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Reproductive Health Matters

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https://www.readbyqxmd.com/read/28024683/how-can-a-state-control-swallowing-the-home-use-of-abortion-pills-in-ireland
#1
Sally Sheldon
Evidence suggests that there is widespread home use of abortion pills in Ireland and that ending a pregnancy in this way is potentially safer than the alternatives available to many women. This paper argues that there is a strong case for women with unwanted pregnancies to be offered truthful and objective information regarding the use of abortion pills by trusted local professionals and, further, that this is possible within existing law. A move in this direction would not, however, negate the need for legal reform to address the fundamental moral incoherence of a law that treats women who terminate pregnancies within Ireland as criminals but those who travel to access services overseas as victims in need of support...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024682/coming-of-age-women-s-sexual-and-reproductive-health-after-twenty-one-years-of-democracy-in-south-africa
#2
Diane Cooper, Jane Harries, Jennifer Moodley, Deborah Constant, Rebecca Hodes, Cathy Mathews, Chelsea Morroni, Margaret Hoffman
This paper is a sequel to a 2004 article that reviewed South Africa's introduction of new sexual and reproductive health (SRH) and rights laws, policies and programmes, a decade into democracy. Similarly to the previous article, this paper focuses on key areas of women's SRH: contraception and fertility, abortion, maternal health, HIV, cervical and breast cancer and sexual violence. In the last decade, South Africa has retained and expanded its sexual and reproductive health and rights (SRHR) policies in the areas of abortion, contraception, youth and HIV treatment (with the largest antiretroviral treatment programme in the world)...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024681/-girls-need-to-behave-like-girls-you-know-the-complexities-of-applying-a-gender-justice-goal-within-sexuality-education-in-south-african-schools
#3
Sisa Ngabaza, Tamara Shefer, Catriona Ida Macleod
Sexuality education, as a component within the Life Orientation (LO) programme in South African schools, is intended to provide young people with knowledge and skills to make informed choices about their sexuality, their own health and that of others. Key to the programme are outcomes relating to power, power relations and gender. In this paper, we apply a critical gender lens to explore the ways in which the teaching of sexuality education engages with larger goals of gender justice. The paper draws from a number of ethnographic studies conducted at 12 South African schools...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024680/politics-policies-pronatalism-and-practice-availability-and-accessibility-of-abortion-and-reproductive-health-services-in-turkey
#4
Katrina A MacFarlane, Mary Lou O'Neil, Deniz Tekdemir, Elvin Çetin, Barış Bilgen, Angel M Foster
Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We aimed to better understand the current availability of abortion and reproductive health services in Istanbul and explore whether access to services has changed since 2012. In 2015, we completed 14 in-depth interviews with women and 11 semi-structured interviews with key informants...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024679/gender-norms-as-health-harms-reclaiming-a-life-course-perspective-on-sexual-and-reproductive-health-and-rights
#5
Cailin Crockett, Bergen Cooper
Despite their demographic significance and the lifetime impact of gender disparities on their health and rights, women considered older than reproductive age are excluded from most investments in global public health. While development policies linking human rights with access to sexual and reproductive healthcare have yielded progress towards improving the status of women and girls, older women have not benefited from these initiatives. Yet as women grow older, they experience a range of health conditions rooted in their reproductive biology - from ageing with fistula, to cervical and breast cancers...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024678/inequality-zika-epidemics-and-the-lack-of-reproductive-rights-in-latin-america
#6
LETTER
Ana Cristina González Vélez, Simone G Diniz
It is well-documented that structural economic inequalities in Latin America are expressed through and reinforce existing gender gaps. This article aims to look at the relationship between structural inequalities and reproductive health in the case of the Zika epidemic. The consequences of the epidemic will continue to affect the same women whose access to comprehensive reproductive health services, including safe abortion, is restricted at best.
