Dissertations / Theses: 'Right to reproductive and sexual health'

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Englund, Linnéa, and Evelina Persson. "Young women's sexual and reproductive health and rights in Ecuador." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-34734.

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Regmi, Sonali. "Unsafe abortion, violation of women's right to reproductive and sexual health : a study with reference to Nepal." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/MQ63091.pdf.

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Ragúz, María. "Sexual and reproductive health and women development from a gender perspective: The role of men." Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/101096.

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Women's health, particularly, sexual and reproductive health, and development are here approached from a gender and human rights perspective, underlying the need to address these problems from a relational and comprehensive point of view. The issue of how sexual and reproductive health is approached and the "men's as partners" strategy is discussed. Adult women-centered, female-only family planning reproduction and contraception are criticized. Gender violence eradication is stressed as an entry to sexual and reproductive health programs. The case of Peruvian urban and rural women in poverty from Amazonian and Andean communities is taken as an example. Obstacles and achievements in working with men are reviewed but a gender transversal perspective is highlighted. Finally, women's sexual and reproductive health is related to development and seen as a standpoint for addressing health. Se discute como se tratan los problemas de la salud sexual y reproductiva y el desarrollo de la mujer desde una perspectiva transversal de género y de derechos, subrayando la necesidad de trabajarlos desde una perspectiva integral. Se critican los programas y servicios centrados en la mujer adulta, en la reproducción y en la planificación familiar femenina. Asimismo, se señala la necesidad de trabajar en la erradicación de la violencia de género como una entrada para el trabajo en este ámbito. Como ejemplo, se presenta el caso de la salud sexual y reproductiva en comunidades andinas y amazónicas rurales y en extrema pobreza del Perú. Las dificultades y logros en el trabajo con hombres son analizados, subrayándose la necesidad de una perspectiva transversal de género en el trabajo. Finalmente, se relaciona la salud de la mujer con desarrollo y se concluye en la necesidad de trabajar siempre en este sentido.

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Ram, Jat Tej. "Maternal health and health care in Madhya Pradesh state of India : an exploration using a human rights lens." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-95900.

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Pregnancy and motherhood are natural processes in the lives of women of reproductive age. These processes are generally considered to be positive and fulfilling experiences. However, for various reasons, many women end up dying as a result of these processes. Improving maternal health and reducing maternal mortality are accepted as human rights challenges and prioritized in several international declarations and national policies. However, progress in achieving these objectives still remains poor. This thesis aims to explore the maternal health and healthcare in the Indian state of Madhya Pradesh through a human rights lens. A human rights lens provides a framework to study various aspects of the problem of maternal health from a human rights perspective. It helps in highlighting the gaps and challenges related to political priority, sociocultural, economic and individual-level factors and the availability, accessibility, acceptability and quality of maternal healthcare services. A combination of quantitative and qualitative research methodologies was applied in four sub-studies conducted in Madhya Pradesh. The specific objectives were: to investigate, by using John W. Kingdon’s multiple-streams model of agenda setting, why and how maternal health became a political priority in the state (Paper I); to estimate the effects of individual-, community- and district-level characteristics on the utilization of maternal health services with special reference to antenatal care, skilled attendance at delivery and post-natal care (Paper II); to analyse sociocultural and service delivery related dimensions of maternal deaths in rural central India through a human rights lens (Paper III); and to evaluate the technical efficiency of the public district hospitals using data envelopment analysis (Paper IV). The findings of the first qualitative study indicated that various developments at international, national and state level brought the issue of maternal health to the priority political agenda in Madhya Pradesh state. This resulted in the introduction of new policies and programmes and more resources were allocated for improving maternal health. However, several challenges still remain in ensuring proper implementation of these programmes and policies. The quantitative study on factors affecting the use of maternal health services revealed that 61.7% of women used antenatal care at least once, 49.8% of women used skilled attendance at delivery and 37.4% of women used post-natal care during their most recent pregnancy. The household’s socio-economic status and mother’s education emerged as the most important factors associated with the use of antenatal care and skilled attendance at delivery. Delivery by skilled personnel and the use of antenatal care were the most important factors in the use of post-natal care. This study highlighted the need to identify and focus on community- and district-level intervention along with addressing the individual-level factors. The findings of the third qualitative sub-study revealed that all pregnant women in the study tried to access medical assistance for obstetric complications but various factors delayed appropriate care. The underestimation of complication symptoms by family members, gender inequity and the negative perceptions regarding delivery services deferred decisions to seek care. Transportation problems and care seeking at multiple facilities also constrained timely reaching of appropriate health facilities. Negligence by health staff in providing care, and unavailability of blood and emergency obstetric care services, delayed the receiving of adequate care after reaching a health facility. This study indicates that normative elements of a human rights approach to maternal health, i.e. availability, accessibility, acceptability and quality, were not fully upheld. The deceased women and their relatives were unable to claim their entitlements and the duty bearers could not meet their obligations despite their conscious efforts to improve maternal health. In the last study, the results of data envelopment analysis revealed that half of the district hospitals (20) in the study were operating inefficiently. This research establishes a need to give special attention to addressing challenges in the maternal health programmes at the implementation level as well as tackling the social determinants of maternal health. In order to increase the utilization of maternal health services in the state, the need to identify and focus on community- and district- as well as individual level interventions is emphasized. In order to prevent maternal deaths, a need for further concentrated efforts is underlined with a view to honouring human rights elements of maternal health by better community education, women’s empowerment and health system strengthening with the provision of appropriate and timely services including emergency obstetric care of good quality. It also highlights a need to identify the causes of the observed inefficiencies and to take appropriate measures to increase the efficiency of district hospitals.

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Krugman, Allison. "Addressing the Sexual and Reproductive Health Rights of Low-Income Women in Argentina." Scholarship @ Claremont, 2015. http://scholarship.claremont.edu/cmc_theses/1115.

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Though Argentine women have made marked advancements in terms of equality since the Latin American country’s return to democracy in the 1980s, they still face barriers to the full exercise of their sexual and reproductive rights in a number of arenas. For low-income women, the added dimension of poverty further erodes the ability to seek necessary services to maintain sexual and reproductive health. As a result, high rates of maternal mortality and adolescent pregnancy persist. Given the broad socioeconomic inequality among Argentine provinces, the policies created by Argentina’s government to address sexual and reproductive health lack widespread implementation and oversight. Furthermore, a strong opposition to these policies is in place, promoted by the heavy presence of the Catholic Church in Argentine institutions and society as well as deeply entrenched perceptions of motherhood. This study identifies the social, economic, legal, cultural, and political challenges that face the sexual and reproductive autonomy of Argentine women, evaluates the current policies in place to address them, and projects potential solutions for Argentina’s government, women’s movement, and NGOs.

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García, Micaela. "Female social workers perspectives on interventions in sexual and reproductive health in Argentina." Thesis, Ersta Sköndal högskola, Institutionen för socialvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-4733.

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In this field study, female social workers perspectives have been collected, on interventions regarding sexual and reproductive health in the public sector in Argentina. The purpose was primary empirical and secondary to analyze empirical data using critical theory. The methodology was qualitative and the theoretical framework was created using an abductive approach. Thirteen female social workers were interviewed in the municipality of general Pueyrredón, in the province of Buenos Aires. Empirical data was categorized using the hermeneutic approach; described and analyzed using critical theory. Results presented challenges regarding lack of accessibility, continuity and accountability, from the nation, the province and the municipality. Moreover, results show challenges on how to target vulnerable groups, adolescents, people with low intellectual disability, people from neighboring countries, and from the north of Argentina. In addition, there were challenges on how to increase correct use and use of contraceptives. Suggestions were to make interventions more adaptable and creative. Stressed challenges were regarding male involvement in sexual and reproductive health decisions, gender violence, the patriarchal society, and the macho culture. Critical theory highlighted challenges created by Argentina’s societal structures, structures that contribute to oppression of service users, making them powerless and marginalized. By increasing the knowledge of critical social work theory in social work education, there would be more tools for social workers to use it in practice. When using critical social work theory all levels in a society shall be included. Specific policies and interventions are requested to battle female discrimination.

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Goicolea, Isabel. "Adolescent pregnancies in the Amazon basin of Ecuador a rights and gender approach to girls' sexual and reproductive health /." Doctoral thesis, Umeå : Umeå University, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-26788.

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Tello, Garcia Selma Geovanna. "Female Sexual and Reproductive Health Beyond Foetal Right to Life : A Comparative Analysis of Gender Equality in Mexican Criminal Law with Relation to Abortion." Thesis, Malmö universitet, Malmö högskola, Institutionen för globala politiska studier (GPS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-36668.

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The aim of this study has been to analyse the ways Mexican states articulates the actions of women undergoing an abortion and the effects it has on criminal sanctions specified for women. This study analyses the criminal code of Mexico City which decriminalised abortion in 2007, the criminal code of Jalisco reformed in 2009 and the criminal code of Yucatán reformed in 2009. The discrimination of women had been the major concern of International Human Rights Law as well as feminist jurisprudence. This research has attempted to problematise and highlight different aspects of discrimination taking place in Mexican law. Feminist liberal theory and radical feminism had been placed to analyse the criminal codes governing Mexican abortion law. Thus, in this thesis, the problems of women to access legal abortion had been discussed as a problem of discrimination based on sex. Therefore, this study does not touch upon tensions between the foetus and the mother but the conflict that emerges in the ways the law thinks of women.

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Sandrine, Ndayambaje. "Sexual and Reproductive Health and Rights : - A catalysis to combat Gender-based violence in South Africa?" Thesis, Uppsala universitet, Teologiska institutionen, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-412211.

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The multiple components of Sexual and Reproductive Health and Rights (SRHR), promotes women’s wellbeing and rights to a life free from discrimination and violence. Gender-based violence (GBV) is a matter closely related to SRHR and affects women globally on daily basis. South Africa is estimated to score one of the highest rates of GBV in the world. This thesis aims to gain an understanding of how civil society organisations (CSOs) working with SRHR-related issues, approach South African state institutions with regard to strengthen strategies against GBV. A qualitative content analysis is adopted to analyse the CSO’s documents that frame their advocacy work against GBV and how they approach state institutions in South Africa. The results from the analysed documents are thereby examined through theoretical approaches, mainly targeting CSOs ability to translate universal human rights into local contexts, and contributions to social justice. The analysed documents reveal that the selected CSOs mobilise their advocacy against GBV through different media platforms. Moreover, the CSO’s advocacy is presented through evidence-based research, policy briefs, articles and campaigns. Through their approaches to state institutions, the CSOs demand the state to recognise that inequality and patriarchal structures cause GBV and negatively affect women’s wellbeing. Furthermore, the selected CSOs demand fair distribution of resources that ensures women’s safety in the public sphere. In addition, the CSOs demand implementation of educational programmes with gender perspectives in all aspects of society. Finally, the CSOs demand South African state institutions to include all sectors of society in decision-making processes of strategies against GBV. Thus, state institutions can unsure proper implementation of preventative methods against GBV.

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Lindeborg, Alicia. "Representation and its importance for women's sexual and reproductive health and rights : Does the proportion of women in national parliaments matter for the extent to which legislation and policy guarantee women's sexual and reproductive health and rights?" Thesis, Uppsala universitet, Statsvetenskapliga institutionen, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-432522.

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This thesis sets out to investigate if the proportion of women in the national parliament correlates with the extent to which national laws and policies guarantee women's sexual and reproductive health and rights. By conducting a cross-national comparison, this thesis contributes to the existing literature by offering an analysis of the relationship, utilizing a comprehensive measurement of states national legal and regulatory framework relating to women's sexual and reproductive health and rights. Further, it aims to offer an analysis of how the relationship appears in different regime-types, including both democratic and non- and partial democratic states. The results did not provide any support for a correlation between the proportion of women in the national parliament and the extent to which national laws and policies guarantee women's sexual and reproductive health and rights, regardless of the regime-type. While the results are inconsistent with the predictions of a correlation, this thesis is able to conclude that the concept of women's representation and how it may be connected to substantial changes in national legislation and policy is a complex relationship, worthy of further research.

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Telo, Shana Vieira. "Saúde sexual e reprodutiva : competências da equipe na atenção primária à saúde." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2016. http://hdl.handle.net/10183/149254.

