Dissertations / Theses: 'Women's health services'

1

Chong, Susan. "Chinese women's experiences of accessing mental health services." Thesis, University of British Columbia, 2012. http://hdl.handle.net/2429/42184.

Full text

Abstract:

Research worldwide has found the existence of factors adversely influencing Chinese communities’ access to mental health services. Stigma, shame and ‘loss of face’ have played a major role in the underutilization of mental health services by Chinese communities. However, there is little research available in Canada that examines mental health and the general adult Chinese population, particularly gender effects. The purpose of this qualitative research study was to examine Chinese women’s experiences of access to mental health services in an urban context in British Columbia. This study was to seek the perspective of Chinese women and providers as to what were the challenges to and facilitators of Chinese women’s access to mental health services. Interpretive description was used as the research method for this study and enabled an analytic framework formulated from existing knowledge in the field. This assisted in developing knowledge about Chinese women’s illness experiences related to access of mental health services. Purposive sampling was used. In-depth interviews with 7 Chinese women, 2 non Chinese women and 2 health care providers were conducted and the data analyzed. Five themes emerged through the data: 1) stigma and mental illness, 2) social supports: connections with families and friends and the double edged sword, 3) language and access, 4) lack of coordinated, seamless care and the intersection with mental health literacy and 5) health care providers and peer support: navigating mental health services. From these findings, several recommendations were made to reduce stigma and improve access to mental health service. Nurses need to provide culturally competent care, for example, by using professional interpreters when appropriate. In addition, nurses need to be aware of mental health services and other relevant resources inside and outside of the health care system. Nurses are in a good position to provide education to increase mental health literacy and reduce stigma. Also, nurses can advocate and collaborate with community agencies, policy decision-markers and other health care professionals to enhance access to services.

APA, Harvard, Vancouver, ISO, and other styles

2

Fredericks, Bronwyn L. "Us Speaking about Women's Health: Aboriginal women's perceptions and experiences of health, well-being, identity, body and health services." Thesis, Central Queensland University, 2003. https://eprints.qut.edu.au/13909/1/FREDERICKS%2C_B.L._PHD.pdf.

Full text

Abstract:

When compared to other women in Australia Aboriginal women are considered the most socially and economically disadvantaged and have the poorest health status. Aboriginal women in Rockhampton, Central Queensland are not excluded from this lived reality. This research has explored Aboriginal women’s perceptions and experiences of health and health services in Rockhampton. Drawing on these experiences, and centring the voices of these women, the study reports on findings concerning cross-cultural issues, communication, policy, practice and service delivery. Importantly, the study has built new knowledge identifying the complex relationship between identity, body and well-being. In undertaking this study, I have developed a ‘talkin’ up’ research process in collaboration with other Aboriginal women. That is, by asking what Aboriginal women in Rockhampton wanted me as an Aboriginal woman researcher to explore and what type of process I would work through with Aboriginal women as the participants. The research has been informed and guided by these Aboriginal women and thus has witnessed the articulations of a more accurate portrayal of Aboriginal women’s perceptions and experiences of health services. I take the witnessing to be partly personally empowering, partly sharing and partly a taking of ownership of experience. As those women interviewed explained, our story here is told ‘by us’. In undertaking such a research process, I needed to ask what it means to be an Indigenous researcher and what is a good Indigenous research process? These are addressed at length within the thesis. This research process has not involved examining health services with regards to their service provision or their implementation of more empowering practices to improve health outcomes for Aboriginal women. This remains to be done. This research, has instead attempted to answer the question ‘how the relationship between health services and Aboriginal women can be more empowering from the viewpoints of Aboriginal women?’ The assumption underpinning this study is that empowering and re-empowering practices for Aboriginal women can lead to improved health outcomes. The study found : Aboriginal women had requirements of health services relating to cultural comfort of health service environments Aboriginal women did not access one health provider for all their health needs, they ‘shopped around’ to meet their general health, Women’s Business and relationship and privacy requirements Aboriginal women’s health is impacted upon by stereotypes held of Aboriginal women around skin colour and Aboriginality Aboriginal women have an understanding of what is required to improve the interactions between health service providers and Aboriginal women

APA, Harvard, Vancouver, ISO, and other styles

3

LeGrow, Tracy L. "Access to health information and health care decision-making of women in a rural Appalachian community." Huntington, WV : [Marshall University Libraries], 2007. http://www.marshall.edu/etd/descript.asp?ref=746.

Full text

APA, Harvard, Vancouver, ISO, and other styles

4

Kabakian-Khasholian, Tamar. "Improving women's health postpartum : the impact of provision of written information." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269771.

Full text

APA, Harvard, Vancouver, ISO, and other styles

5

Paudel, Deepak Raj Orapin Pitakmahaket. "Women's autonomy and utilization of maternal health services in Nepal /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd392/4838764.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

6

Subramanian, Shobana. "Reconfiguring home, world and cosmos health initiatives in women's self-help groups in Kanyakumari, India /." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1150483913.

Full text

APA, Harvard, Vancouver, ISO, and other styles

7

Guo, Sufang Oratai Rauyajin. "Health service utilization of women with reproductive tract infections in rural China /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-GuoSufang.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

8

Ibrahim, Ghada. "The role of the health system in women's utilisation of maternal health services in Sudan." Thesis, City, University of London, 2015. http://openaccess.city.ac.uk/17079/.

Full text

Abstract:

Background: Maternal mortality and morbidity still pose a significant challenge in Sudan, where no significant improvements in maternal health have been achieved despite the focus on the Millennium Development Goals. Under-utilisation is a major public health concern even though Sudan is among the African countries that have registered poor maternal and child health. Health services in Sudan are generally limited and with poor quality and disparate access. Therefore, there is a need for better understanding of the barriers to the provision and utilisation of maternal health services in order to improve the health and survival of Sudanese mothers. Objectives: This study sought to assess the maternal health system functions and influences on utilisation as well as the social, cultural, and women’s characteristics that may constitute barriers to utilisation. Methodology: The study used an explanatory sequential mixed-methods design. A comprehensive analysis was conducted using several quantitative and qualitative data sets, guided by a new framework, the Maternal Health System Performance framework (MHSP) developed as part of this work in order to assess both the three objectives and four functions of the health system on both macro and micro levels. Findings: The study findings provide clear evidence that the Sudan health system is not currently capable of achieving an adequate level of attainment of the health goals or equitable distribution, due to dysfunction of the four health system functions. In addition, the findings draw attention to the important role of the stewardship function in health system performance. This function can play a key role in health system reform, as it influences management of the health system and should work across all elements of the system to ensure a well-functioning health system and efficient use of resources. The findings also underline the important role of health system related factors rather than simply population factors (such as individual, household, and community factors) in the low service utilisation among women in poor settings. While it shows that certain population characteristics such as household income and education do have a significant impact on the utilisation, the health system functions, and in particular the stewardship function, are also demonstrated to be of considerable importance. Implication: These findings have implications for policy and practice, indicating that simply blaming women for not using maternal health services is unhelpful and inappropriate and indicate that decision makers should focus more fully on improving the performance of the health system. According to the comprehensive assessment of the health system performance, the study proposes several recommendations for each health system function to enhance the performance in the context of limited resources, ultimately to improve women’s and community health in Sudan.

APA, Harvard, Vancouver, ISO, and other styles

9

Millar, Tracy. "A discourse analysis of young women's accounts of acute psychiatric hospitalisation." Thesis, University of London, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.252232.

