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Dissertations / Theses on the topic 'SRH (sexual reproductive health)'
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Shein, Kathy Pimpawun Boonmongkon. "Access to sexual and reproductive health (SRH) : voices of women with HIV in Yangon, Myanmar /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd388/4737925.pdf.
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Adabla, Samuel. "Perceptions, Attitudes and Beliefs of Youth Regarding the Use of Sexual and Reproductive Health (SRH) Services in Ashaiman, Ghana." Bowling Green State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1563531116481538.
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Rogers, Claire Ellen. "Adequate Access to Contraception and Sexual and Reproductive Health (SRH) Information Post-Abortion: A Case Study from Nepal." Thesis, Curtin University, 2018. http://hdl.handle.net/20.500.11937/75685.
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This qualitative, exploratory study examined the post-abortion experiences of Nepali women, and access and uptake of safe abortion services; unsafe abortion; post-abortion contraception; and sexual and reproductive health information. Analysis revealed themes relating to women’s abortion seeking decision-making processes and barriers to high quality safe abortion services and family planning counselling. Findings emphasised the interconnectivity of sexual and reproductive health and rights; gender discrimination, reproductive coercion; education; poverty; geographical isolation; spousal separation; and women’s empowerment.
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Elsayed, Reem. "The intersectionality of women’s access to sexual and reproductive health services and information in Ismailia, Egypt." University of Western Cape, 2020. http://hdl.handle.net/11394/7435.
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Magister Artium (Development Studies) - MA(DVS)Background: Sexual and reproductive health (SRH) is a right that should be guaranteed to every woman worldwide in order to have a healthy and safe sex life. In most Arab countries, including Egypt, there are different cultural, political, and religious factors that have contributed significantly to the manner that the society views and treats women’s bodies and sexuality. As a result, it is difficult to provide solid data and information to guide policymakers, policies, and to implement awareness and preventive programs. This thesis sought to address this gap by conducting a study looking at the intersectionality of women’s access to sexual and reproductive health services and information in Ismailia, Egypt. Methods: The relevant information was collected using qualitative methods. Semi-structured interviews were conducted with twelve married women and two key informant interviews with health professionals in the study area. Results: Intersectional theory was used to critically examine the various interacting factors such as gender, patriarchy, economic disadvantages, and other discriminatory systems that that can undermine women’s access to SRH information and services. The study revealed that married women suffer from the lack of access to proper SRH services and information. Conclusion: Married women’s experiences of accessing SRH services and information were affected by different intersecting factors. These factors are socio-economic, policy, cultural norms, power structure contexts, and privilege structures, and religious institutions. Recommendations were drafted to add more information and evidence related to Egyptian women and their SRH rights.
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Masheke, Kaimba Christine Kufanga. "Towards an Understanding of Heterosexual Risk-Taking Behaviour Among Adolescents in Lusaka Zambia." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25125.
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This thesis investigates the underlying factors behind sexual risk-taking and non-risk-taking behavior with regard to Sexual Reproductive Health (SRH) among adolescents in Lusaka, Zambia. The Qualitative Approach was used for data collection and analysis and using the theory of Social Construction, the author explains how different contexts and aspects in the Zambian Society, that is Traditional, Socio-economic, Political, etc., influence the sexuality or sexual behavior of young people in Zambia. Hermeneutics was used to interpret the meanings in the texts/transcripts acquired through data collection and from the author’s knowledge and understanding of the Zambian historical and cultural contexts within which the participants of the research were constructed. Max Weber’s Ideal Type concept was also used to explain that each young individual’s sexual behavior is uniquely constructed by societal aspects. It explains how that the discourses of these different aspects of society impact on young people individually causing them to be either Sexually Risk-taking or Non Sexually Risk-taking. Either tendency depends on whether the societal aspect that has most the dominating influence on a given individual's life is a Power factor (causing them to rationally think their way into Non Sexually Risk-taking behavior) or a Risk factor(causing them to rationally think their way into Sexually Risk-taking behavior). The author of this thesis introduces a new Model for Social Construction of Adolescent Sexuality with regard to Risk-taking. She uses it to explain how it is either power factors or risk factors that can have a greater impact on an individual's thinking, causing them to have either sexual risk-taking or non-sexual risk-taking behavior. The author concludes that the extent to which unsafe sex among the Zambian adolescents constitutes a product of interacting and/or main discourses in relation to mainly Traditional aspect risk factors, varies from person to person depending on the strength of given risk factors over any power factors that may be at play in an individual's life.
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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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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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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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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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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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Hellge, Sophie. "Association between Community Group Membership and Justification of Physical Intimate Partner Violence among Women in Bolivia – a Cross Sectional Study." Thesis, Uppsala universitet, Internationell mödra- och barnhälsovård (IMCH), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-446860.
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Aim: The aim of this study was to broaden the understanding of the role of communitygroups in the prevention of intimate partner violence (IPV) in Bolivia. Therefore, this work assessed the connection between community group membership and the justification ofphysical IPV among women in Bolivia. IPV justification was chosen as an outcome, as it is strongly correlated to IPV experience. Methods: Data from a quantitative survey by the World Values Survey involving 988 womenin Bolivia was used for the analysis. To assess possible confounders, bivariate analysis was conducted. Logistic regression analysis between women’s community group membership andtheir justification of physical IPV has been performed. Results: The results indicate that 19.6% of women in Bolivia partly or always justify IPV.There has not been a significant association between community group membership and IPVjustification. The factors that were significantly associated to IPV justification in the final model were age and educational level of the women. Women aged 50 + had lower odds ofjustifying physical IPV than women aged 18-29 (OR 0.59, 95% CI: 0.35-0.97, p= <0.05). Similarly, women in the highest educational group had lower odds of justifying IPVcompared to women in the lowest educational group (OR 0.63, 95% CI: 0.41-0.98, p= <0.05). Conclusion: The association between community group membership and IPV justification inthis study was insignificant. This could be due to limitations in the study design. Futureresearch in the area should conduct studies with focus on different types of community groups singularly.
