scholarly journals The time has come to make cervical cancer prevention an essential part of comprehensive sexual and reproductive health services for HIV-positive women in low-income countries

2015 ◽  
Vol 18 ◽  
pp. 20282 ◽  
Author(s):  
Megan J Huchko ◽  
May Maloba ◽  
Miriam Nakalembe ◽  
Craig R Cohen
Keyword(s):  
Cervical Cancer ◽  
Reproductive Health ◽  
Health Services ◽  
Low Income ◽  
Sexual And Reproductive Health ◽  
Cervical Cancer Prevention ◽  
Low Income Countries ◽  
Hiv Positive ◽  
Reproductive Health Services ◽  
Hiv Positive Women

scholarly journals Sexual and Reproductive Health Services Utilization and Associated Factors among College Students at West Arsi Zone in Oromia Region, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Demelash Wachamo ◽  
Yadessa Tegene ◽  
Abdisa Tibeso ◽  
Assefa Washo
Keyword(s):  
College Students ◽  
Reproductive Health ◽  
Low Income ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Transmitted Disease ◽  
Low Income Countries ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Arsi Zone

Background. Young people are challenged with sexual and reproductive health (SRH) problems due to limited access to services and information. It contributes a high burden of sexually transmitted disease, unsafe abortion, and premature mortality, especially in low-income countries like Ethiopia. Hence, this study aimed at assessing the SRH service utilization and associated factors among college students at West Arsi Zone in Oromia region, Ethiopia. Methods. Institutional-based cross-sectional study was conducted among 519 randomly selected college students from January 01, 2019, up to April 30, 2019. Data were collected through self-administered pretested questionnaires. Data entry and analysis for descriptive and logistic regression models were performed by using SPSS (version 23). The result was declared as statistically significant at p < 0.05. Results. The utilization of at least one SRH service in the last twelve months was seen in 304 (58.6%) students. Mainly information and counseling (81.3%), voluntary testing and counseling for HIV (80.6%), condom service (37.2%), pregnancy test (35.5%), family planning services (33.2%), and abortion care services (26.0%) were most frequently utilized. The students’ aged between 20 and 24 years [AOR = 2.05, 95% CI: 1.38–3.06], female students [AOR = 1.92, 95% CI: 1.30–2.82], those not living with family [AOR = 1.54, 95% CI: 1.05–2.26], those who discussed about SRH with family/friends [AOR = 1.92, 95% CI: 1.31–2.82], and those who participated in school clubs [AOR = 1.75, 95% CI: 1.19, 2.58] more frequently used SRH service compared with their counterparts. Conclusions. The utilization of SRH services was low when compared with other studies and needs improvements to tackle RH-related problems. It requires pertinent health education and the SRH club at higher educational institutions is crucial.

scholarly journals “The Financial Is the Main Issue, It’s Not Even the Child”: Exploring the Role of Finances in Men’s Concepts of Fatherhood and Fertility Intention

2018 ◽  
Vol 12 (4) ◽  
pp. 1074-1083 ◽  
Author(s):  
Megan Hamm ◽  
Elizabeth Miller ◽  
Lovie Jackson Foster ◽  
Mario Browne ◽  
Sonya Borrero
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Low Income ◽  
Financial Stability ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Fertility Intention ◽  
Reproductive Health Services ◽  
Family Planning Services

Despite demonstrable need, men’s utilization of sexual and reproductive health services remains low. This low utilization may particularly affect low-income men, given the disproportionate prevalence of unintended pregnancy in low-income populations. Bolstering men’s utilization of sexual and reproductive health services requires understanding the services that are most relevant to them. Semistructured interviews about fatherhood, fertility intention, and contraceptive use were conducted with 58 low-income Black and White men in Pittsburgh, Pennsylvania. The interviews were analyzed using content analysis to determine common themes that were most relevant to the men interviewed. The primacy of financial stability emerged as a dominant theme in men’s perceptions of fatherhood readiness, successful fathering, and fertility intentions. However, men had children despite feeling financially unprepared, and their contraceptive use was not always congruent with their stated fertility intentions. Some men described financial services as a feature of family planning services that they would find useful. Because of the salience of financial stability in preparation for fatherhood, integrating financial counseling and job skills training into the context of sexual and reproductive health services could be a useful structural intervention to increase men’s use of family planning services and to provide them with the support they say they need as fathers.

scholarly journals The Linked Response: Lessons Emerging from Integration of HIV and Reproductive Health Services in Cambodia

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Joanna White ◽  
Thérèse Delvaux ◽  
Chhorvann Chhea ◽  
Sarun Saramony ◽  
Vichea Ouk ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Hiv Testing ◽  
Health Facilities ◽  
Hiv Positive ◽  
Health Staff ◽  
Reproductive Health Services ◽  
Community Based ◽  
Hiv Positive Women

