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Journals International Perspectives on ...

International Perspectives on Sexual and Reproductive Health

https://read.qxmd.com/read/32790638/reproductive-autonomy-is-nonnegotiable-even-in-the-time-of-covid-19
#21
JOURNAL ARTICLE
Leigh Senderowicz, Jenny Higgins
The COVID-19 pandemic has swept across the world, altering nearly every facet of contemporary life and causing behavioral and socioeconomic changes that seemed unthinkable a few months ago. The increased risks for human health include not just the dangers posed by the virus itself, but also the upheaval to the broader health care and societal landscapes, which has threatened access to critical sexual and reproductive health services. In this viewpoint, we describe how the pandemic has already posed challenges to reproductive autonomy in both the United States and globally, and then offer insights on how it may do so in the future...
August 11, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32723708/perceived-conflicting-desires-to-delay-the-first-birth-a-household-level-exploration-in-nepal
#22
JOURNAL ARTICLE
Nadia Diamond-Smith, Noemi Plaza, Mahesh Puri, Minakshi Dahal, Sheri D Weiser, Cynthia C Harper
CONTEXT: It is accepted as the norm that couples in South Asia begin childbearing immediately after marriage and that, even if they would like to delay, they are pressured to have children by household members. Little research, however, has explored the desire to delay childbearing among newly married couples and their household members in Nepal-a setting with changing marriage formation patterns, increasing women's education and falling fertility. METHODS: To explore the dynamics of current childbearing desires, in-depth interviews of 20 intact triads of newly married women, their husbands and their mothers-in-law were conducted in one district of Nepal in February-March 2017...
July 23, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32701061/explaining-the-education-health-gradient-in-preventing-stis-in-andean-peru-cognitive-executive-functioning-awareness-and-health-knowledge
#23
JOURNAL ARTICLE
Ismael G Muñoz, David P Baker, Ellen Peters
CONTEXT: Little is known about the pathways mediating the relationship between education and health. It is widely assumed that formal schooling leads to awareness of health risks (e.g., STIs) and, in turn, to adoption of preventive behavior (e.g., condom use); however, evidence supporting this mechanism has been limited. METHODS: Survey data were collected in 2010 from a sample of 247 adults aged 30-62 living in an isolated Andean district of Peru; these individuals had widely varying exposure to schooling, and their community had recently experienced elevated risks of STIs...
July 9, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32584778/the-health-system-costs-of-postabortion-care-in-senegal
#24
JOURNAL ARTICLE
Naomi Lince-Deroche, Ibrahima Sene, Emma Pliskin, Onikepe Oluwadamilola Owolabi, Akinrinola Bankole
CONTEXT: Unsafe abortion is common in Senegal, but postabortion care (PAC) is not accessible to some women who need it, and the cost to the health care system of providing PAC is unknown. METHODS: The cost to Senegal's health system of providing PAC in 2016-at existing service levels and if access were hypothetically expanded-was estimated using the Post-Abortion Care Costing Methodology, a bottom-up, ingredients-based approach. From September 2016 to January 2017, face-to-face interviews were conducted with PAC providers and facility administrators at a national sample of 41 health facilities to collect data on the direct and indirect costs of care provision, as well as the fees charged to patients...
June 24, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32538791/provision-of-emergency-contraceptive-pills-in-kinshasa-s-informal-drug-shops-results-from-a-mystery-client-study
#25
JOURNAL ARTICLE
Julie H Hernandez, Pierre Akilimalib, Muanda Fidèle Mbadu
CONTEXT: Despite the prominence of informal drug shops as sources of contraceptives in Kinshasa, Democratic Republic of the Congo, evidence on the quality of services they provide is scant. Given efforts to leverage the private sector to increase contraceptive access, evaluating the contraceptive knowledge, attitudes and practices of these providers is warranted. METHODS: In April-May 2018, a mystery client study on the provision of emergency contraception (EC) was conducted in 854 informal drug shops in Kinshasa...