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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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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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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 JANEIROCONSELHO 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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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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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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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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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 hÃMulheres cegas tem baixa oferta de material educativo em saÃde. Manual educativo acessÃvel à 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 Cearà 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 (prà e pÃs teste). Na segunda etapa, aplicou-se o instrumento (prà 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  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 prà 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 prà 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 prà 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 prà 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 à 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 Cearà 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 (prà e pÃs teste). Na segunda etapa, aplicou-se o instrumento (prà 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  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 prà 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 prà 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 prà 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 prà 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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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.
Full textAbstract:
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.
25
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.
Full textAbstract:
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.
26
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/.
Full textAbstract:
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.
27
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.
Full textAbstract:
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.
28
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.
Full textAbstract:
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
29
Sheehy, Grace. "A Reproductive Health Needs Assessment in Peri-Urban Yangon, Myanmar." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32785.
Full textAbstract:
The 2010 elections in Myanmar installed the country’s first civilian-elected government in more than 50 years, and subsequent growth and change have been rapid. However, reproductive health indicators are generally poor and reflect significant regional and geographic disparities. Rural populations are increasingly migrating to urban centers, like Yangon, in search of better economic opportunities and in response to persistent conflict. Many are settling in peri-urban Yangon, a dynamic series of townships characterized by poor infrastructure, slums, and a highly mobile population. However, very little is known about the reproductive health needs of this population. This study was designed to identify the reproductive health needs of women in peri-urban Yangon, and to understand better current practices, available services, and potential avenues for improvement. My research focused on delivery care, contraception, abortion, and post-abortion care. Using a multi-methods approach, and standard qualitative analytic techniques, I identified significant unmet reproductive health needs in peri-urban Yangon. The findings suggest that reproductive health services are often available but inaccessible. Findings demonstrate considerable misinformation, common and unsafe practices surrounding abortion and delivery, and a dearth of comprehensive sexual and reproductive health services for adolescent and unmarried populations.
30
Nyemba, Dorothy Chiwoniso. "Determinants of voluntary or coerced sexual debut among Black African female adolescents in Soweto, South Africa: Findings from The Birth to Twenty Plus cohort study." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28068.
Full textAbstract:
Early sexual debut whether voluntary or coerced increases exposure to high risk sex which leads to unplanned pregnancy, sexually transmitted infections including HIV and reproductive heal th problems during adolescence. This study aim s to examine the risk factors for age of sexual debut, either voluntary or coerced among Black African female adolescents from the Birth to Twenty cohort study in Soweto, South Africa . Part A is the study protocol which outlines the rationale for conducting this study , study aim, research methodology, analysis plan and ethical considerations. Part B forms the literature review which gives a summary of the existing literature and provides context for the dissertation. The objectives of the literature review were to identify published literature on determinants of either voluntary or coerced sexual debut in adolescents and identify gaps for further research. Part C is the manuscript presenting the results and discussion on the implications of key findings. The results showed that there are many Black African female adolescents who are engaging in early sexual debut and there is prevalenc e of coerced sexual debut among adolescents of similar age. Socio-economic status and maternal education were found to be significantly associated with coerced sexual debut. There is a need for interventions to delay sexual debut among young female adolescents from low socio-economic backgrounds and lower maternal education.
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Thor, Thorvardarson Haukur. "Fatique or Failure : An Investigation Into Youth-Centric Sexual and Reproductive Health Program." Thesis, Södertörn University College, School of Life Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-1278.
Full textAbstract:
Today there is increasing pressure on NGOs in Tanzania who are working with sexual and reproductive health programs (SRHP) from foreign donors because the HIV/AIDS epidemic has taken on emergency proportions. The risk of increasing interference into the policy shaping of domestic SRHP is that the programs lose their
local relevance as they get too involved in pleasing foreign donor agendas in order to ensure donor funding. The aim of this study is to analyze the cooperation of The Tanzanian Family Planning Association (UMATI) UMATI and The Swedish Association for Sexuality Education (RFSU), who have jointly worked together to form the project Young Men as Equal Partners (YMEP). I argue that the YMEP project has failed to meet the needs of the adolescents with the peer-to-peer
methodology as the needs of the adolescents are not being met. The reasons for this are twofold: the Eurocentric post-colonialist nature of the project planning and the local exclusion of adolescents in the project planning process as their sexual and reproductive rights are not being addressed in formal or informal education programs because of traditionalist values. This 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 a literature review wherein empirical results from both individual and group interviews will be compared
to other theoretical views. The conclusion of this study is that adolescents must be incorporated into the NGO programs as well as other stakeholders as this will perhaps challenge their traditionalist values and produce a sustainable behavioral change that will improve the sexual and reproductive health of adolescents in The United
Republic of Tanzania.
32
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.
Full textAbstract:
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.
33
Wexler, Adam. "Social franchising and the efficiency of sexual and reproductive health care in India." CONNECT TO ELECTRONIC THESIS, 2008. http://hdl.handle.net/1961/6998.
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Sobiech, Kathleen L. "Unmet Need for Sexual and Reproductive Health Services| Results from the 2013 Liberia Demographic and Health Survey." Thesis, Indiana University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10605446.
