Статті в журналах: "Sexual and Reproductive Health Policy"

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Kanjilal, Barun. "Young Women's Sexual and Reproductive Lives." Journal of Health Management 1, no. 1 (April 1999): 143–49. http://dx.doi.org/10.1177/097206349900100110.

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Edouard, Lindsay. "From family planning to sexual and reproductive health: policy implications." Journal of Family Planning and Reproductive Health Care 31, no. 2 (April 1, 2005): 168. http://dx.doi.org/10.1783/1471189053629374.

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Borst, Robert A. J., Trynke Hoekstra, Denis Muhangi, Isis Jonker, and Maarten Olivier Kok. "Reaching rural communities through ‘Healthy Entrepreneurs’: a cross-sectional exploration of community health entrepreneurship’s role in sexual and reproductive health." Health Policy and Planning 34, no. 9 (September 17, 2019): 676–83. http://dx.doi.org/10.1093/heapol/czz091.

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Abstract The purpose of the current study was to explore the association between community health entrepreneurship and the sexual and reproductive health status of rural households in West-Uganda. We collected data using digital surveys in a cluster-randomized cross-sectional cohort study. The sample entailed 1211 household members from 25 randomly selected villages within two subcounties, of a rural West-Ugandan district. The association between five validated sexual and reproductive health outcome indicators and exposure to community health entrepreneurship was assessed using wealth-adjusted mixed-effects logistic regression models. We observed that households living in an area where community health entrepreneurs were active reported more often to use at least one modern contraceptive method [odds ratios (OR): 2.01, 95% CI: 1.30–3.10] had more knowledge of modern contraceptive methods (OR: 7.75, 95% CI: 2.81–21.34), knew more sexually transmitted infections (OR: 1.86, 95% CI: 1.14–3.05), and mentioned more symptoms of sexually transmitted infections (OR: 1.83, 95% CI: 1.18–2.85). The association between exposure to community health entrepreneurship and communities’ comprehensive knowledge of HIV/AIDS was more ambiguous (OR: 1.27, 95% CI: 0.97–1.67). To conclude, households living in areas where community health entrepreneurs were active had higher odds on using modern contraceptives and had more knowledge of modern contraceptive methods, sexually transmitted infections and symptoms of sexually transmitted infections. This study provides the first evidence supporting the role of community health entrepreneurship in providing rural communities with sexual and reproductive health care.

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Coleman, Eli. "Sexual Health and Public Policy." International Journal of Sexual Health 19, no. 3 (December 7, 2007): 1–3. http://dx.doi.org/10.1300/j514v19n03_01.

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MURPHY, TIMOTHY F. "REPRODUCTIVE CONTROLS AND SEXUAL DESTINY." Bioethics 4, no. 2 (April 1990): 121–42. http://dx.doi.org/10.1111/j.1467-8519.1990.tb00074.x.

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Pitambar Acharya, Gita Rijal. "Status of Adolescent Sexual and Reproductive Health in Nepal." Interdisciplinary Research in Education 6, no. 1 (June 30, 2021): 91–98. http://dx.doi.org/10.3126/ire.v6i1.43426.

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Adolescence is the transitional stage (10-19 years) of physical and psychological development that occurs during the period from puberty to adulthood. Adolescent and Sexual Reproductive Health (ASRH) is a healthy condition concerning the system, function and reproductive processes owned by a teenager. ASRH had been taken as an important issue after 1994 International Conference on Population and Development (ICPD)which took it as key issue. The main objective of this article is to analyse the general status of ASRH based on the information from Nepal Demographic and health survey 2016 thematically with descriptive design. Marriage, sexual relationship, fertility, knowledge and use of family planning, maternal and child health, knowledge on abortion, physical and sexual violence in terms of ASRH. Besides, policy intervention, gaps and recommendationshave also been discussed briefly.

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Massay, Emmanuel Michael. "A review on the prevailing gaps in women’s sexual and reproductive health rights in Tanzania’s National Health Policy 2017." Jurnal Sosiologi Dialektika 16, no. 1 (March 31, 2021): 1. http://dx.doi.org/10.20473/jsd.v16i1.2021.1-11.

