scholarly journals Street Posyandu: Early reproductive health promotion services and media for people in street situations

2021 ◽  
Vol 6 (12) ◽  
pp. 2265-2272
Author(s):  
Erwin Rasyid ◽  
Subagio Subagio ◽  
Ahmad Syaifuddin ◽  
Firtya Maha Putri
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Role Model ◽  
Health Problems ◽  
Vulnerable Groups ◽  
Severe Problem ◽  
Specific Suggestion ◽  
Women And Children ◽  
The Government ◽  
Barriers To Health

The phenomenon of children on the streets is currently a severe problem in several cities in Indonesia. Women and children are the most vulnerable groups in the street community during the pandemic. Due to the complexity of people's health problems in street situations that are influenced by social and economic factors, this community service is expected to bridge the barriers to health access, especially reproductive health. This program aims to provide initial health services for people in street situations. Street Posyandu is expected to be a role model for the government and private sectors in dealing with people's health problems in street situations. The Street Posyandu program uses a persuasive approach. The technology used to support the Street Posyandu is the creation of a monitoring system and recording of maternal and child health conditions for street community. Posyandu Jalanan is realized by continuing to prioritize promotive and preventive services without neglecting curative (treatment) and rehabilitative (health restoration) aspects. The specific suggestion to be conveyed in this program is that the stakeholders need to redesign the form of health services aimed at communities in street situations.

scholarly journals KESEHATAN REPRODUKSI PEKERJA WANITA*

Populasi ◽  
2006 ◽  
Vol 5 (2) ◽  
Author(s):  
Muhadjir Darwin ◽  
Mahendra Wijaya
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Problems ◽  
Government Control ◽  
Reproductive Health Services ◽  
Government Regulations ◽  
Agriculture Industry ◽  
The Government ◽  
The Right

As a society becomes more modernized, the role of women in a working place is increasing. A quite large number of women work in various sectors: agriculture, industry, and services. While their participation contributes to the welfare of their family and society at large, the health implication (particularly on reproductive health) needs considerable attention. The study shows the incidence of various reproductive health problems in a working place and low attention given by the employers to this problem. Statutes and government regulations have been made to protect female labours from reproductive health problems, but these laws and regulations have not been implemented consistently by the employers. This studyproposes to increase the government control on reproductive health services and protection given by employers to private industries, and to give the workers the right to organize themselves so that they can obtain the power to have reproductive health services as well as protection from their employers.

scholarly journals Community involvement in reproductive health: Findings from research in Karnataka, India

2004 ◽  
Author(s):  
Keyword(s):  
Child Health ◽  
Reproductive Health ◽  
Health Services ◽  
Community Participation ◽  
Community Involvement ◽  
Child Health Services ◽  
Reproductive And Child Health ◽  
The Government ◽  
The Impact ◽  
And Child Health

In 1996, the government of India decided to provide a package of reproductive and child health services through the existing family welfare program, adopting a community needs assessment approach (CNAA). To implement this approach, the government abolished its practice of setting contraceptive targets centrally and introduced a decentralized planning strategy whereby health workers assessed the reproductive health needs of women in their respective areas and prepared local plans to meet those needs. They also involved community leaders to promote community participation in the reproductive and child health program. Since 1998, several evaluation studies have assessed the impact of CNAA on the program’s performance and community participation. These studies showed that the performance of the maternal health-care program improved, whereas the functioning of the family planning program initially declined but later recovered. The approach achieved little in boosting community involvement. This project tested a new model of health committee to help stimulate community participation in reproductive and child health activities at the village level. The experiment, described in this report, was conducted in the Hunsur block of the Mysore District in Karnataka for two years. Researchers evaluated the impact in terms of community involvement and utilization of reproductive and child health services.

scholarly journals Determinants of Sexual and Reproductive Health among Brazilian youth (aged 18 to 29 years old)

2016 ◽  
Vol 38 (2) ◽  
pp. 211
Author(s):  
Miguel Barbosa Fontes ◽  
Rdrigo Campos Crivelaro ◽  
Alice Margini Scartezini ◽  
David Duarte Lima ◽  
Alexandre De Araújo Garcia ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Unwanted Pregnancy ◽  
Federal District ◽  
Vulnerable Groups ◽  
Linear Regression Models ◽  
Access To Health Services ◽  
Attitudes And Practices ◽  
Main Determinants