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Os direitos à saúde sexual e reprodutiva foram desenvolvidos recentemente advindos da luta pela cidadania e pelos Direitos Humanos. Embora haja um reconhecimento da necessidade de formação por competências nesta área, sua delimitação ainda não foi explorada no Brasil. Este trabalho teve como objetivo construir um referencial de competências transversais para atenção em Saúde Sexual e Reprodutiva na Atenção Primária à Saúde a partir da visão de especialistas. Trata-se de um estudo exploratório-descritivo, de abordagem mista (quali-quantitativo). Foram convidados a participar do estudo 41 especialistas em saúde Sexual e reprodutiva e direitos sexuais e reprodutivos, selecionados na Plataforma Lattes. Para a coleta de dados, utilizou-se a técnica Delphi online. Para a construção das competências, foram realizadas três rodadas, sendo que a primeira visou fazer um levantamento das competências. Na segunda etapa o questionário constou dos esquemas de competências resultantes da primeira etapa, adicionadas de uma escala de Likert com valores de 1 (discordo muito) a 5 (concordo muito), para que manifestassem seu grau de concordância. Na 3ª etapa o instrumento foi enviado aos participantes para a validação das competências que não obtiveram consenso no segundo questionário. Na primeira e segunda etapa participaram 18 especialistas e na terceira 17. Em um primeiro momento, realizou-se a análise qualitativa para a produção dos enunciados das competências, baseada na interpretação das justificativas apresentadas pelos respondentes para cada competência indicada e, após, a análise quantitativa dos dados para estabelecer consenso entre os respondentes, sendo adotado o critério de 70% para os valores 4 e 5 da escala de Likert. Das 36 competências resultantes da análise qualitativa, 32 alcançaram consenso, sendo classificadas em quatro domínios: ética e princípios profissionais; liderança e gestão; trabalho com a comunidade, saúde e educação, aconselhamento e avaliação; e, provisão do cuidado. Os resultados indicam competências semelhantes às preconizadas na literatura internacional. Estas competências, por serem transversais, podem subsidiar o planejamento de ações e as práticas das equipes no âmbito da saúde Sexual e reprodutiva. Sexual and reproductive health rights were developed recently as a result from the movements that fought for Human Rights and citizenship. Delimitations of this subject have not been explored in Brazil yet, even though the importance of developing skills related to this subject is recognized. This paper aims to construct a Sexual and Reproductive health transversal skills framework based on specialists‟ point of view. This is a descriptive and exploratory research through a qualitative and quantitative approach. The participants were selected through the Lattes Platform, which resulted in the invitation of 41 specialists in sexual and reproductive health and in sexual and reproductive health rights. The data was gathered through Delphi online. In order to determine the necessary skills, three rounds of data gathering were carried out. While the first round aimed to identify the necessary skills, in the second one, the participants were asked to express their agreement or disagreement with those skills through the Likert scale. In the third round, the participants were asked to validate the skills that did not achieve a general consent in the second round. There were 18 participants in the first and second rounds, and 17 participants in the third one. After the data gathering, a qualitative analysis was carried out in order to determine the skills‟ titles based in the arguments for each skill expressed by the participants. Then, a quantitative analysis of the data was performed in order to determine a consensus between the participants, adopting the criterion of 70% in items 4 and 5 of the Likert scale. Of the 36 skills resulting from the qualitative analysis, 32 achieved a general consent and being classified in four domains: ethics and professional principles; leadership and management; community work, health and education, counseling and evaluation; and health care. Results show skills that are similar to those recommended by the international literature. These skills, which are transversal, may support the development of actions and practices of the health professionals concerning sexual and reproductive health care.

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Stark, Katharina. "Still unequal? : The impact of social identities on girls’ access to sexual and reproductive health and rights in South Africa." Thesis, Uppsala universitet, Teologiska institutionen, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-265897.

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Sexual and reproductive health and rights (SRHR) are human rights, thus they should be universally accessible. Young women and girls are often considered a disadvantaged group with low access to human rights. Various feminist scholars have highlighted gender inequality as the cause of this marginalisation. Intersectionality scholars instead argue the marginalisation of women to be more complex. The approach emphasises that oppressed women and girls are not only discriminated because of their gender but that the prevalence of intragroup discrimination hampers them from accessing their rights. This thesis aims to study if and how social identities, more specifically class and ethnicity, affect adolescent girls’ access to sexual and reproductive health and rights within the South African school realm. A case study is conducted on the south coast of KwaZulu-Natal, focusing on secondary- and high school teachers and on how the subject Life Orientation is implemented to create access to SRHR. Empirical results of the study indicate that class- and ethnic belonging impacts the access of female students to their rights in various ways. Monetary resources, information and knowledge influence social identities and access to SRHR in Life Orientation. As well as overall school conditions, including level of school violence and harassment. Finally, this thesis illustrates that privileged girls are also impeded from accessing their SRHR, due to the implementation of school fees. This system allows guardians to gain substantial influence and constrain school teachings of controversial topics.

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Dloski, Anna. "Communicating sexual reproductive health and rights to Zambian youth : A case study of the non-governmental organization Youth Vision Zambia." Thesis, Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-28972.

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HIV/AIDS is widely spread in Zambia. Numerous organizations work to disseminate information about how individuals can prevent themselves and others from infection. Youth Vision Zambia (YVZ) is a non- governmental organization that works from Lusaka, Zambia to increase knowledge about sexual reproductive health and rights among young people aged 10-24. This qualitative case study explores which means of communication strategies YVZ uses to reach and inform their target group about Sexual Reproductive Health and Rights (SRHR) by interviewing staff working for the organization. A qualitative survey was also conducted where 29 respondents belonging to the target group answered questions regarding the information about SRHR they have received from YVZ, how they were reached and if they find the work of YVZ of importance. In order to also get a perception about the interpersonal communication channels YVZ use I attended four meetings arranged for young people where the purpose was to discuss sexual health related issues conducting participant observations. In addition, YVZ put an extensive effort on providing an SMS-short code system which allows people to send questions related to SRHR and in turn get answers from a YVZ councilor. The aim was to seek answers to whether the users had found the SMS service useful or not. The results show a variety of different communication tools that YVZ uses in their daily work and in the light of previous research on communication for development and social change and health communication an analysis was carried out. HIV/AIDS har stor spridning I Zambia. Ett flertal organisationer jobbar med att sprida information om hur individer kan förhindra sig själva och andra att bli smittade. Youth Vision Zambia (YVZ) är en icke- statlig organisation som verkar i Lusaka, Zambia och jobbar för att öka kunskapen om sexuell reproduktiv hälsa och rättigheter (SRHR) bland unga människor i åldrarna 10-24 år. Denna kvalitativa fallstudie utforskar vilka typer av kommunikationsstrategier YVZ använder sig av för att nå ut till samt informera deras målgrupp om dessa områden. För att göra detta intervjuades personal som jobbar på organisationen. Studien ämnar också undersöka hur ungdomar som tagit del av YVZ’s information uppfattar den, om de anser den värdefull samt hur de fick kännedom om deras arbete, detta gjordes genom att utforma en kvalitativ enkät. 29 enkäter var det som i slutändan användes till sammanställningen av resultat och genomförandet av analys. YVZ jobbar även till stor grad med interaktiv kommunikation i deras arbete i att informera och engagera ungdomar vilket styrde intresset till att även genomföra deltagarobservationer. Vid fyra tillfällen blev således dessa observationer genomförda. Vidare lägger YVZ stor vikt vid att kommunicera via mobiltelefoni vilket visar sig genom deras short message system (SMS) där de erbjuder tjänsten att genom att skicka ett SMS till ett kortnummer innehållande frågor rörande SRHR och genom att göra det få svar och råd från personal från YVZ. Detta resulterade i att en SMS-enkät skickades ut innehållande endast en fråga med syfte att ta reda på om användare av tjänsten har funnit den värdefull eller ej. Resultaten som framkommit genom att tillämpa dessa metoder visar på en variation av kommunikationskanaler som YVZ använder sig av i deras dagliga arbete och i ljuset av litteratur som belyser kommunikation för utveckling och social förändring and hälsokommunikation så lägger denna studie fram en analys angående dessa.

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Rono, Kipkemoi Dominic. "An appraisal of the role of Universal Periodic Review Mechanism in securing selected sexual reproductive and health rights in Kenya." Diss., University of Pretoria, 2016. http://hdl.handle.net/2263/60042.

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The mini-dissertation appraises the Universal Periodic Review (UPR) in securing sexual and reproductive rights in Kenya. It seeks to establish the measures that have been put in place by Kenya to implement the ?accepted? recommendations, the extent to which the recommendations have been implemented and the challenges that have made Kenya not to implement some of the ?accepted? recommendations. Kenya has put in place measures to implement the recommendations, some of which have been partially achieved; it has also faced challenges in implementation of the recommendations. The UPR has played a modest yet significant role in securing sexual, reproductive rights in Kenya. Mini Dissertation (LLM)--University of Pretoria, 2016. Centre for Human Rights LLM Unrestricted

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Soares, Vânia Muniz Néquer. "Intenções e comportamentos reprodutivos de mulheres que vivenciam alta fecundidade em um grande centro urbano." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/6/6136/tde-25052009-134336/.

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Introdução: As escolhas relacionadas à fecundidade são complexas e envolvem idéias e valores das sociedades e de seus integrantes. Existem muitos estudos que procuram explicar a fecundidade a partir de variáveis socioeconômicas e culturais, mas não indagam os motivos que teriam levado as mulheres a proceder de uma forma ou de outra para a formação de suas famílias. A fecundidade abaixo do nível de reposição é observada nos grandes centros urbanos brasileiros há algumas décadas, mas permanecem diferenciais intra-urbanos que precisam ser identificados, assim como seus determinantes. Objetivo: Identificar os diferenciais de fecundidade no município de Curitiba e contribuir para o conhecimento e entendimento do comportamento reprodutivo, motivações e vivência das mulheres com alta fecundidade. Metodologia: Pesquisa quantitativa e qualitativa, de caráter descritivo e exploratório. Analisou-se inicialmente a tendência da fecundidade e os diferenciais por bairro. O estudo na etapa quantitativa incluiu 441 mulheres residentes em Curitiba que tiveram o quinto ou mais filhos nascidos vivos em 2005, identificadas pelo SINASC. Para coleta dos dados nesta etapa utilizou-se questionário semi-estruturado. Os dados foram organizados em banco de dados Access e analisados com o uso do programa computacional Statistica v.8.0. Os sujeitos da etapa qualitativa constituíram-se de nove mulheres entrevistadas em profundidade a partir de roteiro temático. Os dados qualitativos foram interpretados seguindo os ensinamentos da \"análise de conteúdo\". Resultados: A taxa de fecundidade em Curitiba chegou a 1,5 filhos por mulher em 2005, mas com diferenciais intra-urbanos. Nove dos 75 bairros de Curitiba concentravam 59,6% das mulheres com alta fecundidade. Cerca de 90% das entrevistadas tiveram mais filhos do que desejavam. O número ideal de filhos referidos variou entre 2,4 e 2,9. No momento da entrevista 85% das mulheres usavam algum método contraceptivo com prevalência da laqueadura e da pílula. A esterilização voluntária foi efetivada para apenas 36,4% das mulheres e 42% dos homens solicitantes. A auto-avaliação de saúde não boa foi referida por 40% das mulheres. As entrevistadas relataram dificuldade de acesso aos programas de proteção social e à casa própria. Contribuíram para o maior número de filhos, as falhas dos programas de planejamento familiar, a falta de informação e domínio da negociação no uso dos métodos contraceptivos, as desigualdades de gênero e a vulnerabilidade psico-afetiva das mulheres. As entrevistadas da etapa qualitativa vivenciaram trajetórias reprodutivas e produtivas conflituosas marcadas pelas desigualdades sociais e de gênero. A maioria das mulheres do estudo apresentava elevada vulnerabilidade social. Conclusões: Uma diversidade de fatores, além dos socioeconômicos, exerce influência na definição da maternidade e do número de filhos. Identificou-se que são necessárias medidas que implementem o acesso à contracepção, a inclusão dos homens neste processo, a capacitação de profissionais para a assistência sexual e reprodutiva. São indispensáveis a promoção de políticas compatíveis para realização da maternidade, que facilitem a participação das mulheres no mercado de trabalho e promovam a eqüidade entre os sexos tanto neste mercado quanto no âmbito doméstico e medidas efetivas de proteção social. A liberação da laqueadura no pós-parto normal imediato foi recomendada, com vistas a agilizar e facilitar o acesso das mulheres a este procedimento. Introduction: The choices concerning about fertility are complex because they involve ideas and values of societies and their members. Many studies seek to explain the fertility socioeconomic and cultural changeable but don\'t consider the women reasons to select one way or another to form their families. The fertility rate below the replacement is observed in Brazilians urban centers a few decades ago, but is necessary to identify the intra-urban differentials remain and its determinants. Objective: To identify the fertility differentials in Curitiba and to contribute to the women with high fertility reproductive behavior knowledge and comprehension, their motivations and experiences. Methodology: quantitative and qualitative researches, descriptive and exploratory in nature. The trend in fertility and the differentials were examined by neighborhood initially. The study included 441 women living in Curitiba which had the fifth or more children born alive in 2005 and identified by SINASC. In this step the data collect used a semi-structured questionnaire. They were organized in Access database and analyzed using the Statistica computer program, v.8.0. Nine women were the qualitative phase subjects interviewed in depth from thematic roadmap. Qualitative data were interpreted by following the teachings of the \" contents analysis.\" Results: The rate of fertility in Curitiba reached 1.5 children per woman in 2005, but with intra-urban differentials. Nine of the 75 districts of Curitiba concentrated 59.6% of women with high fertility. About 90% of respondents had more children than desired. The ideal number of children referred ranged between 2.4 and 2.9. At the time of the interview 85% of women were using contraceptive methods, with prevalence of sterilization and the pill. The voluntary sterilization was carried out for only 36.4% of women and 42% of male applicants. The self-assessment of health \"not good\" was cited by 40% of women. Interviewees reported difficulty of access to programs of social protection and housing. Contributed to the largest number of children, the failures of programs for family planning, lack of information and area of negotiation in the use of contraceptive methods, inequalities of gender and psycho-emotional vulnerability of women. Subjects of qualitative stage experienced conflict trajectories reproductive and productive marked by social inequality and gender. Most women in the study had high social vulnerability. Conclusions: A variety of factors, in addition to the socioeconomic, exerts influence on the definition of motherhood and the number of children. It was identified that are necessary to implement the access to contraception, the inclusion of men in this process, the training of professionals for sexual and reproductive assistance. Its essential to promote politics for consistent implementation of motherhood, to facilitate the participation of women in the labor market and promote equity between the sexes in this market as both under domestic and effective measures of social protection. The release of sterilization in the immediate post-normal delivery was recommended, in order to expedite and facilitate women\'s access to this procedure.