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Women’s sexual and reproductive health rights (SRHR) are linked to numerous human rights; health, education, freedom from torture, protection from all forms of discrimination, and right of privacy. SRHR refers to a set of rights that every human being is entitled to, regardless of culture, race, religion, ethnicity, or disability. Women’s sexual and reproductive health rights have been taken for granted, especially in Tanzania’s health policies. However, Tanzania has several National Policies and Laws that affect women and men differently and in certain areas, they even contradict other existing laws. The prolonged poor SRHR shows the urgency of the reformation of the policies and laws. The analysis was carried out qualitatively through a reflection focused on the policy and other legal materials concerned. The study revealed that the policy does not cater enough for women’s SRHR. This study concludes that the policies are outdated and have a lot of loopholes. This has led the sexual and reproductive health system in Tanzania astray. The study concludes that the TNHP 2017 has to be reviewed and revised in order to meet the women’s SRHR and also to align it with some of the international policies and targets concerning sexual and reproductive health.

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Filippchenkova, S. I., E. A. Evstifeeva, and I. I. Stolnikova. "Constellation of risk factors of the reproductive potential of youth." SHS Web of Conferences 69 (2019): 00040. http://dx.doi.org/10.1051/shsconf/20196900040.

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The concept of reproduction as a value-semantic formation, a natural biological process, a bloodrelated nature, and a psychological responsibility for preserving the genus is transforming in modern youth. Youth perceptions of life quality, demographic projections, levels of claims, degrees of satisfaction with life situations, and behavioral patterns are influenced by such psychological predictors as responsibility, reflexivity, value-semantic matrix, personal risk factors of decision making. The following issues were analyzed: sexual behavior, reproductive behavior, reproductive attitudes, reproductive function risks, attribution of responsibility, contraception, bad habits, sexually transmitted infections, caring for health in general and reproductive health in particular, needs for specialists in the field of sexual and reproductive health, demographic expectations of young people, awareness of the federal demographic policy and psychological support, social institutions aimed to preserve reproductive health, gender differences in the demographics of expectations. Attitudes of young people to sexuality and reproduction, family-marriage relations were studied. Sources of information on these issues were determined and their effectiveness was evaluated. Identification of features of the relationship between reproductive health and psychological characteristics of youth was embedded in the authors’ psychological model.

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Mayhew, S. H. "Sexual and reproductive health: challenges for priority-setting in Ghana's health reforms." Health Policy and Planning 19, suppl_1 (October 1, 2004): i50—i61. http://dx.doi.org/10.1093/heapol/czh045.

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Noguera Vargas, Claudia Milena. "Imágenes de la mujer en la Política Nacional de Salud Sexual y Reproductiva de Colombia, 2003 – 2006." La Manzana de la Discordia 7, no. 1 (March 18, 2016): 73. http://dx.doi.org/10.25100/lamanzanadeladiscordia.v7i1.1574.

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Resumen: En las instituciones, leyes y políticasen las sociedades occidentales, las figuras institucionalizadasde la madre y del padre van ligadasa la subordinación sociocultural de la mujer, demodo que la relación jerárquica aparece vinculadaa la reproducción. La Política de Salud Sexual yReproductiva de Colombia, 2003-2006, basada enesta asociación imaginaria entre la mujer y la madre,si bien en principio busca contribuir al cambiodel estatuto de las mujeres en el país, choca contrala barrera simbólica que impide comprender yatender las problemáticas que afectan a las mujeresen tanto que tales, y no únicamente como madres yprotectoras de las futuras generaciones. Este trabajose propone contribuir a hacer visibles estas barrerasanalizando el origen de dichos imaginariosy centrando la discusión en las problemáticas queafectan a las mujeres en tanto que sujetos de derechosy no solamente en tanto que progenitoras.Palabras clave: diferencia sexual, imaginarios dela mujer, salud sexual y reproductiva, políticas públicas.Images of Women in the Sexual and ReproductiveHealth Public Policy in Colombia, 2003-2006Abstract: In institutions, laws and policy inWestern societies, the institutionalized figures of themother and the father are linked to women’s socioculturalsubordination, so that the hierarchical relationis linked to reproduction. Colombia’s Sexualand Reproductive Health Policy, 2003-2006, basedon the imaginary association between woman andthe mother, although seeking in principle to contributeto changes in women’s status, clashes againstthe symbolic barrier that prevents understandingof and attention to women’s problems, tending toview them only as mothers and caregivers for futuregenerations. This paper aims to contribute to makethese barriers visible by analyzing the origin ofthese images and centering the discussion on problemsaffecting women as subjects of rights and notmerely as mothers.Key words: sexual difference, images of women,sexual and reproductive health, public policies

