scholarly journals The Disability’s Perception In The Sexuality’s Need And Reproductive Health In Yogyakarta 2019 – A Scoping Review

2021 ◽  
Vol 2 (3) ◽  
pp. 190-201
Author(s):  
Youlenta Ernes Sontha
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Disable People ◽  
Specific Information ◽  
Human Beings ◽  
Equal Rights ◽  
Reproductive Health Services ◽  
Limited Access ◽  
Research Activities

Background: Disable people are all people who experience physical, intellectual, mental and sensory limitations in the long term that inhibit and make them difficult to interact with the environment and/to participate fully and effectively with other citizens based on equal rights. Purpose: This study aims for mapping the literature, exploring information about research activities related to the topic being investigated and also investigating problems or gaps in the research area to be investigated. Method: The applied approach to review the literature was Arksey dan O’Malley framework. The applied framework to manage research questions was PEOS so the strategy of searching used 3 databases namely Science direct, Pubmed, and Whiley with the identification of relevant studies to the inclusion and exclusion. Result: Disable people are human beings who can feel the biological needs. Negative views from family, health workers, and parents as well are the obstacles for people with disabilities who should get special attention. They requires more specific information and implementation on sexual and reproductive health for disable people. The limited access or sexual and reproductive health services by PWPD in Kampala was caused by some challenging conditions like limited access of  information accepted so that they lack of understanding of biological needs  they should obtain.Keywords: disability, sexuality and reproductive health

scholarly journals The role of partners in promoting self-care for misoprostol and subcutaneous DMPA in Pakistan

2021 ◽  
Vol 19 (S1) ◽  
Author(s):  
Qudsia Uzma ◽  
Nausheen Hamid ◽  
Rizwana Chaudhri ◽  
Nadeem Mehmood ◽  
Atiya Aabroo ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Private Sector ◽  
Healthcare System ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Self Care ◽  
Essential Element ◽  
Scaling Up ◽  
Reproductive Health Services

Abstract Background Pakistan is among a number of countries facing protracted challenges in addressing maternal mortality with a concomitant weak healthcare system complexed with inequities. Sexual and reproductive health and rights (SRHR) self-care interventions offer the best solution for improving access to quality healthcare services with efficiency and economy. This manuscript documents country experience in introducing and scaling up two selected SRHR self-care interventions. A prospective qualitative study design was used and a semi-structured questionnaire was shared with identified SRHR private sector partners selected through convenience and purposive sampling. The two interventions include the use of misoprostol for postpartum hemorrhage and the use of subcutaneous depomedroxyprogesterone acetate (DMPA) as injectable contraceptive method. Data collection was done through emails and telephone follow-up calls. Results Nine of the 13 partners consulted for the study responded. The two selected self-care interventions are mainly supported by private sector partners (national and international nongovernmental organizations) having national or subnational existence. Their mandates include all relevant areas, such as policy advocacy, field implementation, trainings, supervision and monitoring. A majority of partners reported experience related to the use of misoprostol; it was introduced more than a decade ago, is registered and is procured by both public and private sectors. Subcutaneous DMPA is a new intervention, having been introduced only recently, and commodity availability remains a challenge. It is being delivered through health workers/providers and is not promoted as a self-administered contraceptive. Community engagement and awareness raising is reported as an essential element of successful field implementation; however, no beneficiary data was collected for the study. Training approaches differ considerably, are standalone or integrated with SRHR topics and their duration varies between 1 and 5 days, covering a range of cadres. Conclusion Pubic sector ownership and patronage is essential for introducing and scaling up self-care interventions as a measure to support the healthcare system in delivering quality sexual and reproductive health services. Supervision, monitoring and reporting are areas requiring further support, as well as the leadership and governance role of the public sector. Standardization of trainings, community awareness, supervision, monitoring and reporting are required together with integration of self-care in routine capacity building activities (pre- and in-service) on sexual and reproductive health in the country.