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Cooper, Sara. ""If I could properly understand and get the right information...": The sexual and reproductive health needs and rights of women newly diagnosed with HIV: A qualitative study in the Western Cape Province South Africa." Master's thesis, University of Cape Town, 2009. http://hdl.handle.net/11427/11894.

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Includes bibliographical reference (leaves 64-74). Women of reproductive age in South Africa are disproportionately affected by HIV, and represent the fastest growing group diagnosed with the virus. Despite this epidemiological picture, very little attention has been placed on the sexual and reproductive health needs of these women, particularly in South Africa, and other developing countries. This study, a sub-study of a much bigger study, explored the sexual and reproductive health needs of women newly diagnosed with HIV, and how these translate into their human rights. In-depth interviews, within qualitative methodologies, were conducted and analyzed with fourteen women from Gugulethu, Cape Town, who screened HIV-positive during enrolment or who seroconverted during the course of the larger microbicide, Carraguard study carried out by the Population Council and University of Cape Town. This study is novel in its exploration of these issues amongst women who are newly diagnosed and who were recruited outside of a health-care setting.

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Li, Boya. "Translating Feminism in 'Systems': The Representation of Women's Sexual and Reproductive Health and Rights in the Chinese Translation of Our Bodies, Ourselves." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37813.

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This thesis examines the trans-border circulation and production of feminist knowledge through translation. More specifically, my research focuses the translation of the U.S. women’s health book, Our Bodies, Ourselves, by a Chinese feminist NGO in 1998. My dissertation studies the social, cultural and political aspects of feminist translation, and examines the relation between translation and feminist praxis. Through the lens of gender and (feminist) health politics in 1990s China, I examine how the 1998 Chinese translation conveys the book’s message about how women should relate to their bodies. Set in the context of Chinese society opening up during the late 1970s, my research outlines the emergence of gender awareness in China with the influx of translated feminist texts, especially in the realm of women’s health research. Medical discourses were then assigned a privileged position in the studies of women’s sexual and reproductive health. However, with increased communications between Chinese and foreign feminists, Chinese women scholars developed new ideas around women’s sexual and reproductive health. The Chinese translation of OBOS addresses the lack of gender awareness in local discussions about women’s health. With a multi-method study, I emphasize the social and linguistic dimensions of translating a feminist health project into post-reform China. This study is based on both interview and comparative textual analysis data. Using feminist translation theories, I examine how the Chinese translators handled the book’s presentation of women’s sexuality and reproductive health. This thesis also highlights the constraints on translating feminism from the local context. This raises questions about the power of (feminist) translation, and emphasizes the need to examine the social-political context of translation practices.

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Paul, Mandira. "Simplifying Reproductive Health in Low-Resource Settings : Access to medical abortion and contraceptive choice, the importance of gendered structures in Rajasthan." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-267167.

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India introduced family planning in the ‘50s, legalized abortion in the ‘70s, and accomplished a remarkable drop in maternal mortality and fertility since 1990. Nevertheless, abortions account for a large proportion of maternal deaths, and sterilization is the most frequently used contraception. This thesis aims to identify the means to simplify and increase access to reproductive health in low-resource settings, focusing on abortion and contraception in Rajasthan. A randomized controlled trial compared simplified follow-up, where women assess their abortion outcome at home after early medical abortion, with in-clinic follow-up. Additionally, contraceptive use was compared between study groups post-abortion. In order to explore young women’s opportunities to access reproductive health services in the area, we conducted in-depth interviews with recently-married women. Women in the home-assessment group preferred home-assessment in the future to a greater extent than the women in the clinic follow-up group, who preferred in-clinic follow-up. Complete abortions were reported in 95% of women in the ‘home-assessment group’ and 93% in the ‘in-clinic group’, suggesting that efficacy of simplified follow-up is non-inferior to in-clinic follow-up. A majority (81%) of women carried out the pregnancy test and found it easy to use. Women (96%) were satisfied with their abortion. There were no differences in contraceptive use between study groups at three months; however, women in the ‘in-clinic group’ were most likely to initiate contraception at two weeks. A majority of women preferred the three-month injection, while only 4% preferred sterilization. The recently-married women considered reversible contraception to be unfeasible due to misconceptions and taboos, yet women wanted effective contraception because their current use of traditional methods resulted in unintended pregnancies. Abortions were common, and were procured from private or informal providers. Allowing women to take an active role in reproductive health services can enable simplification of, and access to, reproductive services in low-resource settings as well as in other settings. Simplifying medical abortion, providing contraception ‘intra-abortion’, and offering a context-appropriate and effective means of contraception, creates a great potential to increase access to reproductive health services and can result in a more equal society where women, and men, can attain their sexual and reproductive rights.

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Frank, Cornelia. "Access to Safe and Legal Abortion- a Human Right? : A study of the protection for access to Safe and Legal abortion within Public International Law." Thesis, Stockholms universitet, Juridiska institutionen, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-182564.

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Abortion is a controversial issue. It is subject of heated debates stemming from morality and ethics. Abortion is also, however, a question of rights. Access to abortion weighs the rights of the foetus against the rights of the mother. Women being denied access to safe and legal abortion due to criminalisation and restrictive abortion laws, is also a matter of human rights. Women die every year as the result of unsafe abortion methods. This thesis focuses on access to safe and legal abortion, and examines if and how public international law protects women’s access to abortion. It addresses the topic of reproductive rights and health, and whether this set of rights constitutes any protection for access to safe and legal abortion. Human rights that are actualised in relation to abortion include for example the right to life, right to privacy and right to health. Relevant provisions in CEDAW, ICCPR and ICESCR are analysed, together with general comments and reports issued by the treaty monitoring bodies of the UN. The second part of the thesis focuses on access to safe and legal abortion under the ECHR and examines relevant case-law from ECtHR on the topic. In addition to the legal dogmatic method, a feminist legal theory is used to critically evaluate whether the current protection of access to safe and legal abortion is sufficient from a women’s rights perspective. The author concludes that public international law does not offer any direct protection of access to safe and legal abortion. Instead, access to safe and legal abortion can be protected indirectly by other human rights. Restrictive abortion laws that results in risking the health and life of the mother can violate women’s human rights. Case-law from the ECtHR shows that European states are under a positive obligation to provide an effective access to abortion under the right to privacy, if the national law guarantees such a right. The result from the discussion based on feminist legal theory shows that public international law fails to recognise the abortion issue as a question of gender equality and discrimination against women.

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Kiapi, Evelyn Matsamura. "Media representations of female genital mutilation: A thematic analysis of two Ugandan national English daily newspapers." University of Western Cape, 2019. http://hdl.handle.net/11394/7400.

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Magister Public Health - MPH This study analyses media representations of Female Genital Mutilation/Cutting (FGM/C) in two Ugandan daily English newspapers. FGM/C is recognized by the World Health Organization as an extreme form of violation of the rights, health and integrity of women and girls. In Uganda, although the overall prevalence of FGM/C is 0.3 percent of the population, FGM/C remains a harmful practice that constitutes a serious threat to the health of women and girls in communities that practice it. Despite existence of a national legal and policy framework that discourages FGM/C, progress in the eradication of the practice remains slow.

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Thor, Thorvardarson Haukur. "Stiring Up The Societal Gender Hierarchy Order : A Study in how Sexual and Reproductive Health Programs Are Challenging and Changing the Power Relationship between Young Men and Women." Thesis, Södertörn University College, School of Life Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-1279.

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The onset of modernization, globalization and urbanization has begun to challenge the gender relationship between in Tanzania. Western influence and globalization factors such as religion, donor funds and mass media have propagated ideologies that have challenged and changed old rooted traditionalist ideas and created a power – knowledge struggle between males and females and older generations. Younger people are living a different lifestyle than their elders and are demanding more individualistic freedoms and are breaking away from cultural constructions such as the extended family. The aim of this study is to evaluate the gender policy of the male-centric sexual and reproductive programs called Young Men as Equal Partners (YMEP). The aim is to criticize the premise that male involvement sexual and reproductive health programs are the single best method to implement sustainable behavioural change. The raison d’être that these male involvement take for granted is that women generally are powerless to affect the behaviour of their partners, and are unable to negotiate with their partners to have safe sex or to change their behavioural patterns. The following study is a qualitative study, which uses semi-structured interviews conducted in secondary schools in Manyara Region in Tanzania as a method of data collection. The theory used in this study is social constructivism where empirical results from conducted interviews both individual and group interviews will be evaluated in the background of social constructivism. The conclusion of this study is that it is therefore imperative for the implementation of sustainable behavioural change that sexual and reproductive health programs do not only focus on single sex exclusion strategy which create knowledge-power gender inequalities, but rather it is more effective in order to implement sustainable sexual and reproductive behaviour change to include all the members of the community, and to tailor the program strategies to individual sexual and reproductive needs rather than focusing exclusively on one gender or social group.

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Jordal, Malin. "Living Up to the Ideal of Respectability : Sexual and Reproductive Health and Rights Implications for Unmarried Migrant Workers, Single Mothers, and Women in Prostitution in Sri Lanka." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-221584.

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This thesis aims to gain a deeper understanding of relationships and sexuality of women at risk of social exclusion in Sri Lanka and the risk of violations of their sexual and reproductive health and rights (SRHR) that they might face. Individual qualitative interviews with migrant women workers (n=18) and men (n=18) in the Free Trade Zone (FTZ), women facing single motherhood (n=28) and women formerly involved in prostitution (n=15) were conducted. Conceptual approaches included gender, social navigation and SRHR. The interviews were analyzed using thematic analysis, qualitative content analysis and discourse analysis. Findings revealed that the migrant women workers negotiated norms of respectability in a society that highly stigmatizes FTZ women workers, while the men identified conflicting constructions of masculinity existing in the FTZ. The women facing single motherhood navigated oppressive and stigmatizing social forces, and the women in prostitution constructed themselves as respectable in opposition to their societal disvalue and marginalization. In order to retain an image of sexual innocence, unmarried women are likely to refrain from demanding or demonstrating SRHR knowledge and accessing services. Furthermore, gender power imbalances leave the women vulnerable to sexual persuasion, coercion and violence. Once pregnant, social, legal, and knowledge barriers hinder or delay them in accessing abortion services. Unmarried pregnant women are thus left with the alternatives of adoption, infanticide, and suicide or become stigmatized single mothers with risks of health and social exclusion for mother and child. Extreme marginalization and limited power make women in prostitution vulnerable to unsafe sex, rape and violence. In conclusion, these women are likely to face numerous and serious SRHR hazards. The complexity of gendered social circumstances and the SRHR implications demonstrated in this thesis, add to the SRHR knowledge in Sri Lanka, and should inform politicians and policy makers about the need to improve the situation of all women in Sri Lanka.