June 9, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32401729/modern-contraceptive-use-following-an-unplanned-birth-in-bangladesh-an-analysis-of-national-survey-data
#26
JOURNAL ARTICLE
Md Nuruzzaman Khan, Melissa Harris, Deborah Loxton
CONTEXT: Ineffective use or nonuse of contraceptives following an unplanned birth can contribute to the risk of a subsequent unintended pregnancy; however, the literature on the relationship between unintended pregnancy and postpartum contraceptive use is sparse, especially in low- and middle-income countries. METHODS: Data on 4,493 women from the 2014 Bangladesh Demographic and Health Survey were analyzed; the subjects of the analysis had had a live birth in the three years prior to the survey and were currently at risk of pregnancy...
May 12, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32375116/perceived-infertility-among-young-adults-in-balaka-malawi
#27
JOURNAL ARTICLE
Chelsea B Polis, Ann M Moore, Abdallah Chilungo, Sara Yeatman
CONTEXT: Perceived infertility-an individual's belief that she or he is unable to conceive or impregnate a partner-may lead to contraceptive nonuse and unintended pregnancy, among other concerns, but has not been widely studied in low-income settings. METHODS: A measure of perceived infertility previously used in the United States was included in a 2015 survey of young adults in Balaka, Malawi. The prevalence of potential perceived infertility (i.e., believing it is a little or substantially likely that one is infertile, or would have difficulty getting pregnant or impregnating a partner; PPI) was estimated among the analytic sample of 1,064 women and 527 men aged 21-29...
May 5, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32375118/exploring-conscientious-objection-to-abortion-among-health-providers-in-ghana
#28
JOURNAL ARTICLE
John Koku Awoonor-Williams, Peter Baffoe, Mathias Aboba, Philip Ayivor, Harry Nartey, Beth Felker, Dick Van der Tak, Adriana A E Biney
CONTEXT: Few studies have explored clinicians' roles in the abortion experience in Ghana. Examining how clinicians understand conscientious objection to abortion-the right to refuse to provide legal abortion on the basis of moral or personal beliefs-may provide insight that could help manage the practice. METHODS: Eight in-depth interviews and four focus group discussions were conducted with 14 doctors and 20 midwives in health facilities in Ghana's Eastern and Volta Regions in May 2018...
May 1, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32375117/addressing-abortion-provider-stigma-a-pilot-implementation-of-the-providers-share-workshop-in-sub-saharan-africa-and-latin-america
#29
JOURNAL ARTICLE
Elizabeth A Mosley, Lisa Martin, Meghan Seewald, Jane Hassinger, Kelly Blanchard, Sarah E Baum, Diana Santana, Lina Echeverri, Jenna Garrett, Jesse Njunguru, Lisa H Harris
CONTEXT: In much of Sub-Saharan Africa and Latin America, abortion is legally restricted, and abortion providers experience stigma and legal jeopardy. The Providers Share Workshop group intervention has been shown to reduce provider stigma in the United States, but has not been evaluated in other settings. METHODS: In 2014-2015, the Providers Share Workshop was adapted and piloted among 59 abortion caregivers from three Sub-Saharan African countries and 93 caregivers from seven Latin American countries...
April 30, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32343244/estimates-of-the-potential-impact-of-the-covid-19-pandemic-on-sexual-and-reproductive-health-in-low-and-middle-income-countries
#30
JOURNAL ARTICLE
Taylor Riley, Elizabeth Sully, Zara Ahmed, Ann Biddlecom
The novel coronavirus (SARS-CoV-2) that causes COVID-19 has spread rapidly since emerging in late 2019, leading the World Health Organization (WHO) to declare the disease a global pandemic on March 11, 2020. Governments around the world have had to quickly adapt and respond to curb transmission of the virus and to provide care for the many who have been infected. The strain that the outbreak imposes on health systems will undoubtedly impact the sexual and reproductive health of individuals living in low- and middle-income countries (LMICs); however, sexual and reproductive health will also be affected by societal responses to the pandemic, such as local or national lockdowns that force health services to shut down if they are not deemed essential, as well as the consequences of physical distancing, travel restrictions and economic slowdowns...
