scholarly journals Social Accountability for Adolescent Sexual and Reproductive Health

2017 ◽  
Vol 7 ◽  
pp. 13-39
Author(s):  
Giri Prasad Panthi
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Adolescent Pregnancy ◽  
Sexual And Reproductive Health ◽  
Social Accountability ◽  
Child Marriage ◽  
Gender Based Violence ◽  
Community Based ◽  
Adolescent Population ◽  
Gender Based

Adolescent population of Nepal is facing health and social problems related to sexual, reproductive, behavioral and traditional social practices. Adolescent pregnancy, child marriage, unwanted pregnancies, Chhaupadhi (restrictions during menstruation and delivery), sexual- gender based violence, unsafe abortion, HIV/AIDS, drug addiction and suicide are major problems which have severe consequences in the lives of adolescents in Nepal. Addressing such daunting problems that adolescents are facing today needs holistic approach, going beyond health. Wider community support, civic engagement and social mobilizations are required to tackle the ASRH problems. Community Based Institutions (CBIs), Community Leaders and citizens have obligations to respond to the problems related with service delivery and ending harmful practice as a social accountability for protection, fulfill and upholding the rights of adolescents. In this context, the objective of this study is assess awareness and engagement capacity of citizens for addressing adolescent sexual and reproductive health problems as a social accountability in Baitadi District of Nepal. Descriptive and analytical research design were used to assess the level of awareness and empowerment from the citizen’ perspectives. A total of 337 respondents affiliated with the five different types of community based institutions (CBIs) were interviewed using structured questionnaire for data collection and data analysis was done by using SPSS version 16.0. The preliminary results of the study reveals that majority of citizens were aware and informed about SRH problems of adolescents, citizens perceived that child-marriage (15%) is the main issue of adolescents in the community followed by Gender Based Violence (13.4%) and adolescent pregnancy (12.7%) among others. The study reveals that citizens belonging to rural areas have more citizen, actions on preventing child marriage; awareness level was higher among citizens from Non-Dalit communities than in Dalit communities. Further, 59.9 percent citizens feel confident to talk about sexual-reproductive health services related concerns in the meeting whereas 32.6 percent citizens perceived that they are hesitant to speak on SRH issues. Similarly, nearly half of the citizens perceived that they were not capable of deciding freely to talk about SRH related issues in the meeting. Only 61.1 percent citizens feel confident to claim for access to quality health service as their fundamental rights from public health facilities. The study concluded that majority of citizens affiliated with Community Based Institutions were aware about characteristics and Sexual and Reproductive Health issues of adolescent population at their communities. However, still a sizeable citizen felt less confident to use their individual agency to decide freely, speaking up against existing traditional norms and shown less confident in claiming Sexual and Reproductive health service as rights. The study revealed that citizen’s accountability capacity is inadequate for tackling adolescent sexual and reproductive health service provision and social behavior change at the community level and therefore this calls for the dire needs to build the capacity of vanguard citizens to contribute to improving adolescents sexual and reproductive health status.Himalayan Journal of Sociology & Anthropology - Vol. VII (2016), page: 13-39

scholarly journals Delivery of sexual and reproductive health interventions in conflict settings: a systematic review

2020 ◽  
Vol 5 (Suppl 1) ◽  
pp. e002206 ◽  
Author(s):  
Mariella Munyuzangabo ◽  
Dina Sami Khalifa ◽  
Michelle F Gaffey ◽  
Mahdis Kamali ◽  
Fahad J Siddiqui ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Low Income ◽  
Sexual And Reproductive Health ◽  
Sub Saharan Africa ◽  
Health Staff ◽  
Gender Based Violence ◽  
Community Based ◽  
Intervention Coverage ◽  
Conflict Settings ◽  
Gender Based

