scholarly journals The Effect of Spiritual Guidance of Reproductive Health by Booklets on The Changes of Adolescent's sAttitudes: Dating Status In Premarital Sexual Behavior

2021 ◽  
Vol 15 (2) ◽  
pp. 128-135
Author(s):  
Sitawati Sitawati ◽  
Suriah Suriah ◽  
Saidah Syamsuddin ◽  
Sutinah Made ◽  
Werna Nontji ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Behavior ◽  
Reproductive Health ◽  
Health Care Professionals ◽  
Wilcoxon Test ◽  
Spiritual Guidance ◽  
Reproductive Health Care ◽  
Post Test ◽  
Adolescent Attitudes ◽  
Premarital Sexual

The spiritual guidance of reproductive health and safety is oriented towards strengthening moral ​​and religious values ​​in addressing adolescent reproductive health problems with an approach on several aspects, such as preventive, curative, rehabilitative, and developmental. The booklet is a medium of guidance/learning that can attract interest and help teenagers understand the guidance material. This study aimed to determine the effect of the spiritual guidance of reproductive health care professionals by booklets on changes in adolescent attitudes towards dating status in premarital sexual behavior. A combination of qualitative and quantitative experimental research with a pre-experimental design, one group pretest-posttest, with a total sample of 26 adolescents, selected a purposive sampling technique. The spiritual guidance intervention used booklets for six meetings with 60-90 minutes each meeting within 2 months. Data were collected through pre-test and post-tests using interview sheets and Likert scale questionnaires. Data were analyzed qualitatively and statistically tests using the Wilcoxon test. The results showed that the sexual behavior of adolescents in dating was including holding hands, embracing the arms/shoulders and waist, hugging, kissing cheeks and lips, stroking the head, laying on the partner's thighs, and having sex with condoms. Then, from the statistical test, the negative ranks between the pre-test and post-test values were 0. Meanwhile, the positive ranks between the pre-test and post-test values indicated that 24 respondents with a positive value and a mean rank value of 13.00, and 2 respondents with a pre-post value remain the same. The Wilcoxon test shows the p-value (sig) 0.000 <0.05. Thus, the spiritual guidance of reproductive health care professionals using booklets significantly affected changes in adolescent attitudes towards dating status in premarital sexual behavior.  

Conscience in Reproductive Health Care

2020 ◽  
Author(s):  
Carolyn McLeod
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Care Professionals ◽  
Access To Services ◽  
Reproductive Health Services ◽  
Reproductive Health Care ◽  
The Public ◽  
Conscientious Objectors ◽  
Central Argument ◽  
Moral Nature

There is a growing trend worldwide of health care professionals conscientiously refusing to provide abortions and similar reproductive health services in countries where these services are legal and professionally accepted. Carolyn McLeod responds to this problem by arguing that conscientious objectors in health care should have to prioritize the interests of patients in receiving care over their own interest in acting on their conscience. She defends this “prioritizing approach” to conscientious objection over the more popular “compromise approach” in bioethics. All the while, she is careful not to downplay the importance of health care professionals having a conscience or the moral complexity of their conscientious refusals. McLeod first describes what is at stake for the main parties to the conflicts generated by conscientious refusals in reproductive health care: the objector and the patient. She then defends the prioritizing approach to these refusals. Her central argument is that health care professionals who are charged with gatekeeping access to services like abortions are normatively fiduciaries for both their patients and the public they are licensed to serve. As such, they have a duty of loyalty to these beneficiaries and must give primacy to their interests in gaining access to care. The insights contained in the book extend beyond the ethics of conscientious refusals to other topics in ethics including the value of conscience and the fundamental moral nature of the relationships health care professionals have with current and prospective patients.

Fidelity to Patients

2020 ◽  
pp. 115-147
Author(s):  
Carolyn McLeod
Keyword(s):  
Health Care ◽  
At Risk ◽  
Reproductive Health ◽  
Health Care Professionals ◽  
Fiduciary Duty ◽  
Conscientious Objector ◽  
Reproductive Health Care ◽  
Duty Of Loyalty

The central claims of Chapter 5 are that health care professionals who serve a gatekeeping role are fiduciaries for their patients (normatively speaking), they therefore have a fiduciary duty of loyalty to them, and this duty prohibits them from making typical conscientious refusals because doing so jeopardizes health interests of their patients. This chapter explains why this argument works even though typical objectors tend to view the fetus or embryo whose life is at risk as their second patient. At the same time, the author agrees that making a referral to a colleague who is willing and able to provide the offending service, rather than providing it oneself, can be a morally appropriate option for a conscientious objector. The chapter as a whole defends the approach to typical refusals of prioritizing patient interests, specifically for cases where the objector and patient have an existing fiduciary relationship. The author also extends her analysis to atypical refusals in reproductive health care.

scholarly journals Optimizing telemedicine for providing obstetric and reproductive health care services during COVID-19 pandemic

