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1
Gill-Atkinson, Liz, Cathy Vaughan, and Hennie Williams. "Sexual and reproductive health and philanthropic funding in Australia." Sexual Health 11, no. 4 (2014): 298. http://dx.doi.org/10.1071/sh13204.
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Background Australia’s philanthropic sector is growing and could support efforts to improve sexual and reproductive health (SRH). However, philanthropy is often misunderstood in Australia and there is limited evidence of philanthropic support for SRH initiatives. Methods: We aimed to understand the barriers and facilitators to philanthropic funding of SRH initiatives in Australia. A qualitative approach was used and involved 13 in-depth interviews with professionals from the philanthropic sector, and from organisations and services involved in SRH. Results: Barriers to organisations in seeking philanthropic funding for SRH activities included insufficient resources for writing grant applications and the small financial value of philanthropic grants. Facilitators to seeking philanthropic funding for SRH included a perception that government funding is shrinking and that philanthropic research grants are less competitive than government grants. Philanthropic participants identified that barriers to funding SRH include the sensitive nature of SRH and the perceived conservative nature of philanthropy. Facilitators identified by these participants in supporting SRH initiatives included networking and relationships between grant-makers and grant-seekers. All participants agreed that philanthropy does and could have a role in funding SRH in Australia. Conclusions: The findings of this research suggest that barriers to philanthropic funding for SRH in Australia exist for organisations attempting to access philanthropic funding. Philanthropic organisations could provide more financial support to Australian SRH service providers, as happens in countries such as the United States and United Kingdom. Addressing these barriers and promoting the facilitators could lead to increased awareness of SRH by Australia’s philanthropic sector.
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Ngwibete, Atenchong, Olayinka Oladunjoye Ogunbode, Mobhe Agbada Mangalu, and Akinyinka Omigbodun. "Displaced Women and Sexual and Reproductive Health Services: Exploring Challenges Women With Sexual and Reproductive Health Face in Displaced Camps of Nigeria." Journal of Education and Community Health 10, no. 3 (September 30, 2023): 162–72. http://dx.doi.org/10.34172/jech.2612.
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Background: Displaced women are affected by sexual and reproductive health (SRH) challenges, often exacerbated by poor living conditions, limited access to healthcare, and cultural norms. The aim of this study was to explore SRH issues, the effects of displacement into camps on women’s SRH, and challenges with accessing and utilizing SRH services among women in camps for the displaced in Benue State, Nigeria. Methods: A qualitative phenomenological approach was employed to gain an in-depth understanding of the women’s SRH challenges, based on 12 focus group discussions between women of different age groups and eight in-depth interviews. The data were collected using tape recorders and notes. Data analysis followed a thematic approach. Ethical approval and appropriate consent were obtained for the study. Results: The majority of research participants stated that sexually transmitted disease/human immunodeficiency virus was the most serious SRH issue in the camp. Their stay in camp enhanced the women’s vulnerability and exposed them to sex in exchange for basic needs/palliatives, increasing their SRH challenges. Access to and use of SRH services were impacted by their migratory lifestyle, cultural and religious views, lack of SRH knowledge, and other difficulties. Short-term approaches to intervention, health providers’ poor communication, and attitudes were reported to affect SRH service use. Conclusion: There is an urgent need for comprehensive interventions to address SRH challenges among women in displaced settings, including proper coordination of humanitarian services, education on transactional sex, encouragement of men to participate in SRH initiatives, and expansion of access to services, as well as the training and hiring of culturally competent healthcare providers.
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Murungi, Tom, Deo Benyumiza, Juliet Apio, Catherine Nekesa, Aisha Nalubuuka, Ivan Misuk, and Edward Kumakech. "Factors Associated with Utilization of Sexual and Reproductive Health Services among the Youth in Lira City West, Northern Uganda: A Cross-Sectional Study." BioMed Research International 2023 (May 18, 2023): 1–8. http://dx.doi.org/10.1155/2023/9649792.
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Background. The youth in Uganda, as in much of sub-Saharan Africa, face numerous sexual and reproductive health (SRH) challenges, from human immunodeficiency virus HIV infection, and unsafe abortions to unwanted pregnancies. This study, therefore, assessed the utilization of sexual and reproductive health services and associated factors among the youth in Lira city west, northern Uganda. Methods. This was a cross-sectional study conducted in January 2023 among 386 young people (15-24 years) in Lira city west division, Lira city. Multistage cluster sampling technique was used to recruit our study participants. Data were collected using an interviewer-administered questionnaire. Data were analyzed using SPSS version 23, descriptive statistics, cross-tabulation, bivariate, and multivariate logistic regression analyses. All variables were set by p values less than 0.05 and reported adjusted odds ratio with its 95% confidence interval. Results. The utilization of SRH services was 42.0% (162/386) among the study participants. Family planning, voluntary HIV counseling and testing (VCT), and general counseling services were the most utilized SRH services in the past 12 months. Young people who were aware of SRH services (AOR: 0.24; 95% CI: 0.08-0.74), were aware of a reproductive health facility (AOR, 4.24; 95% CI: 1.62-11.09), discussed SRH issues with peers/friends (AOR, 3.98; 95% CI: 1.53-10.33), had a sexual partner (AOR, 10.00; 95% CI: 4.05-24.69), had sexual intercourse (AOR, 4.59; 95% CI: 2.18-9.69), and had access to SRH services (AOR, 2.68; 95% CI: 1.12-6.40) were more likely to utilize SRH services compared to their counterparts. Conclusion. This study showed a low utilization of sexual and reproductive health services among youth in Lira city west, northern Uganda. Being aware of SRH services, awareness of reproductive health facilities, discussing SRH issues with peers, having sexual intercourse, having a sexual partner, and access to SRH services were independently associated with the utilization of SRH services. Therefore, there is a need to strengthen sustainable multisector approaches aimed at improving awareness and access to sexual and reproductive health services among the youth.
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Agbenu, Innes, Josephine Kyei, and Florence Naab. "Female adolescent sexual reproductive health service utilization concerns: A qualitative enquiry in the Tema metropolis of Ghana." PLOS ONE 19, no. 2 (February 23, 2024): e0292103. http://dx.doi.org/10.1371/journal.pone.0292103.
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Background Evidence globally indicates that female adolescents face numerous sexual and reproductive health (SRH) risks. Utilization of sexual reproductive health services among adolescents is of global health importance and plays a crucial role in adolescent sexual reproductive health outcomes and their quality of life. Aim The current study explored sexual reproductive health service utilization concerns among female adolescents in the Tema Metropolis in Southern Ghana using the Anderson and Newman Behavioural model of Health Service Utilization as a guiding framework. Methods The study utilized a qualitative exploratory descriptive design. Purposive sampling was used to recruit female adolescents. In-depth face-to-face interviews were conducted using a semi-structured interview guide. In all, 12 interviews were conducted. Each interview lasted between 45 and 60 minutes. Interviews were audio-recorded, transcribed verbatim, and analyzed using thematic content analysis. Thematic analysis was guided by the constructs of the Anderson and Newman Behavioural model of health service utilization. Results Utilization of sexual reproductive health services among female adolescents is low in the Tema metropolis. Factors such as unprotected non-consensual sexual activity or an unwanted pregnancy sometimes triggered the use of these services. Barriers to utilization identified include lack of awareness on sexual reproductive health services, unreliable sources of SRH information, underestimation of the severity of sexual reproductive health problems faced, unmet expectations and poor experiences with service providers. Conclusion The current study identified poor utilization of sexual reproductive health services among female adolescents within the Tema metropolis of Ghana. There is the need to increase the number of adolescent health corners, increase awareness about SRH services among adolescents, improve parent-child SRH communication and provide adequate training for healthcare providers to improve provider attitude towards adolescent SRH service delivery in order to increase utilization of sexual reproductive health services among female adolescents in the Metropolis.
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Farhati, Farhati, Sabarinah Prasetyo, Loveria Sekarini, Risna Dewi Yanti, Dian Nur Hadianti, and Petriana Ekslesia Mahmud. "FACTORS AFFECTING REPRODUCTIVE HEALTH OF MUSLIM ADOLESCENTS: A SYSTEMATIC LITERATURE REVIEW." INTERNATIONAL CONFERENCE ON INTERPROFESSIONAL HEALTH COLLABORATION AND COMMUNITY EMPOWERMENT 5, no. 1 (December 28, 2023): 86–96. http://dx.doi.org/10.34011/icihcce.v5i1.258.
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Introduction: Sexual and reproductive health (SRH) topics are rarely discussed in Islamic communities. Method: Analysis (PRISMA) approach in selecting articles from previous studies. Research articles were obtained by accessing electronic databases including Pubmed, Springerlink, Google Scholar, published in 2013-2023 using the keywords "Adolescent AND Sexual Health OR Reproductive Health AND Education AND Muslim AND Community" Objectives: to determine what variables affect Muslim adolescents' access to reproductive health services and education. Results: The search found 1001 studies, and 15 research articles were selected. Six major themes emerged from the study of sexual and reproductive health (SRH): marital status, socioeconomic factors associated with access to SRH services, privacy and confidentiality in health services, limitations to sexual and reproductive health education and information needs, and lack of knowledge about sources and services of information on SRH Conclusion: The results show that a number of factors influence Muslim adolescents' reproductive health. Muslim teenagers' lack of knowledge and skills is a complicated problem that is impacted by a number of individual, social, cultural, and religious variables in addition to current laws and policies. These elements all interact and have an impact on one another
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Browne, Kelwyn Craig. "The 'S' in SRH." Pacific Journal of Reproductive Health 1, no. 5 (June 29, 2017): 240. http://dx.doi.org/10.18313/2017.908.
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Sexual and Reproductive Health attainment is a vital yet silent component of the Sustainable Development Goals. Sexual health and wellbeing remain neglected in terms of targeted funding and programatic support. The paper argues for a renewed attention on sexual well being in clinical as well as population health settings, due to current unmet as well emerging needs.
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Njagi, Joan. "Delivering Sexual and Reproductive Health Education to Girls." Girlhood Studies 11, no. 2 (June 1, 2018): 30–45. http://dx.doi.org/10.3167/ghs.2018.110204.
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The use of helplines to deliver sexual and reproductive health (SRH) education to girls seeking such information and services can break down barriers created by low access and top-down approaches. However, it is important to interrogate their effectiveness in addressing the SRH needs of girls, particularly in contexts in which hierarchical social relations prevail and conservative religious and cultural norms dictate appropriate expressions and experiences of sexuality for girls and young women. In this article I use data drawn from a qualitative case study of a children’s helpline in Kenya to interrogate the interplay of power and culture in the delivery of SRH information to girls. The findings reveal that while this particular communication technology presents, potentially, a revolution in such delivery, power dynamics and cultural norms still pose barriers.
