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1

Davis, William L. "Family Planning Services: A History of U.S. Federal Legislation." Journal of Family History 16, no. 4 (October 1991): 381–400. http://dx.doi.org/10.1177/036319909101600404.

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2

Leathard, Audrey. "Pregnancy, Contraception and Family Planning Services in Industrialized Countries." Population Studies 44, no. 3 (January 1990): 518–19. http://dx.doi.org/10.1080/0032472031000144966.

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3

Anderson, Paul, and Rob Kitchin. "Disability, space and sexuality: access to family planning services." Social Science & Medicine 51, no. 8 (October 2000): 1163–73. http://dx.doi.org/10.1016/s0277-9536(00)00019-8.

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4

Weinman, Maxine L., Ruth S. Buzi, and Peggy B. Smith. "Ethnicity as a Factor in Reproductive Health Care Utilization Among Males Attending Family Planning Clinics." American Journal of Men's Health 5, no. 3 (August 26, 2010): 216–24. http://dx.doi.org/10.1177/1557988310373944.

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Health care utilization of reproductive health care services among males is an emerging issue. This study examined ethnicity as a factor in reproductive health care utilization among 1,606 African American and Hispanic young males attending family planning clinics. Seventy percent were African American and 30% were Hispanic. Across groups, the most received service was treatment for a sexually transmitted infection (STI). African American males were more likely than Hispanic males to have health insurance, report a prior visit to a family planning/STI clinic, and have a history of an STI. Hispanic males had higher rates of employment. The most common source of referral for family planning services for both groups was either a current girlfriend or female friend. Hispanic males were more likely to use family as a referral source than African American males. Differences were also noted in regard to interest in health topics with African American males most interested in STI prevention and getting a job and Hispanic males in services related to working-out/eating well, controlling anger, feeling depressed, and getting along with family. Young males’ perceptions of what they consider to be important health care needs should be assessed carefully in order to maintain their interest in returning to the clinics.
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5

Khanal, V., C. Joshi, D. Neupane, and R. Karkee. "Practices and Perceptions on Contraception Acceptance among Clients Availing Safe Abortion Services in Nepal." Kathmandu University Medical Journal 9, no. 3 (June 11, 2012): 179–84. http://dx.doi.org/10.3126/kumj.v9i3.6301.

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Background The Government of Nepal has implemented safe abortion policy since 2002. There are 245 approved sites providing safe abortion services to women across the country. Family planning counselling is one of the components of the safe abortion policy, which is important to reduce unwanted pregnancy, maternal morbidity and mortality due to the consequences of unsafe abortion and the service burden. Objectives This study explains the perceptions, practices and factors affecting the use of family planning among abortion clients attending safe abortion services in Nepal. Methods A cross sectional study was carried out on September, 2008 enrolling 58 women who were waiting in the dressing room for safe abortion services in Paropkar Maternity Hospital, Nepal. All women attending hospital clinic for receiving safe abortion services were approached for interview till the targeted number was fulfilled. A convenience sampling was applied to reach the sample size. Results Of the 58 respondents, majority of the respondents were Hindus (83%), residing in Kathmandu district (76%); of the age group 20-29 years (69%); and 98% were married. One fifth (20.68 %) of the respondents had previous history of spontaneous or induced abortion. The main reason for abortion did not want any more babies/complete family (45%). The knowledge of modern contraception was high (98.27%).The knowledge of emergency contraception was low (25.9%). Side effects was the main reason (48%, n=31) for discontinuation of contraceptives. Intention to use some modern family planning methods after the abortion was expressed by 83% clients. The major enabling factor for continued contraceptive use was the absence of side effects. The family planning counselling was acceptable for 91% clients. ConclusionKnowledge, acceptance of counselling service and intention to use family planning measure was high in the study participants. There is need to provide skills on adapting with the adverse effect of family planning measure through continuous education and reinforcement.DOI: http://dx.doi.org/10.3126/kumj.v9i3.6301 Kathmandu Univ Med J 2011;9(3):179-84
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6

Wilson, Ruth P., and Yaw Oheneba-Sakyi. "Family Planning and Reproductive Health Services in Ghana: An Annotated Bibliography." Canadian Journal of African Studies 32, no. 2 (1998): 418. http://dx.doi.org/10.2307/486167.

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7

Norling, Johannes. "Family planning and fertility in South Africa under apartheid." European Review of Economic History 23, no. 3 (August 2, 2018): 365–95. http://dx.doi.org/10.1093/ereh/hey016.

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Abstract During the apartheid era, all South Africans were formally classified as white, African, colored, or Asian. Starting in 1970, the government directly provided free family planning services to residents of townships and white-owned farms. Relative to African residents of other regions of the country, the share of African women that gave birth in these townships and white-owned farms declined by nearly one-third during the 1970s. Deferral of childbearing into the 1980s partially explains the decline, but lifetime fertility fell by one child per woman.
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8

Rusterholz, Caroline. "English Women Doctors, Contraception and Family Planning in Transnational Perspective (1930s–70s)." Medical History 63, no. 2 (March 26, 2019): 153–72. http://dx.doi.org/10.1017/mdh.2019.3.

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This paper explores the influence of English female doctors on the creation of the International Planned Parenthood Federation (IPPF) and the production and circulation of contraceptive knowledge in England and, to a lesser extent in France, between 1930 and 1970. By drawing on the writings of female doctors and proceedings of international conferences as well as the archives of the British Medical Women’s Federation (MWF) and Family Planning Association (FPA), on the one hand, andMouvement Français pour le Planning Familial(MFPF), on the other, this paper explores the agency of English female doctors at the national and transnational level. I recover their pioneering work and argue that they were pivotal in legitimising family planning within medical circles. I then turn to their influence on French doctors after World War II. Not only were English medical women active and experienced agents in the family planning movement in England; they also represented a conduit of information and training crucial for French doctors. Transfer of knowledge across the channel was thus a decisive tool for implementing family planning services in France.
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9

Karra, Mahesh, and Kexin Zhang. "User-Centered Counseling and Male Involvement in Contraceptive Decision Making: Protocol for a Randomized Controlled Trial." JMIR Research Protocols 10, no. 4 (April 5, 2021): e24884. http://dx.doi.org/10.2196/24884.

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Background To achieve informed choice within the framework of reproductive autonomy, family planning programs have begun to adopt user-centered approaches to service provision, which highlight the individual client as the focal point of interaction and key decision maker. However, little is known about how user-centered approaches to family planning, particularly family planning counseling, shape contraceptive preferences and choices. Objective We conducted a multiarmed randomized controlled trial to identify the causal impact of user-centered approaches to family planning counseling on women’s contraceptive decision making in urban Malawi. This study aims to determine how a tailored, preference-driven approach to family planning counseling and the involvement of male partners during the counseling process may contribute to shaping women’s contraceptive preferences and choices. Methods Married women aged 18-35 years were recruited and randomly assigned to 1 of the 3 intervention arms or a control arm characterized by the following two interventions: an intervention arm in which women were encouraged to invite their husbands to family planning counseling (husband invitation arm) and an intervention arm in which women received targeted, tailored counseling on up to five contraceptive methods (as opposed to up to 13 contraceptive methods) that reflected women’s stated preferences for contraceptive methods. Women were randomized into a control arm, T0 (no husband invitation, standard counseling); T1 (husband invitation, standard counseling); T2 (no husband invitation, targeted counseling); and T3 (husband invitation, targeted counseling). Following counseling, all women received a package of family planning services, which included free transportation to a local family planning clinic and financial reimbursement for family planning services. Follow-up surveys were conducted with women 1 month after counseling. Results A total of 785 women completed the baseline survey, and 782 eligible respondents were randomized to 1 of the 3 intervention groups or the control group (T1, n=223; T2, n=225; T3, n=228; T0, n=108). Furthermore, 98.1% (767/782) of women were contacted for follow-up. Among the 767 women who were contacted, 95.3% (731/767) completed the follow-up survey. The analysis of the primary outcomes is ongoing and is expected to be completed by the end of 2021. Conclusions The results from this trial will fill knowledge gaps on the effectiveness of tailored family planning counseling and male involvement in family planning on women’s stated and realized contraceptive preferences. More generally, the study will provide evidence on how user-centered counseling may affect women’s willingness to use and continue contraception to realize their contraceptive preferences. Trial Registration American Economics Association’s Registry for Randomized Controlled Trials AEARCTR-0004194; https://www.socialscienceregistry.org/trials/4194/history/46808. Registry for International Development Impact Evaluations RIDIE-STUDY-ID-5ce4f42bbc2bf; https://ridie.3ieimpact.org/index.php?r=search/detailView&id=823. International Registered Report Identifier (IRRID) DERR1-10.2196/24884
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10

Lemos, Gerard. "Military history: The experiences of people who become homeless after leaving military service." Housing, Care and Support 8, no. 3 (September 1, 2005): 4–8. http://dx.doi.org/10.1108/14608790200500017.