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Ibanga, Diana-Abasi. "Sexual and Reproductive Health in (Nigeria) Africa: Issues, Debate and Approaches." Asian Journal of Humanity, Art and Literature 7, no. 1 (February 20, 2020): 21–32. http://dx.doi.org/10.18034/ajhal.v7i1.366.

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Human reproductive health is still at risk in Nigeria. In response to the problem, the Federal Government of Nigeria launched the National Reproductive Health Policy in 2001 to serve as the framework to base reproductive health strategies and interventions. Despite this, the country is far from achieving its set target. Several factors have been identified as the elements behind this challenge. One of such factor is cultural and religious beliefs. Religions have been known to have influenced people on beliefs of various kinds, especially on the issue of human sexuality and reproduction. There are two main religions in Nigeria – Christianity, and Islam. Their doctrines on sexual and reproductive health have been challenging. This paper sets out to map out these religious perspectives in the light of contemporary and practical relevance based on a sound philosophical understanding. This approach is important in order to bridge the communication gap between the cultural/religious community and the public health intervention workforce, so as to create synergy towards effective action. Moreover, the paper argues that silence on sexual matters should no longer be held as a virtue since traditional norms have lost their capacity to modernity.

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Keygnaert, Ines, Aurore Guieu, Gorik Ooms, Nicole Vettenburg, Marleen Temmerman, and Kristien Roelens. "Sexual and reproductive health of migrants: Does the EU care?" Health Policy 114, no. 2-3 (February 2014): 215–25. http://dx.doi.org/10.1016/j.healthpol.2013.10.007.

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Morison, Tracy, and Sarah Herbert. "Rethinking ‘Risk’ in Sexual and Reproductive Health Policy: the Value of the Reproductive Justice Framework." Sexuality Research and Social Policy 16, no. 4 (August 17, 2018): 434–45. http://dx.doi.org/10.1007/s13178-018-0351-z.

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Fehring, Richard J., Thomas Bouchard, and Maria Meyers. "Influence of Contraception Use on the Reproductive Health of Adolescents and Young Adults." Linacre Quarterly 85, no. 2 (April 25, 2018): 167–77. http://dx.doi.org/10.1177/0024363918770462.

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Oral contraceptives (OCs) are often prescribed to adolescents and young adults for the treatment of health problems and to avoid unwanted pregnancies. We hypothesized that the use of OCs, among adolescents and young adults, is associated with a greater likelihood of pregnancy, abortion, sexually transmitted diseases (STDs), pelvic inflammatory disease (PID), and sexual behaviors that will enhance those problems (i.e., earlier sexual debut and more sexual partners) than adolescents and young adults not using OCs. To test this hypothesis, data from 1,365 adolescents and young adults in the 2011–2013 National Survey of Family Growth (NSFG) were used to describe the influence of ever use of OCs on ever having sex, sexual debut, multiple sexual partners, STDs, PID, pregnancy, and abortion. A secondary purpose was to evaluate protective factors from unhealthy sexual practices like religiosity, church attendance, and intact families. We found that the “ever use” of OCs by US adolescents and young adults results in a greater likelihood of ever having sex, STDs, PID, pregnancy, and abortion compared with those adolescents and young adults who never used OCs. Furthermore, those adolescents who ever used OCs had significantly more male sexual partners than those who never used OCs, and they also had an earlier sexual debut by almost two years. Conversely, we found that frequent church attendance, identification of the importance of religion, and having an intact family among adolescents were associated with less likelihood of unsafe sexual practices. We concluded that the use of OCs by adolescents and young adults might be considered a health risk. Further research is recommended to confirm these associations. Summary: The purpose of this article was to show the correlation between contraceptive use in adolescents and negative sexual outcomes. We used data from the 2011–2013 NSFG and demonstrated that never married adolescents who used oral hormonal contraception were three times more likely to have an STD, have PID, and to become pregnant, and, surprisingly, ten times more likely of having an abortion compared to noncontracepting adolescents. These are outcomes that contraception is intended to prevent. These data also showed that the contraceptors had significantly more male partners than their contraceptive counterparts. Protective factors such as church attendance and family cohesiveness were associated with a decreased likelihood of sexual activity.

