scholarly journals Determinants of Sexual and Reproductive Health among Brazilian youth (aged 18 to 29 years old)

2016 ◽  
Vol 38 (2) ◽  
pp. 211
Author(s):  
Miguel Barbosa Fontes ◽  
Rdrigo Campos Crivelaro ◽  
Alice Margini Scartezini ◽  
David Duarte Lima ◽  
Alexandre De Araújo Garcia ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Unwanted Pregnancy ◽  
Federal District ◽  
Vulnerable Groups ◽  
Linear Regression Models ◽  
Access To Health Services ◽  
Attitudes And Practices ◽  
Main Determinants

This study assessed the main determinants of sexual and reproductive health of Brazilian youth. It was approved by the Ethics Committee of the Medicine Faculty of the University of Brasília, and it received support from Paho and Brazilian Ministry of Health. 1.208 youngsters (18 to 29 years old) in 15 states and Federal District were interviewed at their residences, during the second semester of 2011. Margin of error, adjusted regional and nationally, was 2.8% (CI: 95%), regarding the assessed sample. A KAP scale (knowledge, attitudes, and practices) with 17 questions (-17 to +17 points) was generated. A questionnaire was pre-tested for consistency and validity analysis was performed. KAP scale was used as dependent variable in adjusted linear regression models. Mean KAP score was 5.65 points. Gaps in KAP were: 70% of the youth do not know when the fertility period of a woman is. 42% of youth do not recognize condoms as a method to prevent unwanted pregnancy and STDs. The main factors associated to explaining variances in KAP are gender, education, religion, access to health services, having had sexual intercourse in the last 12 months, and having friends as the main personal reference (p < 0.05). Youngsters with higher education, women, non-Protestant, who claim to know where to find health services have better KAP level of reproductive health. Studies are necessary to support public policies that increase the KAP levels in sexual and reproductive health of the most vulnerable groups, such as the segment comprising low education, men and Protestants.

scholarly journals Characteristics of hormone use by travestis and transgender women of the Brazilian Federal District

2019 ◽  
Vol 22 (suppl 1) ◽  
Author(s):  
Alícia Krüger ◽  
Sandro Sperandei ◽  
Ximena Pamela Claudia Diaz Bermudez ◽  
Edgar Merchán-Hamann
Keyword(s):  
Health Services ◽  
Logistic Models ◽  
Federal District ◽  
Transgender Women ◽  
Access To Health Services ◽  
Self Medication ◽  
Cross Sectional ◽  
Attitudes And Practices ◽  
Hormone Use ◽  
Continuous Use

ABSTRACT Introduction: Travestis and transgender women resort to the use of hormones for body modification. Due to restrictions in the access to health services, self-medication is frequent. The aim of this study was to describe the self-reported prevalence of hormones used by travestis and transgender women in the Federal District. Method: This is a cross-sectional study with Respondent Driven Sampling (RDS) and Knowledge, Attitudes and Practices questionnaire (KAP) along with travestis and transgender women over 18 years in the FD. Prevalence was calculated using the RDS-II estimator. Logistic models were used to investigate the associated factors. A total of 201 volunteers participated. Results: There was a young sample (median age of 24 years). The overall prevalence of continuous use of hormones was 64.5%. The most used formulation was the combination of estrogen and progesterone (86.2%) by injectable (75.1%) and oral (66%) administration. Most participants (84%) got the hormones without a prescription. Guidance on the use of these hormones came from their peers in 41% of the cases. We observed that the continuous use of hormones is associated with race, income and age, as well as the search for guidance of healthcare professionals, which is also associated with schooling. Discussion: The reality of the process of hormone use by these people in the quest for femininity is reflected in high rates of self-medication. Conclusion: This study contributes to the visibility of the need to improve the access conditions of these people to health services.

scholarly journals Opinions of Health Professionals on Tailoring Reproductive Health Services to the Needs of Adolescents