Full text

APA, Harvard, Vancouver, ISO, and other styles

10

Ngula, Asser Kondjashili. "Women's perception on the under utilization of intrapartum care services in Okakarara district, Namibia." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

Full text

Abstract:

Maternal health care services are one of the health interventions to reduce maternal and infant morbidity and mortality. The health of mothers of childbearing age and of the unborn babies is influenced by many factors some of which include the availability and accessibility of health services for pregnant women. Low quality of health services being provided, and limited access to health facilities is correlated with increases maternal morbidity and mortality. This situation is caused by long distances between facilities as well as the people's own beliefs in traditional practices. This study was about the assessment of the women's knowledge on benefits of delivery in a hospital, the barriers to delivery services, and the perception of the delivery services rendered in the maternity ward of Okakarara hospital.

APA, Harvard, Vancouver, ISO, and other styles

11

Ssali, Sarah Evelyn Nabwire. "The impact of health user fees on women's role in household health care decision-making in Mukono District, Uganda : a gender analysis." Thesis, Queen Margaret University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269191.

Full text

APA, Harvard, Vancouver, ISO, and other styles

12

Wiles, Rose. "The impact of pregnancy on fat women's body image and eating practices." Thesis, University of Southampton, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.316569.

Full text

APA, Harvard, Vancouver, ISO, and other styles

13

Moyle, Jodie L. "Centred voices : A study of the lived experience of women's health centre coordinators." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1999. https://ro.ecu.edu.au/theses/1221.

Full text

Abstract:

The purpose of this phenomenological study is to explore and describe the lived experience of women's health centre coordinators. In addition to the intrinsic value of telling these women's stories, this research provides data which can he used to strengthen the economic, political, organisational and social position of women’s health centres and the women who work in them. Four women managers from regional urban women's health centres in Australia were interviewed about their subjective experiences with respect to their current working roles. Interviews were audio taped, transcribed and coded to produce themes and to preserve anonymity. Data was analysed using Colaizzi’s phenomenological method. Credibility and validity of data was enhanced by the use of multiple interviews, member checks, a pilot study and a clearly identifiable audit trail. The findings of the study reveal that the main themes relating to the experience of women's health centre coordinators are: the importance of shared principles, passions and rewards: their feminist leadership role as managers of a specialist health service; working with the wider system: and the demanding nature of their job. Theoretical sensitivity is demonstrated by re-analysing the emergent themes and descriptions obtained from the data- against the backdrop of the current social, economic and political climate of women's health in Australia. This second order analysis reveals the processes and strategies employed by women’s health centre coordinators in carrying out their work, and highlights the many factors that have influenced their development as feminist managers. Furthermore, the findings suggest that the experience of women's health centre coordinators in this study parallels those of feminist managers elsewhere, and as such, this thesis represents a significant contribution to the dearth of literature on women managers working in feminist, consumer-based organisations.

APA, Harvard, Vancouver, ISO, and other styles

14

Gordon, Roberta June. "Pregnant women's perception and application of health promotion messages at community health centres." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

Full text

Abstract:

Studies have shown that pregnant women do understand and value information of their unborn child. However, those providing health promotion services often focus on medical procedures and health education messages, ignoring the cultural, socio-economic and psychological dimensions that impact on women's health. This research aimed to look at a specific component of health promotion, i.e. health promotion messages shared with pregnant women attending Stellenbosch and Klapmuts Community Health Centre Antenatal Health Promotion Programme and their perceptions of how they apply messages in their daily lives.

APA, Harvard, Vancouver, ISO, and other styles

15

Mendoza, Jennifer Adams. "Rationality and Reproduction: Health Insurance Coverage and Married Women's Fertility." Diss., CLICK HERE for online access, 2008. http://contentdm.lib.byu.edu/ETD/image/etd2617.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

16

Ladha, Rishma. "South Asian Women's Perspectives about Pregnancy Needs and Utilization of Canadian Prenatal Health Services." Thesis, University of Ottawa (Canada), 2010. http://hdl.handle.net/10393/28775.

Full text

Abstract:

Context: South Asians are the largest immigrant group in Ontario, Canada. They may express perceptions of pregnancy that differ from the dominant cultures influencing mainstream health care. Prenatal services are underutilized by immigrant women in part due to language barriers and issues of racism. Purpose: To explore and understand South Asian Canadian women's pregnancy needs and experiences in utilizing prenatal health services in Ottawa, Canada. Method: Ten women were recruited to participate in semi-structured interviews. Data were analyzed using content and thematic analysis following a descriptive exploratory qualitative approach. An anti-racist approach was used to gain insights about these women's perspectives on the use of prenatal health services. Results: All women expressed that their husbands provided support and nurturance. Female elders including mothers, South Asian neighbours, and friends played an important role in providing pregnancy information and support. Almost all participants were not aware of available community-based resources, including prenatal programs. Almost all women expressed that they were given different treatment, ignored by administrative staff and/or perceived that health care providers spent less time with them compared to other Canadians. Some health care providers did not understand and respect cultural and religious rituals. Conclusions: Providing information about the availability of community resources is a vital step. Exploring South Asian husband's perspectives, the potential use of internet resources and creating interpreter networks through Indo-Canadian organizations are recommended. The Canadian health care system needs to address barriers and racism encountered by South Asian women to provide culturally sensitive health care.

APA, Harvard, Vancouver, ISO, and other styles

17

Aregbesola, Temi. "Nigerian Women's Empowerment Status and its Influence on Access to Reproductive Health Services." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2308.

Full text

Abstract:

Nigeria is a patriarchal society, which puts women in subordinate positions that may prompt gender-based discrimination. While evidence of this phenomenon has been investigated in Nigeria and other African countries, no such investigation has been conducted with immigrant and first-generation Nigerian women in the United States. The purpose of this study was to examine the role of a Nigerian woman's perceived empowerment and status on her willingness to access reproductive health services. The research questions examined views of Nigerian traditional beliefs' influence on status and how attitudes around traditional beliefs relate to access to reproductive health services and/or knowledge. Data were gathered through semi structured interviews with 9 Nigerian women in the Washington DC-Maryland-Virginia area. The women were recruited using purposive and snowball sampling. Data were analyzed using the ecological systems theory as a framework, which theorizes that a woman's status is related to her ability to access services or information; empowerment increases that access of services/information, and that traditional Nigerian beliefs have mostly positive effects on their status. However, the findings revealed that, among these 9 women, traditional beliefs did not have an overwhelming direct effect to access to services or information. Empowering women is vital for social growth, no matter what the place of origin. This study contributes to positive social change by providing a resource that demonstrates the importance of these women's contributions to society, thus helping to move society forward.

APA, Harvard, Vancouver, ISO, and other styles

18

Boyes, Allison. "Women's selection and evaluation of obstetric hospitals a survey of the Northern Sydney area /." Connect to full text, 1998. http://hdl.handle.net/2123/393.

Full text

Abstract:

Thesis (M.P.H.)--University of Sydney, 1999.
Title from title screen (viewed Apr. 16, 2008). Submitted in fulfilment of the requirements for the degree of Master of Public Health to the Dept. of Public Health and Community Medicine, Faculty of Medicine. Degree awarded 1999; thesis submitted 1998. Includes bibliography. Also available in print form.