BackgroundIt is essential to provide comprehensive sexual and reproductive health (SRH) interventions to women affected by armed conflict, but there is a lack of evidence on effective approaches to delivering such interventions in conflict settings. This review synthesised the available literature on SRH intervention delivery in conflict settings to inform potential priorities for further research and additional guidance development.MethodsWe searched MEDLINE, Embase, CINAHL and PsycINFO databases using terms related to conflict, women and children, and SRH. We searched websites of 10 humanitarian organisations for relevant grey literature. Publications reporting on conflict-affected populations in low-income and middle-income countries and describing an SRH intervention delivered during or within 5 years after the end of a conflict were included. Information on population, intervention and delivery characteristics were extracted and narratively synthesised. Quantitative data on intervention coverage and effectiveness were tabulated, but no meta-analysis was undertaken.Results110 publications met our eligibility criteria. Most focused on sub-Saharan Africa and displaced populations based in camps. Reported interventions targeted family planning, HIV/STIs, gender-based violence and general SRH. Most interventions were delivered in hospitals and clinics by doctors and nurses. Delivery barriers included security, population movement and lack of skilled health staff. Multistakeholder collaboration, community engagement and use of community and outreach workers were delivery facilitators. Reporting of intervention coverage or effectiveness data was limited.DiscussionThere is limited relevant literature on adolescents or out-of-camp populations and few publications reported on the use of existing guidance such as the Minimal Initial Services Package. More interventions for gender-based violence were reported in the grey than the indexed literature, suggesting limited formal research in this area. Engaging affected communities and using community-based sites and personnel are important, but more research is needed on how best to reach underserved populations and to implement community-based approaches.PROSPERO registration numberCRD42019125221.

Sexual and Reproductive Health in China

2021 ◽  
Author(s):  
Qianling Zhou ◽  
Chu-Yao Jin ◽  
Hai-Jun Wang
Keyword(s):  
Reproductive Health ◽  
Sexual Intercourse ◽  
Sexual And Reproductive Health ◽  
Sexual Transmission ◽  
Induced Abortion ◽  
Gender Based Violence ◽  
The Disabled ◽  
Gender Based ◽  
Contraceptive Practice ◽  
Hiv Aids

Databases of PubMed, Scopus, and China National Knowledge Infrastructure (CNKI) were used to search relevant articles on sexual and reproductive health (SRH) in China published from 2005 to the present (2021), based on the World Health Organization’s (WHO) Operational Framework on Sexual Health and Its Linkages to Reproductive Health. The following results were found. (a) SRH education and information among the Chinese were insufficient, in particular regarding contraception, pregnancy, and sexually transmitted diseases (STDs). Adolescents, migrants, and the rural population had insufficient knowledge of SRH. (b) Fertility care services were mainly available in large cities, in urban areas, and for married couples. Services targeted for rural-to-urban migrants, rural residents, and the disabled and elderly are needed. (c) A total of 22.4% of youths aged 15–24 had premarital sexual intercourse, and the age of first sexual intercourse was decreasing. Risky sexual behaviors included multiple partners, casual and commercial sex, and having sex after drinking alcohol. (d) The contraceptive practice rate of women aged 15–49 in China was higher than the world’s corresponding figure. However, contraceptive use among young people was low (only 32.3% among unmarried women). (e) Unmarried pregnancy induced by low contraceptive practice is a critical issue in China. (f) Induced abortion was the major consequence of unmarried pregnancy. The rate of induced abortion among the general population in 2016 was 28.13‰, and the rate among unmarried women was increasing annually. (g) There were 958,000 HIV-infected cases in China as of October 2019. Sexual transmission was the major transmission route of HIV-AIDS. More men than women were infected. Men having sex with men comprised the high-risk group of sexual transmission of HIV-AIDS. (h) Gender-based violence including intimate partner violence (IPV), sexual violence, sexual coercion, and child sexual abuse (CSA) might be underreported in China, since many victims were afraid to seek help as well as due to limited services. Legal and regulatory measures should therefore be taken to prevent and reduce gender-based violence. For future perspectives of SRH in China, it is important to pay attention to SRH education and services. An up-to-date national survey on SRH is needed to reflect the current situation and to capture changes over the past decade. Most of the current research has been conducted among adolescents, and more studies are needed among other groups, such as the disabled, the elderly, and homosexual populations.

15 Feasibility of gender based violence screening and counselling in a sexual and reproductive health facility in Sri Lanka

2015 ◽  
Vol 21 (Suppl 2) ◽  
pp. A5.3-A6
Author(s):  
Achini Jayatilleke ◽  
Sumithra Tissera ◽  
Asanka Pathirathne ◽  
Badra Udawatta ◽  
Prasanna Jayathilaka ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Reproductive Health ◽  
Health Facility ◽  
Sexual And Reproductive Health ◽  
Gender Based Violence ◽  
Gender Based

Intersecting Mental Health and Sexual and Reproductive Health

2018 ◽  
Vol 17 (1) ◽  
pp. 18-20 ◽  
Author(s):  
Amit Timilsina
Keyword(s):  
Mental Health ◽  
Reproductive Health ◽  
Life Course ◽  
Sexual And Reproductive Health ◽  
Mental Health Problems ◽  
Gender And Sexuality ◽  
Life Course Perspective ◽  
Health It ◽  
Gender Based Violence ◽  
Gender Based