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Shazia Mohammad, Neema Acharya, Kiran Borkar, and Shirin Mohammad. "Effects of COVID-19 on Sexual and Reproductive health." International Journal of Research in Pharmaceutical Sciences 11, SPL1 (December 21, 2020): 1841–45. http://dx.doi.org/10.26452/ijrps.v11ispl1.4432.
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The outbreak of novel coronavirus disease was first reported in China in December 2019, and WHO declared the coronavirus pandemic on 11 March 2020. Since then, all the continents have observed a fast-growing upward trend in number of confirmed cases. During the epidemics, Sexual and reproductive health (SRH) and rights became a monumentous public health issue. The novel coronavirus (SARS-CoV-2) is new to humans and there is only some experimental data available to describe the sexual and reproductive health (SRH) effects of COVID-19 disease, including clinical appearance and consequences of COVID-19 infection during birth, or for people with STI (sexually transmitted infections) or HIV-related immunosuppression. We should not neglect the bearings at the level of the health system and delays or interludes in the routine availability of SRH facilities outside the therapeutic reach of SRH, such as pre-and postnatal tests, safe abortion, contraception, HIV/AIDS, and sexually transmitted infections. In addition, other factors warrant consideration, such as the possible rise in gender-based violence and domestic abuse and the consequences of COVID-19-related stigma and prejudice and their effect on SRH customers and health care providers. Therefore, the research community has an immediate requirement for the creation of all-inclusive clinical, epidemiological, and psycho-social behavioral ties between COVID-19 and SRH and the effects of rights. A comprehensive systematic literature search of the databases of PubMed, Web of Science, Embase, Medline, Cochrane and MedRxiv, was carried out.
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Puri, Mahesh Chandra, and Lucy Stone. "Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health in Nepal." Journal of Nepal Health Research Council 18, no. 2 (September 8, 2020): 313–15. http://dx.doi.org/10.33314/jnhrc.v18i2.2747.
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The national lockdown imposed in Nepal as a response to the COVID-19 pandemic is having indirect consequences on sexual and reproductive (SRH) in Nepal. Although the Government of Nepal and partners have committed to ensuring the continuity of SRH services during the pandemic, this comment aims to illustrate the potential impacts to SRH if these commitments are not met. Keywords: COVID-19; Nepal; reproductive health; sexual health.
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Saus-Ortega, Carlos, María Luisa Ballestar-Tarín, Elena Chover-Sierra, and Antonio Martínez-Sabater. "Contents of the Sexual and Reproductive Health Subject in the Undergraduate Nursing Curricula of Spanish Universities: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 18, no. 21 (October 31, 2021): 11472. http://dx.doi.org/10.3390/ijerph182111472.
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Background: Nursing students must receive adequate training in Sexual and Reproductive Health (SRH), which could allow them to acquire sufficient knowledge to solve the future SRH needs of everyone. In this study, the contents of the SRH subject in the undergraduate nursing curricula of 77 Spanish universities were examined to determine what SRH training nursing students are receiving. Methods: The contents of the SRH subject of all the curricula that were available online were reviewed. The distribution of the contents (topics) in the two areas (reproductive health and sexual health) was analyzed, and the prevalence of each topic was established. It was also determined whether there were differences between public (n = 52) and private universities (n = 25). Results: The training of nursing students focuses mainly on the area of Reproductive Health (15 topics). Most of the topics of this area had a prevalence greater than 50%. Although the area of Sexual Health had 14 topics, most of these topics had a low prevalence (<20%), especially in private universities. Conclusions: It was found that there is considerable variation in the distribution and prevalence of SRH topics between universities. The contents of the area of Reproductive Health are usually prevalent in most of the curricula. However, the contents of the area of Sexual Health are minimal in most of the universities. An organizational effort is required to determine and standardize the contents of SRH that nursing students should receive in Spain to avoid inequalities in their training. Guaranteeing homogeneous SRH contents will avoid deficit situations that could affect people’s care.
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Pradnyani, Putu Erma, I. Gusti Ngurah Edi Putra, and Ni Luh Eka Purni Astiti. "Knowledge, Attitude, and Behavior about Sexual and Reproductive Health among Adolescents Students in Denpasar, Bali, Indonesia." GHMJ (Global Health Management Journal) 3, no. 1 (February 28, 2019): 31. http://dx.doi.org/10.35898/ghmj-31284.
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Background: Adolescent sexual and reproductive health (SRH) problems remain an important public health issue in many developing countries, such as Indonesia. Therefore, assessing SRH knowledge, attitude, and behavior among adolescents are worth considering for public health intervention purpose in order to reduce their vulnerability to SRH problems. Aims: This study aimed to assess SRH knowledge, attitude, and behavior among adolescent students in Denpasar, Bali, Indonesia.Methods: This was a cross-sectional school-based study conducted in Denpasar, Bali, Indonesia from July to September 2016. This study applied multi-stage random sampling to recruit 1,200 students out of 24 junior, senior, and vocational high schools. Variables in this study consisted of socio-demographic characteristics, knowledge, attitude, and behavior related to SRH. Data were analyzed using descriptive analysis and cross-tabulation to identify proportion differences.Results: Regarding knowledge on SRH, students had less knowledge on a reproductive process (10.1%) and reproductive risk (11.4%), but half of them knew about the sexually transmitted infections (STIs) and HIV&AIDS (55.6%) and almost all had sufficient knowledge on puberty (90.7%). Meanwhile, few students argued that several sexual behaviors can be performed before getting married, such as kissing and hugging (48.9%), petting and oral sex (18.7%) and sexual intercourse (vaginal sex) (13.8%). Out of 1,200 adolescent students, 880 (73.3%) reported for have ever been in dating with someone. Among adolescent dating, few students reported for an experience of petting (14.3%), oral sex (9.8%), vaginal sex (6.5%), and anal sex (2.6%).Conclusion: Adolescent students in Denpasar, Bali, had a low level of sufficient knowledge in some SRH aspects, a few students reported for permissive attitude and performed premarital sexual behaviors. Therefore, providing comprehensive sexuality education (CSE) is worth considering to improve knowledge and appropriate skills in order to prevent risky sexual behavior among adolescents. Keywords: Sexual and reproductive health, adolescents, students, knowledge, attitude, sexual behavior.
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Navarrete, Javiera, Nese Yuksel, Theresa J. Schindel, and Christine A. Hughes. "Sexual and reproductive health services provided by community pharmacists: a scoping review." BMJ Open 11, no. 7 (July 2021): e047034. http://dx.doi.org/10.1136/bmjopen-2020-047034.
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ObjectivesPharmacists are increasingly providing patient-focused services in community pharmacies, including in the area of sexual and reproductive health (SRH). Specific SRH areas have been the focus of research, but a broader perspective is needed to position pharmacists as SRH providers. This review explored research that described and evaluated professional pharmacy services across a broad range of SRH areas.DesignScoping reviewData sourcesMedline, EMBASE, CINAHL, Web of Science, Scopus and Cochrane Library (January 2007–July 2020).Study selectionStudies reporting on the description and evaluation of professional pharmacy SRH services provided by community pharmacists.Data extractionTwo investigators screened studies for eligibility, and one investigator extracted the data. Data were analysed to primarily describe professional pharmacy services and intervention outcomes.ResultsForty-one studies were included. The main SRH areas and professional pharmacy services reported were sexually transmitted and bloodborne infections (63%) and screening (39%), respectively. Findings showed that pharmacists’ delivery of SRH services was feasible, able to reach vulnerable and high-risk groups, and interventions were highly accepted and valued by users. However, integration into daily workflow, pharmacist remuneration, cost and reimbursement for patients, and policy regulations were some of the barriers identified to implementing SRH services. Studies were primarily in specific areas such as chlamydia screening or hormonal contraception prescribing, while studies in other areas (ie, medical abortion provision, long-acting reversible contraception prescribing and vaccine delivery in pregnant women) were lacking.ConclusionThis scoping review highlights the expansion of pharmacists’ roles beyond traditional product-focused services in a number of SRH areas. Given the potential feasibility, users’ acceptability and reach, pharmacists are ideally situated to enhance SRH care access. Future research describing implementation and evaluation of professional pharmacy services in all SRH areas is needed to promote access to these services through community pharmacies and position pharmacists as SRH providers worldwide.
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Aliyu, Taofeek Kolawole, and Joshua Oyeniyi Aransiola. "Parent-Adolescent Communication About Reproductive Health Issues in Nigeria." SAGE Open 13, no. 2 (April 2023): 215824402311666. http://dx.doi.org/10.1177/21582440231166607.
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Parent-adolescent communication about sexual and reproductive health (SRH) issues is associated with healthy sexual outcomes in adolescents. The increasing evasion of this discourse at the home front in sub-Saharan Africa is receiving greater academic and public health attention. In many Nigerian households, adolescents lack access to informative and undiluted communication with their parents, a situation that is worse for adolescents dwelling in slums. This study documented SRH issues and patterns of parent-adolescent communication in selected slums of Ibadan, Southwestern, Nigeria. A mixed sequential explanatory research was carried out in 10 selected slums in Ibadan, Oyo State, Nigeria. A structured questionnaire scripted on open data kits (ODK) and vignette for Focus Group Discussion (FGD) were used to obtain data from parents and adolescents. A sample of 796 parent-adolescent dyads was interviewed for the quantitative strand, and 8 FGDs were conducted for the qualitative component. Analytical techniques utilized for quantitative data included descriptive (frequency counts and percentages) and inferential (chi-square) statistics, while descriptive and interpretative analyses were adopted for qualitative data. Communication regarding SRH issues occurs in many households, but indirectly. A higher proportion of mothers discuss all SRH issues with their adolescents and better than fathers. While female adolescents engage their parents only on limited topics, the consequences of sexual behaviors are the least discussed. The chi-square values for each topic were not significant for parents and adolescents, however, only the discussion of preventive sexual practice was significant for parents (0.042) at a significant level of 0.05 and adolescents (0.000) at a significant level of 0.01. The findings of this study suggest that sexual education training intervention is germane to enhancing parent-adolescent communication on SRH issues for parents and adolescents.
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Kurebwa, Jeffrey. "Adolescent Sexual Reproductive Health Services in Bindura Urban of Zimbabwe." International Journal of Patient-Centered Healthcare 9, no. 2 (July 2019): 1–20. http://dx.doi.org/10.4018/ijpch.2019070101.