2020 ◽  
Vol 7 (8) ◽  
pp. 3278
Author(s):  
Vijayan Sharmila ◽  
Thirunavukkarasu Arun Babu ◽  
Padmapriya Balakrishnan
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Geographical Area ◽  
Work And Family ◽  
Positive Contribution ◽  
Reproductive Health Care ◽  
Care Services ◽  
Spread Of Infection

The coronavirus disease (COVID-19) outbreak was first declared in China in December 2019, and WHO declared the outbreak as a pandemic on 11 March 2020. A fast-rising number of confirmed cases has been observed in countries across all continents over the past few months. This pandemic is forcing government of nations to take strict measures such as complete lockdown and curfews to ensure that citizens stay at home, as a measure to contain the spread of infection. Health sector is facing  challenges such as high demand for doctors, limited resources of personal protective equipment and challenges in providing  in-person consultation due to fear of spread of infection. Telemedicine is making positive contribution to healthcare during this pandemic, as it caters to   health care of people in wide geographical area without risk of acquiring COVID-19. Telemedicine is defined as the provision of health care services by health care professionals, using technology to exchange information. A broad range of obstetric and reproductive health services can be offered via telemedicine. Telemedicine can help pregnant women to maintain high quality of care during this pandemic without compromising on the perinatal outcome.  It allows for constant interaction between patient and doctor throughout pregnancy, thereby ensuring that the goals of antenatal care are fulfilled, while limiting unnecessary travel and time away from work and family. This article mainly concentrates on the essential obstetric and reproductive health care services that can be provided by telemedicine during COVID-19 pandemic.

Conclusion

2020 ◽  
pp. 178-182
Author(s):  
Carolyn McLeod
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Care Professionals ◽  
Reproductive Health Care ◽  
Global Trend

The interests of patients in receiving standard services should therefore be prioritized over the conscience of health care professionals. This book has defended this prioritizing approach over the compromise approach, which is dominant in bioethics. It has also focused on what I’ve called “typical refusals” in reproductive health care—especially, refusals to offer abortions or so-called “abortifacients”—because of a global trend of health care professionals engaging in such conduct (...

Social Logics in Reproduction Health

2018 ◽  
Vol 3 (6) ◽  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Reproductive Health ◽  
Health Sector ◽  
Cultural Representations ◽  
Reproductive Health Care ◽  
Social Actors ◽  
Efficient Management ◽  
Social Logic ◽  
And Child Health

The issue that underlies a worrying question of maternal and child health in Côte d'Ivoire is that of social logic. Social logic is perceived as "cultural constructions of actors with regard to morbidity that cause to adopt reproductive health care". Based on this understanding, the concept of social logic in reproductive health is similar to a paradigm that highlights the various factors that structure and organise sociological resistance to mothers' openness to healthy reproductive behaviours; that is, openness to change for sustainable reproductive health. Far from becoming and remaining a prisoner of blind culturalism with the social logic that generates the health of mothers, new-borns and children, practically-relevant questions are raised. Issues of "bad governance", socio-cultural representations and behaviours in conflict with modern epidemiological standards are addressed in a culturally-sensitive manner, an important issue for the provision of care focused on the needs of mothers seeking answers to health problems. Developing these original community characteristics helps to orient a reading list in a socioanthropological perspective with a view to explaining and understanding different problems encountered, experiences acquired by social actors during the implementation of antenatal, postnatal and family planning care. This context of building logic with regard to reproductive health care is key to identifying real bottlenecks in maternity services and achieving efficient management of maternal, new-born and child health care for the benefit of populations and actors in the public health sector.

scholarly journals What methods and challenges for taking account of context when transferring complex interventions?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Villadsen ◽  
S Dias
Keyword(s):  
Public Health ◽  
Health Care ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Complex Interventions ◽  
Health Interventions ◽  
Care Providers ◽  
Public Health Interventions ◽  
Reproductive Health Care

Abstract For complex public health interventions to be effective their implementation needs to adapt to the situation of those implementing and those receiving the intervention. While context matter for intervention implementation and effect, we still insist on learning from cross-country comparison of implementation. Next methodological challenges include how to increase learning from implementation of complex public health interventions from various context. The interventions presented in this workshop all aims to improve quality of reproductive health care for immigrants, however with different focus: contraceptive care in Sweden, group based antenatal care in France, and management of pregnancy complications in Denmark. What does these interventions have in common and are there cross cutting themes that help us to identify the larger challenges of reproductive health care for immigrant women in Europe? Issues shared across the interventions relate to improved interactional dynamics between women and the health care system, and theory around a woman-centered approach and cultural competence of health care providers and systems might enlighten shared learnings across the different interventions and context. Could the mechanisms of change be understood using theoretical underpinnings that allow us to better generalize the finding across context? What adaption would for example be needed, if the Swedish contraceptive intervention should work in a different European setting? Should we distinguish between adaption of function and form, where the latter might be less important for intervention fidelity? These issues will shortly be introduced during this presentation using insights from the three intervention presentations and thereafter we will open up for discussion with the audience.

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