April 16, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32301732/applying-inverse-probability-weighting-to-measure-contraceptive-prevalence-using-data-from-a-community-based-reproductive-health-intervention-in-pakistan
#31
JOURNAL ARTICLE
Ece Amber Özçelik, Julia Rohr, Kristy Hackett, Iqbal Shah, David Canning
CONTEXT: Many community-based reproductive health programs use their program data to monitor progress toward goals. However, using such data to assess programmatic impact on outcomes such as contraceptive use poses methodological challenges. Inverse probability weighting (IPW) may help overcome these issues. METHODS: Data on 33,162 women collected in 2013-2015 as part of a large-scale community-based reproductive health initiative were used to produce population-level estimates of the contraceptive prevalence rate (CPR) and modern contraceptive prevalence rate (mCPR) among married women aged 15-49 in Pakistan's Korangi District...
April 15, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/32142469/contraceptive-use-behavior-change-after-an-unintended-birth-in-colombia-and-peru
#32
JOURNAL ARTICLE
Ewa Batyra
CONTEXT: No studies using longitudinal contraceptive histories have investigated whether having an unintended birth (i.e., one resulting from an unintended pregnancy) is associated with change in contraceptive behavior, including in Colombia and Peru, where levels of unintended fertility remain high. METHODS: Monthly reproductive history calendar data from the 2010 Colombia and 2012 Peru Demographic and Health Surveys were used to study contraceptive behavior among 13,373 and 7,425 women, respectively...
March 3, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/31990643/the-extended-role-of-health-facility-cleaners-in-maternity-care-in-kenya
#33
JOURNAL ARTICLE
Ginger Golub, May Sudhinaraset, Katie Giessler, Kendall Dunlop-Korsness, Allison Stone
CONTEXT: A growing body of evidence indicates that nonclinical health care facility staff provide support beyond their traditional roles, particularly in low- and middle-income countries. It is important to examine the role of health facility cleaners in Kenya-from their perspective-to better understand their actual and perceived responsibilities in maternity care. METHODS: In-depth, face-to-face interviews using a semistructured guide were conducted with 14 cleaners working at three public health facilities in Nairobi and Kiambu Counties, Kenya, in August and September 2016...
January 27, 2020: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/31895041/partnering-with-private-providers-to-promote-long-acting-contraceptives-in-urban-bangladesh-a-mixed-methods-feasibility-study
#34
JOURNAL ARTICLE
Laura Bates, Rumana Huque, Prashanta Bhowmik, Rebecca King, Helen Elsey, James Newell, John Walley
CONTEXT: Bangladesh's pluralistic health system has diversified opportunities for clients to obtain family planning, but public-private partnerships could improve access to services, particularly in urban areas. METHOD: Sixteen providers, clients and program managers were interviewed to assess perspectives on a family planning orientation and demand-side financing referral program tested in Mirpur, Bangladesh. The 15-month program, conducted in 2015-2016, was designed to encourage private providers to identify non-family planning clients with unmet contraceptive needs, promote choice of a broader contraceptive mix and refer clients to one of three public or nonprofit clinics for provision of their preferred method...
December 30, 2019: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/31859670/male-participation-in-reproductive-health-interventions-in-sub-saharan-africa-a-scoping-review
#35
JOURNAL ARTICLE
Chigozie A Nkwonta, DeAnne K H Messias
CONTEXT: Despite improvements in reproductive health indicators among women living in Sub-Saharan Africa, the persistence of poor outcomes underscores the need to examine recent interventions to inform future research, programming and policy. Because men in this context have an outsize role in reproductive decision making, assessing their involvement in reproductive health programs is an important step in meeting men's needs, supporting women's health and improving family health. METHODS: A scoping review was conducted to identify relevant literature and assess evidence of the impact of male involvement in reproductive health interventions...