Full textAbstract:
Although the association between poor sexual and reproductive health (SRH) and sociodemographic indicators has been explored in many resource-poor settings, limited information exists specific to Liberia. The two studies in this document seek to describe unmet need for SRH services using three critical indicators of SRH services: knowledge of HIV status (sexual health); use of skilled provider for antenatal care and delivery (reproductive health); and use of modern contraception when there is a desire to limit or space reproduction (family planning). Data from Liberia’s 2013 Demographic and Health Survey (LDHS) was used to summarize individual-level profiles according to key sociodemographic and sexual health characteristics for sexually active women and men aged 15-49 (Nwomen=7,787; Nmen=3,426). Frequency distributions from log-binomial regressions show the prevalence of unmet need for sexual health services for women is 51.9% and 72.8% for men; 39.7% for reproductive services (women only); and prevalence of unmet need for family planning is 70.7% for women and 76.1% for men. Results show wide disparities in unmet need for sexual health services by wealth and educational attainment for both men and women. Differences in unmet need for reproductive services were disparate based on educational attainment, wealth, and urban/rural residence. Although the unmet need for family planning is high, the disparities among subgroups is not as dramatic as other unmet needs. Results indicate the need to evaluate the gaps between national policy and service utilization with special attention to subgroups with a high-burden of unmet need.
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Shaluhiyah, Zahroh. "Sexual lifestyles and interaction of university students in central Java, Indonesia and their implications for sexual and reproductive health." Thesis, University of Exeter, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.430571.
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Iwami, Michiyo. "Sexual and reproductive health care development and participation in Peru : the role of CLAS." Thesis, University of Warwick, 2008. http://wrap.warwick.ac.uk/1089/.
Full textAbstract:
This study aims to analyse policy and political processes at multiple levels, and examine the consequences for Sexual and Reproductive Health (SRH) care development arising from the engagement of a participatory movement in Peru. I used Associations of Local Community of Health Administration (CLAS) as a core organisation for Peru’s major participatory model at local level. With policy makers, NGOs, health workers and (potential) service users, I explored factors that facilitated/prevented women’s participation in decision-making mechanisms and health practices. I employed a case study and multi-disciplinary approach at national, regional and local levels, focused upon women from multiple aspects in Andean Peru. I studied rural, periurban CLAS and non-CLAS models to compare across the case studies. I conducted semi-structured in-depth interviews with 116 respondents, unstructured observation, and documentary analysis in 2004. My analytical frameworks focused upon: ‘policy content’, ‘context’, ‘actors’, ‘process’, ‘patterns of participation’, and ‘outcomes and impacts’. Political, economic, legal and technical were identified which reflected the stagnant state of the development of SRH and CLAS policies. The central policy focuses on a narrow sense of SRH care, and neglects Reproductive Tract Infections (RTIs). Central government’s weak political leadership and stewardship to CLAS policies reflected that personal leadership (e.g. regional health directors) can define the destiny of regional CLAS development. Facilitating factors were led by NGOs and mixed factors were led by donors. CLAS appeared to create favourable conditions/environment for women’s participation in the community. Local respondents in the CLAS system understood the importance of participation to solve local problems compared to their non-CLAS system counterparts. Nevertheless, women in CLAS model had no influence on changes of SRH agenda, despite difficulties in the acquisition of contraceptives and effective RTIs medicines. The following actors must be incorporated into the decision-making and evaluation/feedback mechanisms in CLAS model to achieve more gender, age-gentle, and ethnically-sensitive Local Health Programmes and strengthen a rights- and trust-based approach: women’s Grassroots organisations, Defence Committees of Women’s Rights, Community Health Agents, Committees of Communal Development or Health (CODECOS)/(COSACOS), and traditional health providers. Alternative relationships (e.g. rapprochement) between CLAS and government authorities must be sought.
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Gubert, Fabiane do Amaral. "Report on dialogue of mothers about sexual and reproductive health with their adolescent daughters." Universidade Federal do CearÃ, 2008. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=2513.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorAbstract: Qualitative study having as subject, the communication between mothers and adolescent daughters in the family context. Objectives 1. Know, based on experience with mothers of adolescents, their views and experiences on issues related to gender, sexuality and reproduction, the dialogue between mothers and daughters. 