APA, Harvard, Vancouver, ISO, and other styles

19

Tshililo, Takalani Yolanda. "Migrant women's access to public health care services in Makhado, Limpopo: a case of Zimbabwean women." Master's thesis, Faculty of Humanities, 2020. http://hdl.handle.net/11427/32369.

Full text

Abstract:

Migrant women are often omitted within the migrant discourse/research, with that in mind, the research study brings to the fore migrant women's experiences when accessing public health care services within underdeveloped communities. The study explored Zimbabwean migrant women's experiences in accessing public health care services in Makhado, a small town based in Limpopo, South Africa which has only two public health care services namely, Louis Trichardt Memorial Hospital and Louis Trichardt clinic. To conduct this study, ethical clearance was obtained in November 2018 from the Department of Sociology at the University of Cape Town. The qualitative research method was adopted in collecting the data. The study conducted in-depth interviews with five Zimbabwean migrant women who had made use of the two public health care services in Makhado. Field notes, diary entry, an impromptu focus group were used to collect the study data. The sample for the study was purposively selected. The study worked with a total of twelve participants, in-depth interviews with five Zimbabwean women, and a focus group with seven health care workers. The collected data was manually transcribed and was analyzed using the framework analysis. Main themes and sub-themes were extracted from the transcribed interview scripts. The study revealed that migrants accessing the two hospitals in Makhado faced challenges such as language barriers, discrimination, and adverse health personnel attitudes based on the patient's citizenship status. Furthermore, the challenges that nurses are faced within their workplace, which include lack of resources, absenteeism, long working hours and overcrowded public health care services within their workplace contributed towards their negative attitude in assisting patients. As a result, migrants bore the challenges faced by the nurses within the public health care services. Therefore, the migrants reverted to having other alternatives such as traditional healers, churches, connections with nurses working in the hospitals, private hospitals and over the counter medication. However, participants underscored that in order for betterment within the public health care services, the following measures ought to be implemented, these include the introduction of independent centres, an increase of mobile clinics, increased number of interpreters, better working environment for the health personnel within the public health care facilities and intensive education training of the health personnel around the awareness migrant issues when accessing public health care services. Foucault's (1980) theory on power and knowledge, played a significant role in understanding the operational systems of public health care services. It also assisted in understanding how public health care services function, to exclude and control migrant patients, through the introduction of fees and required documentation to access public health care services.

APA, Harvard, Vancouver, ISO, and other styles

20

Gubhaju, Bina Matsumura Masaki. "Women's status, household structure and the utilization of maternal health services in Nepal /." Abstract, 2000. http://mulinet3.li.mahidol.ac.th/thesis/2543/43E-Bina-G.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

21

Miller, Paige Lynn. "Barriers Preventing Access to Health Care Services for Women in Rural Samoa." Ohio University / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1136389101.

Full text

APA, Harvard, Vancouver, ISO, and other styles

22

Weber, Amy Judith, Olubunmi Kuku, and Edward Leinaar. "Differences in Access to Contraceptive Services Between Rural and Non-Rural Clinics in South Carolina." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/125.

Full text

Abstract:

Unintended pregnancies, defined as either being unwanted or mistimed, represent a major public health challenge. Roughly half of all pregnancies in the United States are unintended, and have been associated with poor health and economic outcomes for infants, children, women, and families. Modern contraceptives have been proven to be both safe and effective in reducing unintended pregnancy. This is particularly true for long-acting reversible contraceptive (LARC) methods, which are associated with both higher user satisfaction and overall efficacy as compared to short-acting methods. We therefore investigated types of contraceptive services offered among rural and non-rural clinics in South Carolina. A survey was developed; all clinics in South Carolina who offer contraceptive services were invited to participate. Completion of the survey was voluntary and an incentive was provided. The survey was multi-faceted, covering several aspects of contraceptive care including scope of services provided, availability of resources, and training received. Of primary interest to this research, is the extent to which highly effective contraception methods, such as LARCs, are available in both urban and rural clinics. Findings suggest that access to highly effective LARCs is not equitable among rural and urban clinics. Approximately 62% of urban clinics offered LARC methods, compared to 36% among rural clinics (p=0.0015). These data indicate that women who reside in a rural locale have significantly lower access to these more effective contraceptive methods. As nearly 25% of women within the United States reside in a rural locale, the need to address barriers to access to contraceptive care is essential. This work will be a useful tool in understanding barriers to contraceptive care utilization and can lead to the development of novel programs to reduce the rate of unintended pregnancy, births and abortions, and corresponding savings in health care costs.

APA, Harvard, Vancouver, ISO, and other styles

23

Witter, Sophie. "Making delivery care free : evidence from Ghana and Senegal on implementation, costs and effectiveness of national delivery exemption policies." Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 2009. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=25753.

Full text

APA, Harvard, Vancouver, ISO, and other styles

24

Mheta, Doreen. "Health systems factors that impact on access to maternal services for women with disabilities in sub-Saharan Africa: a systematic review." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16656.

Full text

Abstract:

Includes bibliographical references
Maternal mortality is an enormous global challenge that is most prevalent in sub-Saharan Africa (SSA). Its prevalence in the SSA region has been attributed to inadequate access to maternal services (MHS) amongst the poor and rural women. In an attempt to improve access to maternal services, women with disabilities (WWDs) have generally been neglected. Little is known about the health systems factors that facilitate or hinder access to MHS for WWDs. However, available studies for women in general in SSA, examining health systems determinants of access to MHS, utilise the silo approach thereby providing fragmented and ineffective solutions to maternal mortality. Globally, taking a comprehensive health systems approach to understand the full range and interconnectedness of health factors is now recognised as crucial in understanding and planning complex health problems such as access to MHS. This paper presents findings from a qualitative systematic review of empirical studies providing evidence on the health systems factors that impact on access to MHS for WWDs in SSA. This dissertation comprises three sections, namely Part A, Part B and Part C. Part A reviews the Protocol; it presents the background and the qualitative systematic review methodology that is utilised in this study. A systematic search of five data bases is outlined and inclusion and exclusion criteria set out to select the suitable tool. A data extraction tool is designed to summarise the studies in a common format and to facilitate synthesis and coherent presentation of data. Part B is the review of existing empirical literature on access to MHS for both women in general SSA and for WWDs globally. Theoretical frameworks of access to health care services and health systems frameworks are also presented in this section. Furthermore, Part B provides the background on why access to MHS for WWDs is important. This section explores how health systems approach can be adopted to reveal the factors that impact on access to MHS; it links the complex systems framework to the availability, accessibility, acceptability and quality framework. Part C is a complete systematic review journal manuscript. The background of the study and methodology are described. This section also includes the findings from the systematic review of original journal articles published in English from 2000 to 2014 that report empirical findings on health systems factors that impact on access to MHS WWDs in SSA.

APA, Harvard, Vancouver, ISO, and other styles

25

Ling, Bih-yu Anne. "An exploration into the problems and adjustment of gynaecological cancer patients in Hong Kong, with implications for social work practice /." [Hong Kong : University of Hong Kong], 1986. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12325855.

Full text

APA, Harvard, Vancouver, ISO, and other styles

26

Whitener, Louise M. "Using Hongvivatana's model to evaluate health care access : a field study of adolescent women's access to reproductive health care services in rural Missouri counties /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9974703.

Full text

APA, Harvard, Vancouver, ISO, and other styles

27

Apartsakun, P. "Thai women's breastfeeding experiences and support needs." Thesis, University of Southampton, 2015. https://eprints.soton.ac.uk/381571/.

