scholarly journals Contraception Use among Iranian Women With HIV: A Qualitative Study

2015 ◽  
Vol 8 (1) ◽  
pp. 199 ◽  
Author(s):  
Sara E. Saeieh ◽  
Alireza N. Nasrabadi ◽  
Abbas Ebadi ◽  
Zahra B. Moghadam ◽  
Minoo Mohraz ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Risky Behavior ◽  
Unwanted Pregnancy ◽  
Reproductive Age ◽  
Reproductive Health Services ◽  
Inconsistent Condom ◽  
Contraception Use ◽  
Women With Hiv

<p><strong>BACKGROUND:</strong> The application of family planning methods to people with HIV not only prevents unwanted pregnancy, but also leads to a reduction in the possibility of transmission of the virus from the patient to the sexual partner and the fetus. In order to prevent the spread of HIV and enhance reproductive rights, it is necessary to inform women with HIV of the contraception methods.</p> <p><strong>OBJECTIVE:</strong> The aim of this study was to explore experiences of HIV positive women about contraception use.</p> <p>Method: This qualitative study was conducted on 18 women with HIV who were at reproductive age and had referred the Center for clients with Risky Behavior in Imam Khomeini Hospital. Data were analyzed using the conventional content analysis method in MAXQDA 10.</p> <p><strong>RESULTS:</strong> The following two themes were derived from descriptions of the use of contraception methods by women with HIV: 1) Contraception is the forgotten component of reproductive health services; 2) inconsistent condom use. Each theme also contained three sub-themes.</p> <p><strong>CONCLUSION:</strong> Results of investigations showed that Risky Behavior consultation Centers mostly stress the use of condom for husband/sexual partners without HIV. In addition, since health care practitioners play an important role in provision of reproductive health services, their lack of knowledge and cooperation considerably contribute to the spread of the disease and violation of patient rights.</p>

scholarly journals Experiences of health care providers with integrated HIV and reproductive health services in Kenya: a qualitative study

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Richard Mutemwa ◽  
Susannah Mayhew ◽  
Manuela Colombini ◽  
Joanna Busza ◽  
Jackline Kivunaga ◽  
...  
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Health Care Providers ◽  
Care Providers ◽  
Reproductive Health Services

scholarly journals How to adapt sexual and reproductive health services to the needs and circumstances of trans people— a qualitative study in Colombia

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Mariana Calderón-Jaramillo ◽  
Ángel Mendoza ◽  
Natalia Acevedo ◽  
Luz Janeth Forero-Martínez ◽  
Sandra Marcela Sánchez ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Healthcare Services ◽  
Health Needs ◽  
Access Barriers ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Trans People

Abstract Background People living a trans-life require access to equitable healthcare services, policies and research that address their needs. However, trans people have experienced different forms of violence, discrimination, stigma, and unfair access barriers when dealing with healthcare providers. Therefore, adapting sexual and reproductive health services with the purpose of providing more equitable, inclusive and discrimination-free healthcare services is an urgent need. The article presents an example of how operative research can be used in order to adjust sexual and reproductive healthcare services to trans people’s needs, identities and circumstances. Methods This is a qualitative study written from a constructivist perspective, and it is based on the voices and experiences of trans people in four major cities in Colombia. The research used a combination of focus groups of discussion (n = 6) and in-depth interviews with trans people (n = 13) in Barranquilla, Bogota, Cali and Medellin. This research had two specific objectives: i) identifying the main sexual and reproductive health needs of people living a trans-life; and ii) generating new evidence in order to guide the adaptation of sexual and reproductive health services centered to trans people’s needs, identities, and circumstances. Qualitative data codification and analysis was using NVivo. Results Once access barriers to sexual and reproductive health services, unmet sexual and reproductive health needs were identified, the research helped define strategies to adapt sexual and reproductive health services to the needs, identities, and circumstances of people living a trans-life in Colombia. Amongst the main barriers found were healthcare costs, lack of insurance, stigmatization, discrimination and abuse by health care providers. Perhaps among the most notable sexual and reproductive health needs presented were trans-specific services such as sensitive assistance for the transition process, endocrinology appointments, and sex reaffirmation surgeries. Conclusions The evidence obtained from this research allowed Profamilia, a Colombian healthcare provider, to adapt the sexual and reproductive health services it provides to people living a trans-life in Colombia. Furthermore, it was possible for Profamilia to design and implement an inclusive sexual and reproductive health program that specifically addresses trans people’s needs, identities, and circumstances.

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 Women and substance use: a qualitative study on sexual and reproductive health of women who use drugs in Delhi, India

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018530 ◽  
Author(s):  
Vartika Sharma ◽  
Avina Sarna ◽  
Waimar Tun ◽  
Lopamudra Ray Saraswati ◽  
Ibou Thior ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Health Services ◽  
Sexual And Reproductive Health ◽  
Accurate Information ◽  
Unsafe Sex ◽  
Reproductive Health Services ◽  
Community Based ◽  
The Past ◽  
Women Who Use Drugs

ObjectivesTo explore contextual factors that increase vulnerabilities to negative sexual and reproductive health (SRH) outcomes and possible differences in SRH-related behaviours and the needs of women who use drugs (WUD) through non-injecting and injecting routes.DesignQualitative study design using semi-structured in-depth interviews.ParticipantsTwenty women who injected drugs in the past 3 months and 28 women who reported using drugs through non-injecting routes in the past 1 month.SettingInterviews were conducted at community-based, drop-in centres in Delhi, India.ResultsStudy findings illustrate that WUD were sexually active and had multiple sex partners including clients of sex work. Transient relationships were reported and many participants engaged in unsafe sex. Factors which affected safe sex behaviours included: gender power imbalance, limited agency for decision-making, lack of accurate information for correct self-risk assessment, and being under the influence of drugs. Despite high awareness, low and inconsistent contraceptive use was reported. Some participants were coerced to conceive while a few others reported their inability to conceive. Violence was a key determinant for SRH outcomes. Perception of certain adverse health outcomes (such as infertility) to be ‘common and expected among WUD’ influenced access to healthcare. Further, healthcare providers’ stigmatising attitudes and lack of women-centric services deterred women from uptake of healthcare services.ConclusionFindings highlight that SRH-related behaviours and needs of this group are a complex interplay of multiple determinants which need to be addressed at all levels: individual, family, community and institutional. It is imperative to roll out a ‘one-stop-shop’ for a comprehensive package of health services. Expansion of existing drop-in-centres could be considered for setting-up community-based women-centric services with appropriate linkage to drug dependence treatment and reproductive health services.

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. 

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