scholarly journals Integration of reproductive health services for men in health and family welfare centers in Bangladesh

2004 ◽  

Since the mid-1970s, the Bangladesh national family planning program primarily focused on motivating women to use modern contraceptive methods and encouraging them to seek services from clinics. In addition, female field workers were recruited to deliver contraceptive methods at homes. The program design facilitated women’s access to information and medical care through clinics and home visits. In the process, however, the medical needs of males were marginalized. Men generally seek services from pharmacies, private practitioners, and district hospitals, and often ignore preventive steps and postpone seeking medical care for chronic health conditions. In cases of acute illness, they often resort to self-medication. As noted in this report, the study’s aim was to integrate male reproductive health services within the existing government female-focused health-care delivery system. The study concluded that reproductive health services for men could easily be integrated into the health and family welfare centers without affecting the clinics’ focus on serving women and children.

2020 ◽  
Author(s):  
Naba Raj Thapa

Abstract Background: Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. Thus, the objective of this study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods: Data have been extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets wherein the weighted sample population size was restricted for modern contraceptive use to 1593 whereas for the antenatal care and skilled birth attendants to1606. This study has selected three reproductive health indicators as outcome variables of reproductive health service utilization for the analysis viz, modern contraceptive use, at least four antenatal care visits, and use of skilled birth attendants. Likewise, all calculations are based on standard sample weight of NDHS. Results: The study has found that 21% of young women used modern contraception, 71% attended at least four ANC visits, and 67% utilized a skilled birth attendant at delivery. Young Janajati women, women having 1-2, and 3 or more living children, women participating household decision-making, and the ones having exposure to media were more likely to use modern contraceptives, whereas the women who want more children were less likely to use them. Higher education attainments, higher wealth quintile, and lower birth order were associated with higher level of receiving at least four ANC visits and SBAs. However, the young women willing to have more children and having access to media have higher odds of receiving at least four ANC visits; and the women attending four and more ANC visits have higher odds of using SBAs. Conclusions: In order to improve the use of reproductive health services among young women, efforts should be made to enrich the young women of lower educational level, lower economic status, higher birth order, and lower exposure to media. Further research is required to detect the causes that affect the use of reproductive health services.


2021 ◽  
Vol 15 (1) ◽  
pp. 1-12
Author(s):  
Gadanya MA ◽  
◽  
Adamu KA ◽  
Ibrahim UM

Background: In developing countries, the lack of accessible, affordable and acceptable orthodox care makes a significant proportion of the populace patronize the nearby available and cheap traditional birth attendants (TBAs) that share similar local custom and tradition. Although there are widely diverging shreds of evidence regarding their effectiveness as health care providers, they may have a limited role as a workforce during the ongoing COVID-19 pandemic where the more community-based distribution of commodities is increasingly considered due to movement restrictions. However, it is still doubtful if their integration into the formal health system may substantially contribute to basic health care delivery especially in the rural often hard to reach areas. Objectives: To explore the various roles of TBAs in reproductive health service delivery with implication for redefining their roles especially with the advent of the COVID-19 pandemic. Methodology: We searched and reviewed relevant literature on TBAs in PubMed, Africa Journals Online (AJOL) and Google scholar and relevant institutional websites for the role of TBAs pre and during the pandemic. The databases searched yielded 92 articles of potential significance to this review. After title/abstract review, 65 articles were moved to full document review. Nineteen articles explicitly and strictly focusing on TBAs concerning reproductive health were included in this review. Results: TBAs are providers of a wide range of reproductive health services and training to expand their roles and makes them safer is necessary for any consideration of their engagement; this implies the fight against COVID-19. TBAs should only be engaged if the gap in the resources for health must be filled by leveraging on their existing traditional roles and acceptance in the community. Conclusion: TBAs are widely utilised providers of care to their communities especially in the area of maternal care. With increasing emphasis on community-based services in healthcare delivery and the emergence of COVID-19, their roles must be reviewed and updated regularly to redefine their role in the health care delivery system especially because of the myriad personal and technical limitations associated with them. Any engagement with them should be with caution and as a stop-gap measur.


Author(s):  
Naba Raj Thapa

Abstract Background About one fifth of the total population are young people aged 15-24 years in Nepal. Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. The objective of the study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods Data is extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets. The weighted sample population for modern contraceptive use is restricted to the 1593 young women, 1606 young women for the antenatal care and skilled birth attendant. Three reproductive health indicators were selected as outcome variables of reproductive health service utilization for the analysis- modern contraceptive use, at least four antenatal care visits and skilled birth attendant in delivery. All calculations were based on standard sample weight of Nepal DHS. Results The study found that 21% of young women used modern contraception, 71% attended at least four ANC visits, and 67% utilized a skilled birth attendant at delivery. Young women of Janajati, women who have 1-2, and 3 and more living children, women who participate household decision-making, and have exposure to media were more likely and women who want more children were less likely to use modern contraceptives. Higher education attainment, higher wealth status, and lower birth order were associated with higher level of receiving at least four ANC visits and skilled birth attendants among young women. Young women who want more children, and who have access to media have higher odds of receiving at least four ANC visits and women who attend four and more ANC visits have higher odds of using skilled birth attendants. Conclusion To improve the use of reproductive health services among young women, efforts should be made targeting young women of low education level, low economic status, higher birth order, and low exposure to media. Further research is required to detect the barriers that effects use of reproductive health services among young women.