Full text

Abstract:

Breast milk is acknowledged and recommended as the best food for babies by the World Health Organization. However, globally the proportion of mothers who breastfeed is still low and this is particularly the case in Thailand. The aim of this study is to improve women’s ability to breastfeed. A two phase study was designed. Phase I was to better understand women’s experiences and breastfeeding support needs, which formed the development of the ‘Breastfeeding Support Package’. The package, which consisted of the tool and leaflets, was to be administered by the nurses with the postpartum women. Phase II aimed to explore mother’s and nurses’ experiences following the use of the package. A pragmatic qualitative approach was used throughout. A government hospital in Bangkok, Thailand, was the setting for this research. Purposive sampling was used to recruit the participants for both phases of the study. In Phase I, semi-structured interviews of 17 mothers who visited the Family Planning Clinical, post-delivery, were undertaken. Thematic analysis was used to examine the data. For phase II, three groups of participants were involved: five participants from phase 1, five postpartum women and five nurses working on the postpartum ward. Telephone interviews were used to assess face validity to the tool while semi-structured interviews were used to investigate mothers’ and nurses’ experiences regarding the use of the package. Three themes that contributed to women’s experience of breastfeeding were ‘knowledge and attitude towards breastfeeding’, ‘practicality’ and ‘support’. Three themes that contributed to ‘women’s needs of breastfeeding support’ were ‘knowledge’, ‘attitude’, and ‘practice’. The use of the package could open a ‘platform to communication’ regarding women’s needs and act as a ‘platform to support’ for nurses. The postpartum women were able to better communicate their needs regarding breastfeeding support with the nurses, as well as receiving the support they required. The packaged worked well with present conditions and environment at the postpartum ward of the hospital.

APA, Harvard, Vancouver, ISO, and other styles

28

Chou, Jeanie. "Introducing mental health issues in an Asian Ameican [sic] women's ministry." Theological Research Exchange Network (TREN) Access this title online, 2005. http://www.tren.com.

Full text

Abstract:

Project (M.A.R.)--Gordon-Conwell Theological Seminary, 2005.
An integrative project submitted to the Faculty of Gordon-Conwell Theological Seminary in partial fulfillment of the requirements for the degree of Master of Arts in Religion. Includes bibliographical references (leaves 56-57).

APA, Harvard, Vancouver, ISO, and other styles

29

Chan, Suk-fong Cecilia. "Coping and adaptation : women with breast cancer /." [Hong Kong : University of Hong Kong], 1985. http://sunzi.lib.hku.hk/hkuto/record.jsp?B12322325.

Full text

APA, Harvard, Vancouver, ISO, and other styles

30

Polimeni, Anne-Maree, and Anne-Maree Polimeni@dhs vic gov au. "Narrative of women's hospital experiences the impact of powerlessness on personal identity." Swinburne University of Technology, 2004. http://adt.lib.swin.edu.au./public/adt-VSWT20050309.143640.

Full text

Abstract:

Since women dominate the health care system as consumers, it is important to understand how women want to be treated by medical staff, and the factors that contribute to satisfactory hospital experiences. The present research comprised two separate but integrated studies exploring these issues. The first study adopted an atheoretical approach. Qualitative and quantitative methods were used to examine the importance of hospital experiences in the lives of women, and the role of power within those experiences. Closed answer items about hospital experiences were completed by 124 women who had had a hospital stay of at least one night. In addition, ten of the women provided open-ended oral and written comments about their hospital experiences, which were used as the basis of the qualitative data. The majority of the women were satisfied with their hospital stay, but a small group recalled experiences of powerlessness associated with the non-medical aspects of their treatment, such as behaviours on the part of health professionals that influenced participants� sense of control as hospital inpatients. The qualitative data reflected similar issues to the quantitative data and provided �process� information by demonstrating how health professionals� behaviour could contribute to patients� feelings of powerlessness. The results suggested that hospital experiences were a salient part of these women�s lives. The richness of the qualitative data suggested that qualitative methodology would be a productive way to further study this area. The second study was an extension of the first via in-depth interviews with 19 women who perceived their hospital experiences as life-altering. The interview content and the analysis were based on a narrative approach that used the theoretical framework of McAdams� (1993) Life Story Model of Identity. Using McAdams� methodology enabled the researcher to evaluate how women constructed meaning from their hospital experiences, and the main issues they faced. The life story interview also proved a useful way to explore issues of loss and self-growth in the face of traumatic hospital experiences. Transcripts of descriptions of positive and negative experiences were analysed according to McAdams� themes of agency (sense of power and control) and communion (relationships with others), and sequences of redemption and contamination. Redemption sequences involve the storyline moving from a bad, affectively negative life scene, to a good, affectively positive life scene. In a contamination sequence, the narrator describes a change from a good, affectively positive life scene, to a subsequently bad, affectively negative life scene (McAdams & Bowman, 2001). Participants also rated their experiences according to Hermans� (Hermans & Oles, 1999) list of affects. There was strong agreement between McAdams� coding of agency and communion and Hermans� agentic and communal indices: the women�s hospital stories strongly emphasised the negative or opposite of McAdams� agentic theme �Self Mastery through Control�, which indicated powerlessness, and Hermans� affects, which involved low self-enhancement. It may be useful for future studies to conceptualise McAdams� themes as bipolar by incorporating currently coded themes and their reverse; in particular, by expanding ideas of agency to incorporate powerlessness, as this theme was pervasive in women�s hospital experiences. The rating of affects added to the findings as this showed a latent dimension of communion manifested as isolation. The common agency and communion themes were apparent in the two distinct but related aspects of hospitalisation that affect patients� sense of control: the medical condition and the manner in which patients are treated by medical staff. The findings of the main study built on the pilot study by showing how ideas of control and powerlessness can inform better practice. For example, respectful, dignified and fair treatment by health professionals played a part in determining redemption sequences; women also indicated this was how they wanted to be treated. Due to the vulnerability of the �sick role�, disrespectful or offhand treatment by health professionals had particularly distressing effects evident in contamination sequences, such as negative changes to sense of self and attitudes toward the health care system. In some cases, such treatment led to participants� avoiding subsequent interactions with doctors and to sustained feelings of helplessness. The present thesis demonstrates that doctors, nurses and other health professionals need to allow time to attend to the affective as well as the medical aspects of the encounter. Health professionals need a good bedside manner, compassion, and communication skills, as these characteristics play a part in maintaining female patients� sense of self and their faith in and satisfaction with the health care system.

APA, Harvard, Vancouver, ISO, and other styles

31

Cooper, Diane. "Women's social position and their health : a case study of the social determinants of the health of women in Khayelitsha, Cape Town, South Africa." Doctoral thesis, University of Cape Town, 1995. http://hdl.handle.net/11427/14955.