2. Identify the mothers difficulties/ potentialities, with support in their lived experiences.3. Discover the processes of communication between mothers and daughters, made collectively through dialogue, negotiation and argumentation.4. Propose the practice of Health Education as a mediator of communication between mothers and daughters in the family context. Methodology: The social agents of the research were seven mothers of female adolescents, participants from non-governmental organization Acartes, residents in the District of Pirambu in Fortaleza-CE. The theoretical framework used was the Theory of Diversity and Universality of the Care of Madeleine Leininger. Data collection followed the model Observation-Participation Reflection, proposed by Leininger; semi-structured interviews and eleven meetings with the group, addressing the stages of development of the daughters: birth, childhood, puberty and adolescence. The project was submitted and approved by the Ethics Committee of the UFC under Protocol No 17/08. Results: social and cultural factors in the community contribute to the vision of sexuality of women and make difficult the dialogue with their daughters. The early pregnancy is a factor in their story of life, and when they project this fact to their daughters, the pregnancy has already occurred, or report that their daughters are likely to become pregnant early. That experience, the fruit of social development, creates barriers, which, alone, women can not overcome, and what happens is the continuation of a cycle in which the relationship of non-dialogue between mother and daughter are reproduced over the generations. In this reality, many times women, placed in a particular cultural background, have little or no degree of motivation of the family or community. When they remember their experiences of adolescence, feelings such as fear and shame are reported in adulthood and relate these feelings as still present in their lives. In relation to dialogue with their daughters, the argument is used by the pregnancy issue, linking it to the future of these barriers in life. For STD, are little discussed as an argument for prevention, not on explaining signs and symptoms, making the vision of adolescents at the preventive issue. The TV is seen as an area that provides the reasoning and negotiation. Conclusions: The study may prompt a renewed vision in the field of sexual and reproductive health in the family, which considers the relational dimension of sexuality, sex and reproduction, aiming to contribute to the promotion of the dialogue between mother and daughter. The intervention of the nurse as part of the team of Health of the Family through the Health Education helps to improve self-esteem and perception of the womenÂs world, encouraging them to a greater degree of autonomy and power to decide about questions related to sexuality. The reflection of the experiences through the memories of the life cycle can encourage them to think about new projects for their lives and shows that even with difficulties, the dialogue between mothers and daughters can occur, whereas it is never too late to learn
IntroduÃÃo: A saÃde sexual e reprodutiva à fundamental na formaÃÃo de um adulto saudÃvel e, nesta trajetÃria, a famÃlia deve promover a comunicaÃÃo/diÃlogo entre seus integrantes sobre essa temÃtica; no entanto a responsabilidade à concentrada na mÃe que, somada Ãs especificidades do ciclo vital, pode desenvolver processos comunicativos fortalecidos ou conturbados. AlÃm das vulnerabilidades sociais vivenciadas pelas mulheres, as estatÃsticas na Ãrea da saÃde evidenciam a crescente feminizaÃÃo do HIV/aids e aumento dos casos de gravidez precoce, sobretudo nas mulheres mais pobres, jovens e com menor acesso a medidas assistenciais e de PromoÃÃo à SaÃde. A ambigÃidade das mÃes quanto ao seu papel na orientaÃÃo dos filhos, aliada Ãs caracterÃsticas da adolescÃncia, pode dificultar a comunicaÃÃo efetiva sobre sexo, sexualidade e contracepÃÃo. Objetivo: conhecer, com base na vivÃncia com mÃes de adolescentes, suas opiniÃes e experiÃncias acerca de temas ligados a sexo, sexualidade e reproduÃÃo, dialogados entre mÃes e filhas no contexto familiar. Metodologia: Estudo qualitativo, fundamentado na Teoria da Diversidade e Universalidade do Cuidado, de autoria de Madeleine Leininger. Realizou-se o estudo com um grupo de sete mulheres, moradoras do Bairro Pirambu em Fortaleza-CE. A populaÃÃo foi definida por mÃes com filhas adolescentes; integrantes da ONG ACARTES. A coleta de informaÃÃes seguiu o Modelo O-P-R (ObservaÃÃo-ParticipaÃÃo-ReflexÃo) proposto por Leininger, entrevista semi-estruturada e encontros com o grupo, abordando as fases de desenvolvimento das filhas: nascimento, infÃncia, puberdade e adolescÃncia. O projeto foi submetido e aprovado pelo Comità de Ãtica em Pesquisa da Universidade Federal do Cearà âUFC, sob protocolo n 17/08. Resultados: A faixa etÃria das mÃes variou entre 30 e 46 anos. Ao observar o contexto situacional das informantes, percebe-se que as questÃes ligadas aos fatores sociais e culturais contribuem para a visÃo da sexualidade que as mulheres possuem e dificultam o diÃlogo com suas filhas. Quando recordam as experiÃncias das mÃes na puberdade e adolescÃncia, sentimentos como medo e vergonha sÃo relatados. Sobre a argumentaÃÃo com suas filhas, utilizam o tema gravidez, relacionando a futuras barreiras no desenvolvimento social e profissional destas. Em relaÃÃo Ãs DST, essas sÃo pouco discutidas como argumento de prevenÃÃo, e apontadas numa perspectiva de risco à vida, porÃm nÃo esclarecendo muito sobre sinais e sintomas, o que dificulta a visÃo dos adolescentes ante a questÃo preventiva. A TV à vista como espaÃo que propicia a argumentaÃÃo e negociaÃÃo. Nas falas, percebe-se a reproduÃÃo das relaÃÃes de gÃnero: para trÃs informantes, as filhas irÃo aprender sobre sexo e sexualidade quando tiverem um companheiro, principalmente por meio do matrimÃnio. Dentre os discursos, a questÃo religiosa foi citada como um meio de influenciar no modo de viver a sexualidade e retardar o inicio da vida sexual. Outro fator à relativo à falta de motivaÃÃo da famÃlia ou da comunidade. ConclusÃo: Assim, a intervenÃÃo da enfermeira como integrante da equipe de saÃde da famÃlia pode contribuir para a melhoria da auto-estima e percepÃÃo do mundo de mulheres; ou seja, mediante a sistematizaÃÃo de um cuidado sensÃvel Ãs reais necessidades de mÃes e filhas, pode-se fomentar estratÃgias que contribuam para o âempoderamentoâ, incentivando as mulheres a um maior grau de autonomia e poder de decisÃo perante as questÃes sexuais e reprodutivas. Mesmo que muitas vezes todas as vulnerabilidades nÃo possam ser de todo eliminadas e as necessidades superadas na comunidade, as participantes reconhecem a necessidade de aprimorar ou iniciar o diÃlogo junto Ãs filhas adolescentes. Esse sentimento à importante, visto que o reconhecimento e a compreensÃo sobre o contexto no qual estÃo inseridas podem nortear e dar mais resolubilidade Ãs aÃÃes de promoÃÃo à saÃde neste contexto
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Louie, Karly Soohoo. "Sexual and reproductive health risk factors and risk of cervical cancer in developing countries." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2011. http://researchonline.lshtm.ac.uk/1386837/.
