirect activities utilising various strategies and methods with a particular focus on information and resource provision, education and training, community development and promotional activity. They have increased women's access to existing services by working to make those services more appropriate and relevant. To achieve this they have involved women in the community in program management, design and implementation. Collaboration with other agencies in health and related services has also been a key strategy in achieving changes to mainstream services and fulfilling the aims of the dual strategy.


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