Full text

Abstract:

Includes bibliographical references.
This thesis examines the social determinants of women's health status, health knowledge and knowledge and use of health services in a peri-urban area, using Kbayelitsha in Cape Town, South Africa as a case study. It argues for the importance of women's health as a specific focus, looks at some trends in women's health internationally over the past two decades and reviews the main factors affecting women's health. Some key issues in women's health of special relevance to developing countries such as South Africa are discussed. There is a special focus on newly urbanised women in peri-urban areas. Against this background the results of a community-based survey, preceded by indepth interviews, and conducted amongst 659 women in Kbayelitsha in 1989 and 1990 are presented. Data collected were statistically analysed using unIvariate,, bivariate and multivariate analysis. A number of priority social and health problems are identified: poverty; poor environmental conditions; lack of education, partlcularly skills training appropriate for finding work and the subordinate social status of women. Major health concerns included reproductive tract infections, especially sexually transmitted diseases, infertility, contraceptive use and ante-natal care during pregnancy. There were inadequacies in cervical screening conducted by health services and deficiencies in respondents' knowledge of AIDS. cervical smears and where to obtain various health services . Young, newly urbanised women, living in the poorly serviced and unserviced informal housing areas were partlcularly vulnerable in their socio-economic and health status within a peri-urban African community such as Khayelitsha. They also had poorest health knowledge and least knowledge of where to acquire health services. Some recommended interventions focussing on certain of these areas are suggested. It is argued that changes in the provision of women's health services within a primary health care setting can only be part of the process of improving women's health. Improvements in women's economic status and their social status are fundamental to any initiatives to improve their health status.

APA, Harvard, Vancouver, ISO, and other styles

32

O'Grady, Taylor Jacob. "Women's health care in American Catholic hospitals : a proposal for navigating ethical conflicts in accessing reproductive health care." Thesis, University of St Andrews, 2018. http://hdl.handle.net/10023/16588.

Full text

Abstract:

The Catholic Church is one of the largest providers of medical care in the US, with 1 in 6 acute-care beds residing in a Catholic hospital. One third of these hospitals are in rural or underserved areas in the US, and advocacy for the vulnerable is a central platform of the Catholic Healthcare Association. Despite this, the Church has been under attack for allegedly putting women at risk of injury or death due to the care restrictions concerning reproductive health stipulated in the Ethical and Religious Directives (ERDs). Additionally, scholars are questioning the distinctiveness of the Catholic healthcare mission in practice, pointing to the increased homogenization of Catholic and non-Catholic hospitals. For these reasons, it is necessary to assess if and how women are being harmed in Catholic hospitals and, if there is harm being done, if there is a way to prevent these harms while preserving the Catholic Social Tradition in medicine. In carrying out this assessment, I read the current literature closely to explore both the origins and the practical consequences of these ethical conflicts. Subsequently, I use Chris Durante's "pragmatic perspectivism" to formulate a proposal that considers both Catholic medical ethics and secular medical ethics on the same plane. The proposal suggests the adoption of an alternative and complementary lens for Catholic health care. Using this framework would allow the Church to pursue its health care mission in a fuller sense, unencumbered by the inertia of the medical industry towards homogenization due to legal and economic pressures. It also provides the potential for Catholics to more easily receive Catholic care in all hospitals, not just those under Catholic sponsorship. Importantly, it would also prevent any American woman from being practically forced to receive Catholic care, circumventing many of the ethical conflicts present in the current system.

APA, Harvard, Vancouver, ISO, and other styles

33

Belton, Leigh Wiley. "Manager characteristics and support for worksite health promotion programs that target women in small, blue-collar worksites." Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=2249.

Full text

APA, Harvard, Vancouver, ISO, and other styles

34

Reifferscheid, Gerd. "Soziales Geschlecht und ambulante Versorgung Medizinerinnen in der primärärztlichen Versorgung /." Köln : Universität zu Köln, 1997. http://catalog.hathitrust.org/api/volumes/oclc/39009369.html.

Full text

APA, Harvard, Vancouver, ISO, and other styles

35

Homan, Sherri G. "Predicting repeat mammography screening for underserved women 50 years of age and older in Missouri /." free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9962532.

Full text

APA, Harvard, Vancouver, ISO, and other styles

36

Durdle, Jodi L. "Women, health and social change in a rural Newfoundland community." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ63977.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

37

Heath, Rodgers Theresa. "Work, household economy, and social welfare : the transition from traditional to modern lifestyles in Bonavista, 1930-1960 /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ54919.pdf.

Full text

APA, Harvard, Vancouver, ISO, and other styles

38

Gesese, Kassahun Tegegne. "Migration and socio-demographic determinants of women's reproductive health services utilization in North Gondar, Ethiopia." Thesis, University of Leicester, 2015. http://hdl.handle.net/2381/35979.

Full text

Abstract:

The reproductive health problems of migrant women are a growing concern, especially in developing countries. The empirical literature indicates that migration characteristics (e.g., selection, adaptation and disruption) and migrant’s socio-demographic backgrounds are the potential pathway through which migration can affect reproductive health care services utilization. This study aimed to examine the effect of migration on women’s reproductive health care service utilization and to identify the major barriers that affect migrant women’s access to quality reproductive health care services. The study aim and objectives were achieved using two studies. Study one comprises a secondary analysis of the 2005 Ethiopian Demographic and Health Survey (EDHS). The EDHS was administered to women aged 15-49 years and a total of 14,070 women were interviewed and study two was a primary survey conducted in Dabat rural areas and Gondar town. A total of 1800 women were interviewed: 500 women from Dabat rural areas and 1300 women from Gondar town. Both surveys were employed a cross-sectional survey design. The two studies found that rural to urban migrants were relatively lower in knowledge and use of reproductive health care services compared to urban natives, but more likely to know and use of services than rural natives. The primary study also found that among migrant women, those who registered as kebele residents were more likely to know of, or utilize contraceptives and maternal health care services compared with non-registered migrants. To ensure the reproductive health care access of migrants, the urban kebele administrative offices should revise the policies that demand migrants to be registered as a kebele residents and having a kebele identification card to be eligible for social, economic and health care benefits. Therefore, the policy makers should target the disadvantaged groups of migrants to provide equal opportunities to access health care services.

APA, Harvard, Vancouver, ISO, and other styles

39

Huber, Jamie Lee. "UNEQUAL RIGHTS AND CONSTRAINED CHOICE: NARRATING WOMEN'S EXPERIENCES WITH IDENTITY, REPRODUCTIVE HEALTH SERVICES, AND ABORTION." OpenSIUC, 2011. https://opensiuc.lib.siu.edu/dissertations/382.

Full text

Abstract:

This dissertation seeks to rhetorically examine how women who have had abortions construct their abortion experience, with particular attention given to the role of various identity factors (such as race, nationality, class, spirituality, and geographic location) in the construction of their experiences. By giving voice to women's experiences and placing this voice in a historical context of differential racialization, as well as within both Critical Race Feminism (CRF) and Reproductive Justice (RJ) frameworks, this dissertation asks: How does the narrator construct the importance of her identity in her abortion and reproductive health services experiences?; Does the narrator link previous reproductive health services issues, such as sex education or cost of birth control, to her abortion experiences?; Does the narrator link her abortion experience to larger social structures and power issues?; How does the narrator construct her experience of abortion? What emotional elements does she present in her construction of the narrative?; How does the narrator construct her experience of deciding to have an abortion?; How does the narrator construct the role of her social support system in her abortion experience?; and How does the narrator reflect on her abortion experience? This dissertation argues that while women experience and construct abortion in very different ways, common experiential themes emerge. While women do not all construct or reflect upon their abortion experiences in the same way, narrative themes emerge that fade in and out of focus based on a woman's standpoint and the various aspects and intersections of her identity. In light of the emergent themes, this dissertation suggests enhanced opportunities for the sharing of women's abortion experiences, as well as more academic and activist work to examine and raise public awareness about issues of power and privilege in the abortion process.