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024677/sexual-health-and-older-adults-suggestions-for-social-science-research
#7
LETTER
Sharron Hinchliff
The body of evidence on older adults' sexual health is beginning to grow. However, it remains an under-researched area particularly within the social sciences. This viewpoint outlines four considerations for those who carry out social science research in this area: 1. defining the age category "older adults"; 2. being clear about the types of sex under research; 3. capturing a range of diverse voices; and 4. considering the use of qualitative research methods to explore the topic in depth. These suggestions are aimed at helping researchers to avoid some of the pitfalls of research in this area, as well as improving the evidence base in order to advance recognition of the issues and drive change in service provision...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024676/ageing-and-healthy-sexuality-among-women-living-with-hiv
#8
Manjulaa Narasimhan, Caitlin Payne, Stephanie Caldas, John R Beard, Caitlin E Kennedy
Populations around the world are rapidly ageing and effective treatment for HIV means women living with HIV (WLHIV) can live longer, healthier lives. HIV testing and screening programmes and safer sex initiatives often exclude older sexually active WLHIV. Systematically reviewing the literature to inform World Health Organization guidelines on the sexual and reproductive health and rights (SRHR) of WLHIV, identified four studies examining healthy sexuality among older WLHIV. In Uganda, WLHIV reported lower rates of sexual activity and rated sex as less important than men...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024675/socio-cultural-influences-upon-knowledge-of-sexually-transmitted-infections-a-qualitative-study-with-heterosexual-middle-aged-adults-in-scotland
#9
Jenny Dalrymple, Joanne Booth, Paul Flowers, Sharron Hinchliff, Karen Lorimer
There has been a recent global increase in sexually transmitted infections (STIs) including HIV among adults aged over 45. Limited evidence exists regarding middle-aged adults' knowledge of STIs other than HIV. This qualitative study sought to understand middle-aged adults' knowledge of STIs within a socio-cultural context. Individual interviews, based on a life-course approach, were conducted with 31 recently sexually active heterosexual men and women. Participants were aged between 45 and 65 and of mixed relationship status (14 were single, 17 in a relationship)...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024674/acknowledging-sexual-bereavement-a-path-out-of-disenfranchised-grief
#10
Alice Radosh, Linda Simkin
Despite increasing awareness of the importance of sexuality for older adults, research and popular literature rarely acknowledge what we term "sexual bereavement" - mourning the loss of sexual intimacy when predeceased. The reluctance to acknowledge sexual bereavement may create "disenfranchised grief" leaving the bereaved unsupported in coping with this aspect of mourning. This preliminary study focuses on women in the United States and sought to determine whether they anticipate missing sex if predeceased, whether they would want to talk about this loss, and identified factors associated with communicating about sexual bereavement...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024673/health-status-and-years-of-sexually-active-life-among-older-men-and-women-in-south-africa
#11
Witness Chirinda, Nompumelelo Zungu
Little is known about sexual activity in old age, particularly in Africa. The objective of this paper is to estimate years of sexually active life for older men and women, and examine the association between sexual activity and self-rated health status. Data were extracted from two large cross sectional HIV household surveys conducted in 2005 and 2012 in South Africa. The Sullivan method was used to estimate sexually active life expectancy, whilst logistic regression was used to assess associations with sexual activity...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024672/factors-associated-with-caesarean-sections-in-phnom-penh-cambodia
#12
Clémence Schantz, Kruy Leang Sim, Véronique Petit, Heng Rany, Sophie Goyet
C-sections are an increasingly performed medical practice which can save lives but may also lead to major complications. Through a mixed methods study conducted in 2015 in Cambodia, we aimed to analyze the reasons for requesting a c-section and to explore factors that are associated with c-sections. 60% of the women in the cohort who gave birth by c-section reported having requested it. Through 31 in-depth interviews, we determined the reasons given by women for requesting a c-section before and during labour...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024671/reform-of-abortion-law-in-uruguay-context-process-and-lessons-learned
#13
Susan Wood, Lilián Abracinskas, Sonia Correa, Mario Pecheny
In October 2012, a new law was approved in Uruguay that allows abortion on demand during the first 12 weeks of pregnancy, 14 weeks in the case of rape, and without a time limit when the woman's health is at risk or in the case of foetal anomalies. This paper analyses this legal reform. It is based on 27 individual and group interviews with key informants, and on review of primary documents and the literature. The factors explaining the reform include: secular values in society, favourable public opinion, a persistent feminist movement, effective coalition building, particular party politics, and a vocal public health sector...
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/28024670/sexuality-and-older-people-a-neglected-issue
#14
EDITORIAL
Shirin Heidari
No abstract text is available yet for this article.