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A disproportionate number of homeless people have spent time in the armed forces. This study used interviews with ex‐homeless people with a Services background to record their individual experiences and look at the factors which might increase the likelihood that someone will become homeless after leaving the Services. Disrupted family backgrounds were a feature of the lives of the youngest respondents. Alcohol dependency, mental health problems and relationship breakdown featured strongly among the group as a whole, although they were associated more strongly with older respondents. A central conclusion is that help with housing should be complemented by greater access to emotional and psychological support services during and after the period of transition from military to civilian life.
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11

Fusco, Rachel A. "Perceptions of Strengths-Based Child Welfare Practices Among Mothers With Drug Use Histories." Journal of Family Issues 40, no. 17 (July 3, 2019): 2478–98. http://dx.doi.org/10.1177/0192513x19859392.

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Families in the child welfare system show especially poor outcomes when a parent has a drug use history. These parents may be difficult to engage, which may contribute to their failure to follow through with service planning and receipt. The child welfare system has historically emphasized risk and pathology and does not always use a strengths-based approach, although this has and can greatly increase client engagement. The current study involves data from mothers of young children receiving child welfare services ( n = 336) to examine individual and family risk factors and mothers’ perceptions of strengths-based practices by their caseworker. Roughly one third of women reported past year drug use. Mothers reporting drug use perceived four dimensions of strengths-based practice lower than mothers with no drug use history. Individual and family risks were associated with lower perceived strengths-based practices among mother who used drugs. Strengths-based practices with mothers with drug use histories are discussed.
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12

Aawan, Sajid Mahmood, Syed Ali Shah, and Syed Rashid Ali. "Socio-Economics, Religion and Family Planning in a Muslim Society: A Study of Islamabad (Pakistan)." Global Economics Review III, no. I (June 30, 2018): 39–49. http://dx.doi.org/10.31703/ger.2018(iii-i).05.

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Demographic characteristics of varying societies vary from area to area depending on the ecological patterns of different societies. The commencement, receipt, and popularization of the movement of birth control were not identical all across the world. The idea of birth control reflects one of the most interesting episodes in the history of modern ideas. It is widely known as all the methods used to regulate or prevent the birth of children. It is deliberate prevention or delaying of births by various artificial means. Family Planning or Planned Parenthood is the term generally used to refer more broadly to policies, programs, and services designed to assist people in practicing birth control. The present study claims that all apparently religious doctrines against family planning are actually the expression of their local worldview. Accordingly, the people consider their opposition to the idea of family planning justified in Islam, though in reality, they derive their feelings from their socio-economic considerations.
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13

McNicholas, Fiona. "Attitudes of general practitioners to child psychiatry services." Irish Journal of Psychological Medicine 14, no. 2 (June 1997): 43–46. http://dx.doi.org/10.1017/s0790966700002962.

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AbstractObjective: To ascertain the views of Irish GPs with regard to local child psychiatry provision.Method: 180 randomly selected general practitioners were sent a questionnaire designed to ascertain their views on child psychiatry services. They were asked to rate service provisions, professional staff and therapies offered in terms of priority.Results: 74 (41%) returned completed questionnaires. Written reports, short waiting list times and emergency inpatient provisions were accorded the highest priority by the largest number of GPs (77%, 64.9%, and 63.5% respectively). Expertise in child sexual abuse, mental handicap and alcohol/drug addiction were also prioritised (77%, 66.2%, & 58.1% respectively). The core staffing required included child psychiatrists, community psychiatry nurses, psychologists and social workers. Family therapy followed by counselling were the most popular treatment modalities. However, more than two thirds (68.6%) of the sample rated their current service as unsatisfactory.Conclusion: In planning service provision it is important to take into account the needs of the community, referrers' views and accessibility in order to provide optimum services for both users and referrers.
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14

Phillips, James F., Elizabeth F. Jackson, Ayaga A. Bawah, Patrick O. Asuming, and John Koku Awoonor-Williams. "The fertility impact of achieving universal health coverage in an impoverished rural region of Northern Ghana." Gates Open Research 3 (September 13, 2019): 1537. http://dx.doi.org/10.12688/gatesopenres.12993.1.

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Background: When a successful Navrongo Health Research Centre service experiment demonstrated means for reducing high fertility and childhood mortality in a traditional societal setting of northern Ghana, the Ministry of Health launched a program of national scaling up known as the Community-based Health Planning and Services (CHPS) initiative. For two decades, CHPS has been Ghana’s flagship program for achieving universal health coverage (UHC). When monitoring during its first decade determined that the pace of CHPS scale-up was unacceptably slow, the Ghana Health Service launched the Ghana Essential Health Interventions Program (GEHIP) in four Upper East Region districts to test means of accelerating to CHPS implementation and improving its quality of care. Methods: To evaluate GEHIP, a two-round randomized sample survey was fielded with clusters sampled at baseline that were reused in the endline to facilitate difference-in-difference estimation of changes in fertility associated with GEHIP exposure. Monitoring operations assessed the location, timing, and content of CHPS primary health care. Discrete time hazard regression analysis on merged baseline and endline birth history data permit estimation of GEHIP fertility and CHPS access effects, adjusting for hospital and clinical service access and household social and economic confounders. Results: GEHIP exposure was associated with an immediate acceleration of CHPS implementation and coverage. Women residing in households with CHPS services had only slightly lower fertility than women who lacked convenient access to CHPS. GEHIP impact on contraceptive use was statistically significant but marginal; GEHIP exposure was associated with increasing unmet need. Conclusion: Results challenge the assumption that achieving UHC will reduce excess fertility. Social mobilization, community-outreach, connection of family planning discussions with male social networks are elements of the Navrongo success story that have atrophied with CHPS scale-up. Achieving UHC does not address the need for renewed attention to these family planning focused strategies.
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15

Antarini, Antarini, Siti Masfiah, Ayu Fitriani, and Lili Junaidi. "Unmet need to space and limit childbirth among reproductive age women in Pangkalpinang City, Bangka Belitung Province, Indonesia." GHMJ (Global Health Management Journal) 1, no. 1 (June 22, 2017): 4. http://dx.doi.org/10.35898/ghmj-1195.

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Background: Population growth has become one of priority problems should be solved in almost all of developing countries, including Indonesia. Backward, Indonesia had successful family planning history. However, it shows decline figures nowadays. While, unmet need of family planning in several regions found increased. In 2007, unmet need was 8.6 %, inclined to 11.4% in 2015, which is consisted of 4.5% for spacing children and 8.6% for limiting children. Social demography, economic, access to health services, family support and perception revealed have the contribution to unmet need. Aims: This study aimed to explore unmet need family planning due to birth spacing and limiting situation among reproductive age women in Pangkal Pinang City, Bangka Belitung Province.Methods: This study was an explanatory research used cross-sectional design. The population was women of childbearing age who experienced unmet need of family planning in Pangkal Pinang, 2016. 98 women were taken by proportional random sampling to participate in this study.Results: Research showed that the most of the unmet need for family planning were among 25-29 years old women. About two third (66.3%) of unmet need women occurred due to the willingness to space the childbirth and 33.7% willing to limit the childbirth. Birth spacing tended to be favored by young mothers, early marriage (1-5 years old), had low parity and had low education attainment. Whilst, limiting childbirth tended to be preferred by women with lenght marriage experience (>15 years old), had high parity, older mothers, and middle education level (senior high school) attainment. Conclusion: Both of spacing and limiting have no difference according to the economic situation, all of them mostly were the household wife from low-income family. Husband support to do not use contraception were found in both birth spacing and birth limiting. The study suggest to provincial health office and national family planning coordination board that family planning program should not just involve the wife, but husband as well due to their high influence in family planning decision. Keyword: Unmet need, family planning, birth spacing and limiting
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16

George, M. K., N. R. Parashar, and C. Leek. "Provision of perinatal mental health services in a community setting." European Psychiatry 26, S2 (March 2011): 1096. http://dx.doi.org/10.1016/s0924-9338(11)72801-2.

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IntroductionPsychiatric illness and suicide in particular have been a leading overall cause of maternal mortality in the United Kingdom. Although the most recent Confidential Enquiry into Maternal and Child Health indicated that this is no longer leading causes, mental health problems before and after childbirth have a significant impact on the health of women, family relationships and children's subsequent development.AimsTo identify the current practice for management and prevention of perinatal mental illness within a community mental health setting.To identify the extent to which policy recommendations from NICE “Antenatal and postnatal mental health” been implementedMethodsThe audit included all women who are pregnant, breastfeeding or who are planning to become pregnant and referred to the CMHT between November 2008 to April 201020 Cases identified by asking all team members to recall relevant clients.Results65% of those referred were in the antenatal period and 25% were in the post natal period. 40% of those referred had a pre existing mental illness and 60% were new onset during antenatal & postnatal period.The main diagnosis was depression and anxiety disorders.55% of those referred to the CMHT were on Psychotropic medications. However following the assessment and follow up by CMHT, only 25% of those referred needed to be on the psychotropics.Good compliance was achieved in the documentation of past psychiatric history and family history, provision of appropriate psychosocial interventions and specific considerations for the use of antidepressant medication during pregnancy and the postnatal period.
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17

Robinson, Warren C. "The "New Beginning" in Pakistan's Family Planning Programme." Pakistan Development Review 26, no. 1 (March 1, 1987): 107–18. http://dx.doi.org/10.30541/v26i1pp.107-118.