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This study seeks to understand the capacity of adolescent-friendly reproductive health services (AFRHS) in promoting sexual reproductive health (SRP) among adolescents in Bindura Urban of Zimbabwe. The data collection methods used allowed the researcher to get insight on adolescents' experience and the factors associated with their accessing SRH services from AFRHS, the meaning of AFRHS for adolescents, healthcare providers' attitudes towards adolescents seeking SRH services, and community perceptions and readiness to accept AFRHS. The findings showed that both socio-cultural and health facility factors influence utilisation of SRH services. Many of these factors stem from the moral framework encapsulated in socio-cultural norms and values related to the sexual health of adolescents and healthcare providers' poor value clarification. This study provides an empirical understanding of the reasons and factors associated with SRH service utilisation, which goes much deeper than program provision of AFRHS in Zimbabwe.
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Pradnyani, Putu Erma, I. Gusti Ngurah Edi Putra, and Ni Luh Eka Purni Astiti. "Knowledge, attitude, and behavior about sexual and reproductive health among adolescent students in Denpasar, Bali, Indonesia." GHMJ (Global Health Management Journal) 3, no. 1 (February 28, 2019): 31–39. http://dx.doi.org/10.35898/ghmj-31554.
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Background: Adolescent sexual and reproductive health (SRH) problems remain an important public health issue in many developing countries, such as Indonesia. Therefore, assessing SRH knowledge, attitude, and behavior among adolescents are worth considering for public health intervention purpose in order to reduce their vulnerability to SRH problems.Aims: This study aimed to assess SRH knowledge, attitude, and behavior among adolescent students in Denpasar, Bali, Indonesia.Methods: This was a cross-sectional school-based study conducted in Denpasar, Bali, Indonesia from July to September 2016. This study applied multi-stage random sampling to recruit 1,200 students out of 24 junior, senior, and vocational high schools. Variables in this study consisted of socio-demographic characteristics, knowledge, attitude, and behavior related to SRH. Data were analyzed using descriptive analysis and cross-tabulation to identify proportion differences.Results: Regarding knowledge on SRH, students had less knowledge on a reproductive process (10.1%) and reproductive risk (11.4%), but half of them knew about the sexually transmitted infections (STIs) and HIV&AIDS (55.6%) and almost all had sufficient knowledge on puberty (90.7%). Meanwhile, few students argued that several sexual behaviors can be performed before getting married, such as kissing and hugging (48.9%), petting and oral sex (18.7%) and sexual intercourse (vaginal sex) (13.8%). Out of 1,200 adolescent students, 880 (73.3%) reported for have ever been in dating with someone. Among adolescent dating, few students reported for an experience of petting (14.3%), oral sex (9.8%), vaginal sex (6.5%), and anal sex (2.6%).Conclusion: Adolescent students in Denpasar, Bali, had a low level of sufficient knowledge in some SRH aspects, a few students reported for permissive attitude and performed premarital sexual behaviors. Therefore, providing comprehensive sexuality education (CSE) is worth considering to improve knowledge and appropriate skills in order to prevent risky sexual behavior among adolescents. Keywords: Sexual and reproductive health (SRH), Adolescents, Students, Knowledge, Attitude, Sexual behavior Received: 26 October 2018, Reviewed: 08 January 2019, Received: in revised form 25 February 2019, Accepted: 28 February 2019 DOI: 10.35898/ghmj-31554
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Grzanka, Patrick R., and Keri A. Frantell. "Counseling Psychology and Reproductive Justice: A Call to Action." Counseling Psychologist 45, no. 3 (April 2017): 326–52. http://dx.doi.org/10.1177/0011000017699871.
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Although it remains an underresearched topic in the field, counseling psychology can and should play an important role in enhancing individuals’ sexual and reproductive health (SRH), as well as promoting reproductive rights at the systemic level. SRH issues affect virtually all people, especially those whose sexual and reproductive behaviors and identities are stigmatized. In this article, we make the case for the importance of SRH and rights in counseling psychology, and introduce the reproductive justice framework as a means to incorporate these issues into research, training, practice, and advocacy for social justice. We introduce four case studies with a focus on the ways in which restrictions on SRH differentially affect individuals across dimensions of social inequality including race, class, and sexual orientation. Next, we assess the state of scholarship on SRH in counseling psychology. Finally, we offer an action plan for incorporating reproductive justice principles into counseling psychology.
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Timilsina, Amit, Buna Bhandari, Alexandra Johns, and Subash Thapa. "Barriers and facilitators to self-care practices for sexual and reproductive health among women of reproductive age." PLOS ONE 19, no. 5 (May 22, 2024): e0303958. http://dx.doi.org/10.1371/journal.pone.0303958.
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Introduction Sexual and Reproductive Health and Rights (SRHR) have been promoted globally, yet sexual and reproductive health (SRH) interventions are seldom evaluated from the perspective of service users and service providers. Very little is known about whether and why various target groups including general women are (or are not) practicing SRH -related self-care practices. This study explored SRH self-care practices and facilitators and barriers to the adoption of SRH self-care among reproductive-age women of Nepal. Methods In this descriptive qualitative study, we conducted in-depth interviews in June 2022 with ten married women of reproductive age (service users) and four SRHR service providers (program managers and health service providers) in Nepal. Thematic analysis was conducted for data analysis. Results We found that commonly practiced self-care practices were self-administration of contraceptives, self-management of pain, self-monitoring of pregnancy, self-awareness and seeking medical abortions (tele-abortion), self-medication for pre-exposure prophylaxis for HIV, and self-testing for HIV and pregnancy. The multi-level barriers to SRH self-care were poor knowledge and perceived lack of need for SRH self-care, limited access, and negative behaviors from the service providers. The program-related barriers included lack of evidence, limited financial resources, lack of accountability, and limited knowledge and skills among service providers on SRH self-care measures. Peer support, an increasing number of service sites, and access to and use of digital (health) tools emerged as the facilitators of SRH self-care. Conclusions The findings of this study suggest that addressing barriers such as poor knowledge, limited access, and negative attitudes while leveraging facilitators such as peer support and digital tools is essential for promoting and enabling effective SRH self-care among women. Population-wide awareness programs supplemented by increasing service sites are essential for increasing SRH self-care practices.
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Wisdom, Mprah Kwadwo. "Determining the Sexual and Reproductive Health Needs of Deaf People in Ghana." IJDS Indonesian Journal of Disability Studies 02, no. 01 (October 30, 2015): 1–11. http://dx.doi.org/10.21776/ub.ijds.2015.02.01.01.
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This article examines how deaf people in Ghana prioritize their sexual and reproductive health (SRH) needs. The aim is to determine the most pressing SRH needs of the deaf community in Ghana and then propose appropriate measures to make SRH information and services accessible to them. The study was a SRH needs assessment with deaf people in Ghana, which utilized a participatory needs assessment method. A total sample of 179 participants took part in the study: 26 were focus group participants, 152 were survey respondents, and one person acted as a key informant. The study findings indicated that deaf people in Ghana have many SRH challenges, but the most pressing needs were related to barriers associated with communication and attitude of health professionals. To design SRH programmes that are deaf-friendly, there is the need to take into account the linguistic and cultural values of the deaf community.
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Chavez, Katrina Althea P., Maegan Helaena G. Co, Trina Marie C. Inocando, and Myla M. Arcinas. "Mother-daughter Communication on Sexual and Reproductive Health: Correlations with Mothers’ Profile, Religiosity, and Attitudes towards Sex-ual and Reproductive Health." International Journal of Multidisciplinary: Applied Business and Education Research 3, no. 6 (June 11, 2022): 959–66. http://dx.doi.org/10.11594/ijmaber.03.06.01.
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With the surge in curiosity during adolescence, there is a greater emphasis on parents' inherent responsibility to guide their adolescents and aid in their positive development. This study sought to establish correlations of the quality of mother-daughter communication (MDC) with the mother's profile, religiosity, and attitude toward sexual and reproductive health (SRH) through the eyes of Grade 12 Senior High School female students, 18 years old and above, enrolled in a private university in Manila, Philippines. A total of 116 survey respondents were randomly selected for the study. Descriptive statistics and correlation tests were used to analyze the data. The findings indicated that the majority of the students' mothers are in their forties, earn a monthly income below the population average, and have three children. There was no statistically significant correlation between the age, income, and number of children variables with MDC quality. Respondents' mothers were highly religious and had a favorable attitude towards SRH. There was also no significant correlation between mothers' religiosity and MDC quality. Notably, a significant positive, strong correlation between MDC quality and mothers' attitudes towards SRH (r = .6589, n = 116, p = 8.94E-16) was found, implying that mothers' positive attitudes toward SRH improve the quality of MDC on SRH. The findings may guide efforts to improve mother-teen communication dynamics on SRH concerns and identify an effective strategy for enhancing quality teen SRH communication strategies; mothers' attitudes toward SRH are critical to the success of adolescent SRH programs.
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Ledón-Llanes, Loraine, Irazú Contreras-Yáñez, Guillermo Arturo Guaracha-Basáñez, Salvador Saúl Valverde-Hernández, Maximiliano Cuevas-Montoya, Ana Belén Ortiz-Haro, and Virginia Pascual-Ramos. "Sexual and reproductive health while living with rheumatoid arthritis: The impact of the disease stage on patient perspectives." PLOS ONE 19, no. 4 (April 26, 2024): e0302284. http://dx.doi.org/10.1371/journal.pone.0302284.
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Background Rheumatoid arthritis (RA) is one of the most prevalent rheumatic diseases that harms all aspects of patients’ lives, including sexual and reproductive health (SRH), often neglected in patients’ care. The study aimed to explore the sexual and reproductive experiences of Mexican outpatients with RA from a narrative perspective. Patients and methods From July 2020 to October 2021, 30 adult patients with RA from the Department of Immunology and Rheumatology outpatient clinic of a national referral center for rheumatic diseases had in-depth interviews audiotaped, transcribed, and analyzed using a thematic analysis approach. Results are presented in a descriptive and interpretative manner and integrated into a theoretical model for the topic understanding. Results Five intertwined major themes emerged: I) RA onset: Absence of SRH contents, II) Healthcare for RA: Emerging SRH contents, III) RA’s impact: Proliferation of SRH contents, IV) Coping with the process of living with RA: SRH-related strategies, and V) The impact of the COVID-19 pandemic on patients’ experiences: Increased SRH burden. SRH contents emerged through these major themes (but at RA onset), mostly when inquired and mainly when narrating the RA impact and coping. Patients identified that RA affected their couple dynamics, sexual function, and reproductive project. The SRH care was considered relevant but limited and focused on reproductive contents. It worsened during the COVID-19 pandemic. We proposed a theoretical model where patients’ SRH experiences are embedded across their RA biography and integrated with the RA impact and the copy with the disease process. These intertwined experiences were also evident during the COVID-19 pandemic, which challenged participants’ biopsychosocial resources. Conclusions The sexual and reproductive experiences narrated by the RA outpatients concerning their disease-related biography showed that even when the SRH appeared as not prioritized at the disease onset, it was widely expressed during the process of living and coping with the disease and was additionally affected by the COVID-19 pandemic.