Mental Health and Sexual and Reproductive Health are well-studied with accolades of literature on each topic; however, their interrelationships have been under-described. Mental Health problems can be result of concurrent or past Sexual and Reproductive Health ill event and vice versa. This article presents intersection between Mental Health and Sexual and Reproductive Health based on available literature. Intersections between Mental Health and Sexual and Reproductive Health and their impacts can be studied through life course perspective and needs prioritized attention in case of Gender Based Violence and for people living with disability. The article highlights the importance to explore other aspects such as emotions, gender and sexuality associated with Mental Health and to study and understand physiological and psychological context between Mental Health and Sexual and Reproductive Health. It also stresses the need of further research on intersection between Mental Health and Sexual and Reproductive Health.

scholarly journals “We Are Prisoners in Our Own Homes”: Connecting the Environment, Gender-Based Violence and Sexual and Reproductive Health Rights to Sport for Development and Peace in Nicaragua

2019 ◽  
Vol 11 (16) ◽  
pp. 4485 ◽  
Author(s):  
Lyndsay M. C. Hayhurst ◽  
Lidieth del Socorro Cruz Centeno
Keyword(s):  
Reproductive Health ◽  
Political Ecology ◽  
International Development ◽  
Sexual And Reproductive Health ◽  
Gender Based Violence ◽  
Feminist Political Ecology ◽  
Visual Research Methods ◽  
Gender Based ◽  
Health Rights ◽  
Postcolonial Feminist

This paper draws on postcolonial feminist political ecology theory, feminist theories of violence and new materialist approaches to sport and physical cultural studies—combined with literature on the role of non-humans in international development—to unpack the connections between gender-based violence and the environment in sport, gender and development (SGD) programming in Nicaragua. To do this, postcolonial feminist participatory action research (PFPAR), including visual research methods such as photovoice, was used to better understand, and prioritize, young Nicaraguan women’s experiences of the environment and gender-based violence as they participated in an SGD program used to promote environmentalism and improve their sexual and reproductive health rights. To conclude, the importance of accounting for the broader physical environment in social and political forces was underlined as it shapes the lives of those on the receiving end of SGD interventions.

Using reproductive health services to address sexual and gender-based violence in post-conflict northern Uganda.

2019 ◽  
Author(s):  
Keneth Opiro ◽  
Francis Pebolo Pebalo ◽  
Neil Scolding ◽  
Charlotte Hardy
Keyword(s):  
Reproductive Health ◽  
Health Service ◽  
Health Workers ◽  
Northern Uganda ◽  
Gender Based Violence ◽  
Reproductive Health Services ◽  
Service Workers ◽  
Post Conflict ◽  
Gender Based ◽  
And Gender

Abstract Abstract Background Sexual and gender-based violence (SGBV), including rape and child sexual abuse, remains a significant challenge in post-conflict northern Uganda, including within refugee settlements. Many victims have never sought help from health-related services. Consequently, the scale of the problem is unknown, and SGBV victims’ injuries, both psychological and physical, remain undetected and unaddressed. We hypothesized that health workers in rural Reproductive Health Services could provide a valuable resource for SGBV screening and subsequent referral for support. Methods Our project had three elements. First, Reproductive Health Service workers were trained in the knowledge and skills needed to screen for and identify women who had experienced SGBV, using a questionnaire-based approach. Second, the screening questionnaire was used by reproductive health workers over a 3-month period, and the data analysed to explore the scale and nature of the problem. Third, victims detected were offered referral as appropriate to hospital services and/or the ActionAid SURGE (Strengthening Uganda’s Response to Gender Equality) shelter in Gulu. Results 1656 women were screened. 778 (47%) had a history of SGBV, including 123 victims of rape and 505 victims of non-sexual violence. 1,254 (76%) had been directly or indirectly affected by conflict experiences; 1066 had lived in IDP camps. 145 (9%) were referred at their request to Gulu SGBV Shelter under SURGE. Of these, 25 attended the shelter and received assistance, and a further 20 received telephone counselling. Conclusion Undetected SGBV remains a problem in post-conflict northern Uganda. Reproductive Health Service workers, following specific training, can effectively screen for and identify otherwise unreported and unassisted cases of SGBV. Future work will explore scaling up to include screening in hospital A&E departments, incorporate approaches to screening for male victims, and the impact of taking both screening and support services to rural communities through local clinics with mobile teams.

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