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Dy, Catherine. "Re-Establishing Agency in the Narrative of International Norm Diffusion Theories: Bringing in the Local in the Exploration of Sexual and Reproductive Health and Rights in the Philippines." Doctoral thesis, Universite Libre de Bruxelles, 2017. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/240778.

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This research critically unpacks existing international norm diffusion and domestication theories and amends them, focusing on resistance, agency, and the pivotal role of domestic agents. It argues that domestic agency is marginalized by current theories of international norm diffusion and that current models place undue emphasis on the power of ‘critical States’, which are invariably Western. It is implied, though often explicitly stated, that international norms are created in and spread by Western States. This research argues that while this may be the case, the application of the same limited models create such a situation which hinders instead of helps the understanding of norm diffusion. Arguing that domestic agency is marginalized by current theories of international norm diffusion, this study investigated the SRHR norm in the Philippines as a case study to examine the limitations of current models and the benefits of introducing a local agency approach. This research is divided into two sections: the national and the sub-national, to provide a broad-lens perspective on the specific case of Sexual Health and Reproductive Rights (SRHR) in the Philippines using the framework of norm diffusion. Empiric research was conducted on two levels of analysis: first, a Critical Discourse Analysis (CDA) of the national-level Congressional deliberations and debates on SRHR from the period of the 8th Congress to the 15th Congress; and second, a micro-comparative analysis of three selected municipalities, namely Manila, Cebu, and Davao, involving a case-study based process-tracing methodology of the local diffusion of the SRHR norm(s).The theoretical critique and empirical case study proved that there are indeed limitations present within current diffusion conventions and furthermore, that local agency is a powerful and understudied tool in norm diffusion. Doctorat en Sciences politiques et sociales info:eu-repo/semantics/nonPublished

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Holm, Elin. "The NGO-State Relationship and SRHR in Myanmar." Thesis, Uppsala universitet, Statsvetenskapliga institutionen, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-380339.

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Boaes, José Roberto Silva. "Sexualidade na saúde mental: revisão da produção científica brasileira (2001-2014)." Universidade do Estado do Rio de Janeiro, 2015. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=9366.

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Com o objetivo de analisar estudos sobre sexualidade e saúde mental, particularmente artigos publicados no Brasil entre 2001 e 2014, esta dissertação apresenta uma revisão de literatura conduzida em duas bases de dados: Biblioteca Virtual em Saúde e Portal de Periódicos CAPES. Nota-se que os estudos sobre sexo, gênero e sexualidade mostram a complexidade do entendimento sobre a vida sexual humana, oscilando entre as perspectivas essencialista e construtivista, concebendo a sexualidade de diversos modos. Já os estudos sobre loucura, saúde mental e atenção psicossocial apontam para as diferentes concepções acerca do processo de adoecimento mental, a saúde mental sendo ao mesmo tempo um campo científico e um valor de bem-estar psíquico a ser alcançado. Pesquisas em instituições asilares mostram que os agentes institucionais representam a sexualidade da pessoa em sofrimento mental (PSM) como anormal ou inexistente. A revisão da produção acadêmica sobre o tema, após a promulgação da Lei 10.126/2001, que dispõe justamente sobre os direitos das pessoas portadoras de transtornos mentais, reuniu 685 publicações (549 na CAPES e 136 na BVS), 43 delas duplicadas, dentre as quais apenas 109 nacionais, estes tendo sido sistematizados pelo título e resumo, apenas 11 foram selecionados e investigados na íntegra. Os resultados mostram que a produção científica analisada é escassa, sendo a temática incipiente na saúde coletiva, predominando abordagens biomédicas com foco no comportamento sexual, com especial atenção à vulnerabilidade às IST/HIV/AIDS, bem como a concentração dos estudos na região sudeste do país, a ausência de educação sexual e lacunas na formação para o trabalho com a sexualidade. Conclui-se que a produção científica brasileira analisada sobre sexualidade no campo da saúde mental não é centrada nos direitos sexuais e reprodutivos das PSM, enquanto as práticas sexuais dos usuários e as representações dos profissionais ganham relevo nas análises. Aiming at analyzing mental health and sexuality studies, specifically in papers published in Brazil between 2001 and 2014, this dissertation brings a review of the literature carried out in two databases: Biblioteca Virtual em Saúde and Portal de Periódicos CAPES. It can be noticed that studies on sex, gender and sexuality show the complexity of the understanding of human sexual life going from essentialist to constructivist perspectives, conceiving sexuality in several manners. However, studies on madness, mental health and psychosocial care point to different conceptions of mental sickening process, mental health being at the same time a science field and a psychological well-being value to be achieved. Surveys in nursery homes show that institution agents represent the sexuality of a mentally suffering person (MSP) as abnormal or non-existing. The review of academic production on the subject, after the implementation of Act 10.126/2001, which encompasses exactly the rights of people with mental disorders, has put together 685 publications (549 in CAPES and 136 in BVS), 43 of them in both, with only 109 from Brazil, these ones having been systematized by title and abstract, only eleven were selected and studied thoroughly. Results show that the analyzed science production is scarce, being the theme just at its beginning in collective health, with the predominance of biomedical approaches focusing in on sexual behavior, with special attention to the vulnerability to IST/HIV/AIDS, as well as to the concentration of studies in the southeast region of the country, the absence of sexual education and gaps in the training to work with sexuality. The conclusion is that the studied Brazilian science production on sexuality in the field of mental health is not centered on sexual and reproductive rights of MSP, while user sexual practices and the representations of professionals come to the fore in the analyses.

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Wedde, Åberg Maria, and Patricia Hillrings. "Barnmorskors uppfattningar om hur sexuell och reproduktiv hälsa och rättigheter kan stärkas hos ungdomar : En kvalitativ intervjustudie." Thesis, Högskolan Dalarna, Sexuell, reproduktiv och perinatal hälsa, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:du-29795.

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Bakgrund: Ungdomars sexuella och reproduktiva hälsa och rättigheter (SRHR) är ett viktigt folkhälsoarbete och barnmorskan har en central roll när det kommer till att nå ungdomarna med kunskap och information. Det förefaller finnas få studier om barnmorskors uppfattningar om vad ungdomar behöver veta mer om när det kommer till deras sexuella och reproduktiva hälsa och rättigheter. Syfte: Syftet med denna studie var att beskriva barnmorskors uppfattningar om vad ungdomar behöver veta mer om inom området sexuell och reproduktiv hälsa och rättigheter. Metod: Kvalitativ intervjustudie med åtta semistrukturerade intervjuer med barnmorskor. Datamaterial analyserades med en kvalitativ innehållsanalys med induktiv ansats. Resultat: Barnmorskorna uppfattade att ungdomarna hade behov av att veta mer om kroppsutveckling. Även mer om sexuellt överförbara infektioner (STI) och preventivmedel samt att killarna behövde veta mer om deras reproduktiva ansvar. Ungdomarna behövde också veta mer om sexuella relationer och rättigheter, innefattande bland annat lagar och homosexualitet. Barnmorskorna ser idag en ökning av sexuella problem bland ungdomarna och barnmorskorna hade en gemensam uppfattning om att det beror på pornografikonsumtion. Slutsats: Barnmorskor har insikt i vad ungdomar behöver veta mer om inom SRHR. Det finns fortfarande brister i undervisning och utbildning till ungdomar inom SRHR och det är angeläget att fokusera och investera i arbeten för att stärka och främja ungdomars SRHR. Klinisk tillämpbarhet: Denna studie lyfter barnmorskors uppfattningar om vad ungdomar behöver veta mer om inom ämnet SRHR. Studien kan användas i klinisk verksamhet till förbättringsarbeten för olika yrkeskategorier som arbetar med ungdomar gällande SRHR. Background: The sexual and reproductive health and rights (SRHR) of young people is an important public health work and the midwife has a central role in reaching the young people with knowledge and information. There seem to be few studies on midwives' perceptions about what young people need to know more about when it comes to their sexual and reproductive health and rights. Purpose: The purpose of this study was to describe the views of midwives about what young people need to know more about in the area of sexual and reproductive health and rights. Method: Qualitative interview study with eight semi-structured interviews with midwives. The data material was analyzed with a qualitative content analysis with inductive approach. Result: The midwives perceived that the young people needed to know more about body development. In addition, more about sexually transmitted infections (STIs) and contraceptives and that the young men needed to know more about their reproductive responsibilities. The youth also needed to know more about sexual relations and rights, including, among other things, laws and homosexuality. The midwives today see an increase in sexual problems among young people and the midwives had a common view that this is due to pornography consumption. Conclusion: Midwives have insight into what young people need to know more about in SRHR. There are still shortcomings in education for young people within SRHR, and it is important to focus and invest in work to strengthen and promote young people's SRHR. Clinical application: This study highlights the views of midwives on what young people need to know more about in the subject of SRHR. The study can be used in clinical activities for improvement work for various occupational categories that work with young people regarding SRHR.

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Sandqvist, Josefine, and Emelie Yngheden. "Educating students about sex is like giving them a gift, without being allowed to open it. - A study about students’ attitudes towards Sexual and reproductive health and rights education in Moshi, Tanzania." Thesis, Malmö universitet, Fakulteten för lärande och samhälle (LS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-27526.

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The study was conducted in Moshi, the regional Capital of Kilimanjaro region, Tanzania. It was financed by Sida’s Minor Field Study scholarship in March and April 2019. This study was carried out at a Secondary school and focuses on students’ attitudes and knowledge about sexual and reproductive health and rights, SRHR, as well as examine how different actors influence the students’ decision-making and attitudes in Form 4. Qualitative semi-structured interviews are conducted, combined with the use of flashcards, as a method. Each flashcard contains topics within the concept of SRHR and was based on previous research and definitions. The use of flashcards was conducted in two steps. Firstly, the students’ categorized SRHR-topics in five different categories. Secondly, the students’ ranked ten actors in which affect them the most to least. Most of the students believe that most of the topics are important to learn about but in a future context. They also believe that education in some topics will result in increased sexual behavior. The students identify that authorities, such as parents and school, affect them the most in their decision-making and attitudes. To conclude, the students were found to have limited education focusing on attitudes as well as access to evidence-based education.

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Löwdin, Maria. "The Family Planning Programme in Rwanda : Substantive Representation of Women or Smart Economics?" Thesis, Uppsala universitet, Statsvetenskapliga institutionen, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-338932.

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The aim of this paper is to explore how the Rwandan state has motivated its increased prioritization of family planning (FP). The paper seeks to understand whether the state’s increased promotion of FP is a result of Rwanda’s strong commitment to gender equality or part of a broader development agenda. By applying theories of substantive representation of women and smart economics, the paper investigates if the state considers enhancing women’s sexual and reproductive health and rights (SRHR) as a goal in itself or as a means to reach their broader development goals. The method which has been selected is text analysis. The texts which are analyzed are government documents from the time of the emergence of the FP programme. The main findings of this paper suggest that the state’s main motive for the increased prioritization of FP is driven by the development agenda rather than a gender-sensitive approach. Nevertheless, there are statements in the texts which the paper connects to theories of substantive representation of women, however, the development rational corresponding with the idea of smart economics is more recurrent. The paper finds that the hypothesis building on the theory of smart economics finds the strongest support and therefore suggests that the Rwandan states consider FP to be a means to achieve broader development goals.

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Ericsson, Cecilia, and Marlene Ögren. "Att möjliggöra säker sexuell och reproduktiv hälsa : - En observationsstudie med etnografisk ansats." Thesis, Röda Korsets Högskola, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-541.