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Meherali, Salima, Bisi Adewale, Sonam Ali, Megan Kennedy, Bukola (Oladunni) Salami, Solina Richter, Phil E. Okeke-Ihejirika, et al. "Impact of the COVID-19 Pandemic on Adolescents’ Sexual and Reproductive Health in Low- and Middle-Income Countries." International Journal of Environmental Research and Public Health 18, no. 24 (December 15, 2021): 13221. http://dx.doi.org/10.3390/ijerph182413221.
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Adolescents living in low- and middle-income countries (LMICs) are struggling with accessing sexual and reproductive health (SRH) services, and COVID-19 has escalated the problem. The purpose of this review was to identify and assess the existing literature on the impact of the pandemic on SRH needs and access to services by adolescents in LMICs. A scoping review was conducted to collate findings on the topic. Searches were performed on eight databases. Data were extracted and categorized into various themes. After removing duplicates and performing a full-text reading of all articles, nine articles were included in our review. Our findings generated several themes related to adolescents’ sexual and reproductive health during the COVID-19 pandemic. These include (1) limited access to sexual and reproductive health services, (2) school closure and increased rate of early marriages, (3) sexual or intimate partner violence during COVID-19, (4) disruption in maternity care, (5) adolescents’ involvement in risky or exploitative work, (6) intervention to improve sexual and reproductive health services during COVID-19, and (7) policy development related to adolescent sexual and reproductive health. Several recommendations were made on policies—for instance, the use of telemedicine and community-based programs as a way to deliver SRH services to adolescents during and after a pandemic.
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De la Rocha, Patanjali, May Sudhinaraset, Nicole V. Jones, Catherine Kim, Alejandra Cabral, and Bita Amani. "A Qualitative Analysis on Sexual and Reproductive Health Needs and Issues During COVID-19 Using a Reproductive Justice Framework." Ethnicity & Disease 32, no. 4 (October 20, 2022): 357–72. http://dx.doi.org/10.18865/ed.32.4.357.
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The COVID-19 pandemic exacerbated existing health inequities, further exposing the challenges in meeting the sexual and reproductive health (SRH) needs, particularly for Black, Indigenous and People of Color (BIPOC). We interviewed 11 key informants through three focus groups to explore barriers and pathways to SRH care for BIPOC during COVID-19 in the United States. Reimagining reproductive health practices requires holistic practices and multisector pathways, a comprehensive reproductive justice approach. This includes interventions across the sexual and reproductive health continuum. Using a deductive-dominant approach grounded in reproductive justice values, we explore themes around SRH during COVID-19. Five themes for advancing reproductive justice were identified: “supremacy of birth”; police violence as a determinant of SR mental health; addressing quality of care outside of hospital settings; digital redlining; and centering joy, liberation, and humanity.Ethn Dis. 2022;32(4):357-372; 10.18865/ed.32.4.357
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Abubakar, Musa, and Aminu Mohammed Dukku. "Sociocultural Context of Sexual and Reproductive Health (SRH) of Adolescents in Northern Nigeria." Nigerian Journal of Sociology and Anthropology 18, no. 2 (November 30, 2020): 116–33. http://dx.doi.org/10.36108/njsa/0202/81(0270).
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Contemporary discourse on Adolescent Sexual and Reproductive Health (SRH) is characterised by its robustness in proffering solutions for healthy adolescents capable of competing physically, economically and socially, globally. However, despite its promising nature, policies and programs pertaining to youth and adolescents’ health needs to be designed in accordance with the cultural practices that prevail in various social contexts. This paper examines the various SRH policies and programs with a view to identifying culturally acceptable means of formulating and delivering SRH services in Northern Nigeria. The SRH health policies and programs and their implementation for adolescents run riot with some cultural practices particularly of the northern part of the country. Issues patterning to non-acceptance of the culture of delayed marriage as a way of attaining good and healthy living make people in the North get married earlier than their counterparts in other parts of the country. The northern culture views the teaching of unmarried adolescents about sex, contraception and abortion as uncalled for because it may be, in a way, an encouragement and motivation for the youth and adolescents alike to be introduced to the sexuality. These and other challenges call for culturally robust strategy(s) for implementing SRH policies and programs for solutions to cultural disparities and divergences that stand in the way to realising enhanced SRH needs of adolescents.
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Cornelius, Judith Bacchus, and Jaleesa Marshay Smoot. "The Impact of Technology on Adolescent Sexual and Reproductive Needs." International Journal of Environmental Research and Public Health 19, no. 14 (July 17, 2022): 8684. http://dx.doi.org/10.3390/ijerph19148684.
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The call for articles for the International Journal of Environmental Research and Public Health Special Issue “Using mobile technology to promote adolescent sexual and reproductive health (SRH)” was proposed to identify efforts to provide adolescent SRH services during the COVID-19 pandemic [...]
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Ogidan, O. C., A. E. Olowokere, A. O. Olajubu, O. S. Olatunya, and O. O. Irinoye. "Ideal Male-Oriented Sexual and Reproductive Health Services Delivery: A Qualitative Study of Men and Healthcare Providers’ Perspective from Nigeria." Rwanda Medical Journal 79, no. 4 (December 31, 2022): 56–64. http://dx.doi.org/10.4314/rmj.v79i4.6.
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INTRODUCTION: The global burden of Sexual and Reproductive Health (SRH) problems has remained a significant challenge to the wellbeing of men and limits the effectiveness of SRH interventions for females. This study explored men and healthcare providers’ perception of ideal male-oriented Sexual and Reproductive Health (SRH) services.METHODS: This was an exploratory qualitative study involving three focus group discussions among men in selected communities and eight interviews among healthcare service providers in Ekiti State, Nigeria. Focus Group Discussion (FGD) and Key Informant Interview (KII) guides were used to collect qualitative data from twenty-six men and eight healthcare service providers, respectively. Participants for the study were selected from three different units of the selected hospital and twelve communities. Data were sorted, transcribed, and analyzed using Atlas ti software. Inductive-deductive thematic analysis was performed.RESULTS: Three main themes emerged from the study: (a) ideal men-oriented SRH service provision within a unit specially made and named after men, (b) 24-hour daily SRH clinic and (c) locating SRH Clinic in the healthcare institutions with outlets in the communities and schools. The participants identified primary needs as SRH organs assessments; screening services; family planning services; and education and counselling on prevention and treatment of male SRH problems.CONCLUSION: Men have SRH service preferences that focused on preventive and therapeutic sexual and reproductive health needs that are desired to be male-oriented, dedicated and provided in health facilities with public outlets.
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Meena, Jitendra Kumar, Anjana Verma, Jugal Kishore, and Gopal Krishan Ingle. "Sexual and Reproductive Health: Knowledge, Attitude, and Perceptions among Young Unmarried Male Residents of Delhi." International Journal of Reproductive Medicine 2015 (2015): 1–6. http://dx.doi.org/10.1155/2015/431460.
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Context. Men play a significant role in all spheres of domestic life including reproduction. Youth is a period of critical development and ignoring sexual and reproductive health (SRH) needs of young men ought to have wider social and health consequences.Aims and Objectives. To assess the knowledge, attitude, and perceptions regarding SRH among young unmarried men (18–25 years).Settings and Design. A semiqualitative study conducted across four health centers (2 rural, 2 urban) across Delhi.Materials and Methods. Focus group discussions (FGDs) were held among sixty-four participants regarding various aspects of SRH.Data Analysis. The data generated were analyzed using free listing and thematic content analysis along with simple quantitative proportions for different variable groups.Results. Good knowledge regarding HIV/AIDS was observed though found poor regarding other STIs/RTIs. Inadequate knowledge and negative attitude towards SRH and condom use were observed among rural participants. Peer group and mass media were the commonest SRH information sources among rural and urban participants, respectively.Conclusions. Poor SRH knowledge, perceptions, and available nonformal, unreliable information sources expose young men to poor SRH outcomes. Early, comprehensive SRH information provision can have life-long protective benefits to them and their partners.
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VR, Jemimah, Maxie Martis, Naseema Shafqat, and Nanthini Subbiah. "Adolescents Knowledge and Attitude towards Sexual and Reproductive Health in Bhopal (Madhya Pradesh)." Nursing Journal of India CXV, no. 01 (2024): 29–34. http://dx.doi.org/10.48029/nji.2024.cxv106.
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With a staggering adolescent population of 253 million, India stands as the world's epicenter of youth. Adolescence, a distinctive phase marked by active physical and psychological growth, often initiates the exploration of romantic and sexual realms. Adolescents are particularly susceptible to various reproductive and sexual health vulnerabilities such as unintended pregnancies, sexually transmitted infections, reproductive tract infections, and the heightened risk of maternal and infant mortality. This susceptibility is accentuated in regions where healthcare services are constrained and knowledge regarding health matters is limited. A descriptive cross-sectional survey was conducted in the year 2022, with due ethical considerations, among students in the 9th to 12th grades (n=322) in Bhopal District, Madhya Pradesh, a region where utilisation of Adolescent Reproductive and Sexual Health (ARSH) services remains notably modest. The objectives were to assess the knowledge and attitudes of adolescents regarding SRH and to find the relationship between the knowledge and attitude. Data was collected in schools from adolescents aged 14 to 18 years, using researcher-developed structured questionnaires. The findings revealed that the majority (50.9%) of participants had poor knowledge, 34.5 percent showed moderate knowledge and 14.6 percent exhibited good knowledge. About 60 percent of the participants expressed a favorable attitude towards sexual and reproductive health (SRH). The relationship between knowledge and attitude was positive but weak. These outcomes collectively underscore the need for improving adolescents' SRH knowledge and attitudes in the region. Focusing efforts towards comprehensive SRH education and promoting well-informed attitudes may help reduce the adolescents’ susceptibility to SRH vulnerabilities.
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Isara, A. R., and J. C. Nwaogwugwu. "Sexual and Reproductive Health Knowledge, Attitude and Behaviours of in-School Adolescents in Benin City, Nigeria." African Journal of Biomedical Research 25, no. 2 (May 31, 2022): 121–27. http://dx.doi.org/10.4314/ajbr.v25i2.2.
