scholarly journals Perilaku Kesehatan Reproduksi Pasangan Usia Subur (PUS) Pada Komunitas Samin Di Kabupaten Blora

2020 ◽  
Vol 1 (1) ◽  
pp. 17-26
Author(s):  
Jarot Sugiharta ◽  
Suhardono Suhardono ◽  
Agus Prasetyo

ABSTRACTBackground : Reproductive health problems in the community Samin especially couples of childbearing age is still a concern, they generally do not utilize reproductive health care facilities, have not followed the family planning program, do not follow government rules on health care, they are more trusting bewitched by the teachings Saminisme background.Objective : The aim of this study was to describe reproductive health behavior on fertile age couple (PUS) Samin Communities In The District of Blora.Methods : This research is descriptive quantitative and qualitative approaches, the draft through Exploration Research (explanatory research) The research sample comprised a total population of couples of reproductive age (PUS) Samin community in Blora, as many as 130 people. Sample Qualitative 12 people consisting of family (EFA) and 6 community leaders, and 6 health workers who are in the Samin community.The collection of quantitative data with structured interviews, and in-depth interviews for the qualitative data.The quantitative data in the descriptive analysis, while qualitative data analysis with deskrepsi contents.Result : The results showed that 98.5% of respondents are knowledgeable both about the ante natal care, 96.2% of respondents are knowledgeable both about post natal care, 92.3% of respondents good knowledge about family planning. 97.7% of respondents are supportive of the ante natal care, 97.7% of respondents are supportive of the post natal care services, 97.7% of respondents are supportive of the KB and the ante natal care 95.4% of respondents, 92.3% of respondents do post-natal care , 76.2% of respondents planning. Variable knowledge has a very close relationship with a significance value of 0.003 to the magnitude of the possible influence of Odds Ratio (OR) was 14.881 (Exp (B), variable age with a significance value of 0.027 to the magnitude of the possible influence of Odds Ratio (OR) was 10.601 (Exp( B).Conclusion : reproductive health knowledge Samin community largely understand the importance of reproductive health, especially in pregnancy, labor and birth, and yet people still believe Samin once with myths about reproductive health, and so maintain Saminisme cultural customs. For Blora District Health Office, the results of this study can be used as inputs in delivering the program - the EFA program, while for health centers in the region Samin can be input in the improvement of reproductive health care.Keywords: Behavior, Reproductive Health, EFA, Samin

Author(s):  
Pinar Döner ◽  
Kadriye Şahin

Abstract Purpose: Reproductive health includes the capability to reproduce and the freedom to decide. In this context, both women and men have rights. In this study, it is aimed to reveal the obstacles in using these rights and to describe perceptions on marriage and family planning (FP) of Syrian women and men and to increase awareness for developing new policies on the Primary Health Care. Methods: The study was conducted using qualitative method, consisting of in-depth interviews with 54 participants; 43 women and 11 men who had to emigrate from varied regions of Syria at different times since 2011. Syrian women living in Hatay, in the south of Turkey were identified from Primary Health Care Center. Most of the Syrian women had given birth to the first two children before the age of 20 years. The interviewees were selected by purposive and snowball sampling. Results: The result was examined under seven headings: knowledge about FP and contraceptive methods, hesitation about contraceptive methods, emotional pressure of family and fear of maintaining marriage, embarrassing of talking about sexuality and contraception, the effects of belief and culture on contraception, psychological reflections of war, and changes in the perception of health during the process of immigration. The most significant factors affecting the approaches to FP and contraceptive methods of the women in this study were determined to be education, traditions, economic status, and religious beliefs. The most important factors affecting participants’ FP and contraceptive method approaches are education, cultural beliefs, economic status, and religious beliefs. Conclusions: The primary healthcare centers are at a very strategical point for offering FP services to help address patients’ unmet contraceptive needs and improve pregnancy outcomes. More attention should be paid to social determinants that influence the access to reproductive health. Moreover, efforts can be done to address gender inequality that intercept FP. The most important strategy for primary health systems to follow the gender barriers that hinder access to FP services and men are empowered to share responsibility for FP.