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Background: Invasive cervical cancer (ICC) is the second most common cancer among women in developing countries where early age at first sexual intercourse (AFSI) and first pregnancy (AFP) are prevalent events. The epidemiological evidence of how these sexual and reproductive health (SRH) factors impact the natural history of human papillomavirus (HPV) and ICC remain inconclusive. It has been debated that a woman's risk for ICC will depend more on the "high-risk" sexual behaviour of the male partner than of her own behaviour. Passive smoking in the context of couples is unclear. The aim is to study SRH factors in relation to ICC risk in developing countries. Methods: Study 1 evaluated the risk of ICC and its association with AFSI and AFP in a pooled analysis of IARC case-control studies of ICC from eight developing countries. Study 2 assessed these SRH factors and risk of HPV persistence in a population-based natural history cohort study in Guanacaste, Costa Rica. Study 3 characterised the male role in the aetiology of ICC among couples in a pooled analysis of five ICC case-control studies and two cervical carcinoma in situ (CIS) case-control studies. Results: The ICC risk was 2.4-fold among those who reported AFSI and AFP :~a6 years compared with AFSI and AFP ~21 years. Decreasing AFP, not AFSI, was associated with an increased risk of a-year persistence. Lifetime number of sexual partners of the husband was the strongest predictor of CIS and ICC risk. The absence of circumcision was significantly associated with an increased risk of CIS. A 2-fold increased risk of ICC was also found among couples with both ever smoking men and women. These data confirm AFSI and AFP as risk factors for ICC, but any independent effects could not be distinguished. The association of AFP with HPV persistence suggests that AFP may play a more relevant role in cervical carcinogenesis. The combined effects of exposure to active and passive smoking suggest its potential adverse role in cervical carcinogenesis.
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Chikovore, Jeremiah. "Gender power dynamics in sexual and reproductive health. A qualitative study in Chiredzi District, Zimbabwe." Doctoral thesis, Umeå universitet, Epidemiologi och folkhälsovetenskap, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-202.
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This thesis presents perspectives of men regarding abortion, contraceptive use and sexuality. Contrary to what we had expected, men expressed anxiety over abortion and contraceptive use, not because the issues concerned women’s health, but rather because men associated them with extramarital sexual activity they thought women were concealing. To understand the meanings of sexuality and factors shaping these meanings appeared to be a necessary step in promoting women’s health. We thus included in the study participants with different characteristics including men, women and adolescents, and used a variety of qualitative methods to explore in-depth these issues. Men’s anxiety over wives’ sexuality seemed to be exacerbated by their separation from the family through labour migration, and their inability to play the expected role of the family breadwinner. The men described using different strategies to ensure their wives did not use contraceptives. Men’s perspectives and the related dynamics seem therefore to be a manifestation of contradictory experiences of gender power within contexts of spousal separation. The thesis also illuminates the paradoxical situation of adolescents and adolescent sexual and reproductive health. As guardians, the men described how they are intolerant to premarital sex and pregnancy, which might threaten the expected bride wealth from the marriage of a daughter or sister. They therefore respond with violence. Ironically, information or service which would enable unmarried girls to prevent pregnancy is also denied. This is so in spite of the great concern by families over premarital pregnancy, and common knowledge that young girls are sexually abused by adult men. The men and boys described the pressure they exert on the girls for sex, but also how they then blame the girls for deliberately becoming pregnant in order to trap them into marriage. The boys are nevertheless anxious about pregnancy also for fear of family violence and the threat of being forced to terminate schooling. The girls expressed feeling trapped between the violence from guardians and partners, a situation which may lead to unsafe abortion. The silence, denial and violence imply the young people generally cannot discuss sexual abuse or abortion with parents, or seek health care when needed. Rather, sexually transmitted infections may be ndured or even self-treated, and abortion sought in silence. Preventive actions such as condom use are similarly difficult for the youth. The knowledge the youth may have about AIDS may also simply become a burden when room for applying it is limited. This thesis challenges public health promotion approaches that assume firstly a universal manifestation of gender power, and secondly ability of individuals to effect behaviour change once provided with information regardless of contextual factors. Whether in AIDS education or involvement of men in sexual and reproductive health, understanding social contexts and dynamics, and identities and experiences within these contexts is crucial.
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Borges, Ana Luiza Vilela. ""Adolescência e vida sexual: análise do início da vida sexual de adolescentes residentes na zona leste do município de São Paulo"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/6/6136/tde-15042005-112703/.