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Knowledge of sexual and reproductive health (SRH) and access to accurate information on it among adolescents remains a major challenge in Nigeria. This study assessed the SRH knowledge, attitudes and behaviours of in-school adolescents in Benin City, Nigeria. This cross-sectional study was carried out among 630 adolescents in Benin City. The respondents were selected using multi staged sampling technique. An adapted interviewer-administered questionnaire was used for data collection. Data analysis was carried out using IBM SPSS version 25.0 software. The mean age of the adolescents comprising 328 (52.1%) females and 302 (47.9%) males was 14.9 ± 1.3 years. Although 561 (89.0%) adolescents were aware of SRH, only 107 (19.1%) had good knowledge of it. Most of them 587 (93.2%) demonstrated positive attitude towards SRH. Thirty-nine (6.2%) were sexually active with 30 (76.9%) having their sexual debut before the age of 15 years, 14 (35.9%) had more than one sexual partner while only 13 (39.4%) consistently used condom during sexual intercourse. Seventeen (43.6%) had experienced vaginal/penile discharge, 6 (15.4%) had been tested for STIs, 25 (64.1%) had received treatment for STIs with home treatment 16 (64.0%) being the predominant choice. This study revealed that the overall knowledge of SRH among in-school adolescents in Benin City was poor, but most of them displayed a positive towards SRH. Although only few of the adolescents were sexually active, the prevalence of risky sexual behaviour was high among them and they also exhibit poor SRH seeking behaviour.
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Andrzejewski, Jack, Catherine N. Rasberry, Brian Mustanski, and Riley J. Steiner. "Sexual and Reproductive Health Web Sites: An Analysis of Content for Sexual and Gender Minority Youth." American Journal of Health Promotion 34, no. 4 (January 13, 2020): 393–401. http://dx.doi.org/10.1177/0890117119899217.
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Purpose: Sexual and gender minority (SGM) youth face risks for negative sexual and reproductive health (SRH) outcomes; it is critical to provide these populations with health education that is both inclusive of and specific to their needs. We sought to characterize the strengths and weaknesses of SGM-related messages from web sites that address SRH for young people. We considered who is included, what topics are discussed, and how messages are framed. Methods: A systematic Google search and screening process was used to identify health promotion web sites with SRH content for adolescents and young adults. Using MAXQDA, we thematically coded and analyzed SGM content qualitatively. Results: Of 32 SRH web sites identified, 23 (71.9%) contained SGM content. Collectively, the sites included 318 unique SGM codes flagging this content. Approximately two-thirds of codes included messages that discussed SGM youth in aggregate (eg, lesbian, gay, bisexual, and transgender)—specific content about the diverse subpopulations within this umbrella term (eg, transgender youth) was more limited. In addition to SRH topics, most web sites had messages that addressed a broad array of other health issues including violence, mental health, and substance use (n = 17, 73.9%) and SGM-specific topics, for example coming out (n = 21, 91.3%). The former were often risk-framed, yet affirmational messages were common. Most web sites (n = 16; 69.6%) presented information for SGM youth both in stand-alone sections and integrated into broader content. Yet, integrated information was slightly more common (56.6% of all codes) than stand-alone content. Conclusions: Challenges of developing SRH content related to SGM youth include: (1) aggregate terms, which may not represent the nuances of sexual orientation and gender, (2) balancing risk versus affirmational messages, and (3) balancing stand-alone versus integrated content. However, SGM-related content also offers an opportunity to address diverse topics that can help meet the needs of these populations.
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Diribsa, Tujuba, Diriba Wakjira, Gamechu Atomsa, Tsiyon Mekoya, Fedhesa Mamo, Bekana Fekecha, Mosisa Ebisa, and Girma Teferi. "Determinant Factors of Sexual and Reproductive Health Service Utilization among In-School Adolescents with Disability in Jimma Zone, Southwest Ethiopia." International Journal of Reproductive Medicine 2022 (August 18, 2022): 1–9. http://dx.doi.org/10.1155/2022/5945921.
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Introduction. Adolescents with disability are often presumed erroneously to be sexually inactive. Though they have the same need for sexual and reproductive health (SRH) services as nondisabled people, they are often overlooked by sexual and reproductive health programs, interventions, and studies. Objective. To assess determinant factors of sexual and reproductive health service utilization among in-school adolescents with disability in Jimma zone, southwest Ethiopia. Method. Institution-based cross-sectional study design was employed among in-school adolescents with disability in Jimma zone, Ethiopia, from September 21 to November 30, 2021. A total of 454 participants were included in the study by using the multistage sampling technique. Data were collected by using a structured questionnaire through face-to-face interviews. Data were entered into Epi-data version 4.2 and analyzed by using SPSS version 23. Bivariate and multivariable logistic regression analyses at a 95% confidence interval were performed, and a P value < 0.05 was considered statistically significant. Result. 454 study participants were included in this study with a respondent rate of 97.4%. Only 38 (8.4%, 95% CI: 5.7-10.8%) of in-school adolescents utilized SRH information and education service. The majority (265, 49%) of adolescents with disability knew family planning as sexual and reproductive health services which were followed by voluntary counselling and testing for HIV/AIDS (116, 21.4%). Seventy-eight (17.2%, 95% CI: 13.7-20.5%) of in-school adolescents with disability visited nearby health facilities for VCT services. Male sex ( AOR = 2.32 , 95% CI: 1.18-4.57), favourable attitude ( AOR = 3.11 , 95% CI: 1.59-6.07), and history of sexual intercourse ( AOR = 5.34 , 95% CI: 2.05–13.92) were significantly associated with SRH service utilization. Conclusion. The overall sexual and reproductive health service utilization of in-school adolescents with disability was low when compared with other studies. Physical impairment, male sex, ever had sexual intercourse, good knowledge, and favourable attitudes were determinant factors of SRH service utilization among in-school adolescents with disabilities. So, it is recommended that the Jimma zone administration, government, and NGOs should give attention to SRH services.
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Isaacs, Nazeema, Xolani Ntinga, Thabo Keetsi, Lindelwa Bhembe, Bongumenzi Mthembu, Allanise Cloete, and Candice Groenewald. "Are mHealth Interventions Effective in Improving the Uptake of Sexual and Reproductive Health Services among Adolescents? A Scoping Review." International Journal of Environmental Research and Public Health 21, no. 2 (January 31, 2024): 165. http://dx.doi.org/10.3390/ijerph21020165.
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Adolescents continue to face challenges to their sexual and reproductive health (SRH) both locally and internationally. Digital technologies such as the Internet, text messaging, and social media are often viewed as valuable tools for disseminating information on SRH. Mobile health, also known as mHealth, is a medical and public health practise that uses these digital technologies to communicate information. The literature has revealed that mHealth interventions have a positive outcome in delivering SRH information to adolescents. This review aimed to synthesise empirical studies that evaluate mHealth interventions and assess the extent to which these mHealth interventions promote sexual and reproductive health outcomes among young people. This scoping review reviewed the literature across four databases, including EBSCOhost, Scopus, Proquest, and Cochrane, and included 12 articles. The findings have shown that mHealth interventions are effective in enhancing sexual and reproductive health (SRH) knowledge and attitudes among young people in both low-middle and high-income countries. However, comprehensive longitudinal studies are necessary to measure the sustainability and long-term influence of mHealth interventions on behaviour. It is recommended that with artificial intelligence (AI) improvements, there is a possible path to bolstering mHealth interventions.
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Lee, Shih-Hui, Kee-Jiar Yeo, and Lina Handayani. "Development and validation of a sexual and reproductive health knowledge scale." International Journal of Public Health Science (IJPHS) 11, no. 3 (September 1, 2022): 815. http://dx.doi.org/10.11591/ijphs.v11i3.21570.
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The purpose of this study was to develop a reliable and valid instrument to measure primary school students’ sexual and reproductive health (SRH) knowledge. The instrument measures primary school students’ knowledge in four domains: i) puberty; ii) human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and sexually transmitted diseases; iii) prevention of child sexual abuse; and iv) reproduction and reproductive systems. All items in the instrument were reviewed and screened by experts before they were administered to 125 primary five students. The instrument’s dimensionality, fit statistics, hierarchical ordering of item difficulty, and item and person separation reliability were assessed using the rasch measurement model (RMM). The results showed that the instrument demonstrated unidimensionality, and the items exhibited a wide range of difficulty level. Misfitting items were removed from the questionnaire, and the remaining 36 items were retained. The RMM outputs showed good item’s reliability (.97) with high separation index (5.52). However, the person reliability (.79) and the person separation index (1.94) were slightly the recommended value. Overall, the results show that the developed instrument can be used with confidence to assess sexual and reproductive health (SRH) knowledge among primary school students in Malaysia.
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Ariyo, Adijat Motunrayo, Ojurabayo Motunrayo Sotayo, Temitayo Kofoworola Olurin, Oose Matthew, Tolu Eni-Olorunda, and O. O. Onabanjo. "Knowledge on Sexual Reproductive Health and Risk Behaviours of Adolescents in Abeokuta South Local Government, Ogun State, Nigeria." Mediterranean Journal of Social Sciences 14, no. 3 (May 5, 2023): 32. http://dx.doi.org/10.36941/mjss-2023-0017.
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This study assessed sexual risk behaviour and knowledge of sexual and reproductive health among adolescents in Abeokuta South Local Government, Ogun State, Nigeria. Multistage sampling technique was used to select 411 adolescents for the study. Data were analyzed using mean, frequency counts, percentages, and chi-square test. The findings show that the source of information on sexual and reproductive health was the mother (90.0%) with majority of respondents having high knowledge on the discourse. Only few of the respondents (18.0%) had ever had sexual intercourse while majority (82.0%) never had sexual intercourse. Of the 18% who had ever had sex, 9% were willing while others were either coerced, forced, or tricked. The mean age of respondents and partners at first sexual intercourse was 15 and 16 years respectively. Sexual risk behaviours among adolescents having multiple sex partners (96.0%) and unprotected sex without condom (95.0%). Respondents have high knowledge on sexual and reproductive health (SRH). However, knowledge of SRH is not associated with respondents gender. There is a significant association (p<0.05) between respondents’ gender and their sexual risk behaviour (p=0.022). Adolescents engage in sexual risks behaviours despite their knowledge on SRH. The study has implication for policy.
Received: 15 February 2023 / Accepted: 25 April 2023 / Published: 5 May 2023
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Envuladu, Esther Awazzi, Karlijn Massar, and John de Wit. "Adolescents’ Sexual and Reproductive Healthcare-Seeking Behaviour and Service Utilisation in Plateau State, Nigeria." Healthcare 10, no. 2 (February 4, 2022): 301. http://dx.doi.org/10.3390/healthcare10020301.