Author(s):  
Irshad Begum Shaikh ◽  
Syed Imtiaz Ahmed Jafry ◽  
Syed Muhammad Zulfiqar Hyder Naqvi ◽  
Syeda Nadia Firdous ◽  
Admin

Abstract A cross-sectional survey was conducted from February 2016 to September 2016 to assess knowledge, attitude and practices regarding implants among women of childbearing age visiting Reproductive Health Services Center, Civil Hospital,Karachi. A total of 396 adult non-pregnant married females of child bearing age, from 18 to 49 years old, were interviewed using a structured questionnaire.Only153 (38.6%) of therespondentshad knowledge about implants whereas out of them 122 (79.7%) acquired it from family planning clinics. Almost two third of them (n=267, 67.4%) were in favor of using implants as a contraceptive method. Moreover, 244 (61.6%) of them were of the opinion that if given the choice, they will use implanon though out of total 316 (79.8%) respondents who ever used contraceptives, only 3 (0.9%) used implants.Despiteafavorable attitude, limited knowledge and poor practices of the respondents highlighted the study findings. Keywords: Knowledge, Attitude, Contraception, Progestins, Continuous...


2010 ◽  
Vol 5 (3) ◽  
pp. 216-224 ◽  
Author(s):  
Maxine L. Weinman ◽  
Ruth S. Buzi ◽  
Peggy B. Smith

Health care utilization of reproductive health care services among males is an emerging issue. This study examined ethnicity as a factor in reproductive health care utilization among 1,606 African American and Hispanic young males attending family planning clinics. Seventy percent were African American and 30% were Hispanic. Across groups, the most received service was treatment for a sexually transmitted infection (STI). African American males were more likely than Hispanic males to have health insurance, report a prior visit to a family planning/STI clinic, and have a history of an STI. Hispanic males had higher rates of employment. The most common source of referral for family planning services for both groups was either a current girlfriend or female friend. Hispanic males were more likely to use family as a referral source than African American males. Differences were also noted in regard to interest in health topics with African American males most interested in STI prevention and getting a job and Hispanic males in services related to working-out/eating well, controlling anger, feeling depressed, and getting along with family. Young males’ perceptions of what they consider to be important health care needs should be assessed carefully in order to maintain their interest in returning to the clinics.


2021 ◽  
Vol 3 ◽  
Author(s):  
Gabrielle O'Malley ◽  
Kristin M. Beima-Sofie ◽  
Stephanie D. Roche ◽  
Elzette Rousseau ◽  
Danielle Travill ◽  
...  

Background: Successful integration of pre-exposure prophylaxis (PrEP) with existing reproductive health services will require iterative learning and adaptation. The interaction between the problem-solving required to implement new interventions and health worker motivation has been well-described in the public health literature. This study describes structural and motivational challenges faced by health care providers delivering PrEP to adolescent girls and young women (AGYW) alongside other SRH services, and the strategies used to overcome them.Methods: We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) with HCWs from two demonstration projects delivering PrEP to AGYW alongside other SRH services. The Prevention Options for the Women Evaluation Research (POWER) is an open label PrEP study with a focus on learning about PrEP delivery in Kenyan and South African family planning, youth mobile services, and public clinics at six facilities. PrIYA focused on PrEP delivery to AGYW via maternal and child health (MCH) and family planning (FP) clinics in Kenya across 37 facilities. IDIs and FGDs were transcribed verbatim and analyzed using a combination of inductive and deductive methods.Results: We conducted IDIs with 36 participants and 8 FGDs with 50 participants. HCW described a dynamic process of operationalizing PrEP delivery to better respond to patient needs, including modifying patient flow, pill packaging, and counseling. HCWs believed the biggest challenge to sustained integration and scaling of PrEP for AGYW would be lack of health care worker motivation, primarily due to a misalignment of personal and professional values and expectations. HCWs frequently described concerns of PrEP provision being seen as condoning or promoting unprotected sex among young unmarried, sexually active women. Persuasive techniques used to overcome these reservations included emphasizing the social realities of HIV risk, health care worker professional identities, and vocational commitments to keeping young women healthy.Conclusion: Sustained scale-up of PrEP will require HCWs to value and prioritize its incorporation into daily practice. As with the provision of other SRH services, HCWs may have moral reservations about providing PrEP to AGYW. Strategies that strengthen alignment of HCW personal values with professional goals will be important for strengthening motivation to overcome delivery challenges.