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Ellen Abrafi Boamah-Kaali ◽  
Seyram Kaali ◽  
Grace Manu ◽  
Stephaney Gyaase ◽  
Elisha Adeniji ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Professionals ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Unwanted Pregnancy ◽  
Health Programs ◽  
Reproductive Health Services ◽  
District Health ◽  
Sexually Transmitted

Introduction. Tailoring sexual and reproductive health programs and services to the needs of adolescents will help adolescents make informed decisions and choices regarding their sexual and reproductive health. Objective. To assess the opinions of service providers on tailoring sexual and reproductive health services to the needs of adolescents. Method. A qualitative study using indepth interviews was held among eight decision-makers and service providers in two hospitals within the Kintampo North Municipality and Kintampo South District as well as the Municipal and District Health Directorates in Kintampo North and South between April and May 2011. Results. All respondents expressed the opinion that it is a good idea to tailor sexual and reproductive health services to the needs of adolescents. They admitted that very limited sexual and reproductive health programs targeting adolescent needs were available in the study area. Service providers also reported very low levels of health facilities use by adolescents for sexual and reproductive health information and services. Health professionals attributed the poor sexual and reproductive health services utilization by adolescents to stigma from the society and attitudes of service providers. Conclusion. There are no targeted sexual and reproductive health programmes and services for adolescents. Services providers indicated that it is important to tailor sexual and reproductive health services to the needs of adolescents to prevent stigma, unwanted pregnancy, abortion, and sexually transmitted infections.

scholarly journals Awareness and perception on sexual and reproductive health and self-reported premarital sex among never married youth in Chaungzone township, Mon State, Myanmar (2018)

2020 ◽  
Vol 7 (3) ◽  
pp. 815
Author(s):  
Tun W. Lat ◽  
Yan Aung ◽  
Min Thu ◽  
Thandar Tun ◽  
Kyaw S. Mya
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Care Providers ◽  
Sexual And Reproductive Health ◽  
Service Providers ◽  
Unwanted Pregnancy ◽  
Premarital Sex ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Never Married

Background: Premarital sexual practices among youth and adolescents have been highly recognized and are increasing worldwide. This study aimed to assess the awareness and perception on sexual and reproductive health and self-reported premarital sex among never married youth.Methods: The study used mixed method approach among 404 youth of equal number of male and female youth from urban and rural community using guided self-administered questionnaire and in-depth interview among 12 youth and key informant interview among 6 health professionals.Results: The study found that 11.4% (95% CI: 8.3, 14.5) of youth had premarital sex practice. After adjusting the covariates, the odds of practicing premarital sex were higher among 18 years and above (AOR=3.5, 95% CI: 1.2, 9.6), low education (AOR=3.3, 95% CI: 1.1, 10.7), youth having relationship (AOR=8.0, 95% CI: 3.0, 21.2) and youth who accepted premarital sex practice (AOR=10.9, 95% CI: 3.6, 33,1), having friends who had experience in premarital sex (AOR=3.9, 95% CI: 1.3, 11.4), compared to their counterparts. The qualitative findings revealed that most of youth and service providers did not accept premarital sex among youth because of its contradiction to traditional norms. Health care providers and youth suggested that privacy was the most critical thing in accessibility of reproductive health services among youth. All levels of providers pointed out that there were insufficient resources for provision of effective reproductive health services.Conclusions: Youth-friendly reproductive health services should be implemented to prevent unwanted pregnancy, abortions and sexually transmitted diseases to ensure safer sex practices among youth. 

scholarly journals Factors that influenced access and utilisation of sexual and reproductive health services among Ugandan youths during the COVID-19 pandemic lockdown: An online cross-sectional survey

2021 ◽  
Author(s):  
Simon Binezero Mambo ◽  
Franck K. Sikakulya ◽  
Robinson Ssebuufu ◽  
Yusuf Mulumba ◽  
Henry Wasswa ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Unwanted Pregnancy ◽  
Limiting Factors ◽  
Reproductive Health Services ◽  
Cross Sectional Survey ◽  
Long Distance ◽  
Sexually Transmitted

Abstract Background The COVID-19 pandemic has disrupted health care access in many countries. The aim of this study was to explore factors that influenced access and utilisation of sexual and reproductive health services among Ugandan youths during the COVID-19 pandemic lockdown. Methods This was across-sectional study carried out from April 2020 to May 2020 in Uganda. A questionnaire was administered online to participants aged 18 to 30 years. Subjects were recruited using a snowballing approach. STATA version 14.2 was used for statistical analysis.Results Of 724 participants, 203 (28%) reported that they did not have access to information and/or education concerning sexual and reproductive health (SRH). More than a quarter of the participants (26.9%, n=195) reported that testing and treatment services of sexually transmitted infections were not available during the lockdown. 27.2% could not obtain contraceptive supplies. Access to HIV services and menstrual supplies were also impaired. Lack of transportation was the commonest factor cited as limiting access to SRH services during the lockdown (68.7%), followed by the long distance from home to SRH facilities (55.2%), high cost of services (42.2%) and the curfew (39.1%). Sexually transmitted infections were the commonest SRH problems related to SRH during the lockdown (40.4%) followed by unwanted pregnancy (32.4%) and sexual abuse (32.4%). Marital, educational, and employment status were significantly correlated with the reported experiences of the participants. Conclusion Access to SRH information and services for Ugandan youths was restricted during the COVID-19 lockdown and may have increased the incidence of poor SRH outcomes. Lack of transportation, distance to health facilities, and high cost of services were important limiting factors. The Government and other stakeholders should incorporate SRH among the priority services to be preserved during future outbreaks.

scholarly journals Impact of the Pandemic on Sexual and Reproductive Health Services in Low Income Countries with Reference to Nepal

Patan Pragya ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 197-209
Author(s):  
Thuma Kumari Poudel
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Pregnant Women ◽  
Low Income ◽  
Sexual And Reproductive Health ◽  
Health Centre ◽  
Unwanted Pregnancy ◽  
Reproductive Health Services ◽  
Increased Risk ◽  
The Impact

Access to reproductive health services saves women for safe sex, safe pregnancy and child birth. This paper intends to analyze the impact of pandemic on reproductive health services during one decade 1920-2020 B.S. To achieve the above mentioned objective, descriptive method is used. Data are collected from secondary sources and major biggest pandemic of one hundred years which have larger impact on public health including reproductive health and large scale of mortality. The history of pandemic shows that service delivery of reproductive health to women was seriously affected during pandemic period. There was difficult to achieve basic health facility to pregnant women during pandemic period, they also face problems to achieve reproductive health services. The influenza   affects to the pregnant women. They were severely ill during their pregnancy. There was a negative impression with health providers and pregnant women at health centre at the time of providing sexual and reproductive health services during the Ebola virus. The Zika virus effects on women's sexual and reproductive rights. The reproductive health services became at more serious cases at the time of HIV/AIDS pandemic. Pregnant women, infants and young children had serious impact of H1N1 virus. Women are facing problems to get reproductive health services like access of family planning, abortion care and other infectious diseases during Covid-19 periods. These problems also increased risk to unwanted pregnancy, risk of unsafe abortion and risk of STDs to the women. Women were facing lacking of sexual and reproductive health services due to the lockdown, physical distance, travel restrictions and economic slowdown during covid-19 pandemic.

scholarly journals Are rhetorical commitments to adolescents reflected in planning documents? An exploratory content analysis of adolescent sexual and reproductive health in Global Financing Facility country plans

2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Asha S. George ◽  
Tanya Jacobs ◽  
Mary V. Kinney ◽  
Annie Haakenstad ◽  
Neha S. Singh ◽  
...  
Keyword(s):  
Content Analysis ◽  
Reproductive Health ◽  
Health Services ◽  
Adolescent Health ◽  
Teenage Pregnancy ◽  
Sexual And Reproductive Health ◽  
Democratic Republic Of Congo ◽  
Social Determinant ◽  
Project Appraisal ◽  
School Based

Abstract Background The Global Financing Facility (GFF) offers an opportunity to close the financing gap that holds back gains in women, children’s and adolescent health. However, very little work exists examining GFF practice, particularly for adolescent health. As momentum builds for the GFF, we examine initial GFF planning documents to inform future national and multi-lateral efforts to advance adolescent sexual and reproductive health. Methods We undertook a content analysis of the first 11 GFF Investment Cases and Project Appraisal Documents available on the GFF website. The countries involved include Bangladesh, Cameroon, Democratic Republic of Congo, Ethiopia, Guatemala, Kenya, Liberia, Mozambique, Nigeria, Tanzania and Uganda. Results While several country documents signal understanding and investment in adolescents as a strategic area, this is not consistent across all countries, nor between Investment Cases and Project Appraisal Documents. In both types of documents commitments weaken as one moves from programming content to indicators to investment. Important contributions include how teenage pregnancy is a universal concern, how adolescent and youth friendly health services and school-based programs are supported in several country documents, how gender is noted as a key social determinant critical for mainstreaming across the health system, alongside the importance of multi-sectoral collaboration, and the acknowledgement of adolescent rights. Weaknesses include the lack of comprehensive analysis of adolescent health needs, inconsistent investments in adolescent friendly health services and school based programs, missed opportunities in not supporting multi-component and multi-level initiatives to change gender norms involving adolescent boys in addition to adolescent girls, and neglect of governance approaches to broker effective multi-sectoral collaboration, community engagement and adolescent involvement. Conclusion There are important examples of how the GFF supports adolescents and their sexual and reproductive health. However, more can be done. While building on service delivery approaches more consistently, it must also fund initiatives that address the main social and systems drivers of adolescent health. This requires capacity building for the technical aspects of adolescent health, but also engaging politically to ensure that the right actors are convened to prioritize adolescent health in country plans and to ensure accountability in the GFF process itself.

scholarly journals Factors influencing access to and utilisation of youth-friendly sexual and reproductive health services in sub-Saharan Africa: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lesley Rose Ninsiima ◽  
Isabel Kazanga Chiumia ◽  
Rawlance Ndejjo
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Inclusion Criteria ◽  
Reproductive Health Services ◽  
Factors Influencing ◽  
Sub Saharan ◽  
Youth Friendly

Abstract Background Despite the global agreements on adolescents’ sexual and reproductive health and rights, access to and utilisation of these services among the youth/adolescents remain unsatisfactory in low- and middle-income countries which are a significant barrier to progress in this area. This review established factors influencing access and utilisation of youth-friendly sexual and reproductive health services (YFSRHS) among the youth in sub-Saharan Africa to inform programmatic interventions. Methodology A systematic review of studies published between January 2009 and April 2019 using PubMed, Web of Science, EMBASE, Medline, and Cochrane Library, and Google Scholar databases was conducted. Studies were screened based on the inclusion criteria of barriers and facilitators of implementation of YFSRHS, existing national policies on provision of YFSRHS, and youth’s perspectives on these services. Findings A total of 23,400 studies were identified through database search and additional 5 studies from other sources. After the full-text screening, 20 studies from 7 countries met the inclusion criteria and were included in the final review. Structural barriers were the negative attitude of health workers and their being unskilled and individual barriers included lack of knowledge among youth regarding YFSRHS. Facilitators of utilisation of the services were mostly structural in nature which included community outreaches, health education, and policy recommendations to improve implementation of the quality of health services and clinics for adolescents/youth to fit their needs and preferences. Conclusion Stakeholder interventions focusing on implementing YFSRHS should aim at intensive training of health workers and put in place quality implementation standard guidelines in clinics to offer services according to youth’s needs and preferences. In addition, educating the youth through community outreaches and health education programs for those in schools can facilitate utilisation and scale up of the service.

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