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The high rate of sexual and reproductive health (SRH) challenges among adolescents in Nigeria has been linked with the poor access to and utilisation of health facilities. This study explores the factors that influence the actual use and willingness to use SRH services among adolescents. Survey questionnaires were administered to 428 adolescents aged 18 to 19 years in six local government areas (LGAs) in Plateau State. The results showed that more than one-third of the participating adolescents were currently sexually active, slightly more than three-quarters (76.6%) had never visited health facilities for SRH issues, and more than half (56.0%) were not willing to visit a health facility if they ever had any SRH issues. The most frequent reason for the non-use of health care facilities for SRH issues by adolescents was a perceived lack of privacy and confidentiality (66.1%), followed by the perceived negative attitude of health care providers (68.2%). However, being sexually active was the only independent covariate of seeking SRH care from health facility (AOR = 005; CI = 0.01–0.49; p = 0.011), while awareness of HIV was a significant covariate of willingness to seek SRH care in a health facility in the future (AOR = 3.17, 95% CI = 1.50–6.70; p = 0.002). We concluded that the utilisation of SRH services and willingness to do so in the future was fairly limited among adolescents in this study. Therefore, there is a need to address the challenges of privacy and confidentiality and commencement of the health promotion of SRH for adolescents ahead of sexual initiation to alleviate the SRH challenges adolescents encounter when sexually active.
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Mkonyi, Ever, Maria Trent, Dorkasi L. Mwakawanga, Agnes Fredrick Massae, Michael W. Ross, Zobeida E. Bonilla, Inari S. Mohammed, et al. "Evaluating the History-Taking Process of Sexual Reproductive Health Problems in Tanzania: Lessons from a Study of Health Students and Practitioners." East African Journal of Health and Science 6, no. 1 (June 5, 2023): 133–48. http://dx.doi.org/10.37284/eajhs.6.1.1239.
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Building trust and therapeutic relationships between healthcare providers and patients is crucial for delivering high-quality, comprehensive sexual and reproductive health (SRH) services. Yet, while patients face substantial SRH disparities in Tanzania, little is known about health care professionals’ [HCPs] SRH history-taking practices and experiences. This paper describes HCPs’ interdisciplinary practices, experience in conducting SRH taking, and the critical lessons learned to optimize quality SRH care. We conducted 18 focus group discussions in June 2019 in Dar es Salaam, Tanzania, with 60 healthcare practitioners and 61 students in midwifery, nursing, and medicine. We implemented a purposive, stratified sampling design to explore the experiences and perspectives of HCPs regarding providing sexual health services. We employed a grounded theory approach to perform the analysis. We provided seven scenarios to participants to discuss how they would manage SRH health problems. The scenarios helped us evaluate the practice and experience of SRH in Tanzania. Four broad themes and sub-themes emerged during the discussion; 1) SRH history-taking practices and experiences in the health care facilities; 2) the perceived benefit of effective SRH history-taking; 3) Factors hindering the SRH history-taking process; 4) The power of confidence. These findings have implications for strengthening a sexual health curriculum for medical students and continuing education programs for practising health professionals designed to address the observed health disparities in Tanzania. These findings affirm that proper SRH history-taking requires a conducive environment, knowledge of relevant SRH-related laws and regulations, application of evidence-based techniques, and giving patients autonomy to make decisions for their health while making recommendations regarding standard care. Comprehensive SRH history-taking identifies critical data for illness diagnosis, provides foundational information for risk-reduction behavioural change counselling, and reduces medical costs. Therefore, the primary goal is to optimize health professional training on SRH issues and history-taking skills within the medical interview
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Abdulai, Abdul-Malik. "Assessing the Availability and Utilisation of Adolescent Reproductive Health Services in Northern Region of Ghana." TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 11, no. 3 (September 29, 2023): 86–106. http://dx.doi.org/10.21522/tijph.2013.11.03.art008.
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Youth-friendly sexual and reproductive health services involved range of Sexual and Reproductive Health services that are delivered to the specific needs, vulnerabilities, and desires of young people. This study aims to determine the availability and utilization of adolescent sexual and reproductive health services among youths in selected districts and municipalities in the Northern Region of Ghana. A descriptive cross-sectional study design was conducted in four selected districts using a mixed method of quantitative and qualitative approaches to data collections. Both male and female adolescent and young person aged 10-24 years were selected by simple random sampling through balloting. Convenient sampling was used to select four health workers for interviews. Quantitative data was analysed using descriptive and inferential statistics, and qualitative analysis was done using manual thematic analysis. The qualitative data was collected using an unstructured interview guide and analysed with thematic analysis. Findings showed average age was 16.64 years, and 70.5% had good knowledge score of SRH services availability. Types of SRH services provided include counselling and education on SRH issues, STIs screening, diagnosis, and management. About 69.8% have ever visited the health facilities for SRH service, and 36.1% covered more than an hour before accessing SRH services. About 21% had access contraceptives and family planning services. Barriers to accessing SRH services were attributed to; cost of healthcare (21.9%), long queues at facilities (15.3%), and distance to healthcare facility (12.4%). Associated factors were sex (OR = 1.72; 95%CI 1.16-2.57; p = 0.007), father educational attainment (OR = 2.03; 95%CI 1.35-3.03; p = 0.0001), and district of residence (OR = 5.72; 95%CI 2.01-16.25; p = 0.0005). Most adolescents and young people from the study findings had increased knowledge score on the types and availability of SRH services in the district health facilities. But utilization of the SRH services was low because, the point of delivery of these SRH services were far, and most have to cover long distance. Keywords: Adolescent, Availability, Utilization, Reproductive Health Service, Ghana.
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Lassi, Zohra S., Ebony Grace Neideck, Bridget Mary Aylward, Prabha H. Andraweera, and Salima Meherali. "Participatory Action Research for Adolescent Sexual and Reproductive Health: A Scoping Review." Sexes 3, no. 1 (March 3, 2022): 189–208. http://dx.doi.org/10.3390/sexes3010015.
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Introduction: Youth-friendly sexual and reproductive health (SRH) interventions are essential for the health of adolescents (10–19 years). Co-designing is a participatory approach to research, allowing for collaboration with academic and non-academic stakeholders in intervention development. Participatory action research (PAR) involves stakeholders throughout the planning, action, observation, and reflection stages of research. Current knowledge indicates that co-producing SRH interventions with adolescents increases a feeling of ownership, setting the scene for intervention adoption in implementation settings. Objectives: This scoping review aims to understand the extent of adolescents’ participation in PAR steps for co-designed SRH interventions, including the barriers and facilitators in co-designing of SRH intervention, as well as its effectiveness on adolescents’ SRH outcomes. Methods: Database searching of PubMed, Medline, Embase, CINAHL, Scopus, Web of Science, Google Scholar, and organisational websites was performed, identifying 439 studies. Results: Upon screening, 30 studies (published between 2006–2021) met the inclusion criteria. The synthesis identified that adolescents were involved in the planning and action stages of the interventions, but not in the observation and reflection stages. Although the review identified the barriers and facilitators for co-designing SRF interventions, none of the included studies reported on the effectiveness of co-designing SRH interventions with adolescents; therefore, meta-analysis was not performed. Conclusions: While no specific outcome of the interventions was reported, all papers agreed that adolescent co-designing in ASRH interventions should occur at all stages to increase understanding of local perceptions and develop a successful intervention.
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Morison, Tracy, and Ingrid Lynch. "‘We can’t help you here’: The discursive erasure of sexual minorities in South African public sexual and reproductive health services." Psychology of Sexualities Review 7, no. 2 (2016): 7–25. http://dx.doi.org/10.53841/bpssex.2016.7.2.7.
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Worldwide, sexual and gender minorities struggle to access sexual and reproductive health (SRH) services. In South Africa, sexual prejudice is entrenched and pervasive in health systems and SRH services do not cater for a diverse range of people. Though health reform is underway, little attention has been given to how sexuality is being addressed in this process, particularly in the National Health Insurance (NHI) scheme currently being piloted. We analyse interview data generated in an NHI pilot district, using discursive methodology, informed by a sexual and reproductive justice standpoint. We show how sexual and gender minorities are discursively in/visibilised in health settings and discuss these findings in relation to the social justice and solidarity aims of health systems reform.
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Morison, Tracy, and Ingrid Lynch. "‘We can’t help you here’: The discursive erasure of sexual minorities in South African public sexual and reproductive health services." Lesbian & Gay Psychology Review 7, no. 2 (July 2006): 7–25. http://dx.doi.org/10.53841/bpslg.2016.7.2.7.
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Worldwide, sexual and gender minorities struggle to access sexual and reproductive health (SRH) services. In South Africa, sexual prejudice is entrenched and pervasive in health systems and SRH services do not cater for a diverse range of people. Though health reform is underway, little attention has been given to how sexuality is being addressed in this process, particularly in the National Health Insurance (NHI) scheme currently being piloted. We analyse interview data generated in an NHI pilot district, using discursive methodology, informed by a sexual and reproductive justice standpoint. We show how sexual and gender minorities are discursively in/visibilised in health settings and discuss these findings in relation to the social justice and solidarity aims of health systems reform.
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Ijadunola, M. Y., T. O. Ojo, N. E. Okoro, F. A. Oyedele, I. G. Opafunso, O. M. Omisakin, and G. D. Opaginni. "From Exploits to Remedy: Sexual Behaviour and Utilisation of Reproductive Health Services among In-School Adolescents in a South-Western Nigerian Town." Journal of Community Medicine and Primary Health Care 35, no. 2 (August 8, 2023): 24–34. http://dx.doi.org/10.4314/jcmphc.v35i2.3.
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Background: Adolescents are often involved in risky sexual behaviour. It has been reported that most male adolescents have multiple sexual partners, and most female adolescents use condoms inconsistently. This study assessed sexual behaviour, information sources on Sexual and Reproductive Health (SRH), knowledge of SRH, and utilization of RH services among senior secondary school students in Ile- Ife, Nigeria.
Methods: A cross-sectional study was conducted on 424 students randomly selected from six public secondary schools in Ile-Ife. The instrument was a pretested, self-administered questionnaire. The median score was used to categorise SRH knowledge into good and poor. Respondents who did not use condoms consistently, or had multiple sexual partners, or engaged in transactional sex were categorized as having engaged in risky sexual behaviour. Respondents who sought any RH service in a health facility were categorized as having utilized SRH services. ChiSquare was used for associations between categorical variables, while binary logistic regression was used to test for the predictors of utilization of SRH services.
Results: Over a quarter (26.9%) of the respondents had experienced a sexual debut, with 52.6% doing so before 14 years. Teachers were the most reported information source on pubertal changes (65.1%) and sexually transmitted infections (STIs) (71.7%). About 60.8% of respondents had good knowledge of SRH; 55.3% of respondents had multiple sexual partners and 55.9% of respondents had utilized RH services.