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Kaida, Angela, Brittany Cameron, Tracey Conway, Jasmine Cotnam, Jessica Danforth, Alexandra de Pokomandy, Brenda Gagnier, et al. "Key recommendations for developing a national action plan to advance the sexual and reproductive health and rights of women living with HIV in Canada." Women's Health 18 (January 2022): 174550572210908. http://dx.doi.org/10.1177/17455057221090829.

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Action on the World Health Organization Consolidated guideline on sexual and reproductive health and rights of women living with HIV requires evidence-based, equity-oriented, and regionally specific strategies centred on priorities of women living with HIV. Through community–academic partnership, we identified recommendations for developing a national action plan focused on enabling environments that shape sexual and reproductive health and rights by, with, and for women living with HIV in Canada. Between 2017 and 2019, leading Canadian women’s HIV community, research, and clinical organizations partnered with the World Health Organization to convene a webinar series to describe the World Health Organization Consolidated guideline, define sexual and reproductive health and rights priorities in Canada, disseminate Canadian research and best practices in sexual and reproductive health and rights, and demonstrate the importance of community–academic partnerships and meaningful engagement of women living with HIV. Four webinar topics were pursued: (1) Trauma and Violence-Aware Care/Practice; (2) Supporting Safer HIV Disclosure; (3) Reproductive Health, Rights, and Justice; and (4) Resilience, Self-efficacy, and Peer Support. Subsequent in-person (2018) and online (2018–2021) consultation with > 130 key stakeholders further clarified priorities. Consultations yielded five cross-cutting key recommendations: 1. Meaningfully engage women living with HIV across research, policy, and practice aimed at advancing sexual and reproductive health and rights by, with, and for all women. 2. Centre Indigenous women’s priorities, voices, and perspectives. 3. Use language that is actively de-stigmatizing, inclusive, and reflective of women’s strengths and experiences. 4. Strengthen Knowledge Translation efforts to support access to and uptake of contemporary sexual and reproductive health and rights information for all stakeholders. 5. Catalyse reciprocal relationships between evidence and action such that action is guided by research evidence, and research is guided by what is needed for effective action. Topic-specific sexual and reproductive health and rights recommendations were also identified. Guided by community engagement, recommendations for a national action plan on sexual and reproductive health and rights encourage Canada to enact global leadership by creating enabling environments for the health and healthcare of women living with HIV. Implementation is being pursued through consultations with provincial and national government representatives and policy-makers.

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Amoo, Emmanuel O., Gholahan A. Oni, Mofoluwake P. Ajayi, Adenike E. Idowu, Theophilus O. Fadayomi, and Adekunbi K. Omideyi. "Are Men’s Reproductive Health Problems and Sexual Behavior Predictors of Welfare?" American Journal of Men's Health 11, no. 3 (July 31, 2015): 487–97. http://dx.doi.org/10.1177/1557988315598832.