December 17, 2019: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/31859669/feasibility-and-safety-of-iud-insertion-by-mid-level-providers-in-sub-saharan-africa
#36
JOURNAL ARTICLE
Felix G Mhlanga, Jennifer E Balkus, Devika Singh, Catherine Chappell, Betty Kamira, Ishana Harkoo, Daniel Szydlo, Shorai Mukaka, Jeanna Piper, Sharon L Hillier
CONTEXT: The copper IUD is safe and effective, but underutilized in Sub-Saharan Africa, in part because of a lack of trained providers. The World Health Organization recommends training mid-level providers-including nurses and midwives-to insert IUDs; however, the safety of such task shifting has not been evaluated in Sub-Saharan Africa. METHODS: Data were drawn from baseline surveys and study charts of 535 sexually active women aged 18-45 who used a copper IUD while participating in an HIV-prevention clinical trial conducted from August 2012 through June 2015 in Malawi, South Africa, Uganda and Zimbabwe...
December 17, 2019: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/31751292/missed-opportunities-menstruation-matters-for-family-planning
#37
JOURNAL ARTICLE
Julie Hennegan, Amy O Tsui, Marni Sommer
Increased global attention is being paid to the importance of adolescent and adult women's experiences of menstruation in low- and middle-income countries, and the challenges these experiences present to health, education and gender equality. Although much of the focus has been on menarche as a window of opportunity for early engagement in young women's sexual and reproductive health, minimal attention has been paid to the natural linkages between menstrual health and hygiene and females' management of reproduction over their life course...
November 20, 2019: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/31639080/drug-seller-provision-practices-and-knowledge-of-misoprostol-in-bangladesh
#38
JOURNAL ARTICLE
Kate Reiss, Katherine Keenan, Kathryn Church, Sally Dijkerman, Shahida Akter Mitu, Sadid Nuremowla, Thoai D Ngo
CONTEXT: In Bangladesh, prior to the availability of the approved combination regimen of mifepristone and misoprostol for menstrual regulation (MR), drug seller provision of misoprostol-only regimens for MR without a prescription was widespread but service quality was poor. Examining provider practices relating to misoprostol-only provision in Bangladesh may increase understanding of misoprostol use and provision in other low-resource, legally restrictive settings. METHODS: In 2013-2014, a countrywide cross-sectional knowledge, attitudes and practice survey was conducted among 777 randomly selected drug sellers; data were analyzed descriptively...
October 21, 2019: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/31639079/religion-and-use-of-institutional-child-delivery-services-individual-and-contextual-pathways-in-mozambique
#39
JOURNAL ARTICLE
Boaventura Manuel Cau, Victor Agadjanian
CONTEXT: Research on institutional child delivery in Sub-Saharan Africa typically focuses on availability and accessibility of health facilities. Cultural factors, including religion, that may facilitate or hinder the use of such services have not been well examined and remain poorly understood. METHODS: The relationship between religious affiliation and delivery in a health facility was explored using data from a household survey of 1,297 women aged 18-50 and a census of 825 religious congregations, both conducted in a predominantly Christian district in Mozambique in 2008...
October 21, 2019: International Perspectives on Sexual and Reproductive Health
https://read.qxmd.com/read/31592771/closing-the-poor-rich-gap-in-contraceptive-use-in-rwanda-understanding-the-underlying-mechanisms
#40
JOURNAL ARTICLE
Dieudonne Ndaruhuye Muhoza, Charles Mulindabigwi Ruhara
CONTEXT: Evidence suggests that as Rwanda has strengthened its family planning program, disparities in contraceptive use by socioeconomic status have narrowed. However, the changes in these gaps, and the mechanisms that underlie them, are not well understood. METHODS: Data from the 2005, 2010 and 2015 Rwanda Demographic and Health Surveys on 19,028 in-union women aged 15-49 were analyzed to examine trends in socioeconomic disparities in contraceptive use. Descriptive statistics and multivariate regression with interaction terms were used to identify changes in these disparities, as well as to describe trends in desired fertility, and in types and sources of contraceptives used...
October 4, 2019: International Perspectives on Sexual and Reproductive Health
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