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Bakgrund: Alla individer innehar grundläggande rättigheter just i egenskap av att vara människa. Rätten till hälsa är en av dessa, och ska bland annat inkludera säker sexuell och reproduktiv hälsa. I den georgiska utbrytarprovinsen Abchazien tillgodoses inte hela befolkningen denna rättighet. Gali-distriktet är beläget nära gränsen till övriga Georgien och anses som ett lågprioriterat område. Kvinnors position beskrivs där extra utsatt, då exempelvis våld i nära relationer är vanligt förekommande. Inom Abchazien finns icke-statliga organisationer som arbetar för att tillgodose människors grundläggande rättigheter. Avangard är en av dessa och arbetar med sexuell och reproduktiv hälsa för kvinnor i Gali-distriktet. Syfte: Studiens syfte var att belysa hur vårdpersonalen på en icke-statlig organisation kan möjliggöra säker sexuell och reproduktiv hälsa för kvinnor i Gali, Abchazien. Metod: Empirisk studie med kvalitativ metod, baserad på deltagande observationer med etnografisk ansats. Materialet har bearbetats genom innehållsanalys, där kategorier samt teman arbetats fram. Resultat: Framkomna fynd presenteras utifrån tre teman med totalt sex inkluderande kategorier: Kompetens – Utbildad personal och Engagemang, Sammanhang - Undervisning i sexuell och reproduktiv hälsa och gynekologisk vård, Resurser – Miljö och Material. Slutsats: Studien belyser hur flertalet komponenter möjliggjorde den sexuella och reproduktiva hälsan. Genom utbildad och lokalt förankrad personal, kunde Avangard bidra till att hälso- och sjukvård samt kunskapsförmedling genomfördes trots vissa hinder. Klinisk betydelse: Denna studie kan bidra till ökad förståelse i hur rättigheter inom sexuell och reproduktiv hälsa kan möjliggöras. Vidare förhoppning är att sjuksköterskan ska reflektera över kvinnors situation världen över, för att kunna bidra till ökad sexuell och reproduktiv hälsa. Background: Everyone has fundamental rights just of being human. The right to health is one of these, which includes safe sexual and reproductive health. In the Georgian breakaway region Abkhazia, all the people can’t claim the right to health. Gali district, near the border to the rest of Georgia, is considered as a low priority area. Domestic violence is common in the region and women’s positions are described as extra vulnerable. In Abkhazia several non-governmental organizations operates to incorporate people's basic rights. Avangard is one of them, and they’re working with women’s sexual and reproductive health in Gali district. Aim: The aim of this study was to illuminate how the staff of a non-governmental organization incorporate safe sexual and reproductive health for women in Gali, Abkhazia. Method: An empirical study using a qualitative method, based on participant observations with ethnographic approach. The data were processed through content analysis, which ended up in categories and themes. Results: The presented findings are collected in three themes, including total six categories: Competence – Educated staff and Engagement, Context - Training in sexual and reproductive health and gynecological care, Resources - Environment and Materials. Conclusion: The study illuminated how several components incorporated safe sexual and reproductive health. By local and educated staff, Avangard created opportunities that made the work possible, despite some obstacles. Implications for practice: This study may contribute to an increased understanding of how fundamental rights in sexual and reproductive health can be made possible. Furthermore, there is a hope that nurses should reflect on women's situations worldwide, to improve the sexual and reproductive health. Röda Korsets sjuksköterskeförening stipendium 2013

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Santos, Carolina Orrico. "O processo de formulação da política pública em reprodução assistida: o Projeto de Lei Nº 517/2011, no Estado de São Paulo." Universidade Catolica de Salvador, 2013. http://hdl.handle.net/123456730/286.

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Submitted by Jamile Barbosa da Cruz (jamile.cruz@ucsal.br) on 2017-01-17T14:05:07Z No. of bitstreams: 1 Dissertacao Carolina.pdf: 1432080 bytes, checksum: a5e0e845f04d358b368bb6802020460f (MD5) Approved for entry into archive by Rosemary Magalhães (rosemary.magalhaes@ucsal.br) on 2017-01-17T14:41:01Z (GMT) No. of bitstreams: 1 Dissertacao Carolina.pdf: 1432080 bytes, checksum: a5e0e845f04d358b368bb6802020460f (MD5) Made available in DSpace on 2017-01-17T14:41:01Z (GMT). No. of bitstreams: 1 Dissertacao Carolina.pdf: 1432080 bytes, checksum: a5e0e845f04d358b368bb6802020460f (MD5) Previous issue date: 2013-08-28 A pesquisa discute o processo de formulação da política pública em reprodução humana assistida, de modo especial o Projeto de Lei nº 517/2011 e sua entrada na agenda governamental do Estado de São Paulo, no intuito de investigar o porquê, como e para que se dá o processo de formulação do “Programa de Assistência Básica em Reprodução Humana” (Projeto de Lei n º 517/2011) na agenda governamental do Estado de São Paulo. Especificamente, buscou-se ainda: identificar o problema que justifica a formulação da política de assistência em reprodução humana assistida no sistema público de saúde do Estado de São Paulo à luz do modelo teórico de política pública de Kingdon; levantar e sistematizar os documentos existentes sobre as propostas/alternativas para a assistência em reprodução humana assistida no sistema público de saúde do Estado de São Paulo; mapear os atores/participantes do processo de formulação da política pública em reprodução humana assistida na agenda governamental do Estado de São Paulo. Assim, este estudo pretende ampliar a compreensão dos direitos sociais, quais sejam: o direito à saúde e o direito sexual e reprodutivo a luz da Lei do Planejamento Familiar, a fim de que as camadas menos favorecidas economicamente possam desfrutar desses direitos, por vezes tolhidos pelo sistema econômico neoliberal e capitalista. Tais direitos auxiliam na construção de um Estado do Bem Estar Social, no qual a cidadania pode ser exercida de maneira salutar à dignidade da pessoa humana. Nesse sentido, a metodologia adotada foi de uma pesquisa qualitativa com revisão bibliográfica, análise documental e o delineamento do estudo de caso, o qual utilizou como instrumento de coleta de dados a entrevista, para buscar a percepção dos atores envolvidos no processo de formulação da política supramencionada, tendo como referencial teórico o modelo de políticas públicas de Kingdon. O caso estudado foi o Projeto de Lei nº 517/2011, que institui o “Programa de Assistência Básica em Reprodução Humana”, da Assembleia Legislativa do Estado de São Paulo. Os dados obtidos evidenciaram que, no Brasil, a política pública ora abordada é escassa, refletindo, pois, no acesso a uma classe menos favorecida. Desse modo, fica evidenciada a necessidade da participação do Estado, através das ações formuladas pelo Sistema Único de Saúde (SUS) ou pelas Parcerias Público-Privadas (PPP). Ressalta-se, entretanto, que as questões orçamentárias para a consecução das políticas de reprodução humana assistida representam empecilhos para sua implementação, devido à limitação dos recursos governamentais, haja vista que a previsão orçamentária ainda é insuficiente. Outrossim, deve-se atentar para o discurso do benefício das privatizações nas prestações dos serviços garantidos constitucionalmente à população como um todo, uma vez que a ausência de regras bem definidas pode favorecer ao desvio dos objetivos reais da referida política, não atendendo, pois, ao público ao qual se destina. The research discusses the process of public policy-making in assisted human reproduction, particularly the Bill of Law nº 517/2011 and its entry into the government agenda of the State of São Paulo, in order to investigate why, how and who gives the process of formulating the "Basic Assistance Program in Human Reproduction" (Bill nº 517/2011) on the government agenda of the State of São Paulo. Specifically, we sought also to identify the problem that justifies the policy formulation assistance in assisted human reproduction in the public health system of the State of São Paulo the light of the theoretical model of public policy Kingdon; lift and systematize existing documents on proposals / alternatives for assistance in assisted human reproduction in the public health system of the State of São Paulo; map the actors / participants in the formulation of public policy on assisted human reproduction in the government agenda of the State of São Paulo. Thus, this study aims to broaden the understanding of social rights, namely: the right to health and the right to sexual and reproductive Light Family Planning Law, in order that the economically less privileged can enjoy these rights sometimes hampered by neoliberal and capitalist economic system. Rights which help in building a State of Social Welfare, in which citizenship can be exercised so salutary to human dignity. In this sense, the methodology adopted was a qualitative study with literature review, documentary analysis and design of the case study, which used as a tool for data collection interview to seek the perception of the actors involved in the process of policy formulation above, with the theoretical model of public policies Kingdon. The case studied was the Draft Law nº 517/2011, establishing the "Basic Assistance Program in Human Reproduction," the Legislature of the State of São Paulo. The data showed that, in Brazil, the public policy discussed herein is scarce reflecting, as the access to a class less favored. Thus, it is clear the need for the participation of the state through the actions made by the Unified Health System (SUS) or the Public-Private Partnerships (PPP). It is noteworthy, however, that the budget issues for achieving policy assisted reproduction represent impediments to its implementation due to limited government resources, given that even the budget forecast is still insufficient. Furthermore, attention should be paid to the speech of the benefit of privatization in those services constitutionally guaranteed to the population as a whole, since the absence of well-defined rules may favor the deviation of the real objectives of the policy not serving as the public for which it is intended.

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Hermansson, Isabel. "Om rätten till sexuell och reproduktiv hälsa för män i Sverige." Thesis, Enskilda Högskolan Stockholm, Högskolan för mänskliga rättigheter, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:ths:diva-157.

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1994 in Cairo United Nations Population and Development Fund held a conference where the attending 179 nations agreed that Sexual and reproductive health is a human right. Everyone is entitled to this right without distinction. This thesis investigates what covenants, declarations, policies, strategies and national law say about sexual and reproductive rights for men, specifically men in Sweden. The thesis aims to enlighten the reader about men’s situation in a welfare state where discriminatory structures in society is reproducing gender stereotypes in a country that is one of the most gender equal countries in the world. The general lack of common knowledge and subsequent lacking education in the matter is abundantly clear when browsing documents issued by official sources throughout the world. While Europe and its countries have begun to examine and call attention to this neglected subject, progress is still slow and could be hazardous to men’s sexual and reproductive health. The thesis concludes with an argument that Sweden have a discriminatory structure built in society that discriminate men and their right to sexual and reproductive health according to Discrimination Act 2008:567 by practices that appear to be neutral but can affect men in a negative way.

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Yamamoto, Sergio Toshio. "A esterilização cirúrgica feminina no Brasil, controvérsias na interpretação e desafios na aplicação da Lei 9263." Universidade de São Paulo, 2011. http://www.teses.usp.br/teses/disponiveis/6/6136/tde-29112011-134801/.

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Introdução: A esterilização cirúrgica foi historicamente considerada como importante problema de Saúde Pública, dada sua alta prevalência em nosso país. Em 2006 (MS), era o método contraceptivo mais utilizado, entre as mulheres de 15 a 49 anos, sendo sua prevalência de 25,9 por cento. Esta prática aconteceu no Brasil em um cenário de clandestinidade, como crime e conduta antiética, salvo em algumas situações de risco de vida, acompanhadas de distorções como a cesárea para fins exclusivos de esterilização. A regulamentação da Lei 9263/96 representou abertura ao direito e ao acesso das mulheres à esterilização cirúrgica. No entanto, seu texto foi considerado ambíguo, induzindo a diferentes interpretações por profissionais, notadamente em relação a sua aplicação a mulheres muito jovens. Objetivos: Identificar como profissionais de saúde conhecem e interpretam a Lei 9263/96; que artigos da Lei apresentam controvérsias na sua interpretação e aplicação; as questões éticas, morais, sociais e clínicas relacionadas com tais controvérsias e que desafios se colocam para cumprimento da mesma como resposta aos direitos das mulheres. Procedimento Metodológico: Pesquisa de natureza qualitativa, com entrevistas de 27 profissionais de saúde da cidade de São Paulo. Na interpretação das narrativas foi utilizada a Análise de Discurso. Resultados: Nos discursos dos vários profissionais há um reconhecimento positivo de que a Lei se apresenta como disciplinadora da prática médica, retirando o procedimento de sua condição de ilegalidade. São identificadas controvérsias em relação ao texto da Lei, sobretudo no que se refere à idade de 25 anos ou dois filhos vivos e, também, à sua realização no momento do parto. Os discursos permitem revelar a complexidade de que se reveste a aplicação da lei, tendo em vista o peso que os critérios sociais assumem no processo de aprovação e execução da esterilização, na medida em que a mesma passa a caracterizar-se, em nível de serviços de saúde, como um procedimento ao mesmo tempo clínico e de intervenção social. Conclusão: Constata-se a importância da esterilização cirúrgica estar inscrita de fato no contexto do planejamento familiar, garantindo previamente o acesso às informações sobre os diferentes métodos, seus benefícios e riscos, colocandose a esterilização como último recurso. As controvérsias e desafios descritos no trabalho apresentam contribuições ao abrirem novas perspectivas para o entendimento do problema e melhor aplicação da Lei Introduction: Surgical sterilization has historically been regarded as an important public health problem given its high incidence in Brazil; according to the Ministry of Health, in 2006 it was the most widely used contraceptive among women from 15 to 49 years of age, and accounted for 25,9 per cent of the cases. In Brazil this practice was done clandestinely, like a crime or unethical conduct, except in situations involving risk of life, and even in these cases there were distortions - such as cesareans performed for the sole purpose of sterilization. The regulation of Law 9263/96 represented the establishment of the right of women to have access to surgical sterilization. However, its text was considered ambiguous, leading to different interpretations by professionals, especially with respect to its application to very young women. Objectives: To identify how health professionals know and interpret Law 9263/96; which articles of the Law are controversial in their interpretation and application of the Law; the ethical, moral, social and clinical questions related to such controversies and which challenges have to be met to comply with said law to ensure Women\'s Rights are attended. Method: qualitative research, involving interviews with 27 health professionals from São Paulo. Content\'s Analysis was used to interpret the narratives. Results: In their interviews many professionals recognize that the law disciplines this medical practice, removing its illegal stigma. They also identify controversies in relation to the Law, especially as regards the age of 25 or two living children and of the procedure being done at the time of delivery. The discourses reveal the complexity that law enforcement is covered around. The sterilization carries strong social approval criteria to be performed, at the same time that (at the Health Service level) sterilization becomes a clinical and social intervention procedure. Conclusion: The importance of surgical sterilization as a factor to be entered into the context of family planning is shown clearly, thereby ensuring access to advanced information about the different methods, their benefits and risks, and placing sterilization as a last resort. The controversies and challenges described in the paper show contributions to opening new perspectives for the understanding of the problem and improved enforcement of the Law

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Wahlberg, Anna. "Continuity or Change? : Improved Understanding of Attitudes Towards Female Genital Cutting after Migration from Somalia to Sweden." Doctoral thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-334703.