APA, Harvard, Vancouver, ISO, and other styles

40

Greenwood, Heather Louise. "Negotiating and Constructing Place: African Immigrant and Refugee Women’s Experiences Seeking Reproductive Health Information, Services and Support." Thesis, Université d'Ottawa / University of Ottawa, 2017. http://hdl.handle.net/10393/36617.

Full text

Abstract:

African immigrant women and refugee women face disproportionate reproductive health risks and adverse outcomes compared with the Canadian population. The diversity of African women and complexity of the migration process suggest the need for contextualized knowledge to better understand these challenges. I sought such knowledge through the use of the theoretical frameworks of place and intersectionality. These frameworks draw attention to the multi-level mixture of social relations in given contexts and how they create opportunities and oppression. The specific purpose of this research was to: a) explore how the reproductive health experiences of African immigrant and refugee women were shaped by the unique context of given places; b) consider how these women actively negotiated and constructed place in their search for reproductive health information, services, and support. A multiple case study was used to explore the reproductive health experiences of African immigrant and refugee women in three different areas of Ottawa, Ontario. These areas provided different local contexts (e.g., history, socioeconomic profile, proximity to downtown). In each area, data was collected through interviews with African immigrant and refugee women, interviews and focus groups with reproductive health service providers, and mapping of available services. In total, 19 immigrant and refugee women and 23 service providers participated in this study. The findings showed that African immigrant and refugee women’s reproductive health experiences were much more complicated than simple interaction with neighbourhood services. Their varied social positions in Canadian society were highly relevant. In addition, social networks based in places outside of the system (e.g., private homes, religious institutions) were environments in which they were comfortable and sought support for their reproductive health needs. Recommendations based on these findings include the need to engage communities and explore the delivery of information and services outside of the traditional places employed by the Canadian health care system.

APA, Harvard, Vancouver, ISO, and other styles

41

Papada, Peggy. "Understanding women's experiences of psychotic phenomena." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12502/.

Full text

Abstract:

Psychotic phenomena such as delusions have recently been understood as meaningful within the context of a person’s life while recent models of psychosis implicate psychosocial influences in its aetiology. Research on women with such experiences has been limited despite recognition of their specific needs and vulnerabilities due to the nature of their lives. This study aimed to examine the processes influencing women’s understandings of their delusional beliefs in the context of their lives. It used a social constructionist version of grounded theory to conceptualize the process of women’s understandings. Ten women who had experienced delusions were interviewed. Grounded theory analysis revealed four main processes: women’s acquisition of knowledge about themselves; significant life experiences; how women experience their delusions; and the process of emerging from the delusional world. According to the constructed theory, the core process of understanding is conceptualized as residing in the space between private experience and the social world. It is mediated by the relationship women have to knowledge about the self, which in turn is mediated by the responses of others. Delusions are understood as responses to life experiences and are therefore meaningful containers of truth. Implications for clinical practice, limitations and suggestions for further research are discussed

APA, Harvard, Vancouver, ISO, and other styles

42

Bommaraju, Aalap. "Determinants of Contraceptive Choice| Factors Affecting Contraceptive Nonuse among Urban Women Utilizing Title X Services." Thesis, University of Cincinnati, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1548538.

Full text

Abstract:

Background: Disparities in unintended pregnancy are partially due to ineffective contraceptive method choice among vulnerable populations. Improved understanding of the ecological, individual, and health system related determinants of contraceptive choice can provide guidance for how to reduce ineffective contraceptive method choice among women at high risk for unintended pregnancy.

Objectives: Secondary data analysis is performed on visit data from women utilizing Title X Family Planning services at the Cincinnati Health Department’s Reproductive Health & Wellness Program (RHWP) to determine the significance of predisposing factors (age, African- American race, education), enabling factors (income, health insurance status, socio-behavioral risks), need factors (having had a recent birth, number of living children) on choosing an ineffective contraceptive method. Mediation analysis is performed to determine if health system factors mediated the effect of these explanatory variables.

Methods: Using data from 1,119 RHWP clients who were not seeking pregnancy, multinomial logistic regression is used to compare pill, patch, and ring users, depot medroxyprogesterone acetate (DMPA) users, and long-acting reversible contraception (LARC) users with a reference group of ineffective method users. Multinomial logistic regression is first performed with all independent variables except health system mediation. Then, it is performed with inclusion of health system mediation. Multiple linear regression analysis is performed to determine significant relationships between independent factors and health system mediation. Mediation analysis is performed for any independent variable that is significantly correlated with both contraceptive method choice and health system mediation for the purpose of determining if any witnessed mediation effect is statistically significant.

Results: The model including health system mediation is found to account for more variance in the data than the model excluding health system mediation (Nagelkerke R-squared = 0.195 and 0.158, respectively). Through both models, and in all three comparisons, higher age is found to reduce the odds of choosing a more effective method with only minor mediation effects. Having more children results in higher odds of both DMPA and LARC uptake in both models and is unmediated by the health system. Being of African-American race results in lower odds of LARC use in both models – a finding that is also not mediated by the health system. Health system mediation effects are found in the LARC and DMPA comparisons and not in the pills, patch, or ring comparison. In the DMPA comparison, inclusion of health system mediation eliminates income and insurance status as significant explanatory variables. In the LARC comparison, inclusion of health system mediation eliminates the explanatory significance of having a recent birth.

Conclusions: Analysis of the role of health system mediation suggests that health system level factors play a large role in explaining contraceptive choice among contraceptive methods that require increased health care utilization. The impact of health system mediation on the significance of other predisposing, enabling, and need variables implies that health care access, utilization, and quality are important factors that should be included in future models for understanding contraceptive choice.

APA, Harvard, Vancouver, ISO, and other styles

43

Mofokeng, Shoeshoe. "Views of health service providers on the need for support services for HIV-positive mothers in the rural areas of Lesotho : an ecological perspective." Thesis, Stellenbosch : Stellenbosch University, 2015. http://hdl.handle.net/10019.1/96969.

Full text

Abstract:

Thesis (M Social Work)--Stellenbosch University, 2015.
ENGLISH ABSTRACT: HIV/AIDS is one of the worst pandemics affecting the world today. It cuts across all boundaries and many people are infected as well as affected. The virus has reached all the corners of the globe, but the most hit by it is Africa, especially southern Africa, which carries more than half of the population infected and affected by HIV/AIDS. The top five countries whose populationsare infected with HIV are in southern Africa. Lesotho is amongst the top three on this list and also has problems of poverty and a high unemployment rate. Women and children, who are the target groups that are most affected by poverty, are also those living in rural areas. Thus, being an HIV-positive mother living in the rural areas of Lesotho means one has to deal with poverty, the inaccessibility of services and the psychological impacts of HIV. The aim of the study was to gain a better understanding of the views of health service providers on the need and accessibility of support services for HIV-positive mothers in the rural areas of Lesotho from an ecological perspective. To achieve this aim, the objectives were: to offer an overview of the phenomenon of HIV and describe the psychosocial needs and sociocultural circumstance of HIV-positive mothers in the rural areas of Lesotho, and to discuss the HIV-positive mothers’ need for support services from an ecological perspective. Both quantitative and qualitative research approaches were used. The research utilised exploratory and descriptive design. Purposive sampling was used to select the 30 participants who took part in the study. Data was gathered by means of semi-structured questionnaires that were administered during individual interviews. The questionnaires were formulated on the basis of information retrieved during the literature review. The findings of the study reveal that HIV-positive mothers living in the rural areas of Lesotho have economic, social and cultural circumstance as factors hindering their treatment and prevention of HIV/AIDS. They are also faced with the psychological impacts of HIV, and the findings revealed that disclosure was the key to addressing their problems. The findings also show that most mothers receivedemotional, instrumental, informational and appraisal support from their families at the micro-level of the ecological perspective. The other levels – meso, exo and macro – provided only limited support for the mothers. The recommendations are that these mothers need social support at all levels of the ecological perspective to meet their needs
AFRIKAANSE OPSOMMING: MIV/vigs is een van die ergste pandemies in die moderne wêreld. Dit ken geen grense nie, en vele mense ly hetsy daaraan of daaronder. Die virus het reeds alle uithoeke van die aarde bereik. Tog gaan Afrika, veral Suider-Afrika, die swaarste daaronder gebuk, en word meer as die helfte van die totale populasie wat aan of onder MIV/vigs ly hier aangetref. Die vyf lande met die hoogste MIV-infeksiesyfers ter wêreld is almal in die streek geleë. Lesotho is een van die drie lande boaan hierdie lys, en het terselfdertyd te kampe met die probleme van armoede en ’n hoë werkloosheidsyfer. Vroue en kinders, synde die groepe wat die ergste deur armoede geraak word, woon ook meestal in landelike gebiede. ’n MIV-positiewe moeder in die landelike gebiede van Lesotho moet dus armoede, ontoeganklike dienste sowel as die sielkundige uitwerking van MIV trotseer. Die doel van hierdie studie was om vanuit die ekologiese perspektief ’n beter begrip te vorm van gesondheidsdiensverskaffers se sienings oor die behoefte aan en toeganklikheid van steundienste vir MIV-positiewe moeders in die landelike gebiede van Lesotho. Om hierdie doel te bereik, was die oogmerke om ’n oorsig van die MIV-verskynsel te bied, die psigososiale behoeftes en sosiokulturele omstandighede van MIV-positiewe moeders in die landelike gebiede van Lesotho te beskryf, en die moeders se behoefte aan steundienste vanuit die ekologiese perspektief te bespreek. ’n Kwantitatiewe sowel as ’n kwalitatiewe navorsingsmetode is gevolg, en die navorser het van ’n verkennende en beskrywende ontwerp gebruik gemaak. Doelgerigte steekproefneming is gebruik om die 30 studiedeelnemers te kies. Data is met behulp van semigestruktureerde vraelyste gedurende individuele onderhoude ingesamel. Die vraelyste is opgestel op grond van inligting wat in die literatuuroorsig bekom is. Die studie bevind dat ekonomiese, maatskaplike en kulturele omstandighede MIV/vigs-behandeling en -voorkoming vir MIV-positiewe vroue in die landelike gebiede van Lesotho belemmer. Daarbenewens moet hulle die sielkundige uitwerking van MIV die hoof bied, en die studie dui op openbaarmaking as die sleutel om hul probleme te hanteer. Die bevindinge toon ook dat die meeste moeders emosionele, fisiese, inligting- en bevestigende steun van hul families op die mikrovlak van die ekologiese perspektief ontvang. Die ander vlakke – meso, ekso en makro – bied slegs beperkte steun. Die studie kom tot die gevolgtrekking dat hierdie moeders op alle vlakke van die ekologiese perspektief maatskaplike steun moet ontvang om in hul behoeftes te voorsien.

APA, Harvard, Vancouver, ISO, and other styles

44

AOYAMA, ATSUKO, SANEYA RIZK EL BANNA, MICHIYO HIGUCHI, NAGAH MAHMOUD ABDOU, NAWAL ABDEL MONEIM FOUAD, INASS HELMY HASSAN ELSHAIR, LEO KAWAGUCHI, and CHIFA CHIANG. "IMPROVEMENTS IN THE STATUS OF WOMEN AND INCREASED USE OF MATERNAL HEALTH SERVICES IN RURAL EGYPT." Nagoya University School of Medicine, 2012. http://hdl.handle.net/2237/16734.

Full text

APA, Harvard, Vancouver, ISO, and other styles

45

King, Rosemary. "Barriers and enablers to women's access to services during childbearing in Timor-Leste." Thesis, Federation University Australia, 2019. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/169995.

Full text

Abstract:

Background: In Timor-Leste the maternal mortality ratio (MMR) is one of the highest in Southeast Asia, in some districts only 15-25% of women birth in a facility with a skilled birth attendant (SBA). Care from SBA is the international benchmark for quality maternity care. Purpose: Determine the barriers and enablers to women's access to services during childbearing in Timor-Leste, including women’s expectations and needs. Methodology: Qualitative research using focused ethnography, data collection methods included semi-structured interviews, focus groups and participant observation. Seventeen stakeholders and thirty women from three districts in Timor-Leste participated. Thematic analysis and coding of data with triangulation of the findings between separate participant groups. Results: Barriers to woman’s access to SBA include poor roads, lack of transport, costs associated with accessing SBA, lack of availability and poor quality services. Lack of privacy, multiple care-givers and poor interpersonal communication from SBA were also noted. Stakeholders emphasise health promotion and antenatal care to counteract the influence of traditional beliefs and promote demand for SBA. Many women demonstrate their agency in health seeking behaviours and choices for care during pregnancy and childbirth. Discussion: Women understand that pregnancy and childbirth poses potential risks to their health. Rural women, women from low socio-economic and other marginalised groups have less access to services. Perceptions of poor quality services also reduce women’s demand. Conclusion: Barriers and enablers to woman’s access to services are identified using an amended AAAQ framework introducing the domain of Antecedents in addition to domains of Access, Availability, Acceptability and Quality (AAAQA). Further expenditure on health service infrastructure, staff training and community outreach will improve access and quality SBA. Culturally safe SBA services may also improve the uptake of SBA service in Timor-Leste. Key words: Timor-Leste, Skilled birth attendance, cultural safety, women’s agency, quality maternity care.
Doctor of Philosophy

APA, Harvard, Vancouver, ISO, and other styles

46

Stephenson, Winsome Beverly. "The Experiences of Obese African American Women and Their Utilization of Preventive Healthcare Services." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/nursing_diss/17.

Full text

Abstract:

Obesity is associated with higher death rates from breast and gynecological cancers. African American women(AAW) are more likely to be diagnosed with these cancers at later stages and have lower survival rates than Caucasian women. African American women are also disproportionately affected by obesity. Studies suggest that the healthcare experiences of obese women (primarily stigmatization), may contribute to their decisions to utilize healthcare services. However, these studies have largely comprised Caucasian women; there remains a paucity of studies addressing this issue in AAW. The purpose of this study was to explore the healthcare experiences of obese AAW and their utilization of preventive healthcare services. Interpretive phenomenology, based on the work of Maxx van Manen, was used to describe and interpret the healthcare experiences of 15 obese AAW living in communities in Georgia. The women ranged in age from 23 to 62, with body mass index ranging from 35-55. The majority of the sample (83%) had adequate health insurance. This was a well educated sample with 87% having college degrees or some college education. Individual, audio-taped interviews were used to collect data. Data were analyzed using interpretive phenomenological methods, with analysis and collection occurring concurrently. Data were analyzed as a whole then line by line to identify themes across transcripts. Two patterns and five themes were identified. Patterns were: They're not listening and Good or bad, it's my decision. Themes were: Attributing all problems to weight; They say lose weight but give us no tools; Stigmatization; Cancel my appointment please: I won't be back, and Empowerment. The women recalled a pleothra of negative encounters with providers that they termed "demeaning" and "nastiness for no reason." Many women reacted by delaying or avoiding healthcare, some not returning for preventive health screens for many years. The significant association between obesity and mortality from cervical and breast cancers necessitates timely preventive screens by obese women. The results of this study can help to inform practice, education, and research. Recommendations for all three areas were deleneated in the study.