A qualitative assessment was made of service provider and user perceptions of the quality of integrated reproductive health services established through a pilot intervention in Cambodia. The intervention aimed to promote pregnant women's HIV testing and general utilization of reproductive health facilities as well as improve the follow-up of HIV-positive women and exposed infants through strengthened referral and operational linkages amongst health facilities/services and community-based support interventions for PLHIV. The study was conducted in one operational district where the intervention was piloted and for comparative purposes in a district where integrated services had yet to be implemented. Service providers in the pilot district reported improved collaboration and coordination of services, more effective referral, and the positive impact of improved proximity of HIV testing through integrated local level facilities. Community-based support teams for PLHIV embraced their expanded role, were valued by families receiving their assistance, and were understood to have had an important role in referral, PMTCT follow-up and countering PLHIV stigmatization; findings which underscore the potential role of community support in integrated service provision. Challenges identified included stigmatization of PLHIV by health staff at district hospital level and a lack of confidence amongst non-specialized health staff when managing deliveries by HIV-positive women, partly due to fear of HIV transmission.

scholarly journals Fertility intention and use of contraception among women living with the human immunodeficiency virus in Oromia Region, Ethiopia

2017 ◽  
Vol 59 (2) ◽  
pp. 50
Author(s):  
Kebogile Mokwena ◽  
Yenealem Reta Bogale
Keyword(s):  
Human Immunodeficiency Virus ◽  
Antiretroviral Therapy ◽  
Reproductive Health ◽  
Health Services ◽  
Positive Impact ◽  
Hiv Positive ◽  
Reproductive Health Services ◽  
Hiv Positive Women ◽  
Contraception Use ◽  
Immunodeficiency Virus

Background: The human immunodeficiency virus (HIV) epidemic resulted in decreased fertility among HIV-positive women, who did not want to transmit the virus to their unborn children. With the availability of antiretroviral therapy that suppresses viral load, HIV-infected women live normal lives and even acknowledge the desire and intention to have children, a factor that is rarely acknowledged in antiretroviral therapy (ART) clinic services. This study examined fertility intentions and contraception use among a sample of women attending an ART clinic in Oromia Region, Ethiopia. Methods: A quantitative, cross-sectional and descriptive design was used on a sample of 362 HIV-positive women. Data were collected using a researcher-administered questionnaire. Results: The ages of the participants ranged from 18 to 49 years and most were between the ages of 23 and 32. A desire and intention to fall pregnant was reported by 46.6% (n = 158) of the participants. A total of 114 (35.5%) had given birth after they were diagnosed with HIV and 4% were pregnant at the time of the study. Of the study participants who wanted to have children, 60.7% (n = 82) planned to have a child within two years. In the period before they were diagnosed with HIV, most participants used injectable contraceptives but this changed to using the condom after they were diagnosed with HIV. Conclusion: The high number of women who have both the desire and intention to have children among this sample of HIV-positive women requires that reproductive health services need to include family planning as an essential component of reproductive health services. The change to using the condom as a contraceptive method indicates the positive impact of health promotion received at ART clinic. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2017; DOI: 10.1080/20786190.2016.1254931

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 Adolescent sexual behaviour in a refugee setting in Uganda

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Paul Bukuluki ◽  
Peter Kisaakye ◽  
Hadijah Mwenyango ◽  
George Palattiyil
Keyword(s):  
Reproductive Health ◽  
Sexual Behaviour ◽  
Low Income ◽  
Sexual And Reproductive Health ◽  
Binary Logistic Regression ◽  
Low Income Countries ◽  
Reproductive Health Services ◽  
Binary Logistic Regression Model ◽  
Adolescent Refugees ◽  
Standing Up

Abstract Background Children under 18 years old constituted more than half (52%) of the refugee population in 2017. Adolescent Sexual and reproductive health is an essential component of primary health care. Yet, not every refugee adolescent is able to access sexual and reproductive health services. Methods Using quantitative data from 356 refugee adolescents and qualitative data (17 in-depth interviews and nine key informant interviews), we examine refugee adolescent sexual behaviour in Bidibidi settlement—the largest refugee settlement in Uganda using a binary logistic regression model. Results The results show that 25% of refugee adolescents in Bidibidi refugee settlement had ever had sex. After controlling for all factors, results show that refugee adolescents aged 16–18 years (OR  =  3.47; 95% CI  =  1.09–10.94), males (OR  =  17.59; 95% CI  =  4.48–69.07), not in school (OR  =  14.57; 95% CI  =  2.20–96.35) were more likely to engage in sexual behaviour than their counterparts. Refugee adolescents who do not agree that a girl cannot get pregnant if she has sex while standing up (knowledge about getting pregnant) were significantly less associated with sexual behaviour (OR  =  0.30; 95% CI  =  0.10–0.85). Conclusions Results from this study show that keeping refugee adolescents in school and providing sexual and reproductive health information are likely to delay refugee adolescents’ engagement in sexual behaviour. Therefore, there is need to promote keeping refugee adolescents in school in order to improve sexual and reproductive health of adolescent refugees living in low-income countries such as Uganda.

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