2019 ◽  
Vol 13 (2) ◽  
pp. 7-10
Author(s):  
Md Mahbubur Rahman ◽  
Md Shafiqur Rahman ◽  
Abu Noman Mohammed Mosleh Uddin ◽  
Shammi Sultana Ferdousi ◽  
Nargis Nahar ◽  
...  

Introduction: Health care is a continuous care from womb to tomb. Bangladesh has made tremendous achievement in the health sector over the last few decades. Early marriage, perception about pregnancy and high financial cost are the factors for less utilization of health care services. Many other barriers like gender inequality, cultural norms and traditions are important barriers too for seeking reproductive health care services.   Objectives: To further unpack the pattern of dynamic social barriers faced by urban women in accessing reproductive health care services, which in turn may assist the service stakeholders to design programs to overcome the barriers. Materials and Methods: This is a descriptive empirical social study was executed in Dhaka city from January 2019 to April 2019. Interviewer administered face to face in depth interview was employed to collect data from 122 samples, estimated by peer review and picked up by haphazard sampling, from among married women of reproductive age 15-45years. Data were analyzed by SPSS 20. Emic and etic interpretation were done on the information generated. All ethical issues were taken care of. Results: The perceived barriers to antenatal, natal, postnatal care and family planning practices were poverty, ignorance and husband non co-operation. As many as 78.7% respondents were house wives, about 71.0% respondent’s age at marriage was 13- 18 years, 36.1% were qualified up to intermediate level, 53.3% are 25-35yrs age group, 80% received antenatal care, 32% gone for home delivery and 68.7% were unwilling for postnatal care services. The present study found that ignorance and poverty were the main reasons for non-utilizing health care facilities. Conclusion: There is scope to improve the utilization of reproductive health care services of urban women. Social and cultural barriers are more common. Health care services are needed to be scaled up and the health education component should be strengthened in health care delivery system to achieve Sustainable Development Goal (SDG). Journal of Armed Forces Medical College Bangladesh Vol.13(2) 2017: 7-10


2017 ◽  
Vol 8 (2) ◽  
pp. 208-212
Author(s):  
Shafia Khatun Nayan ◽  
Nasreen Begum ◽  
Mumtaz Rahman Abid ◽  
Sanjida Rahman ◽  
Ahsanul Kabir Rajib ◽  
...  

Background : Low utilization of routine postnatal care (PNC) is an important determinant of high maternal and neonatal mortality in Bangladesh.Objective : To determine the utilization of post-natal care services among the rural women in a selected area in Bangladesh.Methodology : During October 2015 to March 2016 a descriptive, cross-sectional study was carried out among 200 married women of reproductive age who had a live baby below 5years of age. Sample was selected purposively from village Islampur in Dhamrai Upzilla under Dhaka district. After taking informed consent data were collected by face to face interview using structured questionnaire.Results : The study revealed that 73.50% of the respondents utilized PNC services among them 55.10% took PNC for less than 3 times and 28.57% took PNC for more than 3 times during postnatal period. Most of them 86% were house wife; age between 25-30 years. About 35% respondents were educated up to secondary level and 31.5% were from middle economic group. In this study 79.50% respondents received Antenatal care and advice for Post-Natal Care (PNC) Source of information for PNC was 32.5% from health workers. Fifty nine percent respondents took PNC on combined decision of husband and wife. A significant number of respondents 61.91% received postnatal care at Upazilla Health Complex. Most of the respondents 73.47% found health care provider available on duty and good behavior were found by 72.11% respondents. Among respondents 62.59% attended Health Centre by walking. Only 59.86% respondents got free PNC service. Regarding importance of PNC 67.5% believed for healthy mother and 12.5% for healthy baby.Conclusions : Post Natal Care service utilization was satisfactory (73.50%) in the study area which is higher than the national figure (36%). The findings of the study clearly showed that female education, monthly household income, antenatal care utilization, distance of health center turned out important factors in determining the postpartum care utilization among the mothers. Availability and interaction with health care providers also affected the postpartum care utilization in the study population.Northern International Medical College Journal Vol.8(2) January 2017: 208-212


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