This study assessed the main determinants of sexual and reproductive health of Brazilian youth. It was approved by the Ethics Committee of the Medicine Faculty of the University of Brasília, and it received support from Paho and Brazilian Ministry of Health. 1.208 youngsters (18 to 29 years old) in 15 states and Federal District were interviewed at their residences, during the second semester of 2011. Margin of error, adjusted regional and nationally, was 2.8% (CI: 95%), regarding the assessed sample. A KAP scale (knowledge, attitudes, and practices) with 17 questions (-17 to +17 points) was generated. A questionnaire was pre-tested for consistency and validity analysis was performed. KAP scale was used as dependent variable in adjusted linear regression models. Mean KAP score was 5.65 points. Gaps in KAP were: 70% of the youth do not know when the fertility period of a woman is. 42% of youth do not recognize condoms as a method to prevent unwanted pregnancy and STDs. The main factors associated to explaining variances in KAP are gender, education, religion, access to health services, having had sexual intercourse in the last 12 months, and having friends as the main personal reference (p < 0.05). Youngsters with higher education, women, non-Protestant, who claim to know where to find health services have better KAP level of reproductive health. Studies are necessary to support public policies that increase the KAP levels in sexual and reproductive health of the most vulnerable groups, such as the segment comprising low education, men and Protestants.

Healthy Start: The Use of Welfare Food Vouchers by Low-Income Parents in England

2015 ◽  
Vol 14 (3) ◽  
pp. 457-469 ◽  
Author(s):  
Patricia J Lucas ◽  
Tricia Jessiman ◽  
Ailsa Cameron
Keyword(s):  
Low Income ◽  
Healthy Start ◽  
Fruit And Vegetables ◽  
Vulnerable Groups ◽  
Additional Protection ◽  
Women And Children ◽  
Self Service ◽  
The Government ◽  
The Uk ◽  
Social Security Benefits

The Healthy Start scheme provides food welfare to pregnant women and children under four years old in the UK. The Government provides vouchers to families living on a low income that can be exchanged for infant formula, plain cow's milk and fresh or frozen fruit and vegetables. This article reports on a qualitative study of parents using Healthy Start in England. Interviews were conducted with 107 parents from thirteen areas in England. Most found the scheme easy to use, but some vulnerable groups were unable to access the scheme. The vouchers provided a vital source of food at times of crisis, and put purchase of fruit and vegetables within reach for some. Parents reduced stigma by using self-service tills and by only visiting retailers known to accept the vouchers. Healthy Start provides additional protection by sitting outside of other social security benefits. To continue to provide this essential protection, their value should be reviewed and increased.

scholarly journals Socio-demographic and economic factors influencing utilization of youth friendly reproductive health services among youths in selected universities in Nairobi County, Kenya

2020 ◽  
Vol 7 (7) ◽  
pp. 2437
Author(s):  
Felix Mwendwa Mutua ◽  
Jane Karonjo ◽  
Jackline Mosinya Nyaberi ◽  
Peter Kamau Wanyoike ◽  
John Kausya ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sampling Technique ◽  
Systematic Sampling ◽  
Bivariate Analysis ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Health Service Provision ◽  
The Government ◽  
Youth Friendly

Background: The reproductive and sexual health of the youth remains a relatively new and sensitive area mainly due to restrictive norms and policies guiding the services and also the access and utilization of youth friendly reproductive health services (YFRHS) among the college youth are dependent on many factors.Methods: Descriptive cross-sectional design was used to study 421 youths in selected universities in Nairobi County. Systematic sampling technique was used. Data was collected using a researcher-administered structured questionnaire and Key Informant Interview. Quantitative data analysis was conducted using SPSS version 24.0 and involved univariate and bivariate analysis. Chi-square were used to test the significance of the association between the dependent and independent variables (p<0.05). Qualitative data was analyzed by thematic content analysis.Results: The results indicated that 67.9% of youths utilized counselling services, 42.0% utilized VCT, 24.7% utilized family planning and 12.6% reported having used antenatal or pregnancy services. Utilization for all the reproductive health services increased with age with gender greatly associated with utilization of ANC services (p=0.0001), FP services (p=0.001) and STDs treatment (p=0.002) while age of an individual was associated with VCT services (p=0.0001), FP services (p=0.008) and counselling (p=0.007).Conclusions: Socio-demographic factors influence utilization of YFRHS and therefore there is a need for the Government through the Ministry of Health and partners in health service provision to increase the number of YFRHS and ensure that the recommendations of Adolescent Health Policy guidelines are implemented fully with good evaluation strategies in place.