APA, Harvard, Vancouver, ISO, and other styles

47

Nicholl, Katherine Louise. "Is women's legal right of access to informed decision making in maternity care assured in New Brunswick?" [Moncton, N.B.] : New Brunswick Office of the Ombudsman, 2007. http://site.ebrary.com/lib/librarytitles/Doc?id=10222487.

Full text

APA, Harvard, Vancouver, ISO, and other styles

48

Hilaire, Marie Isabelle Caroline. "Assessing Haitian Women's Vulnerability to Cervical Cancer Because of Socio-demographic Predictors of Care Access." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/iph_theses/185.

Full text

Abstract:

This study assesses the vulnerability of Haitian women to cervical cancer by looking at the distribution of socio-demographic factors that might prevent their access to health services. Predictor variables of access to health services and variables known to be directly associated to an increased risk for cervical cancer were derived from the Haitian Demographic Health Survey (2005-2006). Five socio demographic predictors of access to health services were considered: Education, wealth index, distance to health services, type of place of residence and whether or not money was a problem to get medical help. The dependent variable used to categorize women into low risk group and high risk group to cervical cancer was created from three variables: young age at first sexual intercourse, more than two sexual partners and can the woman ask her partners to use condom. To study the association between the socio-demographic and economic predictors to access to health services and high risk group of women to cervical cancer, binary logistic regression was conducted. The univariate analysis performed showed that women who were in the high risk group to cervical cancer were more likely to be uneducated (OR= 2.447; p-value<0.0001), poor (OR=2.372; p-value<0.0001), to have economic barriers that prevent their access to health services (OR=1.566; p-value<0.05) and were more likely to live in rural areas (OR=1.705; p-value<0.0001). However, after running the multivariate analysis to control for the other predictors, only level of education (OR= 1.991; p-value<0.0001) and wealth status (OR=1.727; p-value<0.05) were still associated to the dependent variable. These findings proved that interventions that aimed at controlling cervical cancer among Haitian women should take into consideration these indirect socio-demographic and most important economic factors that might prevent the high risk group of women to benefit from the appropriate screening and treatment services, provided that they are available. Finally recommendations to find a better approach to address the cervical cancer burden in Haiti are made. INDEX WORDS: Uterine cervical neoplasmas, risk factors, accessibility to health services, developing countries

APA, Harvard, Vancouver, ISO, and other styles

49

Sithole, Linet. "Women's right to access family planning and maternal health care services in Hwange rural district, Zimbabwe: challenges and opportunities." Doctoral thesis, Faculty of Law, 2021. http://hdl.handle.net/11427/34007.

Full text

Abstract:

The significance of reproductive health and rights cannot be overemphasised. Investment in the rights of rural women, specifically their reproductive health rights, is a fundamental determinant of their empowerment and social development. Access to reproductive health services enables rural women to make informed choices in their reproductive lives. This is of paramount significance because the exercise of choice in one domain opens possibilities for choices in others. International and regional human rights treaties recognise the significance of reproductive health rights for women's wellbeing and survival and require that State Parties provide access to reproductive health services. Zimbabwe has ratified the relevant human rights treaties and has domesticated many of their provisions through the Constitution and other laws. Zimbabwe has obligations to respect, protect, promote and fulfil the right to reproductive health. Despite these obligations, rural women face a plethora of challenges in accessing reproductive health services, and their right to reproductive health continues to be infringed. The infringement is in violation of Zimbabwe's international and domestic human rights obligations. The purpose of this study was to examine and establish the challenges confronting rural women when accessing reproductive health care services in Hwange Rural District Zimbabwe. Using a phenomenology qualitative research design, data were gathered through structured face-to-face interviews with 20 women of reproductive age and five health care providers. Data from the field were bolstered with reviews of extant literature. Collected field data were thematically analysed and presented. The research findings revealed that although most of Zimbabwe's legislative, policy and institutional frameworks have provisions that comply with international obligations, the frameworks also contain restrictive provisions which perpetuate the challenges women face in accessing reproductive health care services. Furthermore, the human-rights compliant legislative and policy frameworks are often not properly implemented, thus leading to a violation of the right to reproductive health in practice. The study's empirical research revealed that in Hwange Rural District, women's capabilities to exercise their reproductive rights are limited by factors such as physical barriers like distance to the nearest health facility, availability of services, quality of care given at health facilities, poverty, religion and patriarchal tradition. A major challenge unearthed by the study was that rural women in Hwange District are not aware of their reproductive health rights. This lack of knowledge is disempowering because women who do not know their rights are not knowledgeable enough to demand their rights or defend them when violated. To redress the challenges faced by rural women, the study found that women can use judicial and extra judicial mechanisms ─ including the courts, human rights institutions, nongovernmental organisations, and civil society organisations ─ for litigation, exertion of political pressure, awareness raising and grassroots mobilisation. Such strategies are essential for ensuring that women hold the State accountable for violations of their reproductive rights. The study concludes that there is need to raise awareness on the right to reproductive health and the enacted laws and policies so as to equip women with the necessary information that will allow them to exercise their rights. It recommends that intensive human rights education programmes for both the formal and informal sector should be prioritised. It recommends the provision of adequate resourcing of various state institutions responsible for women's rights issues. Further, there should be a situational analysis of challenges faced by rural women in Zimbabwe based on the intricate factors of location within rural areas, religion, gender, human rights knowledge, culture and tradition. After such situational analysis, there is need to enact laws and policies that respond directly to the unique challenges faced by rural women, without using a ‘one size fits all' approach.

APA, Harvard, Vancouver, ISO, and other styles

50

Shelton, Melissa E. "Identifying Communication Barriers and Trust Issues of Black Women Seeking Preventive Health Services in Houston, Texas." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3411.

Full text

Abstract:

Black women mortality rates are perceived to be impacted by communication barriers, trust issues, and the lack of quality preventive health services. The purpose of this phenomenological study was to explore communication barriers and trust issues perceived by Black women when seeking preventive health services. HMB was used to identify public attitudes around receiving preventive health services and to construct each question based on perceived susceptibility and perceived severity of communication barriers and trust issues. An ecological model of the communication process was used as a framework to identify fundamental relationships between the Black female patients and health care providers. Data were collected using open-ended interview questions from Black women in public health and health care professions in southeast Texas (N=10). Results were coded and evaluated by thematic analysis. NVivo 10 software was used to store and manage data. Study findings showed 4 participants voiced their beliefs that their healthcare provider was somewhat apathetic when it came to addressing their health care needs, and 3 of the participants who visited a doctor's office within the last 12 months reportedly expressed having poor communication and trust issues with their health care provider. Emerged themes included lack of attentiveness from health care providers and lack of a comfortable atmosphere or bedside manner when receiving preventive health care services from their healthcare provider. This research has implications for social change if the health inequalities of Black women are identified and addressed, then Black women may have a reduction in health disparities when receiving preventive health services and an increase healthier outcomes.

APA, Harvard, Vancouver, ISO, and other styles

Dissertations / Theses on the topic 'Women's health services'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles