A Hybrid Model for Analysis of Policy Making: US Global Sexual and Reproductive Health Issues in Developing Countries Act of 2013

2015 ◽  
Vol 04 (04) ◽  
Author(s):  
Cecilia Mengo Small Eusebius
2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Tewachew Muche Liyeh ◽  
Yitayal Ayalew Goshu ◽  
Habtamu Gebrehana Belay ◽  
Habtamu Abie Tasew ◽  
Gedefaye Nibret Mihiretie ◽  
...  

Introduction. Youth is a decisive age to shape the direction of their life and that of their family. However, due to the host of biological, social, and economic factors, adolescent females can be at high risk of adverse sexual and reproductive health outcomes. Therefore, assessing youth reproductive service utilization and associated factors among female night students is very crucial for timely intervention to their gaps. Method. An institutional-based cross-sectional study design was conducted in Amhara region among 2,050 female night students from September 15 to November 15, 2018. A self-administered pretested questionnaire was used to collect the data. Bivariate and multivariable logistic regression models were used. Odds ratio with 95% confidence interval was computed to determine the strength of association between predictor and outcome variables. P value less than or equal to 0.05 is considered as the level of significance. Results. Out of the total respondents, about 54.6%(CI: 52.5%-56.8%) of them utilized reproductive health services. Respondents who were attending secondary education ( AOR = 2.55 , 95 % CI = 1.97 ‐ 5.62 ), attitude towards youth reproductive health services ( AOR = 2.74 , 95 % CI = 2.07 ‐ 5.30 ), those who had a habit of communicating on sexual and reproductive health issues with their family ( AOR = 3.66 , 95 % CI = 3.59 ‐ 7.41 ), discussion on sexual and reproductive health issue with peers/friends ( AOR = 1.43 , 95 % CI = 1.01 ‐ 2.02 ), respondents with good knowledge on youth reproductive health services ( AOR = 2.03 , 95 % CI = 1.49 ‐ 2.75 ), and those who had faced reproductive health problems ( AOR = 2.03 , 95 % CI = 1.49 ‐ 2.75 ) were significantly associated with youth reproductive health service utilization. Conclusion. Youth reproductive health service utilization among female night students was not satisfactory. Therefore, special focus should be given to female night students by providing accessible, acceptable, confidential, flexible, and friendly reproductive health service utilization. Finally, community health promotion and education are mandatory to promote the practice of discussing youth reproductive health issues with their children.


2020 ◽  
Vol 19 (1) ◽  
pp. 48-56
Author(s):  
Sara M. B. Cunha ◽  
Maria C. F. Carneiro ◽  
Cátia D. Rodrigues ◽  
Cátia L. S. N. S. Rasteiro ◽  
Teresa P. Teles

Introduction: Inflammatory bowel disease is a chronicidiopathic condition involving the gastrointestinal tract.The disease prevalence is increasing worldwide, affectingwomen in childbearing age. Objective: Clinical and practicalreview of the women´s sexual and reproductive health ininflammatory bowel disease with focus in gynaecologicaland obstetrical management. Materials and Methods: In thisarticle we review sexual and reproductive health issues inwomen with inflammatory bowel disease in all life stagesand the main particularities of the approach of inflammatorybowel disease in pregnancy and breastfeeding. Results andConclusion: Fertility in women without disease activity isnot decreased comparing to general population, but despiteresearch is inconsistent there are reports of increased risk ofsmall for gestational age, preterm delivery, low Apgar score,congenital anomalies, intrauterine death, miscarriage, venousthromboembolism and preeclampsia. To improve obstetricoutcomes, a period of 3 to 6 months of disease remission isrecommended before conception. Medication adjustmentmay be necessary, and supplementation should be adapted. Amultidisciplinary approach and a comprehensive knowledgeof the disease through all women life stages allows a betterhealth care.Keywords: Inflammatory bowel disease, Sexual health,Reproduction, Pregnancy, Breastfeeding.


2020 ◽  
Vol 13 (1) ◽  
pp. 415-424
Author(s):  
Mulugeta Feyissa ◽  
Haweni Adugna ◽  
Temesgen Aferu ◽  
Tadesse Nigussie

Background: Adolescence/youth is a continuum of physical, cognitive, behavioral, and psychosocial development. Due to a lack of comprehensive knowledge regarding sexual and reproductive health, adolescents face a number of problems. Clear family communication of reproductive health issues often leads to increased awareness of reproductive health matters and reduces risky behaviors and its consequences in adolescent populations. Objective: To assess parent-adolescent/youth communication and associated factors among students attending secondary and preparatory schools in Fiche town, Oromia Regional State, Ethiopia. Methods: An institution-based cross-sectional study was conducted from March 27 to 30,2017, using a structured self-administered questionnaire. Two schools in the town were included in the study. Data were entered using epidata manager version 4.0.2.101 and exported to SPSS version 21 for analysis. Multivariable logistic regression analysis was performed, and variables with a p-value of less than 0.05 were considered statistically significant. Results: The number of students who had ever discussed sexual and reproductive health issues with their parents was 118 (31.2%). Mothers’ educational status of diploma [adjusted odds ratio (AOR)=3.52, 95%CI=1.13-10.95], fathers’ educational status of diploma [AOR=3.84, 95%CI=1.29-11.41], students’ perceived importance of sexual and reproductive health issues discussion [AOR=6.69, 95%CI=2.04-22.00], students’ knowledge about sexual and reproductive health issues [AOR=4.80, 95%CI=2.56-9.01], and students’ attitude towards sexual and reproductive health issues [AOR=3.13, 95%CI=1.76-5.57] were identified as independent predictors of parent-student sexual and reproductive health communication. Conclusion: The level of parent-student sexual and reproductive health communication is low among secondary and preparatory schools in Fiche town. Therefore, school administration, in collaboration with stakeholders, should facilitate adolescent-friendly services to enhance sexual and reproductive health-related awareness.


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