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Homens e mulheres têm iniciado sua vida sexual, em grande parte, na adolescência e de formas um tanto diferenciadas. As práticas sexuais, nessa fase, têm sido descritas como dinâmicas e em constantes transformações, sendo que seus perfis podem acarretar impacto importante na vida reprodutiva dos adolescentes. Com o intuito de analisar o início da vida sexual de adolescentes, foram realizadas entrevistas domiciliárias com 383 homens e mulheres, não unidos, de 15 a 19 anos de idade, matriculados em uma unidade básica de saúde da família da zona leste do município de São Paulo, correspondendo a uma amostra representativa dos indivíduos deste grupo etário. A análise de regressão logística múltipla identificou como variáveis associadas ao início da vida sexual de adolescentes do sexo masculino a idade, a situação de estudo, a idade materna no primeiro filho, a concordância materna de que adolescentes tenham vida sexual, o fato de que o pai gostaria que seu filho iniciasse a vida sexual independentemente do casamento, o namoro anterior e o namoro atual. Por sua vez, as variáveis associadas ao início da vida sexual entre adolescentes do sexo feminino foram a idade, o tipo de domicílio, o namoro anterior, o namoro atual e a presença de irmão(ã) que tenha vivenciado uma gestação previamente à união. Entre os 164 adolescentes com experiência sexual, foi observada uma convergência na idade em que homens e mulheres tiveram a primeira relação sexual (mediana de 15 anos). No entanto, mesmo que a primeira relação sexual tenha ocorrido em idades similares e igualmente sem planejamento prévio, aspectos importantes do comportamento sexual diferiram entre os adolescentes e deveriam ser lembrados na assistência e promoção de sua saúde reprodutiva e sexual. Assim, as mulheres relataram ter iniciado a vida sexual, principalmente, porque estavam apaixonadas pelo parceiro, que foi, com maior freqüência, seu namorado. Por outro lado, os homens iniciaram sua vida sexual em relacionamentos ocasionais e justificaram como motivação a atração física. A prática contraceptiva foi deixada de lado por 41,5% dos homens e 31,7% das mulheres. Desta forma, os resultados indicaram que os diferenciais de gênero estiveram presentes em todo o processo de iniciação sexual e, ainda, os fatores individuais, tais como o namoro e a idade, e os fatores familiares, tais como os valores e atitudes dos pais e mães acerca da sexualidade, foram marcantes na iniciação sexual dos adolescentes.Women and men initiate their sexual life in different ways mainly during adolescence. Sexual practices in youth have been described as dynamic and in constant transformation, though its profile should be considered as having an impact in reproductive health. This study aimed to analyse associated factors to the onset of sexual life and to describe the first sexual relationship. Therefore, 383 fifteen to nineteen year-old single males and females enrolled in a family health unit from the east area of the city of São Paulo were interviewed at home. From multiple logistic regression analysis, data showed that associated variables to the onset of sexual life in males were age, schooling insertion, maternal age at first delivery, maternal acceptance that adolescents engage in sexual practices, paternal opinion that son should have the first intercourse independently from a marriage, previous and current dating. On the other hand, associated variables among females were age, house affording, previous and current dating and the presence of a single sibling who had already faced a pregnancy. Among the 164 adolescents who had sexual experience, a convergence in the age males and females initiated their sexual life (median at 15) was observed. Even though the first intercourse occurred at the same age and without planning, important aspects of the sexual behaviour differed between males and females and ought to be taken into consideration in their reproductive and sexual health promotion. Girls said they had the first intercourse because they were in love and it thus occurred majority with a boyfriend. Boys had their first intercourse mainly in occasional relationships and because of physical attraction. Contraceptive practice was observed in 58,5% of the boys and 68,3% of the girls. The results indicated that gender differences were present at the whole sexual initiation process and that individual factors, such as dating and age, and familial factors, such as parents attitudes towards sexuality, were determinants for the sexual initiation of these adolescents.
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Crich, Laura. "Exploring Syrian Refugee Women’s Sexual and Reproductive Health Experiences: A Multi-Methods Qualitative Study in Ottawa, Ontario." Thesis, Université d'Ottawa / University of Ottawa, 2021. http://hdl.handle.net/10393/42597.
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Since 2015 Canada has welcomed 44,620 Syrian refugees. The research on Syrian refugees in Canada has mainly focused on their immediate health needs, communicable diseases, and chronic illnesses. Aside from maternal health, the sexual and reproductive health (SRH) needs of Syrian refugee women is undocumented in Canada. To address this gap in the literature we conducted a qualitative study in Ottawa, Ontario that involved in-depth interviews with Syrian refugee women and individuals who provide health services to them.
When accessing SRH services Syrian women identified a preference for women providers, faced difficulty adjusting to societal norms during the perinatal period, felt that contraception counselling was not culturally informed, and struggled with their maternal mental health. Key informants mainly echoed these findings and expressed a need for more cultural competency/humility training, interpretation services, and trauma-informed counselling. The path to improving SRH services for Syrian women is complex, but highly warranted.
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Maness, Sarah Britney. "Associations between Social Determinants of Health and Adolescent Pregnancy: An Analysis of Data from the National Longitudinal Study of Adolescent to Adult Health." Scholar Commons, 2015. http://scholarcommons.usf.edu/etd/5848.
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This dissertation study utilized the National Longitudinal Study of Adolescent to Adult Health to analyze empirical relationships between social determinants of health and adolescent pregnancy. Although rates of adolescent pregnancy are at an all-time low in the United States, disparities persist. Examining relationships between the social determinants of health and adolescent pregnancy provides support for funding and interventions that expand on the current focus of individual and interpersonal level factors. Based on the Healthy People 2020 Social Determinants of Health Framework, proxy measures for social determinants of health were identified within the Add Health study and analyzed in relationship with adolescent pregnancy. Results indicated that six of 17 measures of social determinants of health had an empirical relationship with adolescent pregnancy. These measures included the following: feeling close to others at school, receipt of high school diploma, enrollment in higher education, participation in volunteering or community service, litter or trash in the neighborhood environment, and living in a two parent home. The results of this study can inform future research, allocation of funds and interventions based on social determinants of health that show an association with adolescent pregnancy.
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Jimmy-Gama, Dixon. "An assessment of the capacity of faculty-based youth friendly reproductive health services to promote sexual and reproductive health among unmarried adolescents : evidence from rural Malawi." Thesis, Queen Margaret University, 2009. https://eresearch.qmu.ac.uk/handle/20.500.12289/7456.