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Do people’s attitudes towards female genital cutting (FGC) change after they migrate from a country where the practice is common, to one where it is not? Alongside increased levels of migration, this question is increasingly being raised. This thesis aimed to expand the understanding about attitudes towards FGC held by Somali men and women in Sweden, and thereby to identify potential factors that impede or facilitate the cessation of FGC. Cross-sectional questionnaire data were collected in four Swedish municipalities to assess attitudes to FGC. To further explore perceptions of FGC, as well as the circumcision of boys, semi-structured interviews and focus group discussions were conducted. Data were collected in 2015. The findings identified an overall widespread opposition to forms of FGC that cause anatomical change. A majority (78%) expressed an opposition to the continuation of all forms of FGC, with the odds of supporting FGC decreasing with increased years of residency in Sweden. An identified 18% reported a support for the continuation of pricking (FGC type IV). A support of pricking was linked with perceiving it as acceptable according to Islam, not a violation of children’s rights, and not causing long-term health complications. Pricking was not defined as a form of FGC by 32%. Most men described a preference to marry an uncircumcised woman (76%) or one who had had pricking (16%). How the individuals perceived the support of FGC in the Swedish Somali community corresponded well with their own approval of the practice. While there seemed to be a continuity regarding the Swedish Somalis’ core values of being a good Muslim, not inflicting harm, and upholding respectability, re-evaluation of how these are applied when it comes to circumcision of girls and boys was identified. This resulted in FGC being viewed as a practice that could be abandoned or adapted. Paradoxically, based on the same core values, the circumcision of boys was continuously perceived as an unquestionable required practice. Altogether, these results suggest that a shift in convention towards no FGC is taking place. However, the identified lack of consensus on practices regarded as FGC needs further attention.

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Rabier, Serge. "Une ambition pour le développement : l'approche genre, la santé et les droits sexuels et reproductifs dans l'aide publique au développement de la Suède : stratégies, politiques et programmes (1994-2014)." Thesis, Sorbonne Paris Cité, 2015. http://www.theses.fr/2015USPCB170.

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Les questions de genre, de santé et droits sexuels et reproductifs et de développement ont depuis plus de deux décennies pris une place grandissante à la fois chez les théoriciens et les praticiens du développement, chercheurs, institutions nationales et internationales, organisations non gouvernementales et experts des agences de développement. La Suède a joué un rôle déterminant dans l'évolution de cet agenda global. Parmi les plus grands contributeurs d'Aide Publique au Développement, la Suède est le pays qui a le plus intégré les perspectives de genre et de droits au coeur de son dispositif d'aide internationale. Le cycle des grandes conférences onusiennes des années 1990, qui font de l'égalité femmes- hommes à la fois une condition et un moyen pour atteindre un développement humain durable a été l'occasion pour la Suède de s'affirmer comme une puissance d'influence de premier ordre. L'examen des facteurs déterminants dans l'histoire suédoise (références culturelles, politiques, sociales) ainsi qu'une lecture critique des textes fondateurs depuis 1994 (déclarations politiques, lois, documents stratégiques et de communication, évaluations programmatiques) mettent en valeur l'apport original de l'aide publique suédoise qui, au-delà de la dimension massive de son volume, révèle le caractère fondamentalement anthropologique et politique du développement et rappelle que la mondialisation ne saurait ignorer le questionnement croissant autour des inégalités, en particulier genrées For the last twenty years, Gender, Sexual and Reproductive Health and Rights and Development issues have been at the heart of a growing trend of interest from both development thinkers and practitioners, researchers, international and national institutions, non governmental organisations, and experts from development agencies. Sweden has played a key role in the evolution of this global agenda. Among the major Overseas Development Assistance contributors, Sweden has proven to be one of the "like-minded" countries, which has integrated the gender perspective and the rights perspective at the very heart of its ODA mechanisms. The cycle of 1990's UN conferences, which has promoted gender equality as both a condition and a mean to achieve a sustainable human development was the occasion for Sweden to take a clear leadership as an influential "soft power". The analysis of decisive factors in the Swedish history (cultural, political and social references) as well as a critical reading of founding documents since 1994 (political statements, bills and laws, strategic/planning and communication papers, program evaluations) shows the original contribution of Swedish ODA, which beyond its remarkable amount, reveals the anthropological and political fundamentals of development and recalls that globalisation should not ignore the growing demands around inequalities, in particular gender inequalities

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Richiello, Isabella. "Women's experience of a sexual and reproductive health chatbot." Thesis, KTH, Medieteknik och interaktionsdesign, MID, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-231819.

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Chatbots are increasing in popularity and interacting with humans via written language. Previous research has looked at chatbots within several domains, but not towards women’s general sexual and reproductive health. This offers a need to extend the small body of current research. This report aimed to do so by describing women’s experiences of a sexual and reproductive health chatbot used as a decision support tool. The chatbot was designed based on a user-centered approach, allowing women to express desired personality traits in a person when discussing the topic. This resulted in the design creation of two chatbots with two different personalities. Exploratory Wizard of Oz studies were conducted with 6 users by simulating interaction with both chatbots operated by a human. Users were followed up with a survey and interview creating insights to their experiences with each chatbot. Findings resulted in contributing to research with proposed guidelines for how to design a sexual and reproductive health chatbot. Chatbots blir allt mer populära och interagerar med människor genom skriftligt språk. Tidigare forskning har utforskat olika användningsområden för chatbots, men kvinnors sexuella och reproduktiva hälsa har inte varit en av dessa områden. Detta skapar ett behov att expandera den nuvarande smala forskningen. Denna studie syftar till att göra det genom att beskriva kvinnors erfarenheter av en chatbot för sexuell och reproduktiv hälsa som används som ett beslutsstödsverktyg. Chatboten utformades utifrån ett användarcentrerat tillvägagångssätt, vilket tillät kvinnor att uttrycka önskade personlighetsdrag hos en person som man diskuterar ämnet med. Detta resulterade i ett design skapade av två chatbots med två olika personligheter. Wizard of Oz studier genomfördes med 6 användare genom att simulera interaktionen med båda chatbots drivna av en människa. Deltagarna följdes upp med en enkät, följt av en intervju för bättre insikt till deras erfarenhet med varje chatbot. Resultaten resulterade i att bidra till forskning med förslag på riktlinjer för hur man utformar en chatbot för sexuell och reproduktiv hälsa.

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Chavez, Isabel. "Truth or Consequence?: Navigating Barriers to Sexual and Reproductive Health Resources for Sexual Minority Women." Scholarship @ Claremont, 2019. https://scholarship.claremont.edu/cmc_theses/2131.

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In the United States and abroad, the LGBTQ+ population has both historically and currently, suffered from a higher likelihood of poorer health outcomes than their heterosexual and cisgender counterparts due to stigma and discrimination (Alencar Albuquerque et al., 2016). While these health disparities have been well studied for the United States LGBTQ+ community as a whole, there is less understanding of what subgroups within this population may be disproportionately more susceptible to poorer health outcomes and risky behaviors, as well as, less understanding for the reasons behind such health outcomes and behaviors. One such subgroup is that of sexual minority women (SMW), or women who are sexually and/or romantically attracted to other women or who identify outside of heterosexual norms (Youatt, Harris, Harper, Janz, & Bauermeister, 2017). Preliminary studies have found that SMW are less likely than their sexual minority male and heterosexual female peers to have regular access to healthcare providers and are more likely to have negative experiences in healthcare settings, specifically in regards to sexual and reproductive healthcare (Riskind, Tornello, Younger, & Patterson, 2014). For these reasons, coupled with discrimination and risky sexual and health behaviors, SMW are a vulnerable population in need of social, political, and medical attention. This thesis aims to understand the causes and barriers SMW face when accessing sexual and reproductive health resources, as well as, provide direction for navigating such barriers on a multifactorial level. This research analyzes how hegemonic heteronormativity and sexism take root in (a) economic and political barriers in obtaining health insurance and health knowledge for SMW, (b) SMW patient ignorance of health risks and needs, (c) minimal to no medical provider training and understanding for SMW health risks, behaviors, and needs. Each barrier is addressed holistically; a novel approach necessary for the initial alleviation of such barriers to sexual and reproductive care and knowledge for SMW.

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ROCHA, LIANA DIAS MARTINS DA. "SEXUAL AND REPRODUCTIVE HEALTH: WHAT DO THE SEXUAL MASCULINE ADOSLESCENTS OF PAPO CABEÇA PROJECT THINK." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2012. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=21317@1.

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PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO O objetivo desse estudo é analisar a contribuição do projeto papo cabeça para o cuidado da saúde sexuale reprodutiva, na perspectiva dos adolescentes do sexo masculino atendidos pelo referido projeto. O estudo consiste em uma investigação documental que possui como instrumento de coleta de dados o formulário de pesquisa do projeto projeto papo cabeça, denominado perfil. No universo de 342 formulários, foi analisada uma amostra de 50 formulários respondidos por adolescentes do sexo masculino, estudantes da rede municipal de ensino da Sétima Coordenadoria Regional de Educação do Rio de Janeiro, compreendidos entre as faixas de 10 aos 19 anos e que participaram do projeto papo cabeça no período de 2008 a 2010. As categorias de análise envolvidas no processo de investigação foram: a caracterização dos adolescentes do sexo masculino; o relacionamento com os pais e/ou responsáveis no que se refere ao diálogo sobre o sexo e sexualidade; o cuidado com a saúde sexual e reprodutiva e o relacionamento dos adolescentes com o projeto papo cabeça. Os resultados da pesquisa apontaram que o projeto papo cabeça constitui uma ferramenta para a aproximação dos adolescentes do sexo masculino com a saúde sexual e reprodutiva. Através da participação no projeto, os adolescentes afirmaram que passaram a obter conhecimentos e a adotar cuidados relativos ás doenças sexualmente transmissíveis e métodos contraceptivos. Na perspectiva dos mesmos, o projeto papo cabeça representa uma alternativa para a conscientização do cuidado com a saúde sexual e reprodutiva na medida em que encontraram pouca abertura no ambiente familiar para o debate sobre a temática. The purpose of this study is to analyze the contribution of the project papo cabeça for the care of sexual and reproductive health, from the perpective of male adolescent who were seved by this project. The study consists of a documentary investigation and a research form entitled perfil was used to collect data. From 342 forms, we analyzed 50 forms perfilfilled by male adolescents, municipal students of 7th regional education coordination of Rio de Janeiro, in the 10 to 19 age group and who participated in the papo cabeça. Project in the period of 2008 and 2010. These are the categories analyses involved inthe investigation process: characterization of male adolescents; the relationships with parentes and guardians about the sex and sexuality dialog; the sexual and reproductive health care and the adolescents relationship with the papo cabeça project. The survey results show that the papo cabeça project contitues a tool for approaching the males adolescents to the sexual and reproductive health. Through participation in the project, the adolescents said the came to gain konwlegde and take care related to sexually transmitted diseases and contraceptive methods. From the perspective of male adolescent, the papo cabeça project represents an alternative to the sexual and reproductive health care consciousness, the extent that they have little chancesin the family enviromnentto discussabout the subject.

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Dahlbäck, Elisabeth. "Between opportunities and risks : adolescent sexual and reproductive health in Zambia /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-978-5/.

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Kirkham, Jacqueline. "Sexual and reproductive health in Romania and Moldova : contexts, actors, challenges." Thesis, University of Glasgow, 2011. http://theses.gla.ac.uk/2586/.