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Family planning in Pakistan has a long, interesting, expensive and generally unsuccessful history. Recently, after a pause of several years, vigorous public-sector efforts to control population growth have been resumed. This has been called "the new beginning" by Pakistan officials. This note will relate the details and also the genesis of this recent renewal of family-planning activity. The first "beginning" was the programme launched in 1965 [4]. This programme grew rapidly and attracted considerable attention internationally. By the mid-Seventies it was clear that the programme's impact had been overrated and that it was on the verge of stagnation. Under the strong urging of USAID, the major donor group, a last desperate effort was made using a strongly supply-oriented approach. This so-called "inundation scheme" also proved a failure and by 1977 the programme had virtually come to a halt [5]. The Fifth Five Year Plan (1978- 1983) endorsed population control but called for an integrated health- and family planning approach. A new programme of training, mass education and improved service-delivery was laid out in the Plan, but, in fact, little seems to have been accomplished or even attempted in the' early part of this period. The programme had been discredited and had been all but shut down. But the need remained. Pakistan's fertility was shown by the World Fertility Survey results for 1975-76 to be essentially unchanged in 20 years - a total fertility rate of some 7 births per female over her reproductive career, resulting in an annual growth rate of about 3.0 percent.
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18

Armstrong, Elizabeth, Juli Coffin, Meaghan McAllister, Deborah Hersh, Judith M. Katzenellenbogen, Sandra C. Thompson, Natalie Ciccone, et al. "‘I’ve got to row the boat on my own, more or less’: aboriginal australian experiences of traumatic brain injury." Brain Impairment 20, no. 2 (July 2, 2019): 120–36. http://dx.doi.org/10.1017/brimp.2019.19.

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ABSTRACTBackground:The overarching cultural context of the brain injury survivor, particularly that related to minority peoples with a history of colonisation and discrimination, has rarely been referred to in the research literature, despite profoundly influencing a person’s recovery journey in significant ways, including access to services. This study highlights issues faced by Australian Aboriginal traumatic brain injury (TBI) survivors in terms of real-life consequences of the high incidence of TBI in this population, current treatment and long-term challenges.Method:A case study approach utilised qualitative interview and file review data related to five male Aboriginal TBI survivors diagnosed with acquired communication disorders. The five TBI survivors were from diverse areas of rural and remote Western Australia, aged between 19 and 48 years at the time of injury, with a range of severity.Case Reports:Common themes included: significant long-term life changes; short-term and long-term dislocation from family and country as medical intervention and rehabilitation were undertaken away from the person’s rural/remote home; family adjustments to the TBI including permanent re-location to a metropolitan area to be with their family member in residential care; challenges related to lack of formal rehabilitation services in rural areas; poor communication channels; poor cultural security of services; and lack of consistent follow-up.Discussion and Conclusion:These case reports represent some of the first documented stories of Aboriginal Australian TBI survivors. They supplement available epidemiological data and highlight different contexts for Aboriginal people after TBI, contributing to an overall profile that is relevant for rehabilitation service planning.
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19

Hardy, Marjorie S., and Lawrence G. Calhoun. "Psychological Distress and the “Medical Student Syndrome” in Abnormal Psychology Students." Teaching of Psychology 24, no. 3 (July 1997): 192–93. http://dx.doi.org/10.1207/s15328023top2403_10.

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We investigated psychological distress and the “medical student syndrome” in a group of undergraduate Abnormal Psychology students. Students planning to major in psychology reported more worry about their psychological health than those planning to major in some other field. Also, students who reported a history of psychological treatment were more likely to intend to pursue an advanced degree in counseling or psychotherapy. Although the process of learning about various psychological disorders decreased students' anxiety about their own mental health, it increased their anxiety about the mental health of family members. After completing course work in abnormal psychology, students were more willing to seek help from campus mental health services for personal psychological distress.
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20

Poudel, Thuma Kumari. "Impact of the Pandemic on Sexual and Reproductive Health Services in Low Income Countries with Reference to Nepal." Patan Pragya 7, no. 1 (December 31, 2020): 197–209. http://dx.doi.org/10.3126/pragya.v7i1.35216.

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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.
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Wakuma, Bizuneh, Getu Mosisa, Werku Etafa, Diriba Mulisa, Tadesse Tolossa, Getahun Fetensa, Merga Besho, Mohammed Gebre, and Reta Tsegaye. "Postpartum modern contraception utilization and its determinants in Ethiopia: A systematic review and meta-analysis." PLOS ONE 15, no. 12 (December 14, 2020): e0243776. http://dx.doi.org/10.1371/journal.pone.0243776.

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Background Contraceptive use is the best and most cost-effective strategy to reduce feto-maternal adverse effects of short birth intervals. More than two-thirds of women in developing countries who do not want to conceive are not using contraception methods. Although there were various primary studies in different parts of the country, there is no nationally representative evidence on postpartum modern contraception utilization and its determinants in Ethiopia. Objective This review was aimed to determine the best available pieces of evidence to pool the magnitude of postpartum modern contraception utilization and find out its determinants. Methods Published studies were extensively searched by using electronic databases and unpublished studies were identified from the digital library. All observational studies conducted on the magnitude of postpartum modern contraception utilization and its determinants in Ethiopia were included. Data were extracted on the Microsoft Excel spreadsheet and analyzed using STATA 14.1 version. A random-effects model was used to estimate the pooled magnitude of postpartum modern contraception utilization with a 95% confidence interval (CI). Inverse variance (I2) was used to identify the presence of heterogeneity and forest plot was used to estimate the pooled magnitude of postpartum contraception utilization. The presence of publication bias was assessed by funnel plots and Egger’s statistical tests. Sub-group analysis was computed to minimize underlying heterogeneity. Findings In this review, 19 primary studies were included. The pooled magnitude of postpartum modern contraception utilization in Ethiopia was 45.79% (95%CI 36.45%, 55.13%). The review found that having more than four Antenatal care visits(ANC), having postnatal care visit (PNC), having a formal education, history of family planning use, history of counseling on family planning, and having greater than four alive children as significant determinants of postpartum modern contraception utilization. Conclusion The magnitude of postpartum modern contraception utilization in Ethiopia was low. ANC visit, PNC visit, maternal educational status, history of previous family planning use, counseling on family planning, and number of alive children were found to be significant determinants of postpartum modern contraception utilization. Therefore, strengthening focused ANC and PNC services to encourage women in utilizing modern contraception during the postnatal period is needed.
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McCormick, L. "'The Scarlet Woman in Person': The Establishment of a Family Planning Service in Northern Ireland, 1950-1974." Social History of Medicine 21, no. 2 (June 3, 2008): 345–60. http://dx.doi.org/10.1093/shm/hkn028.

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23

Masiano, Steven P., Tiffany L. Green, Bassam Dahman, and April D. Kimmel. "The effects of community-based distribution of family planning services on contraceptive use: The case of a national scale-up in Malawi." Social Science & Medicine 238 (October 2019): 112490. http://dx.doi.org/10.1016/j.socscimed.2019.112490.

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24

Richey, Lisa. "Family planning and the politics of population in Tanzania: international to local discourse." Journal of Modern African Studies 37, no. 3 (September 1999): 457–87. http://dx.doi.org/10.1017/s0022278x99003110.

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Population politics in Tanzania reflect multiple understandings of the ‘problem’ of population. While Tanzania has a long history of family planning service provision through its childspacing programmes, a national population policy was not adopted until 1992. This work explores the ambiguity and ambivalence reflected in the discourse surrounding the Tanzanian National Population Policy. Although an international consensus on questions of population and family planning may have been reached at the 1994 International Conference on Population and Development in Cairo, when we look at actual cases of policy formulation and implementation, the discourse reflects ambiguity and conflict rather than consensus. The Tanzanian case suggests that this ambiguity may be strategic. Competing ‘positive’ and ‘negative’ approaches have been articulated from the level of national policy negotiations to that of local implementation. This enables the Tanzanian government, promoting a ‘positive’ view of population, to ally itself with proponents of an expanded reproductive health agenda without alienating the elements of the population establishment that pushed for a population policy and fund its implementation.
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Borge, Jessica. "Bandwidth lost: family planners and post-war television." Corporate Communications: An International Journal 25, no. 4 (July 22, 2020): 655–68. http://dx.doi.org/10.1108/ccij-11-2019-0139.

