scholarly journals A Cross-Sectional Quantitative Study on Sexual and Reproductive Health Knowledge and Access to Services of Arab and Kurdish Syrian Refugee Young Women Living in an Urban Setting in Lebanon

Author(s):  
Rayan Korri ◽  
Guenter Froeschl ◽  
Olena Ivanova

Since data on the sexual and reproductive health (SRH) of young refugee women living in urban settings in Lebanon are particularly scarce, we aim through this exploratory study to assess the SRH knowledge and access to services of Arab and Kurdish Syrian refugee young women living in Bourj Hammoud. From January to March 2020, a cross-sectional survey was conducted among 297 Syrian Arab and Kurdish participants and aged 18–30 years old. It was found that participants coming from Syrian urban areas or who completed an education above secondary level have higher overall knowledge on SRH issues. Only a total of 148 out of the 297 participants (49.8%) knew a health facility in Bourj Hammoud that provides SRH services and among them 36.4% did not know which type of services are available there. The Syrian refugee young women’s access to SRH services is inadequate due to different obstacles. The overall knowledge level on different SRH topics is limited. The context of multiple crises in Lebanon should be taken into consideration when delivering future SRH services.

Author(s):  
Ali Mofleh Alshahrani ◽  
Mona Y. Alsheikh

The role of community pharmacists is crucial for promoting health and providing consultation related to sexual and reproductive health. This study measured the perception of community pharmacists in the Kingdom of Saudi Arabia (KSA) towards the provision of counselling services on sex education and reproductive health, including barriers to and proficiency in the delivery of services. A cross-sectional survey was developed and distributed electronically to pharmacists, and responses were analyzed using SPSS version 26. Graphical representations for various opinions on perception, proficiency and barriers were created. More than 80% of pharmacists placed a high value on counselling patients on sex and reproductive health, about 90% counselled their patients very often (74.6%) or often (22.2%), and 3.2% of pharmacists did not counsel patients. Most respondents believed counselling was very important (65.3%) or important (15.1%), with only 19.6% of respondents indicating it was not important. Barriers to offering services included fear from responsibility and liability (M = 4.8), lack of information about patient health (M = 4.7), gender differences (M = 4.7), and lack of social acceptability (M = 4.6). Community pharmacists in KSA possessed positive attitudes, professional education, and willingness to provide counselling to patients on sex education and reproductive health. Apart from the existing barriers that require augmented community pharmacists’ soft skills, clear policies and authorization for offering this type of service are also needed.


2019 ◽  
Vol 7 (4) ◽  
pp. e000089
Author(s):  
Paulo Henrique Pires ◽  
Ronald Siemens ◽  
Martins Mupueleque

ObjectiveTo increase knowledge, attitudes and practice of sexual and reproductive health and family planning and to reduce maternal and neonatal mortality rates in Mozambique.DesignAn implementation research project’s intermediate evaluation, applying two cross-sectional surveys. The surveys were planned for 316 subjects before and after interventions.SettingResearch performed in Natikiri district of Nampula province in northern Mozambique, targeting a suburban and rural populations in their homes.Participants452 people were surveyed (91 before, 361 after), all belonging to the Macua ethnic group.InterventionsA media campaign (2 weekly radio spots, bimonthly theatre performances) was performed for 8 months (2017 to 2018) and family health champions’ teachings (monthly home visits) performed for 3 months, on sexual and reproductive health and family planning. Outcome measures planned and measured were adolescent’s and adult’s knowledge, attitudes and practice about those. Data were analysed by gender, age group and frequencies, using a CI of 95% (p<0.5 statistically significant).ResultsRadio spots, community theatre and volunteer champions increased population’s knowledge about sexual and reproductive health and led to a more positive attitude toward family planning. Concerning attitude, results show differences between adults’ proportions before and after: (1) did you hear about sexual and reproductive health (p=0.0425); (2) knows project key messages (p<0.001); (3) knows prenatal visits importance (p=0.0301); (4) access to contraceptives was easy (p<0.001). Adolescents showed statistically significant differences before and after: (1) knows project key messages (p<0.001); (2) access to contraceptives was easy (p=0.0361). Family planning practice did not increase in both groups.ConclusionA health education intervention, using a media campaign and local volunteers, is useful to promote mother and child health. There is an unmet need for family planning and the use of modern contraception is below desired practice, needing further research about cultural barriers. Communication for behaviour change activities will pursue and impact will be assessed to document family planning practice improvement.