Covid-19 and public health

2021 ◽  
Vol 122 (1) ◽  
pp. 92-111
Author(s):  
Allyson M. Pollock ◽  
Louisa Harding-Edgar
Keyword(s):  
Public Health ◽  
Health Services ◽  
Disease Control ◽  
Public Services ◽  
Communicable Disease ◽  
Care Service ◽  
World Health ◽  
Vulnerable Groups ◽  
Public Health Services ◽  
The Government

The UK has the highest death rate from Covid-19 in the world, and it is vulnerable groups who have suffered the most. This article describes the multiple failures of government that led to this tragedy. The depletion of and disinvestment in public health services, communicable disease control and community health services over decades meant those reliant on these services were failed. The fundamental tenets of public health were set aside, and public health expertise ignored, in favour of establishing a parallel, privatised system for epidemic control which failed expensively and spectacularly. Long-established principles of infectious disease control and rules and standards for scientific evaluation were not followed, and our ‘world-class scientists’ fatally departed from World Health Organisation advice. Covid has been used as a cover for more privatisation and less scrutiny and accountability. It has exposed the gap between rich and poor and erosion in our public services. However, rather than ameliorating inequalities, the government has presided over enormous inter- and intra-generational transfers of harms and risks from rich to poor and to those in institutional settings, and from older prosperous people to children. Above all, Covid has been a cover for enormous transfers of wealth from the public purse and public services to private interests — notably in health services. There is a political solution to the undermining of public health, commercial conflicts and lack of public accountability: the government must bring forward legislation to reinstate a publicly funded, publicly operated and fully integrated National Health and Care Service, and set out clear plans for reinvestment and restoring and rebuilding health and care services.

scholarly journals Access to information and use of adolescent sexual reproductive health services: Qualitative exploration of barriers and facilitators in Kisumu and Kakamega, Kenya

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241985
Author(s):  
Lilian Mutea ◽  
Susan Ontiri ◽  
Francis Kadiri ◽  
Kristien Michielesen ◽  
Peter Gichangi
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Information ◽  
Adolescent Health ◽  
Health Workers ◽  
Cultural Influences ◽  
Health Problems ◽  
Reproductive Health Services ◽  
Sustainable Solutions ◽  
Sexual Reproductive Health

Background Kenya has a high prevalence of adolescent pregnancy and low access to and use of adolescent sexual reproductive health services. Despite the enactment of evidence-based policies to address this problem, adolescents continue to face health problems and barriers to adolescent sexual reproductive health information and services. Main objective This study describes barriers to and facilitators of access to adolescent sexual and reproductive health services in Kisumu and Kakamega counties, Kenya. Methodology We used a qualitative design. Through 61 data collection sessions, 113 participants were engaged in key informant interviews, in-depth interviews, and/or focus group discussions. Trained Research Assistants (RAs) engaged adolescents, health care workers, teachers, county leaders, and community representatives. Data were captured using audio recorders and field notes. Socio-demographic data were analyzed for descriptive statistics, while audio recordings were transcribed, translated, and coded. Thematic analysis was done with NVivo. Results Findings show that the barriers of access to sexual reproductive health services and information were negative health workers’ attitudes, distance to the health facility, unaffordable cost of services, negative social cultural influences, lack of privacy and confidentiality. Facilitators to adolescent sexual reproductive health services were few and included getting priority for school going adolescents and enabling environment for partnerships on adolescent health issues. Conclusions Adolescents in Kakamega and Kisumu face a myriad of barriers when seeking sexual reproductive health information and/or health services. We recommend that counties sensitize all stakeholders on adolescent sexual reproductive health problems, and support development of multi-sectoral, sustainable solutions to adolescent health needs.

scholarly journals An Analysis of Reproductive Health Issues in Pakistan

2000 ◽  
Vol 39 (4II) ◽  
pp. 675-693 ◽  
Author(s):  
Naushin Mahmood ◽  
Durr-e- Nayab
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Development Strategy ◽  
Special Focus ◽  
Health Issues ◽  
Reproductive Health Services ◽  
Family Planning Services ◽  
Fertility Reduction ◽  
The Government