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Despite the recognition of the influence of cultural norms on adolescent sexual behaviours in most societies (Kaler 2004; Chege 2005), less attention has been paid to the link between social norms and effectiveness of health facilities to promote adolescent sexual and reproductive health (ASRH). This thesis therefore examines the capacity of facilitybased youth-friendly reproductive health services (YFRHS) to promote ASRH in rural Malawian societies where culture strongly influences adolescent sexual behaviours. The study employs a social constructionist epistemology and a social interactionism theory to understand the capacity of YFRHS in ASRH promotion in rural Malawi. Qualitative and quantitative data were collected using a sequential exploratory design. Semi-structured in-depth interviews, participant observations, client exit interviews, survey, focus group discussions and review of health strategic and service utilisation documents/records were conducted. The results were generated by triangulating both qualitative and quantitative data. The findings of the study illuminate how social norms related to social identities influence adolescent sexual behaviours and ASRH promotion. An exploration of the cultural context reveals a major disjuncture between an ideal norm - no premarital sex - and a modelled norm where unmarried adolescents are expected to engage in unsafe sex. It also shows the conflicts between the cultural and scientific models of ASRH promotion. Structural gender asymmetry that emphasises subservience in females and hegemonic masculinity also reduces adolescents’ rights and agency in SRH promotion. The health providers are cultural agents. They manage diverse roles both as ‘moral guardians’ and as ‘health promoters’ in a way that limits their effectiveness as health promoters. The thesis concludes that the way facility-based YFRHS is implemented has limited impact on SRH promotion among unmarried adolescents of rural Malawi. The study recommends that appropriate health promotion interventions based on conscientisationoriented empowerment theories directed at adolescents, community and health workers should be used in ASRH promotion in societies with strong cultural influence on sexual behaviours.
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Sharma, Richa. "Decision Making and Role Playing: Young Married Women's Sexual and Reproductive Health in Ahmedabad, India." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/20712.
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This MA thesis examines the decision-making capacity of young women married during adolescence within the context of their sexual and reproductive health in an urban ghetto in the city of Ahmedabad, India. Specifically, the development literature on married female adolescents (MFAs) is characterized by negative health indicators such as higher rates of unwanted pregnancies, reproductive tract infections, sexually transmitted diseases, high infant and maternal mortality and morbidity coupled with the phenomenon of early marriage, poverty and an overall lower social status. The result is a disempowering discourse that constructs and presents them as powerless victims who lack any decision-making capacity and are perpetually oppressed. This research is an effort to move the discussions of “Other third world women” outside the realm of victimization by challenging and destabilizing this disempowering, hegemonic discourse. We must ask what does decision making look like for these women, as exercised within the context of their sexual and reproductive health. This qualitative analysis is informed by primary research through focus groups and semi-structured interviews with young married women, and was conducted with the help of a local NGO, Mahila Patchwork Co-operative Society. The study provides insights on the young married women’s participation and role in determining their own health outcomes (negative and positive) to better inform programs and services offered by the community NGOs.
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Kemp, Julia Rachel. "A study of the sexual behaviour and reproductive health of adolescent girls in southeast Nigeria." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490844.
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Kemp, Julia Rachel. "A study of the sexual behaviour and reproductive health of adolescent girls on southeast Nigeria." Thesis, University of Liverpool, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367825.
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Oronje, Rose Ndakala. "Understanding the drivers of change in sexual and reproductive health policy and legislation in Kenya." Thesis, University of Sussex, 2013. http://sro.sussex.ac.uk/id/eprint/46469/.
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The thesis explored the drivers and inhibitors of change in sexual and reproductive health (SRH) policy and legislation in Kenya. The overall purpose was to contribute to the limited knowledge on national-level debates that shape how developing countries adapt the SRH agenda, which originated from international processes. The thesis explains how and why some SRH reforms have been realised in Kenya amid contention, while others have been blocked. Guided by a synthesis conceptual framework that emphasised the central role of discursive power in decision-making, the thesis adopted a qualitative case-study design enriched with various anthropological concepts. Three case-studies (two bureaucratic, i.e. adolescent RH policy and national RH policy, and one legislative, i.e. sexual offences law) were deconstructed. Data collection involved semi-structured in-depth interviews with policy actors, observations and note-taking in meetings, and document review. Findings revealed that four influential narratives of SRH – the moral narrative, cultural narrative, medical narrative (with two variations i.e. ‘moralised' versus ‘comprehensive' medical narratives), and human rights narrative – underpinned by conflicting actor interests, mediated the interplay of actor networks, knowledge, context and institutions to determine reforms. The findings revealed that the strong entrenchment of the moral and cultural narratives in the Kenyan context (mainly public structures and institutions) was a major barrier to reforms on contested SRH issues. Even then, the hegemonic narratives were in some cases unsettled to make reforms possible. The most important factors in unsettling the hegemonic narratives to facilitate reforms included: a change in the political context that brought in new political actors supportive of reforms, the presence of knowledgeable and charismatic issue champions within political and bureaucratic institutions, the availability of compelling knowledge (scientific or lay) on an issue, sustained evidence-informed advocacy by civil society/non-governmental organisations, donor pressure, and reduced political costs (for politicians and bureaucrats) for supporting reforms. The main contribution of the thesis is three-fold. First, the thesis captures the disconnect between international SRH agreements and national-level realities, showing the need for international actors to consider national-level realities that shape decision-making. Second, its findings provide lessons for informing future SRH reform efforts in Kenya and in other sub-Saharan African countries. Third, its analysis of discursive power contributes to a major theoretical gap in health systems research in developing countries identified as lack of critical analysis of power in decision-making.
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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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Godia, Pamela. "Sexual reproductive health service provision to young people in Kenya : what is the best model?" Thesis, University of Liverpool, 2012. http://livrepository.liverpool.ac.uk/5873/.