Conclusion: A good proportion of the respondents had good SRH knowledge; however, the prevalence of risky sexual behaviour was high. Adolescents need adequate SRH education and promotion.
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Dune, Tinashe, David Ayika, Jack Thepsourinthone, Virginia Mapedzahama, and Zelalem Mengesha. "The Role of Culture and Religion on Sexual and Reproductive Health Indicators and Help-Seeking Attitudes amongst 1.5 Generation Migrants in Australia: A Quantitative Pilot Study." International Journal of Environmental Research and Public Health 18, no. 3 (February 2, 2021): 1341. http://dx.doi.org/10.3390/ijerph18031341.
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In Australia, 1.5 generation migrants (those who migrated as children) often enter a new cultural and religious environment, with its own set of constructs of sexual and reproductive health (SRH), at a crucial time in their psychosexual development—puberty/adolescence. Therefore, 1.5 generation migrants may thus have to contend with constructions of SRH from at least two cultures which may be at conflict on the matter. This study was designed to investigate the role of culture and religion on sexual and reproductive health indicators and help-seeking amongst 1.5 generation migrants. An online survey was completed by 111 participants who answered questions about their cultural connectedness, religion, sexual and reproductive health and help-seeking. Kruskall-Wallis tests were used to analyse the data. There was no significant difference between ethnocultural groups or levels of cultural connectedness in relation to sexual and reproductive health help-seeking attitudes. The results do suggest differences between religious groups in regard to seeking help specifically from participants’ parents. Notably, participants who reported having ‘no religion’ were more likely to seek help with sexual and reproductive health matters from their parent(s). Managing cross-cultural experiences is often noted in the extant literature as a barrier to sexual and reproductive health help-seeking. However, while cultural norms of migrants’ country of origin can remain strong, it is religion that seems to have more of an impact on how 1.5 generation migrants seek help for SRH issues. The findings suggest that 1.5 generation migrants may not need to adapt their religious beliefs or practices, despite entering a new ethnocultural environment. Given that religion can play a role in the participants’ sexual and reproductive health, religious organizations are well-placed to encourage young migrants to adopt help-seeking attitudes.
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Rose, Elizabeth, Elana Covshoff, Lucy Blake, Adenike Bolade, Robert Rathouse, Aleshia Wilson, Arthur Cotterell, Rudiger Pittrof, and Faisil Sethi. "Sexual and reproductive health needs assessment & interventions in a female psychiatric intensive care unit." BJPsych Open 7, S1 (June 2021): S47—S48. http://dx.doi.org/10.1192/bjo.2021.175.
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AimsTo assess the sexual and reproductive health (SRH) needs of women admitted to a psychiatric intensive care unit (PICU), and acceptability of delivering specialist SRH assessments/interventions in this setting. Secondary aims were to explore the barriers to access and the feasibility of providing SRH assessments and interventions in the PICU.MethodA retrospective analysis of fifteen months’ activity data found that only 25 SRH referrals had been made across 205 PICU admissions. This low referral rate of 12% likely reflected pathway barriers and was unlikely to represent the actual clinical need in female PICU patients. A bi-monthly SRH in-reach clinic and a nurse led SRH referral pathway were implemented on the PICU over a seven-month period. Within a quality improvement framework, a staff training needs assessment was performed, training delivered, a protocol developed, staff attitudes explored, and patient and carer engagement sought.ResultA quality improvement approach streamlined SRH assessments on the PICU and resulted in 42% of women being assessed and a 3.5-fold increase in uptake. At least 30% of the women in the PICU had unmet SRH needs identified and proceeded to a specialist appointment. This amounts to a minimum 2.5-fold increase in SRH unmet need detection.The most common SRH needs were complex gynaecological issues (such as period problems, pelvic pain, vaginal discharge), STI advice/testing and contraception advice/options. 21% of women initiated SRH interventions, and 14% completed all the interventions required for their needs. The most common interventions were in the areas of contraception advice/family planning and STI advice/testing.Staff confidence on assessing SRH topics was identified as a barrier to access with a positive shift noted after bespoke SRH training was implemented and a protocol introduced: on a scale of 0-10 (with 10 being high), 81.3% of staff rated their confidence 8 or above in relation to discussing contraception/sexually transmitted infections (pre-training: 25.0%), and 93.8% in relation to discussing risky behaviours (pre-training: 18.8%). All 11 patient and carer participants felt it was important to have a forum to talk about SRH and 8 (72.7%) agreed it was important in the PICU.ConclusionResults identify that SRH needs for PICU admissions are greater than previously realised. Staff highlighted the acceptability and importance of SRH care, if interventions are appropriately timed and the patient's individual risk profile considered. Providing a nurse led referral pathway for an SRH in-reach clinic is acceptable, feasible and beneficial for PICU patients.
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Kaneoka, Mari, and William Spence. "The cultural context of sexual and reproductive health support: an exploration of sexual and reproductive health literacy among female Asylum Seekers and Refugees in Glasgow." International Journal of Migration, Health and Social Care 16, no. 1 (December 23, 2019): 46–64. http://dx.doi.org/10.1108/ijmhsc-01-2019-0002.
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Purpose Sexual and reproductive health (SRH) incorporates prevention of unplanned pregnancies, unsafe abortions, and sexually transmitted infections (STIs). The sourcing, understanding and application of related information are important for health and this defines sexual and reproductive health literacy (SRHL). Health care utilization rates among Asylum Seekers and Refugees (ASRs) may not be high and they are unlikely to seek sufficient SRH information and care in their host countries, leaving some needs unmet. No SRHL research related to Scotland’s Asylum Seeking and Refugee Women (ASRW) exists. In this qualitative study, the purpose of this paper is to explore the SRHL-related views and experiences of adult ASRW living in Glasgow and their views on assistance required to improve their SRHL. Design/methodology/approach In total, 14 semi-structured interviews were audio-recorded and transcribed and qualitative thematic analysis employed. Findings Five themes and 13 sub-themes with four key findings highlighted: experience of unmet SRHL needs, similarities and differences in the source of SRH information, SRH views and behaviours influenced by cultural and religious factors, barriers and facilitators to accessing SRH information/care and developing SRHL. Research limitations/implications This was a small scale qualitative study affording limited transferability. The work addressed a highly sensitive topic among women from conservative home country cultures. Practical implications Routine collection of sexual and reproductive health data by the NHS should be explored for this group. NHS staff should be aware of the rights of asylum seekers, Refugees and failed asylum seekers, to NHS healthcare free at the point of delivery in Scotland (National Health Service, 2019; Scottish Government, 2018), and be well trained in the likely religious and cultural norms of these groups. Host communities should consider improving access to SRH information and care in ASRWs first languages. Social implications The study identified weaknesses in the opportunities for social integration afforded this group and the coordination of existing social opportunities. The stigmatization of immigrants in the UK is well understood and has repercussions for many individuals and societal organizations implicated in the promotion of this. Originality/value This paper addresses a very sensitive topic with women from conservative cultures. With few publications in this area, and none pertaining to Scotland, the paper makes a small but original contribution that might be considered a starting point for researchers and relevant services in Scotland.
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Ledón-LLanes, Loraine, Irazú Contreras-Yáñez, Guillermo Guaracha-Basáñez, Salvador Saúl Valverde-Hernández, Anayanci González-Marín, Ángel de Jesús Ballinas-Sánchez, Marta Durand, and Virginia Pascual-Ramos. "Views of Mexican outpatients with rheumatoid arthritis on sexual and reproductive health: A cross-sectional study." PLOS ONE 16, no. 1 (January 28, 2021): e0245538. http://dx.doi.org/10.1371/journal.pone.0245538.
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Background Rheumatoid arthritis (RA) impacts sexual and reproductive health (SRH), which is a prominent component of a patient´s quality of life and highly influenced by the cultural background. The aim of the study was to explore the interest of Mexican outpatients with RA in SRH and to examine patient view on SRH. Methods This cross-sectional study surveyed 303 consecutive outpatients with RA on their perceptions of SRH importance, SRH satisfaction, access to SRH information, preferences regarding SRH communication with healthcare professionals, and understanding of SRH (qualitative open-ended descriptions). Descriptive statistics and inferential analysis were used. Patient knowledge of each dimension of SRH was rated based on pre-specified criteria. Two assessors assigned ten major themes to each patient´s description of both dimensions of SRH. Results Patients perceived their SRH as an important component of their general health and wished to address the topic, although few had access to such communication. Female patients assigned lesser importance to SRH, showed lesser degree of satisfaction with SRH, and expressed preference for a truthful physician. Age showed a linear association with individual survey responses, except for satisfaction with reproductive health dimension. There was a linear association between increased age and decreased years of formal education with a lower level of SRH knowledge. Ten major themes emerged for each of the two dimensions of the SRH construct, although most individual descriptions were assigned to one or two major themes. Conclusions Further education and assessment of SRH in Mexican patients with RA is warranted.
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Mprah, Wisdom Kwadwo. "Sources and Use of Sexual and Reproductive Health Information Among Deaf People in Ghana." IJDS Indonesian Journal of Disability Studies 1, no. 1 (July 10, 2014): 1–11. http://dx.doi.org/10.21776/ub.ijds.2014.01.01.01.
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While information is critical for making informed decisions on SRH issues, the deaf community in Ghana has limited access due to social, economic, and institutional barriers. The purpose of this article is to describe the sources and use of Sexual and Reproductive Health (SRH) information among deaf people in Ghana. Data for this article were derived from a SRH needs assessment project with deaf people in Ghana. The study involved 179 participants, consisting of 178 deaf participants” 26 focus group participants, 152 survey respondents” and one hearing person served as a key informant. Findings from both the focus groups and survey revealed that deaf people in Ghana obtained SRH information from a wide range of sources: school teachers, family members, health professionals, friends, the media, and SRH organizations and centers. The study findings also indicated that although health professionals are the official source of information on SRH issues in Ghana, they were not the most utilized and preferred source for the deaf community due to communication barriers. These findings are consistent with other studies and suggest that any SRH program aimed at improving access to information to the deaf population should endeavor to eliminate communication barriers.
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Gautam, Alisha, Krishna Sharma, Sunita Dhakal, Sarmila Dhakal, and Anugraha Chand. "ADOLESCENT-PARENT COMMUNICATION ON SEXUAL AND REPRODUCTIVE HEALTH AND ITS ASSOCIATED FACTORS AMONG HIGHER SECONDARY SCHOOL STUDENTS OF TOKHA MUNICIPALITY, NEPAL : A CROSS-SECTIONAL STUDY." Journal of Public Health Research and Community Health Development 7, no. 1 (September 30, 2023): 11–20. http://dx.doi.org/10.20473/jphrecode.v7i1.39509.