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The study examined men’s reproductive health problems and sexual behavior and their implications for men’s welfare in Nigeria. It used the Nigeria Demographic and Health Survey data set of 2013. The analysis used only male recode files, representing 17,359 males. The dependent variable is the computed wealth index, which was selected as proxy for welfare condition. Analysis involved univariate and multivariate levels. The findings indicated that 49.3% of the respondents currently have more than one sexual partner. The total lifetime sexual partner index identifies 70.2% of the men interviewed have had at least two sexual partners in their lifetime. It revealed that men who experience reproductive health challenges, such as sexually transmitted infections and genital ulcer, are 44% and 93%, respectively, less likely to enjoy good welfare condition. It also indicated that men in urban area are 7.256 times more likely to enjoy good welfare condition compared with their rural counterparts. There is a negative association between total lifetime sexual partnerships and exposure to good welfare. The study concludes that social workers, marriage counselors, other health personnel, and policy makers need to focus on the practice of multiple sexual partnership and reproductive health diseases as major determinants of men’s welfare. The authors suggest that the index of welfare should include reproductive health issues and indicators of sexual behavior. Also, there is need for the establishment of specialized reproductive health care services and centers that are accessible to all men for effective servicing of reproductive health needs of men in the country.

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Meherali, Salima, Bisi Adewale, Sonam Ali, Megan Kennedy, Bukola (Oladunni) Salami, Solina Richter, Phil E. Okeke-Ihejirika, et al. "Impact of the COVID-19 Pandemic on Adolescents’ Sexual and Reproductive Health in Low- and Middle-Income Countries." International Journal of Environmental Research and Public Health 18, no. 24 (December 15, 2021): 13221. http://dx.doi.org/10.3390/ijerph182413221.

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Adolescents living in low- and middle-income countries (LMICs) are struggling with accessing sexual and reproductive health (SRH) services, and COVID-19 has escalated the problem. The purpose of this review was to identify and assess the existing literature on the impact of the pandemic on SRH needs and access to services by adolescents in LMICs. A scoping review was conducted to collate findings on the topic. Searches were performed on eight databases. Data were extracted and categorized into various themes. After removing duplicates and performing a full-text reading of all articles, nine articles were included in our review. Our findings generated several themes related to adolescents’ sexual and reproductive health during the COVID-19 pandemic. These include (1) limited access to sexual and reproductive health services, (2) school closure and increased rate of early marriages, (3) sexual or intimate partner violence during COVID-19, (4) disruption in maternity care, (5) adolescents’ involvement in risky or exploitative work, (6) intervention to improve sexual and reproductive health services during COVID-19, and (7) policy development related to adolescent sexual and reproductive health. Several recommendations were made on policies—for instance, the use of telemedicine and community-based programs as a way to deliver SRH services to adolescents during and after a pandemic.

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Nosek, Margaret A., and Darrell K. Simmons. "Sexual and Reproductive Health Disparities Experienced by People with Disabilities." Californian Journal of Health Promotion 5, SI (May 1, 2007): 68–81. http://dx.doi.org/10.32398/cjhp.v5isi.1201.

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Disability has yet to achieve its proper place in the discussion of health disparities. Several major Federal initiatives to remove health disparities have only addressed disability as a consequence of poverty, low education levels, lack of access to health care, and other disparity factors, but fail to acknowledge people with disabilities as a health disparity population. Whereas policymakers and health disparities researchers regard disability as an indicator of reduced quality of life, rehabilitation researchers focus on maximizing health and quality of life in the context of disability. This article discusses the characteristics and possible causes of health disparities experienced by people with disabilities, illustrated with examples from sexuality and reproductive health. The authors offer six pathways for eliminating the health disparities faced by people with disabilities: 1) Include information about wellness in the context of disability in the education of physicians and other health care providers, 2) Offer empowerment opportunities to people with disabilities, 3) Promote compliance with the Americans with Disabilities Act, 4) Remove barriers to participation by people with disabilities in health research and education, 5) Acknowledge people with disabilities as a health disparities population and include their issues in national health care policy, and 6) Encourage media coverage of health issues for people with disabilities and the portrayal of successful, healthy people with disabilities in publicity related to all health topics.

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Buse, Kent, Adriane Martin-Hilber, Ninuk Widyantoro, and Sarah J. Hawkes. "Management of the politics of evidence-based sexual and reproductive health policy." Lancet 368, no. 9552 (December 2006): 2101–3. http://dx.doi.org/10.1016/s0140-6736(06)69837-1.