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

Disability Perception in Sexuality and Reproductive Health Needs: A Scoping Review

2020 ◽  
Author(s):  
Youlenta Ernesontha ◽  
◽  
Nurul Kurniati ◽  
Mufdlilah Mufdlilah ◽  
◽  
...  
Keyword(s):  
Reproductive Health ◽  
Scoping Review ◽  
Health Workers ◽  
Family Health ◽  
Health Needs ◽  
Population Exposure ◽  
Human Beings ◽  
Equal Rights ◽  
People With Disability ◽  
To Receive

Background: Persons with disability are every person who experiences physical, intellectual, mental, and/ or sensory limitations for a long period of time. These people may experience obstacles and difficulties to participate fully and effectively with other citizens based on equal rights. This study aimed to review the disability perception in sexuality and reproductive health needs. Subjects and Method: This was a scoping review study using the Arksey and O’Malley framework. The framework used to manage research questions was Population, Exposure, Outcome dan Study Design (PEOS). A total of 3 databases, namely Science Direct, PubMed, and Whiley were selected for this study. The data were collected by identifying relevant articles according to inclusion and exclusion criteria. Result: People with disability were human beings who can feel biological needs. Negative stigma from family, health workers, and parents were a very perceived barrier for people with disabilities. These people need to receive special attention regarding information and application of health sexual and reproductive health. Access to information can be applied in communities that gather a large number of people with disability so that it is easy for them to get information on their reproductive needs and rights. Conclusion: People with disability need special attention regarding information and application of sexuality and safe reproductive health. Keywords: persons with disability, sexuality and reproductive health Correspondence: Youlenta Ernesontha. Universitas ‘Aisyiyah Yogyakarta. Email: [email protected]. Mobile: 085245639293 DOI: https://doi.org/10.26911/the7thicph.01.07

scholarly journals The role of partners in promoting self-care for misoprostol and sub-cutaneous DMPA in Pakistan

2021 ◽  
Author(s):  
Qudsia Uzma ◽  
Nausheen Hamid ◽  
Rizwana Chaudhry ◽  
Nadeem Mehmood ◽  
Atiya Aabroo ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Private Sector ◽  
Healthcare System ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Self Care ◽  
Essential Element ◽  
Scaling Up ◽  
Reproductive Health Services

Abstract Background Pakistan is among countries facing protracted challenges in addressing maternal mortality with concomitant weak healthcare system complexed with inequities. Sexual and reproductive health & rights (SRHR) self-care interventions offer the best solution for improving access to quality healthcare services with efficiency and economy. This manuscript documents country experience in introducing and scaling up two selected SRHR self-care interventions. Prospective qualitative study was used and a semi structured questionnaire was shared with identified SRHR private sector partners selected through convenience and purposive sampling. The two interventions include use of misoprostol for postpartum hemorrhage and use of sub-cutaneous depomedroxyprogesterone acetate (DMPA) as injectable contraceptive method. Data collection was done through emails and telephonic follow-ups. Results Response was received from 9 out of total 13 partners consulted for the study. The two selected self-care interventions are mainly supported by private sector partners (national and international non-governmental organizations) having national or sub-national existence. Their mandates include all relevant areas like policy advocacy, field implementation, trainings, supervision and monitoring. More partners reported experience related to use of misoprostol; it was introduced more than a decade ago, is registered and being procured by both public and private sectors. Sub-cutaneous DMPA being a new intervention, is recently introduced while commodity availability remains a challenge. It is being delivered through health workers/providers and not promoted as self-administered contraceptive. Community engagement and awareness raising is reported as an essential element of successful field implementation, however, no beneficiary data was collected for the study. Training approaches differ a lot, standalone or integrated with SRHR topics and duration varying between 1day to 5 days, covering a range of cadres. Conclusion Pubic sector ownership and patronage is essential for introducing and scaling up self-care interventions as a measure to support the healthcare system in delivering quality sexual and reproductive health services. Supervision, monitoring and reporting are areas requiring further support and having leadership and governance role of the public sector. Standardization of trainings, community awareness, supervision, monitoring and reporting is required alongwith integration of self-care in routine capacity building activities (pre and in-service) on sexual and reproductive health in the country.

scholarly journals Sexual and reproductive health services provided by community pharmacists: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e047034
Author(s):  
Javiera Navarrete ◽  
Nese Yuksel ◽  
Theresa J Schindel ◽  
Christine A Hughes
Keyword(s):  
Reproductive Health ◽  
Scoping Review ◽  
Sexual And Reproductive Health ◽  
Community Pharmacists ◽  
Cochrane Library ◽  
Future Research ◽  
Chlamydia Screening ◽  
Community Pharmacies ◽  
Pharmacy Services ◽  
Reproductive Health Services