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Over the past two decades sexuality and reproduction have proved potent and contested subjects. After the unexpected collapse of the state socialist systems, societies facing uncertainty and dislocation have turned both to the allure of ‘the west’ and to pre-socialist traditional values of family and gender. Along with this, aspirations of moving closer to Europe sits alongside a resurgent nationalist sentiment throughout the region, and it is sexuality and reproduction which has become a particularly contested battleground, as the female reproductive body has become a metaphor for the vitality and viability of the nation-state. Discourses of demographic crisis, calls to produce more (indigenous) children to increase the population and ensure the stability and viability of the state, and proscription of so-called ‘deviant’ (defined as non-heterosexual/non-reproductive) sexualities have all gained in currency as the nations of the region try to establish themselves as sustainable entities following the years of state-sponsored paternalism. At the same time, western nations and donor agencies offer support to redevelop and redesign out-of-date systems and bureaucracies and the opportunity to modernise and enjoy the benefits of capitalism and liberal democracy. A particular focus on developing civil society along with the reform of state institutions widens the social marketplace still further. It is against this backdrop that policy makers and service providers attempt to develop and provide health services. Public health is a useful barometer of what is happening in society, as it reflects the effects of wider socio-economic and political trends. Within this, the study of sexual and reproductive health is crucial as it also has the ability to illuminate the differential effects of societal change on different groups within society, such as women or those from minorities. It also powerfully illustrates the contestations going on in wider society around meanings of the moral and healthy, as sexuality and reproduction are issues pertinent to the continued reproduction of states and other ‘communities of power’. This thesis is a study of the experiences and perceptions of service providers in the field of sexual and reproductive health in Romania and the Republic of Moldova. Through interviews with service providers in both state and civil society sectors as well as regional and national authorities and international donor agencies, and an extensive media review of the portrayal of sexuality, reproduction and sexual and reproductive health, opportunities and barriers to providing accessible and responsive services within the contested arena of two postsocialist countries with much in common historically and culturally but following very different paths in the contemporary period are explored. The continuing importance of sexual and reproductive health as a category of study which can illuminate wider macro-level debates on national identity and vitality, as well as the importance of discursive battles over control of meanings, are amply illustrated in the thesis. In particular the relation between health and morality is extensively explored, and the relevance of an area studies approach to this wider topic is demonstrated. The thesis finds that it is vital to consider sexual and reproductive health services within their wider sociocultural context and that transnationally-funded initiatives do not take full account of the multiplicity of meanings and values underpinning the reactions of target populations to their services; indeed services are often framed as representing an unwelcome invasion of ‘alien’ morality. Ultimately providers and funders need to take the moral understandings of their target populations very seriously if they are to overcome the considerable opposition to their services.

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Hoque, A. M. Mozibul Santhat Sermsri. "Sexual behaviour, contraceptive practice and reproductive health among Thai school adolescents /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-MozibulH.pdf.

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Libasie, M. "Implementation of women's right to reproductive health in Ethiopia : policy and healthcare perspectives." Thesis, University of Surrey, 2017. http://epubs.surrey.ac.uk/813209/.

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Issues related to reproductive health are being increasingly recognised by the international community to contributing greatly towards eliminating gender-based health disparity. And in recent years, normative developments have proliferated both in the international and domestic arena. This thesis showcases the level of implementation of women’s right to reproductive health in Ethiopia. In so doing, it questions the international legal footings of this specific right. Implementation in this context is grappled with various obstacles such as balancing low economic resource setting with fulfilling economically demanding obligations; and/or eliminating entrenched harmful cultural traditions while enhancing acceptability of services. The research adopts a set contextual human rights indicators to sift the legal framework and health system of Ethiopia with a view to assessing the level of implementation. It identifies existing gaps and seeks to forward recommendations.

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Lui, Paraniala Silas Celebi. "Reproductive health problems faced by men in Solomon Islands." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101163/1/Paraniala%20Silas%20Celebi_Lui_Thesis.pdf.

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This study is one of few to examine reproductive health problems affecting men in the Pacific region. Four hundred men in Honiara suburbs were interviewed about their reproductive and sexual problems and their general health. Disorders of sexual function were reported by many men in the Solomon islands, and were associated with common chronic diseases and poor mental health. However, levels of help-seeking, medical screening and treatment were low. The study recommends development of culturally sensitive reproductive health care for men in Pacific Island nations and territories.

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43

Priego, Hernández Jacqueline. "Sexual and reproductive health among indigenous Mexican adolescents : a socio-representational perspective." Thesis, London School of Economics and Political Science (University of London), 2011. http://etheses.lse.ac.uk/364/.

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In this thesis I advance a socio–representational perspective on sexual and reproductive health as constructed by indigenous Mexican adolescents. The social and psychological literature on health among indigenous populations and on adolescent sexual health is reviewed. It is argued that a socio–psychological perspective is needed to understand the resources through which contemporary indigenous youth, a population overlooked by research, make sense of their sexual and reproductive health. In generating the theoretical tools to tackle this issue, I adopt a dialogical approach to social representations theory to sharpen Jovchelovitch’s (2007) model of knowledge encounters by proposing a typology of potential outcomes of these encounters. The empirical research involved female and male indigenous adolescents in two social contexts: rural and urban. In–depth individual interviews, focus group discussions and unstructured observations were employed for data elicitation. Results from the interpretative thematic analysis performed are presented through a ‘funnelling’ approach whereby the interdependent engagements of indigenous adolescents with their social context, their partners and specific health beliefs are discussed by highlighting nuanced differences in relation to social context and gender. Key findings are related to the understanding of romantic relationships in terms of stability and continuity, which impacts on the way that sex and contraception are perceived and experienced. Results also reveal that, in dialogue with others, adolescents come to identify alternative ways of positioning themselves with regards to customary discourses about sexual health. Focus group discussions are further examined through a dialogical analysis of interactions that aim to identify, in sociodialogue, the outcomes of knowledge encounters initially proposed. A further data–driven outcome is subsequently added to the typology and analytical categories are refined. Implications for health promotion in terms of the reflexion entailed in dialogue are offered in the conclusion chapter.

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Abed, Itaf. "Reproductive and sexual health needs of women with physical disabilities in Gaza." Thesis, University of Nottingham, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.446390.

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45

Oliveira, Mariana GonÃalves de. "Manual of validation sexual and reproductive health: behavior contraceptive methods for blind." Universidade Federal do CearÃ, 2016. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=16756.

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nÃo hÃ Mulheres cegas tem baixa oferta de material educativo em saÃde. Manual educativo acessÃvel Ã possibilidade de ensino-aprendizado fornecendo informaÃÃo sobre saÃde sexual e reprodutiva com enfoque nos mÃtodos anticoncepcionais comportamentais. Este estudo teve como objetivos: Validar Tecnologia Assistiva para cegas na modalidade de Manual sobre mÃtodos anticoncepcionais comportamentais para promoÃÃo da saÃde. Trata-se de pesquisa quase experimental, desenvolvida na cidade de Fortaleza no Estado do CearÃ no perÃodo de fevereiro 2014 a setembro 2015. Utilizou amostra nÃo-probabilÃstica de conveniÃncia, especialistas em conteÃdo e mulheres cegas. A coleta de dados foi dividida em duas fases: ValidaÃÃo do Instrumento de AvaliaÃÃo de Aprendizagem com especialistas e ValidaÃÃo do Manual com mulheres cegas. Foi construÃdo pela autora e depois validado por especialistas um Instrumento de AvaliaÃÃo do Conhecimento (prÃ e pÃs teste). Na segunda etapa, aplicou-se o instrumento (prÃ teste) e entrega do Manual para leitura, em seguida agendado um outro encontro para aplicaÃÃo do mesmo instrumento (pÃs teste) e devoluÃÃo do Manual. Os dados foram organizados em tabelas e grÃficos com frequÃncias absolutas e relativas. Utilizou-se o coeficiente de Alfa Cronbach, o teste estatÃstico de McNemar, bem como a odds ratio de McNemar e o teste dos postos assinalados de Wilcoxon. Foram respeitando os preceitos Ãtico-legais. Participaram do estudo cinco especialistas e 48 mulheres cegas. Observa-se que todos os itens do instrumento foram considerados bem redigidos e de fÃcil compreensÃo; e relevantes pelas especialistas. Houve concordÃncia excelente entre as especialistas que apÃs anÃlise foi considerado extremamente significante (p<0,001), logo, adequado para coleta de dados. A maioria das participantes (52%) tinha cegueira congÃnita. A idade variou de 18 a 66 anos, com mÃdia de 35 Â 14 anos, predominando a faixa de 18 a 29 anos (42%). Predominaram mulheres com nÃvel superior (40%) e o estado civil solteiro (56%). A mÃdia de acertos no prÃ teste e pÃs teste em mulheres cegas com relaÃÃo ao tipo de cegueira evidenciou significÃncia estatÃstica nas com cegueira adquirida (<0,001) e congÃnita (<0,001). Em relaÃÃo a faixa etÃria evidenciou-se significÃncia estatÃstica nas mÃdias de acertos do prÃ e pÃs teste nas mulheres cegas com 18 a 29 anos (p=0,002), 30 a 39 anos (p=0,001) e 40 ou mais anos (p=0,002). No tocante a escolaridade observou-se que as mÃdias de acertos no prÃ e pÃs teste apresentou significÃncia estatÃstica nas mulheres cegas com ensino mÃdio (p<0,001) e ensino superior (p<0,001). Ainda, verificou-se que as mÃdias entre as mulheres com ensino fundamental foi inferior aos valores da mediana do grupo (p=0,056). A mÃdia de acertos no prÃ e pÃs teste em mulheres cegas com relaÃÃo ao estado civil evidenciou significÃncia estatÃstica nas mulheres solteiras (p<0,001) e casadas/uniÃo estÃvel (p<0,001). Dessa forma, foi possÃvel mensurar o aprendizado e confirmaram-se boas mÃdias de acertos pÃs-leitura do Manual, reforÃando que o mesmo representa excelente estratÃgia de aprendizagem, assim o Manual foi validado. Mulheres cegas tem baixa oferta de material educativo em saÃde. Manual educativo acessÃvel Ã possibilidade de ensino-aprendizado fornecendo informaÃÃo sobre saÃde sexual e reprodutiva com enfoque nos mÃtodos anticoncepcionais comportamentais. Este estudo teve como objetivos: Validar Tecnologia Assistiva para cegas na modalidade de Manual sobre mÃtodos anticoncepcionais comportamentais para promoÃÃo da saÃde. Trata-se de pesquisa quase experimental, desenvolvida na cidade de Fortaleza no Estado do CearÃ no perÃodo de fevereiro 2014 a setembro 2015. Utilizou amostra nÃo-probabilÃstica de conveniÃncia, especialistas em conteÃdo e mulheres cegas. A coleta de dados foi dividida em duas fases: ValidaÃÃo do Instrumento de AvaliaÃÃo de Aprendizagem com especialistas e ValidaÃÃo do Manual com mulheres cegas. Foi construÃdo pela autora e depois validado por especialistas um Instrumento de AvaliaÃÃo do Conhecimento (prÃ e pÃs teste). Na segunda etapa, aplicou-se o instrumento (prÃ teste) e entrega do Manual para leitura, em seguida agendado um outro encontro para aplicaÃÃo do mesmo instrumento (pÃs teste) e devoluÃÃo do Manual. Os dados foram organizados em tabelas e grÃficos com frequÃncias absolutas e relativas. Utilizou-se o coeficiente de Alfa Cronbach, o teste estatÃstico de McNemar, bem como a odds ratio de McNemar e o teste dos postos assinalados de Wilcoxon. Foram respeitando os preceitos Ãtico-legais. Participaram do estudo cinco especialistas e 48 mulheres cegas. Observa-se que todos os itens do instrumento foram considerados bem redigidos e de fÃcil compreensÃo; e relevantes pelas especialistas. Houve concordÃncia excelente entre as especialistas que apÃs anÃlise foi considerado extremamente significante (p<0,001), logo, adequado para coleta de dados. A maioria das participantes (52%) tinha cegueira congÃnita. A idade variou de 18 a 66 anos, com mÃdia de 35 Â 14 anos, predominando a faixa de 18 a 29 anos (42%). Predominaram mulheres com nÃvel superior (40%) e o estado civil solteiro (56%). A mÃdia de acertos no prÃ teste e pÃs teste em mulheres cegas com relaÃÃo ao tipo de cegueira evidenciou significÃncia estatÃstica nas com cegueira adquirida (<0,001) e congÃnita (<0,001). Em relaÃÃo a faixa etÃria evidenciou-se significÃncia estatÃstica nas mÃdias de acertos do prÃ e pÃs teste nas mulheres cegas com 18 a 29 anos (p=0,002), 30 a 39 anos (p=0,001) e 40 ou mais anos (p=0,002). No tocante a escolaridade observou-se que as mÃdias de acertos no prÃ e pÃs teste apresentou significÃncia estatÃstica nas mulheres cegas com ensino mÃdio (p<0,001) e ensino superior (p<0,001). Ainda, verificou-se que as mÃdias entre as mulheres com ensino fundamental foi inferior aos valores da mediana do grupo (p=0,056). A mÃdia de acertos no prÃ e pÃs teste em mulheres cegas com relaÃÃo ao estado civil evidenciou significÃncia estatÃstica nas mulheres solteiras (p<0,001) e casadas/uniÃo estÃvel (p<0,001). Dessa forma, foi possÃvel mensurar o aprendizado e confirmaram-se boas mÃdias de acertos pÃs-leitura do Manual, reforÃando que o mesmo representa excelente estratÃgia de aprendizagem, assim o Manual foi validado.