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Hailemariam, Shewangizaw, Lidiya Gutema, Wubetu Agegnehu, and Msganaw Derese. "Challenges Faced by Female Out-of-School Adolescents in Accessing and Utilizing Sexual and Reproductive Health Service: A Qualitative Exploratory Study in Southwest, Ethiopia." Journal of Primary Care & Community Health 12 (January 2021): 215013272110189. http://dx.doi.org/10.1177/21501327211018936.

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Introduction Due to the limited access to sexual and reproductive health service, out-of-school-adolescents become at a higher risk for early marriage, early pregnancy early parenthood, and poor health outcomes over their life course. Hence, the aim of this study was to explore the challenges faced by female out-of-school adolescents in accessing sexual and reproductive health service in Bench-Sheko zone. Methods A community-based qualitative exploratory study was carried out from November 01/2020 to December 01/2020 among selected out-of-school adolescents residing in rural and urban districts of Bench-Sheko Zone, and healthcare professionals working in the local health centers. FGD participants and healthcare providers were purposely selected for this study. Eight focus group discussions and 8 in-depth interviews were conducted among female out-of-school adolescents, and health care professionals, respectively. Result The study revealed that out-of-school adolescents encounter several challenges in accessing sexual reproductive health service which includes socio-cultural barriers, health system barriers, perceived legal barrier, inadequate information regarding sexual reproductive health service, and low parent-adolescent communication. Conclusion The finding suggests the need to engage community influencers (religious leaders, community leaders, and elders) in overcoming the socio-cultural barriers. Program planners and policy makers have better make an effort to create adolescent friendly environments in SRH service areas. Furthermore, implementing community-based awareness raising programs, parental involvement in sexual reproductive health programs, and encouraging parent-adolescent communication on sexual reproductive health issues could improve sexual reproductive health service utilization by out-of-school adolescents in the study area.

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Abedian, Kobra, and Zohreh Shahhosseini. "University students’ point of views to facilitators and barriers to sexual and reproductive health services." International Journal of Adolescent Medicine and Health 26, no. 3 (August 1, 2014): 387–92. http://dx.doi.org/10.1515/ijamh-2013-0316.

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Abstract Aim: The right to health is a universal human right, and this includes sexual and reproductive health services. The aim of this study is to explore the opinions of Iranian university students toward facilitators and barriers to sexual and reproductive health services. Materials and methods: In 2012, a random sample of 548 university students completed anonymous, self-administered questionnaires. Topics covered the participants’ attitudes towards facilitators and barriers to sexual and reproductive health services in personal, interpersonal, and structural domains. Results: Mean age of participants was 21.57 years and 57.82% were female. The maximum score of facilitators and barriers to sexual and reproductive health services was related to “Young people’s participation in sexual and reproductive health services provision” and “Fear of stigmatization”, respectively. The results showed that among female university students, the mean score of personal and structural facilitators was significantly higher than the mean score of interpersonal ones (F=12.23, p<0.001). This difference was also reported in barrier factors (F=5.51, p=0.004). Conclusion: Results highlight the roles of policy makers and health service providers in improving accessibility to provided services for young people through the enforcement of facilitators and reduction of barriers, particularly in the areas of personal and structural facilitators focusing on female services.

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Lee, Shih-Hui, Kee-Jiar Yeo, and Lina Handayani. "Development and validation of a sexual and reproductive health knowledge scale." International Journal of Public Health Science (IJPHS) 11, no. 3 (September 1, 2022): 815. http://dx.doi.org/10.11591/ijphs.v11i3.21570.

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The purpose of this study was to develop a reliable and valid instrument to measure primary school students’ sexual and reproductive health (SRH) knowledge. The instrument measures primary school students’ knowledge in four domains: i) puberty; ii) human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) and sexually transmitted diseases; iii) prevention of child sexual abuse; and iv) reproduction and reproductive systems. All items in the instrument were reviewed and screened by experts before they were administered to 125 primary five students. The instrument’s dimensionality, fit statistics, hierarchical ordering of item difficulty, and item and person separation reliability were assessed using the rasch measurement model (RMM). The results showed that the instrument demonstrated unidimensionality, and the items exhibited a wide range of difficulty level. Misfitting items were removed from the questionnaire, and the remaining 36 items were retained. The RMM outputs showed good item’s reliability (.97) with high separation index (5.52). However, the person reliability (.79) and the person separation index (1.94) were slightly the recommended value. Overall, the results show that the developed instrument can be used with confidence to assess sexual and reproductive health (SRH) knowledge among primary school students in Malaysia.