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PurposeThe purpose of this paper is to show how early planned PR efforts at the British Family Planning Association [FPA] resulted in an epoch-making television appearance in November 1955, tessellating with current methodological debates in the history of PR.Design/methodology/approachThis paper uses a qualitative, micro-history approach and original archival document research conducted at Wellcome Collection, London and the BBC Written Archives Centre, Caversham, to reconstruct early PR activity at the FPA. It intercedes in debates on historiography, the diversification of the history of PR and the concepts of mediatization and advocacy in historical contexts.FindingsAttaining broadcast coverage for birth control issues was historically difficult and was made more so by Marie Stopes. The subject was commonly packaged into the less problematic issues of population and infertility. The FPA achieved explicit television coverage in 1955 after establishing a focussed PR plan to stage and exploit a silver jubilee event. This vindicated the FPA's mission, validated service users and created broadcast opportunities.Research limitations/implicationsResearch is limited by temporal scope (1870s–1950s), and reliance on document sources, footage of television programmes being unavailable. This paper has implications for the history of PR, contributing to the diversification of the field by suggesting an original approach to the intersection of public relations and social change.Originality/valueThis paper surfaces overlooked primary sources and is the first account of how birth control appeared as a topic on early British broadcast media.
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Berg, Lloyd, Benjamin King, Jessica Koenig, and Roger L. McRoberts. "Popular Musician Responses to Mental Health Treatment." Medical Problems of Performing Artists 33, no. 2 (June 1, 2018): 124–30. http://dx.doi.org/10.21091/mppa.2018.2020.

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OBJECTIVE: Popular (i.e., nonclassical) musicians have higher rates of mental health disorders and mental health service utilization than the general population. Little is known, however, about how popular musicians perceive mental health interventions in terms of overall satisfaction and therapeutic benefit. METHODS: An online client satisfaction survey was sent to all musicians and family members who received mental health services through a nonprofit mental health organization in Austin, Texas, between July 2014 and June 2015 (n=628). RESULTS: 260 individuals (41.4%) responded to the survey, of whom 94% (n=244) were musicians. A majority of musician respondents were male (60%) and white (82%). 87% received counseling, 32% received psychiatric medication treatment, and 8% received addiction recovery services. 97% of musicians (205/211) rated their counselor as ‘very good’ or ‘excellent,’ 88% (64/79) rated their psychiatric providers as ‘very good’ or ‘excellent,’ and 94% (17/19) rated their addiction recovery specialists as ‘very good’ or ‘excellent’ (nonsignificant between all categories, p>0.05). 89% of musicians receiving counseling, 84% receiving psychiatric medication treatment, and 95% receiving addiction recovery services agreed or strongly agreed that their symptoms and overall functioning improved as a result of their treatment (nonsignificant between all categories, p>0.05). CONCLUSION: Popular musicians express strong provider satisfaction and overall benefit when mental health interventions are accessible, affordable, and delivered by professionals familiar with their concerns. More research is needed to understand the unique psychosocial stresses popular musicians face to inform treatment planning for this high-risk, underserved population.
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Thakur, Neelima, and Pragti Chhabra. "Trends in abortion services and sociodemographic profile of women those availed abortion services at Parivar Seva clinics in India." International Journal Of Community Medicine And Public Health 8, no. 5 (April 27, 2021): 2272. http://dx.doi.org/10.18203/2394-6040.ijcmph20211745.

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Background: Despite the law for termination of pregnancy, women continue to have illegal or unsafe abortions leading to incomplete abortions in India. The aim of the paper is to identify the trend of abortion services, clients treated for safe and incomplete abortion their client characteristics in the Parivar Seva Sanstha clinics. Methods: Retrospective analysis of the available data from 31 Parivar Seva clinics India. Retrospective study carried out in 31 clinics of the Parivar Seva Sanstha in 11 states. Data of women who were treated for medical termination of pregnancy (MTP) and other abortion between the periods of January 2018 to December 2019 was obtained from the records for analysis. Proportion of MTP and other abortion for different categories was computed and Chi square test was applied to study the association.Results: More than forty thousand women availed abortion services from the clinics every year. The frequency of incomplete abortion increased from 34.7% to 38.1% from 2018 to 2019. Young women, women of Muslim religion, higher income group, who reached the clinics from long distance, with no parity and no previous history of abortion had more probability of availing services for incomplete abortion as compared to MTP. Majority of women were seeking MTP and incomplete abortion services in their first trimester only; about two thirds (61.4% and 66%) of these had surgical abortion in first trimester. Majority (86.1% and 87.5%) of women obtained MTP services up to 12 weeks of gestation.Conclusions: There is urgent need to create awareness and educate the women regarding safe abortion, access of family planning, legality of abortion, medication outside the health facilities.
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Beers, Laura. "Both Feminist and Practical Politics: The Incorporation of Infertility Treatment into Family Planning in Britain, 1930s–1950s." Journal of British Studies 60, no. 3 (May 20, 2021): 563–84. http://dx.doi.org/10.1017/jbr.2021.57.

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AbstractIn the mid-twentieth century, the Family Planning Association emerged in Britain as one of the largest providers of infertility diagnosis for men and women. In the early years of the century, women were coming to birth control centers seeking cures for their childlessness, well before those centers began officially offering infertility investigation and treatment. What changed by mid-century was the emergence of a determination not only to welcome infertility patients at birth control clinics but to establish the clinics as centers for infertility research and care. Beginning in the late 1930s, eugenicists concerned with the impact of population decline on the social acceptability of birth control formed an alliance with feminist medical professionals determined both to empower women in involuntarily childless marriages to understand and address the causes of their infertility and to shift the paradigm of infertility treatment away from its over-focus on the female body. This political marriage of convenience gave birth to a large-scale movement to diagnose both male and female infertility through the auspices of the Family Planning Association. The organization's infertility program, in turn, spurred the development of infertility as a field of medical research in postwar Britain and encouraged the expansion of National Health Service provision of infertility care.
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Slyunkova, Inessa N. "Town-Planning Conception of the Livadia Palace and Park Ensemble." Scientific journal “ACADEMIA. ARCHITECTURE AND CONSTRUCTION”, no. 1 (March 22, 2018): 36–43. http://dx.doi.org/10.22337/2077-9038-2018-1-36-43.

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The work is devoted to the town-planning heritage of Livadia. For the first time, relying on the graphic design sources of the 1860s and the turn of the XIX - XX centuries, the history of the formation of the ensemble of the new and second after Oreanda imperial residence in the Crimea is revealed. The content and characteristics of the imperial private order in post-reform Russia are considered. The central place is occupied by the design of the ensemble, its functional structure and boundaries, the architectural and spatial development of the territories, the principles of planning and development the issues of park construction and the use of the naturallandscape.In the era of historicism and national romanticism, a new trend in the arrangement of the privatelife of Russian monarchs was the appeal to the examples and traditions of the Russian aristocratic manor. The estate of Livadia, with the established complex of a noble manor, was bought by Alexander II from the heirs of Count L.S. Pototsky and presented to the Empress Maria Alexandrovna. The subject of the study is the town-planning transformation aimed at adapting and further developing the ensemble in order to accommodate the royal famty, the court the retinue, and the extensive system of services.Livadia reconstruction can be divided into two stages. The first is connected with the most intensive transformations of the environment carried out in 1862-1866 undertheleadership of I.A. Monighetti. The architect proposed the concept of a dispersed system of resettlement and placement of new building complexes outside the front of the estate core - auxiliary household military and other services of the residence. An integral part of the plan was road construction and development of infrastructure along with new sections of territories within the boundaries ofland ownershipThe second stage of active construction in Livadia occurred in 1869 - the beginning of the 1880s, and it was mainty directed to social programs. It was the erection of the second church of the estate in the midst of settlement complexes for personnel of the residence services; school for 120 people, etc. The principles of park construction extended to each of the peripheral sections and complexes. The system of water supp^ along with the engineering and technical support service of the estate and surrounding settlements were created. Livadia resembled a city-residence and a city-garden.For the first time the general plans of Livadia that reveal the scale of architectural transformations during the period of possession of the royal family are published.
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Carr-Hopkins, Rebecca, Calem De Burca, and Felicity A. Aldridge. "Assessing attachment in school-aged children: Do the School-Age Assessment of Attachment and Family Drawings work together as complementary tools?" Clinical Child Psychology and Psychiatry 22, no. 3 (June 15, 2017): 402–20. http://dx.doi.org/10.1177/1359104517714589.

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Aims: Our goal was to identify an assessment package that could improve treatment planning for troubled children and their families. To assess the validity of our tools, we tested the relations among the School-Age Assessment of Attachment, the Family Drawing and children’s risk status. We used the Dynamic-Maturational Model of Attachment and Adaptation to interpret the assessments in the hope of identifying a gradient of risk, and explore whether a new coding method improved the validity of Family Drawings and their utility as a tool to complement the School-Age Assessment of Attachment. Method: The participants were 89 children, aged between 5 and 12 years; 32 children were involved with mental health services or child protection. Each child completed a School-Age Assessment of Attachment and a Family Drawing. Results: Both assessments differentiated between clinical and normative referrals with moderate effect sizes when dichotomizing risk versus non-risk attachment. When the analysis incorporated a gradient of six attachment classifications, the effect sizes decreased, but specificity of risk increased. Conclusions: The School-Age Assessment of Attachment had greater validity for discriminating risk, and type of risk, than the Family Drawings. With a School-Age Assessment of Attachment and family history, the Family Drawing can provide information about distress that some children do not provide verbally. Integration of the two assessment tools alongside information about parental and family functioning appears to be the key to formulating children’s problems.
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McCauley, MacDara, Vincent Russell, Declan Bedford, Ashar Khan, and Roisin Kelly. "Assessment following deliberate self-harm: who are we seeing and are we following the guidelines?" Irish Journal of Psychological Medicine 18, no. 4 (December 2001): 116–19. http://dx.doi.org/10.1017/s0790966700006583.

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AbstractObjectives: To determine whether assessments of patients admitted to a general hospital following deliberate self-harm (DSH) were in line with the Royal College of Psychiatrists guidelines. To examine the profile of cases and presentations and to make recommendations for improvements to the service.Method: Clinical and demographic data recorded on 70 admissions after DSH during 1997-98 were analysed retrospectively. A checklist was also developed, using factors shown by previous research to be associated with future risk of suicide, to determine the quality of assessments.Results: The majority (70%) of assessments took place within 24 hours of admission thereby meeting College recommendations. Medical personnel performed all adult assessments. Circumstances of the overdose, recent stresses, psychiatric diagnosis, immediate risk and follow-up arrangements were documented in the majority of cases. Family psychiatric history, past suicidal behaviour, alcohol and drug abuse history, and previous violence, were frequently not documented. A copy of a discharge summary to the GP was found in 41% of charts. Overdoses accounted for 93% of cases of DSH. The most frequently recorded problem (37.5%) was adjustment disorder.Conclusions: Despite evidence showing that non-psychiatric medical staff are competent in assessing DSH and guidelines encouraging multidisciplinary involvement, DSH assessments remain the preserve of the medical psychiatric team. Closer attention should be paid to all the risk factors associated with suicide by assessors; a checklist could prove helpful. There is room for improved communication between psychiatric services and GPs following DSH. The setting up of a self-harm service planning group could improve the co-ordination and efficiency of delivery of general hospital services to this patient group.
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Abebe, Ayele Mamo, Mesfin Wudu Kassaw, and Nathan Estifanos Shewangashaw. "Postabortion Contraception Acceptance and Associated Factors in Dessie Health Center and Marie Stopes International Clinics, South Wollo Northeast, Amhara Region, 2017." International Journal of Reproductive Medicine 2019 (August 19, 2019): 1–10. http://dx.doi.org/10.1155/2019/1327351.

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Introduction. Abortion is termination of pregnancy before the viability of the pregnancy. It is one of the major causes for maternal mortality in the world and in Ethiopia. Unintended pregnancies which end up in abortion occur due to contraception method nonuse or misuse. To limit unintended pregnancies and avoid repeated abortions promoting immediate postabortion contraception is crucial. Objective. To assess the proportion of postabortion contraception acceptance among women who got abortion care service and factors associated with it in Marie stopes international clinic and Dessie health center, Dessie, North eastern Amhara, 2017. Methods. An institutional based cross-sectional study design was conducted from May 1 to May 30, 2017, at Marie stopes international clinics and Dessie health center. A sample of 125 women were selected by means of systematic sampling techniques and 118 abortion clients were interviewed in Marie stopes international clinic and Dessie on the use/acceptance of postabortion family planning (PAFP). Data were collected through pretested structured questionnaire. Data was cleaned and checked. Chi-square test was done to assess the association between dependent and independent variables. Odds ratio was done to assess the strength of association. Frequency tables, pie chart, and graphs were used to present the finding of the study. Results. From a total of 125 participants recruited, 118 participated in the study while 7 were unwilling to participate in the study, yielding the response rate of 94.4%. Among the 118 study participants, 79 (66.9%) were within the age group 25-34. This study found a strong positive association between Postabortion contraception acceptance and age [P = 0.007 [X2 test= 9.989, COR=2.625)]. Study subjects aged 15–24 years were 3 times more likely to accept postabortion family planning as compared with those aged >35 years. Conclusion and Recommendation. This study revealed that the acceptance of postabortion family planning method was 84%. Age of women, marital status, ever use of history family planning, involvement of others in decision making, and family planning counseling were significantly associated with postabortion family planning acceptance. Therefore it is better to give emphasis on health education about family planning.
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Davis, Sharah A., Amy N. Mendenhall, Michelle Marie Levy, Cheryl Holmes, Maria Fairman, and EuiJin Jung. "Delivering the Strengthening Families Program to Native American Families During COVID-19: Lessons & Next Steps." Greenwich Social Work Review 1, no. 2 (August 18, 2020): 141–49. http://dx.doi.org/10.21100/gswr.v1i2.1172.

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The COVID-19 pandemic (COVID) of 2020 has forced adaptation for all Americans. Programs that serve Native American children and families are particularly critical during this time due to the disproportionate risks and disparities faced by this population. The objective of this qualitative evaluation is to gather adult participant feedback on strengths and needed changes with a telehealth adaptation of the Strengthening Families Program. This evaluation builds on previous knowledge of SFP group leadership which suggests that supportive helping relationships paired with dynamic flexibility are facilitators of effective family engagement. Participant feedback suggests that caregiver’s felt comfort, care, and genuine concern. In addition all participants noticed a difference in their families’ communication and relationships. Although tragic and challenging, the COVID-19 pandemic, forced a spotlight on barriers (limited internet access, social services, and food resources) that were needed to sustain participation and increase resilience among Native American residents in this mid-western state. The individualized planning and checking in on every level which started out as a “how do we replicated this service” became about building resilience strategies for Native American families in this critical time in history.
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Väisänen, Heini. "EDUCATIONAL INEQUALITIES IN REPEAT ABORTION: A LONGITUDINAL REGISTER STUDY IN FINLAND 1975–2010." Journal of Biosocial Science 48, no. 6 (April 29, 2016): 820–32. http://dx.doi.org/10.1017/s002193201600016x.

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SummaryThe proportion of repeat abortions among all abortions has increased over the last decades in Finland. This study examined the association of education with the likelihood of repeat abortion, and the change in this association over time using reliable longitudinal data. A unique set of register data from three birth cohorts were followed from age 20 to 45, including about 22,000 cases of repeat abortion, and analysed using discrete-time event-history models. Low education was found to be associated with a higher likelihood of repeat abortion. Women with low education had abortions sooner after the preceding abortion, and were more often single, younger and had larger families at the time of abortion than more highly educated women. The educational differences were more significant for later than earlier cohorts. The results show a lack of appropriate contraceptive use, possibly due to lack of knowledge of, or access to, services. There is a need to improve access to family planning services, and contraceptives should be provided free of charge. Register data overcome the common problems of under-reporting of abortion and attrition ensuring the results are reliable, unique and of interest internationally.
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Asrat, Tiruneh, Negga Baraki, Nega Assefa, and Getachew Alemkere. "Birth Preparedness among Women Who Gave Birth in the Last Twelve Months in Jardega Jarte District, Western Ethiopia." Journal of Pregnancy 2019 (April 1, 2019): 1–8. http://dx.doi.org/10.1155/2019/6473725.

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Background. Lack of preparedness for rapid action in the event of obstetric complications was the major problem contributing for delay in receiving skilled obstetric care. This study aimed to assess birth preparedness and factors associated with it among women who gave birth in the last 12 months preceding the survey in Jardega Jarte district, Western Ethiopia. Methods. A community-based cross-sectional study was conducted from January to February 2016. A total of 581 women who gave birth recently were randomly selected for an interview. Data were entered and analyzed using SPSS version 21. Binary logistic regression was performed to identify predictive factors. Statistical significance was declared at p<0.05. Results. From 581 questionnaires distributed, 570 were completed making the response rate 98%. The mean age was 28 with a standard deviation of 5 years. Ninety percent of the respondents were rural in residency. The average family size was 6 with a range of 13. Majority of the respondents were grand multipara, 261(45.6%). Despite the majority (69.3%) of the respondents reported as they made arrangement for birth, only 27.5% of them were well-prepared for birth and its complication management. Urban residency (AOR=3.4, 95% CI: 1.7-6.9), primipara (AOR=5.12, 95% CI: 2.4-10.8), history of obstetric complication (AOR=4.05, 95% CI: 2.4-7.75), and attending antenatal care (AOR=2.9, 95% CI: 1.67-5.16) were independently associated with preparation for birth and its complication. Conclusion. This study revealed that only about a quarter of pregnant women were well-prepared for delivery and complication management. Urban residencies, history of past obstetric complications, availing antenatal care, primipara, and absence of an under-five child in the household during recent delivery were predictors of birth preparedness. On the other hand, availing health service to such rural areas, giving more attention to the grand multiparous mothers with large family size will be important interventions to prevent pregnancy-related complications. Such efforts would benefit from accessing antenatal care and family planning services.
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Abebe, Sintayehu, Abayneh Tunja, and Woiynshet Gebretsadik. "Prevalence and associated factors of unintended pregnancy among pregnant women of reproductive age group in chencha woreda, gammo gofa zone, Southern Ethiopia." MOJ Women's Health 10, no. 2 (2021): 29–34. http://dx.doi.org/10.15406/mojwh.2021.10.00284.

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Introduction: Unintended pregnancies and unplanned births can have serious health, economic, and social consequences for women and their families. The immediate outcome of some unintended pregnancies is induced abortion which is unsafe in many countries that have highly restrictive abortion laws. In these countries, abortion often damages women’s health and sometimes results in their death. Method: A community based cross-sectional study was conducted. A total of 420 study participants were recruited. Simple random sampling was used to draw participants; the collected data were entered into EPI- Data version (7.9.0.) and then exported to SPSS Version 20.0 for analysis. Descriptive statistics, binary and multiple logistic regression analysis were carried out, Odds ratio with 95% CI were calculated. Result: the prevalence of unintended pregnancy was found to be 30.2%. Multiple logistic regression results showed that the previous history of abortion (AOR=8.262; 95%CI=3.692, 18.489), not discussing the sexual reproductive health (SRH) issues with their husband (AOR=3.086; 95%CI=1.830, 5.205) age of the last child less than three years (AOR=1.870; 95%CI=1.100, 3.179) were significantly associated with unintended pregnancy. Conclusion: This study shown that the prevalence of unintended pregnancy is high in the study area, hence, strengthening the provision of post abortion services, counseling on long term family planning services and male involvement in all reproductive health services are highly recommended.
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Ebo Nsarko, Nathaniel, Eric Akosah, Joseph Sakyi Baah, and John Eliasu Mahama. "Moving knowledge across distance to improve healthcare – How telemedicine was used to improve maternal healthcare in bonsaaso cluster of amansie south district of Ghana." MOJ Women's Health 10, no. 2 (2021): 25–27. http://dx.doi.org/10.15406/mojwh.2021.10.00283.

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Introduction: Unintended pregnancies and unplanned births can have serious health, economic, and social consequences for women and their families. The immediate outcome of some unintended pregnancies is induced abortion which is unsafe in many countries that have highly restrictive abortion laws. In these countries, abortion often damages women’s health and sometimes results in their death. Method: A community based cross-sectional study was conducted. A total of 420 study participants were recruited. Simple random sampling was used to draw participants; the collected data were entered into EPI- Data version (7.9.0.) and then exported to SPSS Version 20.0 for analysis. Descriptive statistics, binary and multiple logistic regression analysis were carried out, Odds ratio with 95% CI were calculated. Result: the prevalence of unintended pregnancy was found to be 30.2%. Multiple logistic regression results showed that the previous history of abortion (AOR=8.262; 95%CI=3.692, 18.489), not discussing the sexual reproductive health (SRH) issues with their husband (AOR=3.086; 95%CI=1.830, 5.205) age of the last child less than three years (AOR=1.870; 95%CI=1.100, 3.179) were significantly associated with unintended pregnancy. Conclusion: This study shown that the prevalence of unintended pregnancy is high in the study area, hence, strengthening the provision of post abortion services, counseling on long term family planning services and male involvement in all reproductive health services are highly recommended.
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Hodge, Caroline. "Density and Danger: Social Distancing as Racialised Population Management." Medicine Anthropology Theory 8, no. 1 (April 19, 2021): 1–11. http://dx.doi.org/10.17157/mat.8.1.5258.

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A ubiquitous facet of collective social life in the age of COVID-19, social distancing(that is, the set of practices that aims to reduce the number of people in public spaces and maximise the distance between them) works to suppress viral spread by de-densifying public spaces; it redistributes people who are vectors for the virusby pushing them into their own domestic spaces. While the scale of these manoeuvres is in some ways unprecedented, the toll that the virus and its primary means of mitigation—social distancing—extracts along racial lines is at once unequal and deeply familiar. In this Position Piece, I examine social distancing as de-densification within a larger history of family planning and racialised population management in the context of ongoing fieldwork on the material and affective implications of contraceptive use in the American Midwest. In probing the grammar of social distancing—its distinctions between ‘essential’ and ‘non-essential’ workers, services, and spaces and the ways in which such distinctions unequally distribute the labour of de-densification and its impacts on family planning—I elucidate how COVID-19 managements do not simply reveal existing racial disparities, but make them anew at a time when the fabrics of social reproduction are increasingly under strain. The dynamics of social distancing can thus be understood as continuous with ongoing attempts at racialised population management. Such an understanding opens a space for political action foreclosed by a narrow view of social distancing as crisis response.
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Karamouzian, Mohammad, Behnam Sadeghirad, Hamid Sharifi, Abbas Sedaghat, Ali Akbar Haghdoost, and Ali Mirzazadeh. "Consistent Condom Use with Paying and Nonpaying Partners among Female Sex Workers in Iran: Findings of a National Biobehavioral Survey." Journal of the International Association of Providers of AIDS Care (JIAPAC) 16, no. 6 (October 4, 2017): 572–78. http://dx.doi.org/10.1177/2325957417732834.

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Objectives: Little is known about the dynamics of condom use among female sex workers (FSWs) in Iran. We investigated the correlates of consistent condom use (CCU) among FSWs, using data from a national biobehavioral surveillance survey in 2010. Methods: A total of 872 FSWs were recruited using a facility-based sampling strategy from 21 sites in 13 cities in Iran. Data were collected through face-to-face interviews using a standardized questionnaire. Results: Overall, 33.6% and 17.3% of FSWs reported CCU with paying and nonpaying sex partners, respectively. Consistent condom use with paying partners was significantly associated with temporary marriage, accessing family planning services and history of working in brothels. Conversely, temporary marriage or married status, condom rupture/slippage, and HIV seropositivity remained independently significantly associated with CCU with nonpaying sex partners. Conclusion: Our findings indicated the urgent need for scaling up condom promotion interventions catered toward FSWs and their sex partners to practice safe sex consistently.
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Nausheen, Sidrah, Maria Bhura, Kristy Hackett, Imtiaz Hussain, Zainab Shaikh, Arjumand Rizvi, Uzair Ansari, David Canning, Iqbal Shah, and Sajid Soofi. "Determinants of short birth intervals among married women: a cross-sectional study in Karachi, Pakistan." BMJ Open 11, no. 4 (April 2021): e043786. http://dx.doi.org/10.1136/bmjopen-2020-043786.

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IntroductionBirth spacing is a critical pathway to improving reproductive health. WHO recommends a minimum of 33-month interval between two consecutive births to reduce maternal, perinatal, infant morbidity and mortality. Our study evaluated factors associated with short birth intervals (SBIs) of less than 33 months between two consecutive births, in Karachi, Pakistan.MethodsWe used data from a cross-sectional study among married women of reproductive age (MWRA) who had at least one live birth in the 6 years preceding the survey (N=2394). Information regarding their sociodemographic characteristics, reproductive history, fertility preferences, family planning history and a 6-year reproductive calendar were collected. To identify factors associated with SBIs, we fitted simple and multiple Cox proportional hazards models and computed HRs with their 95% CIs.ResultsThe median birth interval was 25 months (IQR: 14–39 months), with 22.9% (833) of births occurring within 33 months of the index birth. Women’s increasing age (25–30 years (aHR 0.63 (0.53 to 0.75), 30+ years (aHR 0.29, 95% CI 0.22 to 0.39) compared with 20-24 years; secondary education (aHR 0.75, 95% CI 0.63 to 0.88), intermediate education (aHR 0.62, 95% CI 0.48 to 0.80), higher education (aHR 0.69, 95% CI 0.51 to 0.92) compared with no education, and a male child of the index birth (aHR 0.81, 95% CI 0.70 to 0.94) reduced the likelihood of SBIs. Women’s younger age <20 years (aHR 1.24, 95% CI 1.05 to 1.24) compared with 20–24 years, and those who did not use contraception within 9 months of the index birth had a higher likelihood for SBIs for succeeding birth compared with those who used contraception (aHR 2.23, 95% CI 1.93 to 2.58).ConclusionStudy shows that birth intervals in the study population are lower than the national average. To optimise birth intervals, programmes should target child spacing strategies and counsel MWRA on the benefits of optimal birth spacing, family planning services and contraceptive utilisation.
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Utomo, Fredy Setyo Budi, Indah Puji Astuti, and Moh Bhanu Setyawan. "PERANCANGAN APLIKASI REKAM MEDIS BERBASIS ANDROID WEB SERVICE DENGAN MENGGUNAKAN RESTFUL API DI POLINDES DESA GOMBANG KECAMATAN SLAHUNG." KOMPUTEK 4, no. 2 (October 28, 2020): 104. http://dx.doi.org/10.24269/jkt.v4i2.539.

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The Polindes Desa Gombang is a form of community participation in providing delivery assistance and community health services, including family planning, maternal and child health, and other health services. Currently, the Village Police of Gombang has several problems, such as the process of recording the exit and entry of drugs, data on the disease of patients who have been treated, making referral letters and medical records which only consist of patient data which if one of the patients is lost it will be troublesome. officers in that section in recap all data - data at the end of making the report. Due to the process of recording patient data, recording the entry and exit of drugs, making referral letters is still using the manual method, so this can cause no stored medical records and are vulnerable to loss because the recording process is only written or in a book. Based on this problem, it is proposed to create a system that uses web and android technology using the programming language PHP, Java and MY SQL Database. This system is able to handle recording patient data or the results of medical records that have been carried out, the patient's medical history, the number of drug stocks that are still available for the treatment of these patients and the making of referral letters.
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Desgrees, Annabel, Du Lou, Philippe Msellat, Christiane Welffens, Ekra Rosa Ramon, Valentin Noba, Ida Viho, Francois Dabis, and Laurent Mandelbrot. "HIV 1 infection and reproductive history: a retrospective study among pregnant women, Abidjan, Cote d Ivoire, 1995-1996." International Journal of STD & AIDS 9, no. 8 (August 1, 1998): 452–56. http://dx.doi.org/10.1258/0956462981922610.

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The aim of this paper is to determine the differences of fertility between HIV 1 infected and uninfected women in Abidjan, Cote d Ivoire, using data available in an observational study conducted in 1995 and 1996 in 2 antenatal care centres in the district of Yopougon, Abidjan, within an intervention programme to reduce mother to child HIV 1 transmission DITRAME project, ANRS 049 . Fertility indicators have been constructed from retrospective data on pregnancies and births, and univariate and multivariate analyses have been performed on these indicators and stratified by age groups to compare HIV 1 positive and HIV negative populations. The main outcome measures were the number of pregnancies, the number of miscarriages, the risk of miscarriage and the proportion of primigravida. Four thousand, three hundred and ninety six women agreed to HIV testing: 12.1 were found to be HIV 1 infected. HIV 1 positive women had significantly fewer pregnancies than HIV negatives in age groups 25-29 P =0.05 and 30-34 P =0.008 . The risk of having had at least one abortion or stillbirth was significantly higher for HIV 1 infected women than for HIV negatives OR=1.28, 95 CI: 1.02-1.60 , when controlling for social and demographic factors. This study suggests that HIV 1 infection has deleterious consequences on female fertility, with lower fertility rates and more frequent adverse pregnancy outcomes. Family planning and antenatal care services should consider antenatal HIV counselling and testing in women in areas of high HIV prevalence.
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Rahardja, Mugia Bayu. "Kualitas Pelayanan Keluarga Berencana dan Penggantian Kontrasepsi di Indonesia." Kesmas: National Public Health Journal 6, no. 3 (December 1, 2011): 140. http://dx.doi.org/10.21109/kesmas.v6i3.105.

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Keberhasilan program Keluarga Berencana Nasioanal tidak hanya diukur dari peningkatan peserta program, tetapi juga efektivitas dan durasi pemakaian kontrasepsi. Penelitian ini bertujuan menilai pengaruh kualitas pelayanan KB terhadap perilaku penggantian alat kontrasepsi di Indonesia. Penelitian sumber data sekunder histori pemakaian metode kontrasepsidalam kalender data SDKI tahun 2007 dengan metode analisis regresi logistik dengan efek random. Wanita tanpa informed choice dan tanpa kunjungan petugas KB serta pengguna susuk KB berhenti karena ingin metode lebih efektif yang dapat membuat terlihat lebih muda, dan menghasilkan anak sedikit. Pada pasangan yang masa perkawinannya kurang dari 10tahun, status pendidikan dan sosial ekonomi tinggi, serta bermukim di perkotaan memperlihatkan proporsi penggantian alat kontrasepsi yang tinggi. Hasil analisis multivariat menunjukkan bahwa informed choice dan kunjungan petugas KB berpengaruh secara signifikan terhadap penggantian alat kontrasepsi. Selain itu, sejumlah faktor sosial ekonomi dan demografi juga berpengaruh secara signifikan terhadap penggantian alat kontrasepsi.Kata kunci: Keluarga berencana, kualitas pelayanan, penggantian alat kontrasepsiAbctractThe success of family planning (FP) program is measured not only by the improvement of contraceptive prevalence but also by the effectiveness. This research uses the data of the 2007 Indonesia Demographic and Health Survey calendar data by employing a random-effect logistic regression model. The objective is to study the influence of FP services quality andother socioeconomic and demographic factors on switching contraceptive behavior in Indonesia. The results of descriptive analysis show that the percentage of contraceptive switching is higher on women who are younger, have less children, less than 10 years of marital age, have high education, have high economic status, who did not get informed choice and get visitfrom FP officers in last 6 months, who use implants, stop using contraceptive in order to get others method which more effective and living in urban areas. The multivariate analysis results show that the quality of FP services which consists of informed choice and FP officer’s visit significantly influencethe possibility of FP acceptor to switch their contraceptive method. The result of this research also supports the previous researches that socioeconomic and demography factors significantly influence the possibility of FP acceptor to switch their contraceptive method.Key words: Family planning, quality of services, contraceptive switching
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44

L., Veena, and Sarojini. "A review of medical termination of pregnancy profile in a tertiary care center." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 8 (July 26, 2017): 3332. http://dx.doi.org/10.18203/2320-1770.ijrcog20173260.

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Background: The Medical Termination of Pregnancy Act (MTP Act) came into force from 01 April 1972 and again revised in 1975. The objective was to study demographic profile, methods, various indications and complications due to Medical Termination of Pregnancy performed in our institution.Methods: The present study was carried out in the Department of Obstetrics and Gynecology, BMCRI Bangalore India from November 2015 to October 2016 for 1year. After thorough history including reasons for MTP, detailed examination, investigations and consent, 522 women underwent MTP using various methods in one year at Vani Vilas hospital. Women were observed for any complications and then discharged.Results: In present study, 522 women fulfilling inclusion criteria underwent MTP. MTPs performed during 1st trimester was 411 (78.8%) and in mid-trimester were 111 (21.2%). Common indications for MTPs were contraceptive failure 262 (50.4%) followed by ‘to prevent grave injury to the physical and mental health of the pregnant women’ 112 (23.2%). 326 women underwent manual vacuum aspiration (MVA). Mid-trimester MTPs were done by Foleys with additional misoprostol 106 (20.4%). Overall complication rate was less 143 (27.3%). Most common complication found amongst the women who underwent MTP was Gastrointestinal 51 (9.7%).Conclusions: The most common reasons for medical termination of pregnancy (MTP) is unwanted pregnancy due to nonuse of contraceptives by the women of reproductive age group. There is a need to focus on unmet need for family planning services including medical termination of pregnancy (MTP) services.
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45

Monlleó, Isabella Lopes, Marshall Ítalo Barros Fontes, Erlane Marques Ribeiro, Josiane de Souza, Gabriela Ferraz Leal, Têmis Maria Félix, Agnes Cristina Fett-Conte, et al. "Implementing the Brazilian Database on Orofacial Clefts." Plastic Surgery International 2013 (March 12, 2013): 1–10. http://dx.doi.org/10.1155/2013/641570.

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Background. High-quality clinical and genetic descriptions are crucial to improve knowledge of orofacial clefts and support specific healthcare polices. The objective of this study is to discuss the potential and perspectives of the Brazilian Database on Orofacial Clefts. Methods. From 2008 to 2010, clinical and familial information on 370 subjects was collected by geneticists in eight different services. Data was centrally processed using an international system for case classification and coding. Results. Cleft lip with cleft palate amounted to 198 (53.5%), cleft palate to 99 (26.8%), and cleft lip to 73 (19.7%) cases. Parental consanguinity was present in 5.7% and familial history of cleft was present in 26.3% subjects. Rate of associated major plus minor defects was 48% and syndromic cases amounted to 25% of the samples. Conclusions. Overall results corroborate the literature. Adopted tools are user friendly and could be incorporated into routine patient care. The BDOC exemplifies a network for clinical and genetic research. The data may be useful to develop and improve personalized treatment, family planning, and healthcare policies. This experience should be of interest for geneticists, laboratory-based researchers, and clinicians entrusted with OC worldwide.
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46

Tesfaye, Yonas, and Liyew Agenagnew. "Antenatal Depression and Associated Factors among Pregnant Women Attending Antenatal Care Service in Kochi Health Center, Jimma Town, Ethiopia." Journal of Pregnancy 2021 (February 8, 2021): 1–10. http://dx.doi.org/10.1155/2021/5047432.

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Background. Antenatal depression has immense public health importance, as it can adversely affect both the mother and child health. The problem contributes to the disease burden in both developed and developing countries. Despite this, it is less investigated and not getting the necessary attention in the study setting. Objective. The aim of the study was to assess the prevalence of antenatal depression and associated factors among women attending antenatal care (ANC) service in Kochi Health Center, Jimma town, southwest Ethiopia, 2019. Method. Institutional based cross-sectional survey was conducted on 314 pregnant women attending Kochi Health Center from February 15 to April 15, 2019. A systematic random sampling technique was used to include the study participants. Antenatal depression was assessed using the Patient Health Questionnaire (PHQ-9) tool. Data was collected through face-to-face interviews using a pretested and structured questionnaire. Descriptive statistics was done to summarize the dependent and independent variables. Moreover, the chi-square test analysis was done to determine the association between the outcome and explanatory variables. Results. A total of 314 pregnant women participated in the study, making a response rate of 96.7%. The study has revealed a total of 52 (16.6%) of the respondent had antenatal depression. A chi-square test of independence analysis showed a significant association between antenatal depression and marital status, family history of depression, pregnancy planning, history of abortion, social support, and intimate partner violence ( P < 0.00001 ). Conclusion. The study has shown that the prevalence of antenatal depression was high and associated with multiple psychosocial, clinical, and obstetric factors. Therefore, screening pregnant women for depression and the provision of necessary mental health services is recommended to mitigate the adverse health outcome of the problem.
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47

Pathak, Gargi H., Anuya V. Chauhan, and Sunita O. Beniwal. "Determinants of severe acute malnutrition in children between six months to five year of age enrolled in nutritional rehabilitation centre at a tertiary care level." International Journal of Contemporary Pediatrics 6, no. 6 (October 21, 2019): 2489. http://dx.doi.org/10.18203/2349-3291.ijcp20194722.

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Background: Indicators showing levels of nutritional status in children are often regarded as representative of the health and general well-being of a society at large. Malnutrition stands as a consequence of several key social and economic factors such as lack of education, inadequate health care services and ill-informed cultural behaviors. In order to holistically address the issues surrounding malnutrition, a comprehensive understanding of the multi-dimensional complexities at play in society is crucial. Objective was to identify determinants of severe acute malnutrition among children with severe acute malnutrition under 5 years (between 6 months to 60 months) of age. Methods: A cross sectional study design involving 64 patients with severe acute malnutrition between 6 to 60 month of age was employed to identify the risk factors of severe acute malnutrition among children admitted in pediatric wards and nutritional rehabilitation centers, Civil hospital Ahmedabad, from April 2018 to march 2019. A detailed history of all the patients were taken and data collected using structured interviewer-administered questionnaire.Results: Thus, from the above study, it is clear that age of the child <2 years, female gender, bigger family size, poverty, illiteracy in mother, poor feeding practices, improper complementary feed introduction, poor nutritional status of mother whose child were breastfed, acute or chronic illness in child and narrow birth spacing were the chief determinants of SAM in under five children.Conclusions: Socio demographic characters, nutrition and child caring practices, infection and other childhood illness as well as obstetric history of mother are important determinants of severe acute malnutrition in children under five years of age. As a result, collaborative efforts should be organized to improve promotion of better child caring practices through appropriate age specific child and maternal feeding practices, prevention and early treatment of acute childhood illnesses and promotion of family planning.
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48

SINHA, NITIN. "Who Is (Not) a Servant, Anyway? Domestic servants and service in early colonial India*." Modern Asian Studies 55, no. 1 (March 27, 2020): 152–206. http://dx.doi.org/10.1017/s0026749x19000271.

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AbstractThe article deals with one of the under-researched themes of Indian history, which is the history of domestic servants. Thinking about servants raises two fundamental questions: who were they and what did domestic service mean? The identities of a servant as a contract wage earner or a person either belonging as a member or tied to the family through fictive/constructed claims of kinship were not mutually exclusive. Servants' identity existed in a continuum running from ‘free’ waged coolie on the one hand to ‘unfree’ slave on the other. The article traces the history of domestic servants along two axes: the slave–servant continuum, but, more importantly, the coolie–servant conundrum, which is a lesser-explored field in South Asian labour history or burgeoning scholarship on domesticity and household. Charting through the dense history of terminologies, the space of the city, and legal frameworks adopted by the Company state to regulate servants, it also underscores the difficulties of researching on a subaltern group that is so ubiquitous yet so fragmented in the archives. In order to reconstruct servants' pasts, we need to shake up our own fields of history writing—urban, labour, gender, and social—to discover servants’ traces wherever they are found. From serving as witnesses in courtrooms to becoming the subject of a city's foundational anecdote, their presence was spread across straw huts, streets, and maidans. Their work, defined through ‘private hire’, was the product of a historical process in which a series of regulations helped to intimatize the master-servant relationship.
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49

Kandel, Isack, and Joav Merrick. "Late Termination of Pregnancy. Professional Dilemmas." Scientific World JOURNAL 3 (2003): 903–12. http://dx.doi.org/10.1100/tsw.2003.81.

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Abortion is an issue as long as history and hotly debated in all societies and communities. In some societies and countries it is legal, while other countries have no legal basis, and some countries have made it a crime. Today up to 90% of abortions take place in the first trimester, about 9% in the second trimester, and the rest in the third trimester.This paper deals with the issue of late termination of pregnancy, the practical medical aspects, legal issues, international aspects, and the dilemma for the professional.In early history, abortion was accepted by clergy and societies, but in recent history it is more restricted and in some countries prohibited. It does not seem that restriction leads to a lower abortion rate, but rather an active contraceptive policy, campaign, and availability to prevent pregnancies that are unwanted. In countries where abortion is restricted, the trend has been an increase in illegal abortion that leads to unsafe abortion with complications, permanent injuries, and maternal mortality.Unsafe and illegal abortion is a public health concern that governments should try to prevent and instead find ways to strengthen their commitments toward better and safer health and family planning services for women.Late termination of pregnancies is an issue of grave concern with many practical medical aspects, ethical questions, and professional dilemmas. This is especially of concern because of the viability of the fetus and should only take place in order to prevent harm to the physical and mental health of the mother or due to an anomaly or disability of the fetus.
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Gebrekirstos, Lielt Gebreselassie, Tsiyon Birhanu Wube, Meron Hadis Gebremedhin, and Eyasu Alem Lake. "Magnitude and determinants of adequate antenatal care service utilization among mothers in Southern Ethiopia." PLOS ONE 16, no. 7 (July 6, 2021): e0251477. http://dx.doi.org/10.1371/journal.pone.0251477.

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Background Mortality from preventable pregnancy-related complications remains high in Ethiopia. Antenatal care remains a major public health intervention that prevents maternal and neonatal mortality. Thus, this study aimed to assess the magnitude and determinants of adequate antenatal care utilization in Southern Ethiopia. Methods A community-based cross-sectional study was conducted between November and December 2019. A systematic random sampling technique was used to select 670 women. Data were collected using a pre-tested structured questionnaire administered with a digital survey tool (open data kit) and directly exported to STATA version 15 for analysis. Descriptive statistics followed by a multivariable logistic regression analysis were performed. Both crude and adjusted odds ratios (ORs) with 95% confidence intervals were reported. Results The magnitude of adequate antenatal care utilization was 23.13%. Tertiary and above education (AOR,4.15;95%CI: 1.95, 8.83), having the best friend who used maternal care (AOR,2.01;95%CI: 1.18,3.41), husband support (AOR,3.84; 95%CI: 1.05, 14.08), high wealth index (AOR,3.61; 95%CI: 1.86, 6.99), follow-up in private health facilities (AOR, 2.27;95% CI:1.33, 3.88), having a history of risky pregnancy (AOR,2.59; 95%CI: 1.55, 4.35), and planned pregnancy (AOR,2.60;95% CI: 1.35, 4.99) were significant determinants of overall adequate ANC service utilization. Conclusion The utilization of adequate antenatal care services is quite low. The study findings suggest that interventions should be in place to improve husband’s support, social networks, and women’s education. There is also a need to counsel women to utilize family planning.
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