Author(s):  
Vaishnavi Devi Moola Amarnath ◽  
Anitha Rani Jeyaraju ◽  
Ramesh Harihara Iyer ◽  
Ramesh Harihara Iyer

Background: In India, women in the reproductive age group (15-44 years) comprise 53% of women population (according to 2011 census). In spite of continuous evolution to improve reproductive health services in India, there is insufficient progress in decline of maternal mortality rate at 2 percent per annuum. One of the innovative strategies identified in reproductive and child health (RCH) II program and UN millennium declaration was establishment of women self-help groups (SHG’s) particularly in rural regions with high levels of poverty. So this study is aimed to assess the current role of women SHG’s in, maternal health, Family welfare and associated maternity benefit schemes. And also, to find out the constraints in involvement of women SHG’s and to assess the feasibility of enhancing their role in reproductive health services.Methods: It is a population based cross sectional study carried out at Nemam sub centre area of Nemam primary health care centre under Thiruvallur housing and urban development. Women who have been a SHG member for more than 6 months were assessed quantitatively and qualitatively after obtaining informed consent which was approved by institutional ethics committee. Data was compiled and analyzed using SPSS 15.0. Qualitative data was analyzed using coding techniques.Results: A total of 56 self-help groups from 10 villages resulted in a total study population of 392 individuals. Before identifying their role, their awareness was also evaluated. Ninety percent of the SHG women were aware of most of the components of maternal health services. But the role was good among 58% of the SHG women. This study brings forth the gap in knowledge and their role which is because they were not confident of their knowledge.Conclusions: In a developing country like India, involving the well organized and available grass root volunteers like women SHG’s in reproductive health services will have a great bearing on the maternal health and consequently on health of children and community at large.


2020 ◽  
Author(s):  
Naba Raj Thapa

Abstract Background: About one fifth of the total populations are young people aged 15-24 years in Nepal. Utilization of reproductive health services is a key component for preventing young women from different sexual and reproductive health problems. Thus, the objective of the study is to determine the factors influencing the use of reproductive health services among young women in Nepal. Methods: Data is extracted from the 2016 Nepal Demographic and Health Survey (NDHS) datasets. In where the weighted sample population for modern contraceptive use is restricted to the 1593 young women, 1606 young women for the antenatal care and skilled birth attendants. And three reproductive health indicators were selected as outcome variables of reproductive health service utilization for the analysis- modern contraceptive use, at least four antenatal care visits, and use of skilled birth attendance in delivery. Likewise, all calculations were based on standard sample weight of Nepal DHS. Results: The study has found that 21% of young women used modern contraception, 71% attended at least four ANC visits, and 67% utilized a skilled birth attendant at delivery. Young women of Janajati, women who have 1-2, and 3 and more living children, women who participate household decision-making, and have exposure to media were more likely to use modern contraceptives, whereas women who want more children were less likely to use modern contraceptives. Higher education attainments, higher wealth quintile, and lower birth order were associated with higher level of receiving at least four ANC visits and skilled birth attendants among young women. But young women who wanted more children, and who have had access to media have higher odds of receiving at least four ANC visits and women who attend four and more ANC visits have higher odds of using skilled birth attendants. Conclusion: Cleared, to improve the use of reproductive health services among young women, efforts should be made to enrich target in the young women of low education level, low economic status, higher birth order, and low exposure to media. Further research is required to detect the barriers that effects use of reproductive health services among young women.


2020 ◽  
Vol 4 ◽  
pp. 102
Author(s):  
Aisha Dasgupta ◽  
Vladimíra Kantorová ◽  
Philipp Ueffing

The COVID-19 crisis could leave significant numbers of women and couples without access to essential sexual and reproductive health care. This research note analyses differences in contraceptive method mix across Sustainable Development Goal regions and applies assumed method-specific declines in use (from 0 per cent to 20 per cent) to produce an illustrative scenario of the potential impact of COVID-19 on contraceptive use and on the proportion of the need for family planning satisfied by modern methods. Globally, it had been estimated that 77 per cent of women of reproductive age (15-49 years) would have their need for family planning satisfied with modern contraceptive methods in 2020. However, taking into account the potential impact of COVID-19 on method-specific use, this could fall to 71 per cent, resulting in around 60 million fewer users of modern contraception worldwide in 2020. Overall declines in contraceptive use will depend on the methods used by women and their partners and on the types of disruptions experienced. The analysis concludes with the recommendation that countries should include family planning and reproductive health services in the package of essential services and develop strategies to ensure that women and couples are able to exercise their reproductive rights during the COVID-19 crisis.


2020 ◽  
Vol 4 ◽  
pp. 102
Author(s):  
Aisha Dasgupta ◽  
Vladimíra Kantorová ◽  
Philipp Ueffing

The COVID-19 crisis could leave significant numbers of women and couples without access to essential sexual and reproductive health care. This research note analyses differences in contraceptive method mix across Sustainable Development Goal regions and applies assumed method-specific declines in use to produce an illustrative scenario of the potential impact of COVID-19 on contraceptive use and on the proportion of the need for family planning satisfied by modern methods. Globally, it had been estimated that 77 per cent of women of reproductive age (15-49 years) would have their need for family planning satisfied with modern contraceptive methods in 2020. However, taking into account the potential impact of COVID-19 on method-specific use, this could fall to 71 per cent, resulting in around 60 million fewer users of modern contraception worldwide in 2020. Overall declines in contraceptive use will depend on the methods used by women and their partners and on the types of disruptions experienced. The analysis concludes with the recommendation that countries should include family planning and reproductive health services in the package of essential services and develop strategies to ensure that women and couples are able to exercise their reproductive rights during the COVID-19 crisis.


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