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Background: Young people are a demographic force and their sexual and reproductive health (SRH) has become an area of focus for many national governments in both developed and developing countries. Addressing the SRH problems of young people is essential for the social and economic development of any nation and presents an opportunity for building human capital, respecting human rights and alleviating the intergeneration cycle of poverty across societies. Aim: This study aimed at firstly exploring experiences and perceptions of young people aged 10-24, community members, health service providers (HSP), programme managers and policy makers on the SRH problems of young people and available SRH services. Secondly, the study sought to explore the different models of SRH service provision and, through a stakeholder consultative process, develop an SRH service delivery model for young people in Kenya. The development of the model was also informed by findings from literature review on ASRH interventions and components of models of health service delivery. Methodology: This was a qualitative study which took a social constructionism approach. The study took place in four areas, Nairobi city and three district hospitals (Laikipia, Meru central, and Kirinyaga). Data was collected from a total of 8 health facilities, 5 integrated facilities and three youth centres, using focus group discussions (FGDs) and in-depth interviews (IDIs). 18 FGDs and 39 IDIs were conducted with young people; 10 FGDs with community members; 19 IDIs with health service providers; and 11 IDIs with facility managers and programme managers. Interviews were tape recorded and transcribed. With the assistance of NVIVO8 data was coded and analysed using the thematic framework approach. Results: Young people’s perceptions of available SRH services show variations between boys and girls with regards to the model of service delivery. Young girls seeking ANC and FP services at integrated facilities characterised the available services as good. On the contrary, boys indicated that SRH services at integrated facilities have been designed for women and children, and so they felt uncomfortable seeking services from these facilities. Apart from receiving SRH services at youth centres, young people place emphasis on the non-health benefits they personally receive from youth centres such as preventing idleness, confidence building, information gap-bridging, improving interpersonal communication skills, vocational training and facilitating career progression. Majority of community members are not aware of the SRH services available at the health facilities even in areas where youth centres are present. Community members approve of young people receiving services which they feel are educative and preventive in nature and disapprove of services which they feel encourage young people to engage in sexual activity such as promotion of contraceptives. HSP report not being competent in adolescent counselling, facing a dilemma and not being comfortable with providing SRH services to young people. HSP also report being torn between their personal feelings, cultural norms and values and respecting young people’s right to accessing SRH services. Broadly two models of SRH services are examined in this study; the integrated model and youth centres. Youth centres can either be facility-based or community-based. The findings presented in this study do not point to one single model as the best SRH service provision model as each have their own strengths and weaknesses. However, both models face implementation challenges which include: a weak monitoring and supervisory system, weak linkages with other government line ministries and departments and heavy reliance on donor funding. Specific to facility-based youth centres implementation challenges include: lack of ownership and support by district managers, being seen as parallel health structures and conflicts of interest in youth centre utilization between district managers and young people. Although the youth centre is reported as the preferred model by some young people and healthcare providers, its sustainability is not guaranteed. Moreover, the range of services it’s able to provide is limited due to deficiencies in staffing, supplies and equipments. Conclusion: Addressing the SRH problems of young people in Kenya remain a big challenge for the health sector. Although some progress has been made with regards to creating a friendly policy environment for SRH service provision, the major drawback lies in implementation of these policies. This study recommends a multi-component SRH service delivery model with six core services, a strong support structure onto which to anchor service delivery and linkages to existing government systems and processes to enhance sustainability. This is the first study to be conducted in Kenya using qualitative methodology and result in the development of a SRH service delivery model for young people after triangulation of views and experiences of young people themselves, community members, health care providers, programme managers and policy makers.
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Maree, Amanda. "Measuring customer satisfaction with sexual reproductive health service delivery at township healthcare facilities using the servqual model." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/95587.
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Thesis (MBA)--Stellenbosch University, 2012.ENGLISH ABSTRACT: Providing quality primary healthcare services in a scarce resource environment in South Africa is a challenge. This is exacerbated by segments of the population experiencing high unemployment and extreme poverty leading to a prevalence of diseases such as HIV/Aids and Tuberculosis. Long queues and staff shortages have led to the Department of Health decentralising the primary healthcare system into district facilities, with the intention of offering greater access to equitable healthcare for all South Africans. Sexual reproductive health falls under the category of primary healthcare and is a specialised function, often carried out by inadequately trained providers using quota systems, who consider this essential service to be a low priority. The area of sexual reproductive health includes termination of pregnancy, contraception, treatment of sexually transmitted infections and cancer screening. Although termination of pregnancy is legal in South Africa, reluctance on the part of service providers to offer this service, due to conscientious objection has created a shortage of safe, legal healthcare facilities. In an effort to provide these life-saving services, non-governmental organisations are attempting to fill the service delivery shortfall. With the assistance of international donor funding, Marie Stopes South Africa has established a number of sexual reproductive healthcare facilities in townships in Gauteng and KwaZulu Natal. These services take place from basic structures located within communities most in need of healthcare, and offer a range of sexual reproductive health services at low cost to men and women of reproductive age. As the operational focus is on provision of services otherwise not available, the organisation has not measured the levels of customer satisfaction adequately to date. Due to the preventative and potentially life-saving nature of these services, improved customer satisfaction levels could, through word of mouth advertising and customer retention, increase the use of these facilities by community members, reduce numbers of unplanned pregnancies, and ultimately contribute to a decrease in the incidence of maternal mortality due to unsafe abortions. In this study, the SERVQUAL instrument will measure the gap between customer expectations prior to services received, and perceptions of the services post-delivery, in order to establish the current service quality gaps in township healthcare facilities. Management of the organisation will use this information to implement actions to improve customer satisfaction and monitor the impact of these actions, with the aim of increasing positive word-of-mouth advertising, leading to greater use of services and ultimately the long-term sustainability of the facilities.