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Background: As compared to other age groups, adolescents are more vulnerable to sexual and reproductive health issues. Parents can become protective and influencing factors for their children to prevent risky sexual behavior. Purpose: This study aimed to assess adolescent-parent communication on sexual and reproductive health and its associated factors. Methods: A descriptive cross-sectional study among 212 adolescents aged 15–19 in higher secondary schools of Tokha Municipality. A self-administered structured modified questionnaire to assess the communication used the Weighted Topics Measure of Family Sexual Communication tool with a simple random sampling technique. Descriptive statistical analysis and chi-square tests were used to analyze data and assess the association between variables. Data quality was assured through careful questionnaire design, pretesting, and training. Results: The study found that 75.9% of adolescents had communicated on sexual and reproductive health (SRH) topics with their parents, 24.1% never communicated, 47.2% seldom communicated on SRH topics, followed by sometimes (23.6%) and often (5.2%), respectively. Adolescent-parent communication on SRH was significantly associated with the level of knowledge regarding sexual and reproductive health (ꭓ2 = 5.809, p-value = 0.01, df = 1). Similarly, there was a significant association with the perceived parenting style (ꭓ2 =3.932, p-value =0.04, df =1), living arrangements (ꭓ2 =6.376, p-value=0.01, df =1), and adolescent-parent communication. Conclusion: It concluded that adolescent-parent communication on SRH issues is not satisfactory. Creating an adolescent-friendly environment at home and conducting awareness programs with the help of the local government of the respective schools would help to increase adolescent-parent communication.
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Leekuan, Panitsara, Ros Kane, Panpimol Sukwong, and Waratya Kulnitichai. "Understanding sexual and reproductive health from the perspective of late adolescents in Northern Thailand: a phenomenological study." Reproductive Health 19, no. 1 (December 23, 2022). http://dx.doi.org/10.1186/s12978-022-01528-1.
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Abstract Background Worldwide, Sexual Reproductive Health (SRH) issues comprise a third of health problems for women aged 15–44. SRH education equips people with knowledge of concepts around sexuality and reproduction, and the skills help to make informed decisions to prevent sexual and reproductive ill-health, including unplanned pregnancy and HIV/AIDS, and other sexually transmitted infections (STIs). The aim of this study was to explore the experiences of late adolescents relating to SRH, examining their attitudes toward sex and contraception, and to identify the gaps in knowledge pertiaing to decision-making around risk-taking behaviour. Methods A qualitative phenomenological study was undertaken with 30 adolescents aged 18–19, purposively and snowball sampled from a university in Northern Thailand. Data collaction took place from July 2020 to January 2021. In-depth individual interviews were conducted until data saturation was reached. Data were recorded, transcribed, and analysed in ATLAS.ti version 9, using Modified Interpretative Phenomenological Analysis to identify pertinent themes. Results Participants revealed five key experiences of SRH related to sex and contraception: Keeping a secret; Seeking Freedom and Love; Having SRH education; Self-protection; Parental acceptance. All findings reflected the value and impact of SRH on the experiences of late adolescents. Conclusions This study provides detailed knowledge about adolescents’ perspectives of SRH and rights in terms of accessing sexual and reproductive health care and information as well as autonomy in sexual and reproductive decision-making. Gaining SRH education can assist decision-making concerning contraceptive methods for family planning and STI prevention. The study recommends that SRH and rights-based education should be designed responsively and appropriately for female and male adolescents, their families, and society. The content of SRH should be informed and advocated by healthcare providers, educators, policy makers, and systems to empower adolescents in order to achieve effective SRH education.
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Hunt, Jane Alyce, Kimberly A. Randell, Sarah Mermelstein, Melissa K. Miller, and Abbey R. Masonbrink. "Understanding the Sexual and Reproductive Health Needs of Hospitalized Adolescent Males." Hospital Pediatrics, October 27, 2022. http://dx.doi.org/10.1542/hpeds.2021-006489.
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OBJECTIVES: To describe sexual behaviors and acceptability of receiving sexual and reproductive health (SRH) services among hospitalized adolescent males. METHODS: We performed a cross-sectional survey of hospitalized adolescents. Eligible participants were males aged 14 to 20 years admitted at 2 academic medical centers. Outcome measures included reported healthcare utilization, sexual health behaviors (eg, sexual activity), contraception use, and acceptability of SRH discussions during a hospitalization. RESULTS: Among 145 participants, 42% reported a history of vaginal sex, 27% current sexual activity, 12% early sexual debut, and 22% 4 or more prior sexual partners. At last sex, condom use was reported by 63% and use of reversible contraception by 36%. Nearly half (45%) agreed that hospital-based SRH discussions were acceptable, particularly among those with history of sexual activity (P < .01). Some (12%) reported they had not accessed care in the past year when they felt they should. CONCLUSIONS: Hospitalized males in our study had similar rates of sexual activity as compared with the general population but had higher rates of early sexual debut and number of prior partners, which are independently linked with negative sexual health outcomes (eg, sexually transmitted infections). Our participants found SRH discussions to be generally acceptable. These findings reveal opportunities to screen for unmet SRH needs and provide SRH education and services for adolescent males in the hospital.
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Logie, Carmen H., Frannie MacKenzie, Kalonde Malama, Nicole Lorimer, Anoushka Lad, Michelle Zhao, Manjulaa Narasimhan, et al. "Sexual and reproductive health among forcibly displaced persons in urban environments in low and middle-income countries: scoping review findings." Reproductive Health 21, no. 1 (April 12, 2024). http://dx.doi.org/10.1186/s12978-024-01780-7.
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Abstract Background Most forcibly displaced persons are hosted in low- and middle-income countries (LMIC). There is a growing urbanization of forcibly displaced persons, whereby most refugees and nearly half of internally displaced persons live in urban areas. This scoping review assesses the sexual and reproductive health (SRH) needs, outcomes, and priorities among forcibly displaced persons living in urban LMIC. Methods Following The Joanna Briggs Institute scoping review methodology we searched eight databases for literature published between 1998 and 2023 on SRH needs among urban refugees in LMIC. SHR was operationalized as any dimension of sexual health (comprehensive sexuality education [CSE]; sexual and gender based violence [GBV]; HIV and STI prevention and control; sexual function and psychosexual counseling) and/or reproductive health (antental, intrapartum, and postnatal care; contraception; fertility care; safe abortion care). Searches included peer-reviewed and grey literature studies across quantitative, qualitative, or mixed-methods designs. Findings The review included 92 studies spanning 100 countries: 55 peer-reviewed publications and 37 grey literature reports. Most peer-reviewed articles (n = 38) discussed sexual health domains including: GBV (n = 23); HIV/STI (n = 19); and CSE (n = 12). Over one-third (n = 20) discussed reproductive health, including: antenatal, intrapartum and postnatal care (n = 13); contraception (n = 13); fertility (n = 1); and safe abortion (n = 1). Eight included both reproductive and sexual health. Most grey literature (n = 29) examined GBV vulnerabilities. Themes across studies revealed social-ecological barriers to realizing optimal SRH and accessing SRH services, including factors spanning structural (e.g., livelihood loss), health institution (e.g., lack of health insurance), community (e.g., reduced social support), interpersonal (e.g., gender inequitable relationships), and intrapersonal (e.g., low literacy) levels. Conclusions This review identified displacement processes, resource insecurities, and multiple forms of stigma as factors contributing to poor SRH outcomes, as well as producing SRH access barriers for forcibly displaced individuals in urban LMIC. Findings have implications for mobilizing innovative approaches such as self-care strategies for SRH (e.g., HIV self-testing) to address these gaps. Regions such as Africa, Latin America, and the Caribbean are underrepresented in research in this review. Our findings can guide SRH providers, policymakers, and researchers to develop programming to address the diverse SRH needs of urban forcibly displaced persons in LMIC. Plain English summary Most forcibly displaced individuals live in low- and middle-income countries (LMICs), with a significant number residing in urban areas. This scoping review examines the sexual and reproductive health (SRH) outcomes of forcibly displaced individuals in urban LMICs. We searched eight databases for relevant literature published between 1998 and 2023. Inclusion criteria encompassed peer-reviewed articles and grey literature. SRH was defined to include various dimensions of sexual health (comprehensive sexuality education; sexual and gender-based violence; HIV/ STI prevention; sexual function, and psychosexual counseling) and reproductive health (antenatal, intrapartum, and postnatal care; contraception; fertility care; and safe abortion care). We included 90 documents (53 peer-reviewed articles, 37 grey literature reports) spanning 100 countries. Most peer-reviewed articles addressed sexual health and approximately one-third centered reproductive health. The grey literature primarily explored sexual and gender-based violence vulnerabilities. Identified SRH barriers encompassed challenges across structural (livelihood loss), health institution (lack of insurance), community (reduced social support), interpersonal (gender inequities), and individual (low literacy) levels. Findings underscore gaps in addressing SRH needs among urban refugees in LMICs specifically regarding sexual function, fertility care, and safe abortion, as well as regional knowledge gaps regarding urban refugees in Africa, Latin America, and the Caribbean. Self-care strategies for SRH (e.g., HIV self-testing, long-acting self-injectable contraception, abortion self-management) hold significant promise to address SRH barriers experienced by urban refugees and warrant further exploration with this population. Urgent research efforts are necessary to bridge these knowledge gaps and develop tailored interventions aimed at supporting urban refugees in LMICs.
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Groenewald, Candice, Nazeema Isaacs, and Phiwokazi Qoza. "Hope, agency, and adolescents' sexual and reproductive health: A mini review." Frontiers in Reproductive Health 5 (February 17, 2023). http://dx.doi.org/10.3389/frph.2023.1007005.
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Availability of and access to services that promote sexual and reproductive health (SRH) amongst adolescent girls have become a global priority. Yet, while researchers have explored factors that influence the uptake of SRH services in low-and-middle income countries, the roles that “agency” and “hope” play in adolescent SRH is less understood. To study this, this mini review systematically reviewed the literature across three databases, EBSCO-host web, Pubmed and South Africa (SA) epublications, for the period of January 2012 to January 2022. Findings showed that a paucity of studies identified the link between agency, hope and adolescent SRH respectively. Our review included 12 articles and found no studies that focused on hope and its role in adolescent SRH or seeking SRH services. However, the literature revealed the complexities of adolescent SRH agency and autonomy where female adolescents had limited autonomy to make SRH decisions. Limited access to adolescent friendly SRH services was also found to restrict girls' agency to prevent unintended pregnancies or to take up SRH support. Given the paucity of research, empirical studies are needed to further understand the extent to which hope, agency and other subjective factors implicate adolescent SRH in the African context.