Barriers to Access Reproductive Health Care Services by Urban Women

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

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Inequalities in Utilization of Maternal Reproductive Health Care Services in Urban Bangladesh: A Population-Based Study

SAGE Open ◽

10.1177/2158244020914394 ◽

2020 ◽

Vol 10 (1) ◽

pp. 215824402091439 ◽

Cited By ~ 1

Author(s):

Md. Nuruzzaman Khan ◽

Pushpendra Kumar ◽

Md. Mijanur Rahman ◽

Md. Nazrul Islam Mondal ◽

M. Mofizul Islam

Keyword(s):

Health Care ◽

Postnatal Care ◽

Health Care Services ◽

Concentration Index ◽

Skilled Birth Attendant ◽

Health Care Facilities ◽

Wealth Status ◽

Reproductive Health Care ◽

Care Services ◽

Care Facilities

This study examined inequalities in the utilization of maternal reproductive health care services in urban Bangladesh. Data of 6,617 urban women were extracted from most recent two rounds of Bangladesh Demographic and Health Survey, conducted in the years 2011 and 2014. Inequalities in the utilization of antenatal checkup, receiving care from a skilled birth attendant, delivery in health care facilities, and postnatal care were investigated through concentration index. Contributions of selected predictors to inequalities were estimated by using the regression-based decomposition method. Noticeable inequalities were observed. Concentration index for utilization of at least one antenatal care visit was 0.09, four or more antenatal visits was 0.17, care from skilled birth attendant was 0.16, delivery care in health care facilities was 0.17, and postnatal care within 2 days of delivery was 0.19. Exposure to mass media, educational status of women and their spouses, wealth status, employment, birth order, and age of pregnancy were significant determinants of inequalities. There was a gradient in the utilization of services when examined across wealth status. Those with unfavorable social determinants of health reported low levels of utilization. Alongside providing tailored health care services to urban poor women, efforts should be made to reduce inequalities in social determinants of health.

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Needs assessment for gender sensitive reproductive health services for adolescents

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2017-0201 ◽

2020 ◽

Vol 0 (0) ◽

Cited By ~ 2

Author(s):

Fatemeh Rahmanian ◽

Soheila Nazarpour ◽

Masoumeh Simbar ◽

Ali Ramezankhani ◽

Farid Zayeri

Keyword(s):

Health Care ◽

Reproductive Health ◽

Health Services ◽

Health Care Providers ◽

Health Care Services ◽

Care Providers ◽

Reproductive Health Services ◽

Care Needs ◽

Reproductive Health Care ◽

Care Services

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.

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Analysis of Health Facility Based Barriers And Facilitators To Use Of Sexual And Reproductive Health Care Services Among Most At Risk Populations (MARPS): Evidence From A Mystery Client Survey In Nigeria

Journal of Tropical Diseases ◽

10.4172/2329-891x.1000171 ◽

2015 ◽

Vol 03 (04) ◽

Author(s):

Ezire O Okekearu I ◽

Adeniyi F Faweya O

Keyword(s):

Health Care ◽

At Risk ◽

Reproductive Health ◽

Health Facility ◽

Health Care Services ◽

Sexual And Reproductive Health ◽

Reproductive Health Care ◽

Care Services ◽

At Risk Populations ◽

Most At Risk Populations

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Conscientious Objection to Sexual and Reproductive Health Services: International Human Rights Standards and European Law and Practice

European Journal of Health Law ◽

10.1163/157180912x639116 ◽

2012 ◽

Vol 19 (3) ◽

pp. 231-256 ◽

Cited By ~ 19

Author(s):

Christina Zampas ◽

Ximena Andión-Ibañez

Keyword(s):

Health Care ◽

Human Rights ◽

Reproductive Health ◽

Health Care Providers ◽

Health Care Services ◽

Conscientious Objection ◽

Care Providers ◽

Reproductive Health Care ◽

Care Services ◽

European Court

Abstract The practice of conscientious objection often arises in the area of individuals refusing to fulfil compulsory military service requirements and is based on the right to freedom of thought, conscience and religion as protected by national, international and regional human rights law. The practice of conscientious objection also arises in the field of health care, when individual health care providers or institutions refuse to provide certain health services based on religious, moral or philosophical objections. The use of conscientious objection by health care providers to reproductive health care services, including abortion, contraceptive prescriptions, and prenatal tests, among other services is a growing phenomena throughout Europe. However, despite recent progress from the European Court of Human Rights on this issue (RR v. Poland, 2011), countries and international and regional bodies generally have failed to comprehensively and effectively regulate this practice, denying many women reproductive health care services they are legally entitled to receive. The Italian Ministry of Health reported that in 2008 nearly 70% of gynaecologists in Italy refuse to perform abortions on moral grounds. It found that between 2003 and 2007 the number of gynaecologists invoking conscientious objection in their refusal to perform an abortion rose from 58.7 percent to 69.2 percent. Italy is not alone in Europe, for example, the practice is prevalent in Poland, Slovakia, and is growing in the United Kingdom. This article outlines the international and regional human rights obligations and medical standards on this issue, and highlights some of the main gaps in these standards. It illustrates how European countries regulate or fail to regulate conscientious objection and how these regulations are working in practice, including examples of jurisprudence from national level courts and cases before the European Court of Human Rights. Finally, the article will provide recommendations to national governments as well as to international and regional bodies on how to regulate conscientious objection so as to both respect the practice of conscientious objection while protecting individual’s right to reproductive health care.

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