November 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/27578354/hidden-from-view-canadian-gestational-surrogacy-practices-and-outcomes-2001-2012
#15
Pamela M White
This paper raises some troubling questions about the fertility treatments provided to Canadian gestational surrogates, women not genetically related to the child that they carry. Using information published between 2003 and 2012 by Canada's Assisted Reproduction Registry, the paper traces the growing incidence of births to gestational surrogates. The transfer of more than one embryo increases the chance of pregnancy and the incidence of multiple births, and while the incidence of multiple births has declined overall since 2010, gestational surrogates consistently experience a higher proportion of multiple births and experienced higher levels of multiple embryo transfers...
May 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/27578353/reflecting-on-adolescents-evolving-sexual-and-reproductive-health-rights-canvassing-the-opinion-of-social-workers-in-kwazulu-natal-south-africa
#16
Zaynab Essack, Jacintha Toohey, Ann Strode
In South Africa children under the age of 18 are legal minors and considered not fully capable of acting independently. However, in certain defined circumstances the law has granted minors the capacity to act independently, including regarding their sexual and reproductive health (SRH). This study explored the perspectives and practices of 17 social workers from KwaZulu-Natal on legislation relevant to adolescents' evolving sexual and reproductive health and rights and the decriminalisation of consensual underage sex...
May 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/27578352/sexual-rights-but-not-the-right-to-health-lesbian-and-bisexual-women-in-south-africa-s-national-strategic-plans-on-hiv-and-stis
#17
Felicity Daly, Neil Spicer, Samantha Willan
Synergies between securing sexual rights and the right to health have been pursued where there are clear public health gains to be made, such as lowering incidence of HIV and other sexually transmitted infections (STI). South Africa's 1996 Constitution outlawed discrimination on the basis of sexual orientation and promoted the right to health. This qualitative health policy analysis sought to understand why and how interventions to improve sexual health of lesbian and bisexual women and address sexual violence were initially proposed in the HIV & AIDS and STI Strategic Plan for South Africa 2007-2011 and why and how these concerns were deprioritised in the National Strategic Plan (NSP) on HIV, STIs and TB 2012-2016...
May 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/27578351/towards-smarter-hiv-laws-considerations-for-improving-hiv-specific-legislation-in-sub-saharan-africa
#18
Patrick Michael Eba
As of 31 July 2014, some 27 countries in sub-Saharan Africa had adopted HIV-specific legislation to respond to the legal challenges posed by the HIV epidemic. However, serious concerns raised about these laws have led to calls for their repeal and review. Through the theory of "smarter legislation", this article develops a framework for analysing the concerns relating to the process, content and implementation of HIV-specific laws. This theoretical framework provides specific guidance and considerations for reforming HIV-specific laws and for ensuring that they achieve their goals of creating enabling legal environments for the HIV response...
May 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/27578350/embodied-experiences-of-prenatal-diagnosis-of-fetal-abnormality-and-pregnancy-termination
#19
Penelope Pitt, Belinda J McClaren, Jan Hodgson
Pregnant women routinely undergo prenatal screening in Australia and this has become a common experience of motherhood. When prenatal screening or prenatal testing results in diagnosis of a serious fetal abnormality, women are presented with a decision to continue or terminate their pregnancy. Few recent studies have explored women's psychosocial experience of prenatal diagnosis and pregnancy termination for fetal abnormality, and within this small group of studies it is rare for research to consider the embodied aspect of women's experiences...
May 2016: Reproductive Health Matters
https://www.readbyqxmd.com/read/27578349/self-management-of-medical-abortion-a-qualitative-evidence-synthesis
#20
Megan Wainwright, Christopher J Colvin, Alison Swartz, Natalie Leon
Medical abortion is a method of pregnancy termination that by its nature enables more active involvement of women in the process of managing, and sometimes even administering the medications for, their abortions. This qualitative evidence synthesis reviewed the global evidence on experiences with, preferences for, and concerns about greater self-management of medical abortion with lesser health professional involvement. We focused on qualitative research from multiple perspectives on women's experiences of self-management of first trimester medical abortion (<12weeks gestation)...
May 2016: Reproductive Health Matters
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