2020 ◽  
Author(s):  
Jefferson Mwaisaka ◽  
Lianne Gonsalves ◽  
Mary Thiongo ◽  
Michael Waithaka ◽  
Hellen Sidha ◽  
...  

Abstract Background: Myths and misconceptions around modern contraceptives have been associated with low contraceptive uptake. Nearly all the research on the link between contraceptives’ misconceptions and low contraceptive prevalence comes mostly from women with little focus on men. This qualitative study therefore sought to explore and understand both young men’s and young women’s knowledge of modern contraception and to identify key concerns regarding modern pregnancy prevention methods.Methods: We used focus group discussions (FGD) with vignette and writing activities to explore key myths and misconceptions around the use of contraceptives. Six FGDs (three for young men and three for young women) were conducted with a total of 28 young women and 30 young men from Kwale County, Kenya. We included 10 discussants aged 18-24 per FGD, one FGD had 8 participants.Results: Both men and women participants reported basic awareness of contraceptives. A mixture of biological and social misconceptions around contraception were discussed, they included jeopardizing future fertility, prolonged menstrual bleeding, problems conceiving, birth defects, promiscuity, against religion and perceived to be un-African including denying couples their sexual freedom. Compared to female respondents in the study, young men appeared to be strong believers of the perceived socio-cultural effects of contraceptives. Results are presented under three key themes namely (i) Awareness of contraception (ii) Myths and misconceptions around contraception and (iii) Males’ contraceptive narratives. Conclusions: This study revealed a low level of contraceptive knowledge among young men and women in Kwale County, Kenya. Most respondents reported contraceptive fears and misconceptions resulting from critical gaps in Sexual and Reproductive Health knowledge. Improved sexual and reproductive health (SRH) literacy to address contraceptives’ fears through appropriate and gender specific interventions to reach out to young men and women with factual SRH information may contribute to increased uptake of SRH services including modern contraceptive methods.


2020 ◽  
Author(s):  
Elizabeth Roberts ◽  
Huiting Ma ◽  
Parinita Bhattacharjee ◽  
Helgar K Musyoki ◽  
Peter Gichangi ◽  
...  

Abstract Background: Across Sub-Saharan Africa, young women who sell sex (YSW) face institutional barriers in accessing sexual health and HIV prevention programs designed for female sex workers. In 2018, Kenya developed a national framework to guide service provision for YSW aged 14 – 24 years. To help inform the implementation of the framework, we estimated the burden of vulnerabilities related to the Sustainable Development Goals (SDGs) and program contact among YSW. Methods: We used data from Transitions, a 2015 bio-behavioural cross-sectional survey of 408 YSW aged 14 – 24 years in Mombasa, Kenya. We estimated the prevalence of sexual (inconsistent condom use), structural (financial, violence), and reproductive health vulnerabilities; and characterized engagement with local HIV programs tailored to sex workers. We then compared the prevalence of vulnerabilities by age group (14 – 18 years, N=117; 19 – 24 years, N=291) and by program contact (ever contacted by local program for sex workers). Results: 47.3% reported inconsistent condom use in the previous week with little variability by age. Structural vulnerabilities were common and did not vary by age: 83.6% did not have a regular source of income; 29.9% and 29.2% had experienced physical and sexual violence, respectively. 26.5% reported at least one pregnancy before age 18, and 18.5% used a non-reliable form of contraception with little variability by age. 25.7% were aware of at least one program, and only 13.7% of YSW had ever been contacted by a program (8.5% of those aged 14 – 18 years; and 15.8% of those aged 19 – 24 years, p=0.06). Sexual, structural, and reproductive health vulnerabilities did not vary by program contact. Conclusions: SDG-related vulnerabilities begin early in the lives of YSW and current programs are not reaching them.