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46

Macleod, Catriona. "The management of risk: adolescent sexual and reproductive health in South Africa." International Journal of Critical Psychology, 2006. http://hdl.handle.net/10962/d1015958.

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Scientific discourse allows for the calculation of negative outcomes attendant on conception and birth during adolescence, thereby producing a discourse of risk. The management of risk allows for the deployment of governmental apparatuses of security. Security, as outlined by Foucault, is a specific principle of political method and practice aimed at defending and securing a national population. In this paper I analyse how techniques of security are deployed in the interactions between health service providers and young women seeking contraceptive and reproductive assistance at a regional hospital in South Africa, and how racialised and gendered politics are strategically deployed within these techniques. Security combines with various governmental techniques to produce its effects. The techniques used in this instance include pastoral care, liberal humanism, the incitement to governmental self-formation, and, in the last instance, sovereign power.

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47

Adams, Michael John. "Sexual and reproductive health problems among Aboriginal and Torres Strait Islander males." Thesis, Queensland University of Technology, 2007. https://eprints.qut.edu.au/16599/1/Michael_John_Adams_Thesis.pdf.

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Compared to males in almost any social group in all affluent nations, Australia's Aboriginal and Torres Strait Islander men suffer from substantially more serious illnesses and early death. To date, research done by or in collaboration with Indigenous communities has revealed the extent of the problems that arise from diabetes, heart disease, hypertension, cancers, respiratory diseases, psychological disorders, accidental injuries, violence and other causes. Reproductive health, however, rarely has been studied among Indigenous men. To date, research in this field has been limited mainly to studies of sexually transmitted infections. No data has been published on Aboriginal men's symptoms of prostate disease or erectile dysfunction, nor has the clinical screening and treatment of these disorders among these men been assessed. In-depth search of the worldwide web demonstrated that little information on these issues was available from other Indigenous populations. It does appear that Indigenous men in Australia, New Zealand and North America are less likely than European-ancestry men to die from prostate cancer, or for living cases to be recorded on cancer registries. This may arise because Indigenous men genuinely have a lower risk, or because they are not captured by official statistics, or because they do not live long enough to develop severe prostate disease. We also know very little about other reproductive health problems such as sexual dysfunction and specifically erectile difficulties. One reason for our scant knowledge is that research mainly relies on self-report of sensitive information. The aim of the research study was to improve the understanding of sexual and reproductive health problems experienced by Indigenous men. This is best gathered by Aboriginal males who are inside the culture of middleaged and older Indigenous men, but until now this has not been attempted. In this study we adopted the World Health Organization (WHO) definitions for Reproductive and Sexual Health (WHO, 2001). Thus, we consider reproductive system disorders (prostate disease, erectile dysfunction) and related health care-seeking, and also men's perceptions about a "satisfying and safe sexual life". The methodology was framed within an Aboriginal and Torres Strait Islander research protocol that advocates respect for cultural, social and community customs. A mixed method design combined qualitative inquiry (4 focus groups and 18 in-depth interviews) and quantitative survey (n=301) involving men living in remote, rural and urban communities (Tiwi Islands, Darwin and north and south-east Queensland). Survey data were compared to recently published self-reports from 5990 randomly selected men aged over 40 years in Australia (Holden et al., 2005, The Lancet, 366, 218-224. The qualitative interviews revealed that most men were silent about reproductive health. They were unwilling to reveal their inner feelings to wives or partners, and they were unwilling to discuss such issues with doctors and other health care workers. Men's reaction to sexual difficulties included shame, denial, substance abuse and occasionally violence. On a positive note many men said they want to learn about it, so they understand how to cope with such problems. The Indigenous men reported symptoms of erectile dysfunction at least as much as non-Indigenous men in other Australian studies. Bivariate analysis showed that erectile dysfunction was correlated with many health and lifestyle variable. However multivariate analysis revealed that only three factors significantly predicted ED: presence of chronic disease, presence of pain when working, and living in a remote geographic location The quantitative survey data indicate that Indigenous men have more symptoms of prostate disease than non-Indigenous men. The syndrome appears to be poorly managed in clinical practice (e.g. rates of PSA testing and digital-rectal examination are only one-third the rate reported by non-Aboriginal men, despite equivalent likelihood of GP visits). The research study adds to the literature by providing better insight and depth into the issues impacting on Aboriginal and Torres Strait Islander males experiencing reproductive and sexual health difficulties. It also provides a platform to undertake comprehensive research with Aboriginal and Torres Strait Islander men to explore a wider spectrum of questions in this important but neglected area. Implications for education of primary healthcare workers and community-based awareness campaigns for Indigenous males are discussed. Most of all, this study revealed "layers" of silence around sexual and reproductive health of Indigenous men. This includes silence in the scientific establishments in health services, and in the community. It is hoped that this study puts the voices of the men forward to help to break down this silence.

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48

Adams, Michael John. "Sexual and reproductive health problems among Aboriginal and Torres Strait Islander males." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16599/.

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Compared to males in almost any social group in all affluent nations, Australia's Aboriginal and Torres Strait Islander men suffer from substantially more serious illnesses and early death. To date, research done by or in collaboration with Indigenous communities has revealed the extent of the problems that arise from diabetes, heart disease, hypertension, cancers, respiratory diseases, psychological disorders, accidental injuries, violence and other causes. Reproductive health, however, rarely has been studied among Indigenous men. To date, research in this field has been limited mainly to studies of sexually transmitted infections. No data has been published on Aboriginal men's symptoms of prostate disease or erectile dysfunction, nor has the clinical screening and treatment of these disorders among these men been assessed. In-depth search of the worldwide web demonstrated that little information on these issues was available from other Indigenous populations. It does appear that Indigenous men in Australia, New Zealand and North America are less likely than European-ancestry men to die from prostate cancer, or for living cases to be recorded on cancer registries. This may arise because Indigenous men genuinely have a lower risk, or because they are not captured by official statistics, or because they do not live long enough to develop severe prostate disease. We also know very little about other reproductive health problems such as sexual dysfunction and specifically erectile difficulties. One reason for our scant knowledge is that research mainly relies on self-report of sensitive information. The aim of the research study was to improve the understanding of sexual and reproductive health problems experienced by Indigenous men. This is best gathered by Aboriginal males who are inside the culture of middleaged and older Indigenous men, but until now this has not been attempted. In this study we adopted the World Health Organization (WHO) definitions for Reproductive and Sexual Health (WHO, 2001). Thus, we consider reproductive system disorders (prostate disease, erectile dysfunction) and related health care-seeking, and also men's perceptions about a "satisfying and safe sexual life". The methodology was framed within an Aboriginal and Torres Strait Islander research protocol that advocates respect for cultural, social and community customs. A mixed method design combined qualitative inquiry (4 focus groups and 18 in-depth interviews) and quantitative survey (n=301) involving men living in remote, rural and urban communities (Tiwi Islands, Darwin and north and south-east Queensland). Survey data were compared to recently published self-reports from 5990 randomly selected men aged over 40 years in Australia (Holden et al., 2005, The Lancet, 366, 218-224. The qualitative interviews revealed that most men were silent about reproductive health. They were unwilling to reveal their inner feelings to wives or partners, and they were unwilling to discuss such issues with doctors and other health care workers. Men's reaction to sexual difficulties included shame, denial, substance abuse and occasionally violence. On a positive note many men said they want to learn about it, so they understand how to cope with such problems. The Indigenous men reported symptoms of erectile dysfunction at least as much as non-Indigenous men in other Australian studies. Bivariate analysis showed that erectile dysfunction was correlated with many health and lifestyle variable. However multivariate analysis revealed that only three factors significantly predicted ED: presence of chronic disease, presence of pain when working, and living in a remote geographic location The quantitative survey data indicate that Indigenous men have more symptoms of prostate disease than non-Indigenous men. The syndrome appears to be poorly managed in clinical practice (e.g. rates of PSA testing and digital-rectal examination are only one-third the rate reported by non-Aboriginal men, despite equivalent likelihood of GP visits). The research study adds to the literature by providing better insight and depth into the issues impacting on Aboriginal and Torres Strait Islander males experiencing reproductive and sexual health difficulties. It also provides a platform to undertake comprehensive research with Aboriginal and Torres Strait Islander men to explore a wider spectrum of questions in this important but neglected area. Implications for education of primary healthcare workers and community-based awareness campaigns for Indigenous males are discussed. Most of all, this study revealed "layers" of silence around sexual and reproductive health of Indigenous men. This includes silence in the scientific establishments in health services, and in the community. It is hoped that this study puts the voices of the men forward to help to break down this silence.

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49

Pomonis, Hailey Sierra. "Adolescent Sexual and Reproductive Needs in Rural ND: A Needs Assessment." Diss., North Dakota State University, 2020. https://hdl.handle.net/10365/31757.

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In order to reduce sexual risk behaviors and related health problems, preventative and educational measures must be implemented to help adolescents adopt lifelong attitudes and behaviors that support their health and well-being. Given the period of adolescence is a time of increased risk, positive health practices are vital. The end goal of this quality improvement project is to help form positive health practices during the period of adolescence, this in turn will create a healthy and strong passageway into adulthood. A qualitative approach was used to elicit the perspectives of adolescents, health providers, educators, and parents regarding the sexual and reproductive health needs of adolescents in rural N.D. Individual, semi-structured interviews were conducted with five participants in each target group. It was evident in the provider interviews that there was a range of approaches to addressing sexual and reproductive health with adolescents. Their approaches ranged from very comprehensive, to more limited in the discussion of sexual and reproductive health with the adolescents they saw in their clinic. The fact that the amount and quality of information adolescents received was entirely dependent upon which individual provider they happened to see means that both consistency and quality of information was compromised. The educators described little to no experience discussing sexually education with adolescents. The only educator participant who actively educated adolescents on sexual and reproductive health was a health educator within a rural school system. The parent participants stated that adolescents need more open and honest education regarding sexual and reproductive health. The adolescent participants gave one-worded responses; they did not expound on any questions they were asked. The interviewer asked for an expansion on their one-worded answers, but the adolescents would repeat what they had said initially. The adolescent participants were asked about sexual and reproductive health messages given to them by either health care providers, educators, or parents. Their responses consisted of abstinence is best, and the consequences of sexual experimentation. If this is the adolescent participants’ truthful answer, it is concerning on many levels.

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Milanes, Lilian. "Health care providers' perspectives on male involvement in their sexual and reproductive health care needs." Honors in the Major Thesis, University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/590.

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Young men are at the greatest risk of contracting sexually transmitted infections (STIs) within the U.S. male populations, yet are the least likely to make a sexual and reproductive health (SRH) care visit. Clinical approaches in these areas that include the outreach to and the involvement of male partners of female patients can prove particularly useful in expanding SRH care to men and can also improve health outcomes for women who have sex with men. In this study I examined UCF's healthcare provider's approaches to educate and involve men (between the ages of 18 and 30) and male partners of female patients in their SRH needs. I conducted qualitative semi-structured interviews with 18 health care providers at the Student Health Center; including physicians, physician assistants, and registered nurses. This study found that there were significant differences in perception of men's SRH risk behaviors among the providers. In addition, this study revealed issues that might deter male students from accessing care, specifically how patients are required to state to the operator (who is also an undergraduate student) their name, PID and exactly why they are scheduling a visit to the clinic, thus many men say they have cold symptoms instead of issues with SRH. This study is significant because it can contribute to improvements in the delivery of SRH care to male students on campus. B.A. Bachelors Sciences Anthropology

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Dissertations / Theses on the topic 'Right to reproductive and sexual health'

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