Population programmes in many developing countries have emphasised on family planning services driven largely by numbers and demographic targets. With the advent of the International Conference on Population and Development (ICPD) in 1994, it has been recognised to move beyond a narrow focus on family planning to a more comprehensive concern of reproductive health oriented towards meeting the needs of individuals and families. This advocated shift in population and development strategy, especially in health emphasises that services be offered to women, men and adolescents with a special focus on fulfilling women’s health needs, safeguarding their reproductive rights and involving men as equal partners in meeting the goal of responsible parenthood [United Nations (1995)]. In response to ICPD’s mandate, Pakistan’s population programme has increasingly been focussed on various aspects of reproductive health and is in the process of broadening the scope of services for a transition to reproductive health without losing focus on achieving fertility reduction goal. In this regard, the government has adopted a comprehensive population and development policy incorporating an array of reproductive health services and has integrated population and health departments and their activities in dealing with RH problems. Under the consideration that the revised programme can not simultaneously address all of the RH problems, an integrated National Reproductive Health Services Package has been developed to provide services to eligible women, men and adolescents [Pakistan (1999)]. The major components of RH package include:

scholarly journals Persepsi Remaja Mengenai Nasehat Reproduksi Pada Saat Mengalami Menarche di Garut

2019 ◽  
Vol 6 (01) ◽  
pp. 9-20
Author(s):  
Esa Risi Suazini
Keyword(s):  
Reproductive Health ◽  
Unwanted Pregnancy ◽  
Health Problems ◽  
Sexually Transmitted ◽  
Adolescent Attitudes ◽  
Interview Survey ◽  
The Government ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
The Impact

Teenagers are susceptible to falling into promiscuity. The impact of promiscuity is contracting Sexually Transmitted Diseases (STDs). Greater impact can be experienced by adolescents who have experienced menarche, other than contracting STDs can also unwanted pregnancy, abortion and young pregnancy. Adolescents need guidance in dealing with life, based on data from the Ministry of Health in 2015, amounting to 14% or about 6 million adolescents to have free sex. Adolescent reproductive health problems can continue to reproductive health problems in adulthood. The purpose of this study was to determine the perceptions of young women regarding reproductive advice when she experienced menarche in Garut. This research is useful as a reference for parents to pay more attention to adolescents and as input to the government in developing new strategies in increasing knowledge, forming adolescent attitudes and behavior in reproductive health. The research method used is the mix method by means of a later interview survey to get a generalization of the phenomenon from the perception of the respondent (grounded theory).The results of the study obtained answers that the majority of respondents did not get optimal reproductive advice, mothers as the main people who provide reproductive advice and advice that adolescents get when experiencing menarche are general interaction, attention to worship, cleanliness, types of food and drinks and advice in the form of myths or cultures that develop in the community

scholarly journals Reproductive and Maternal Health Challenges of Pregnant Women in Ethiopia: An Anthropological Appraisal

2017 ◽  
Vol 4 (1) ◽  
pp. 32-37
Author(s):  
R. N. Pati
Keyword(s):  
Maternal Health ◽  
Reproductive Health ◽  
Health Services ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Maternal Health Services ◽  
Health Seeking ◽  
African Countries ◽  
Rural Regions ◽  
The Government

A very Poor attention is given to reproductive health issues of pregnant women in rural regions of African countries. Ethiopia is one of the countries in horn of Africa representing highest maternal mortality rate in the continent. The Government of Ethiopia has reformed health policy and program to promote community involvement in maternal health, promotion of emergency obstetric health care, health seeking behavior for optimal utilization of maternal health services by women during pregnancies. The women living in pastoralist and small land holders’ communities are exposed to high risks of reproductive health hazards. Material delays comprising of delay in making the decision for referral, delay in arriving at hospital and delay in receiving appropriate maternal health services are major contributing factors for growing maternal deaths in Ethiopia. The illiteracy of woman, exposure to frequent pregnancies at adolescent age, poor decision making power of women in patriarchal society, poor employment status of women are main predicators of low utilization of maternal services and high ,maternal death in rural regions of the country. This article is based on synthesis of research projects completed by different authors on multiple dimensions of maternal mortality in Ethiopia. The promotion of referral support service and bridging up the referral gaps would address issues of maternal mortality and growing unsafe abortions among young mothers in rural regions of the country. This paper examines critically different socio – cultural barriers that prevent women living in rural area for accessing appropriate utilization of maternal and health services and infrastructure available. Int. J. Soc. Sc. Manage. Vol. 4, Issue-1: 32-37

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