Author(s):  
Claudia Díaz-Olavarrieta ◽  
Beatriz Cruz-Cruz ◽  
Germán E. Fajardo-Dolci ◽  
Antonio R. Villa. ◽  
Monica Aburto-Arciniega ◽  
...  

Background: Correct and culturally relevant sexual and reproductive health knowledge among children and adolescents is a key component to a healthy life. In Mexico, a country plagued with a teen pregnancy epidemic, sexuality education in the public-school system begins in 4th grade. Our study aims were to characterize the sexual and reproductive health knowledge of middle school students from Oaxaca, and its association with belonging to an indigenous group, gender, sources of sexual and reproductive health information, and parents’ level of schooling. Methods: Cross-sectional study. Students responded to a multiple-choice paper and pencil self-administered survey on sexual and reproductive health knowledge. Our sample included 245 middle-school students (51.4% were female) enrolled in rural school’s 7th, 8th, and 9th grade. Survey contents were based on the Ministry of Education textbooks.


e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
L. M. Yusfan Davis

Abstract: Many teenagers have been actively involved in the free sex life either on his own or not. The results of Indonesia Demographic and Health Survey (IDHS) 2007 issued by Badan Kesehatan dan Keluarga Berencana Nasional (BKKBN) shows very poor condition, with 24% of young women and 34.9% of young men claimed to have had sex outside of marriage, which 6.3% of those young women and men are sex workers.1Problems: How the effect of reproductive health knowledge to anxiety level in young female sex workers in the Manado city. Methods: Descriptive analytical research methods with cross sectional through the provision of a structured questionnaire regarding demographic data, the level of reproductive health knowledge, and level of anxiety in young female sex workers in the Manado city. Results:Regression test showed there was no effect (sig.>0,05) on reproductive health knowledge to anxiety level in young female sex workers in the Manado city. Conclusion: There is no effect on reproductive health knowledge to anxiety level in young female sex workers in the Manado city Keywords: Reproductive health knowledge, anxiety, female sex workers     Abstrak: Banyak remaja yang telah aktif terlibat dalam kehidupan free sex (seks bebas) baik atas pilihannya sendiri maupun bukan. Hasil Survei Demografi dan Kesehatan Indonesia (SDKI) 2007 yang dikeluarkan oleh Badan Kesehatan dan Keluarga Berencana Nasional (BKKBN) menunjukkan kondisi yang sangat memprihatinkan, dimana 24% remaja wanita dan 34,9% remaja pria mengaku telah melakukan hubungan seks di luar nikah, dimana 6,3% dari remaja wanita dan pria tersebut merupakan pekerja seks.1Rumusan masalah: Bagaimana pengaruh pengetahuan tentang kesehatan reproduksi terhadap tingkat kecemasan pada remaja wanita pekerja seks di kota Manado. Metode: Penelitian deskriptif analitik dengan pendekatan cross-sectional melalui pemberian kuesioner terstruktur mengenai data demografi, tingkat pengetahuan tentang kesehatan reproduksi remaja (KRR), dan tingkat kecemasan pada remaja wanita pekerja seks di kota Manado. Hasil: Dengan menggunakan uji Regression, didapatkan tidak ada pengaruh (sig.>0,05) pengetahuan tentang kesehatan reproduksi terhadap tingkat kecemasan pada remaja WPS di kota Manado. Kesimpulan: Tidak ada pengaruh pengetahuan tentang kesehatan reproduksi terhadap tingkat kecemasan pada remaja WPS di kota Manado. Kata Kunci: Pengetahuan KRR, kecemasan, WPS.


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