ObjectivesPharmacists are increasingly providing patient-focused services in community pharmacies, including in the area of sexual and reproductive health (SRH). Specific SRH areas have been the focus of research, but a broader perspective is needed to position pharmacists as SRH providers. This review explored research that described and evaluated professional pharmacy services across a broad range of SRH areas.DesignScoping reviewData sourcesMedline, EMBASE, CINAHL, Web of Science, Scopus and Cochrane Library (January 2007–July 2020).Study selectionStudies reporting on the description and evaluation of professional pharmacy SRH services provided by community pharmacists.Data extractionTwo investigators screened studies for eligibility, and one investigator extracted the data. Data were analysed to primarily describe professional pharmacy services and intervention outcomes.ResultsForty-one studies were included. The main SRH areas and professional pharmacy services reported were sexually transmitted and bloodborne infections (63%) and screening (39%), respectively. Findings showed that pharmacists’ delivery of SRH services was feasible, able to reach vulnerable and high-risk groups, and interventions were highly accepted and valued by users. However, integration into daily workflow, pharmacist remuneration, cost and reimbursement for patients, and policy regulations were some of the barriers identified to implementing SRH services. Studies were primarily in specific areas such as chlamydia screening or hormonal contraception prescribing, while studies in other areas (ie, medical abortion provision, long-acting reversible contraception prescribing and vaccine delivery in pregnant women) were lacking.ConclusionThis scoping review highlights the expansion of pharmacists’ roles beyond traditional product-focused services in a number of SRH areas. Given the potential feasibility, users’ acceptability and reach, pharmacists are ideally situated to enhance SRH care access. Future research describing implementation and evaluation of professional pharmacy services in all SRH areas is needed to promote access to these services through community pharmacies and position pharmacists as SRH providers worldwide.

scholarly journals Quick and collaborative response to teenage pregnancies in a poor semi-rural area of Belgium

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Déom ◽  
L Ben Abdelhafidh ◽  
N Annez ◽  
C Glorie ◽  
M Roland
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Rural Areas ◽  
Sexual And Reproductive Health ◽  
Health Clinic ◽  
Local Health ◽  
Reproductive Health Services ◽  
Sexually Transmitted ◽  
Victims Of Violence ◽  
The City

Abstract Early pregnancies are often linked to precarious situations. Even if Belgium has seen a decrease in teenage pregnancies, in the former mining region of the Hainaut there are still twice as many births to young women under 20 compared to the national rate. Colfontaine is one of the poorest cities in Belgium. Last year, one of the local high schools counted 10 pregnant teenagers out of 450 students. Médecins du Monde was already present in the city at the time with a mobile health clinic called the Médibus. In response, we carried out a mapping of the local sexual and reproductive health actors. The lack of accessibility to social and health structures capable of welcoming teenagers anonymously and free of charge quickly emerged as a problem, the nearest family planning center being located 30 minutes away by bus. In September 2019, in partnership with 5 local health actors, we decided to reshape the Médibus into the Adobus in order to offer family planning consultations, health promotion and harm reduction activities at the high school once a week. In addition to offering health information services, we also aim to detect teenagers experiencing vulnerable situations such as addiction, violence, gender issues and refer them to appropriate services. Halfway through the project, we met 430 teenagers in 14 afternoons. The most common reasons for consultation (N = 310) were questions related to contraception for 29% and to sexually transmitted infections for 24,5%. 70,9% of teenagers received condoms and 13 girls were tested for pregnancy. One girl received a morning-after pill. 3 teenagers with addiction problems and 17 victims of violence were detected. The teams referred 18 teenagers to other services. The success of this outreach project confirms the need for information regarding sexual and reproductive health for teenagers living in precarious situations as well as the need to develop reachable and affordable sexual and reproductive health services in semi-rural areas. Key messages Outreach is an efficient approach to respond to teenagers’ needs in poor semi-rural areas. Outreach facilitated the detection of early pregnancies, addiction and violence issues among teenagers.

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