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Sutan, Rosnah, and Pinta Pudiyanti Siregar. "Reproductive health practices and use of health services among immigrant Indonesian women working in Malaysia." Revista de Saúde Pública 56 (June 24, 2022): 55. http://dx.doi.org/10.11606/s1518-8787.2022056003811.

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OBJECTIVE To describe the reproductive health practices of immigrant Indonesian women working in Malaysia and their accessibility to health services. METHODS A cross-sectional study using a validated self-administered questionnaire was conducted with 593 immigrant Indonesian workers who stayed in Malaysia for at least six months and within the reproductive age group. RESULTS About 13.5% of the respondents have used health facilities for reproductive health-related problems. Less than half of the respondents preferred to use public health facilities. Only 15% used treatment available in health facilities related to irregular menstrual cycles (34.6%), severe dysmenorrhea (58.7%) and nonspecific symptoms related to menstruation (31.7%). Family planning services were the most required health service. However, only 31.5% met the needs for family planning services. One-third of the respondents had sexual reproductive health problems and required treatment, but only 9.9% sought reproductive health services when needed. CONCLUSIONS Strategies to improve the accessibility to sexual reproductive health services requires a collaboration between the Indonesian government representatives in Malaysia and non-governmental organizations to address the reproductive health issues among immigrant Indonesian women in Malaysia. Health policy related to immigrant workers is needed in order to enhance the accessibility to women’s health needs for universal health coverage.

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Ngwena, Charles. "An Appraisal of Abortion Laws in Southern Africa from a Reproductive Health Rights Perspective." Journal of Law, Medicine & Ethics 32, no. 4 (2004): 708–17. http://dx.doi.org/10.1111/j.1748-720x.2004.tb01976.x.

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The World Conference on Human Rights (the Vienna Conference) that was held in Vienna in 1993, marked an important beginning in the recognition of reproductive and sexual rights as human rights. Among other goals, the Vienna Conference sought to end gender discrimination in all its manifestations; gender-based violence, sexual harassment, and sexual exploitation. However, the turning point for the development of reproductive and sexual rights was the consensus that emanated from the International Conference on Population and Development held in Cairo in 1994 (the Cairo Conference), and the Fourth World Conference on Women in held in Beijing 1995 (the Beijing Conference) as evidenced by the programs for action that were adopted.The Cairo Conference defined reproductive health as “a state of complete physical, mental and social well-being and not merely the absence of infirmity, in all matters relating to the reproductive system and to its functions and processes.”

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Berer, M. "HIV/AIDS, sexual and reproductive health: intersections and implications for national programmes." Health Policy and Planning 19, suppl_1 (October 1, 2004): i62—i70. http://dx.doi.org/10.1093/heapol/czh046.

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Maharaj, Pranitha, and John Cleland. "Integration of sexual and reproductive health services in KwaZulu-Natal, South Africa." Health Policy and Planning 20, no. 5 (September 1, 2005): 310–18. http://dx.doi.org/10.1093/heapol/czi038.

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Tenkorang, Eric Y. "Intimate Partner Violence and the Sexual and Reproductive Health Outcomes of Women in Ghana." Health Education & Behavior 46, no. 6 (July 18, 2019): 969–80. http://dx.doi.org/10.1177/1090198119859420.

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Few studies have examined the relationships between intimate partner violence (IPV) and the sexual and reproductive health outcomes of women in sub-Saharan countries in general and Ghana specifically. This study began to fill the gap by investigating whether individual- and community-level IPV influenced unwanted pregnancy and pregnancy loss among women in Ghana. Nationally representative cross-sectional data were collected from 2,289 ever-married women, and multilevel modeling was used to estimate individual- and community-level effects. At the individual level, IPV was significantly associated with unwanted pregnancy and pregnancy loss. Women with experience of both physical and sexual violence were more likely to have reported an unwanted pregnancy and a pregnancy loss. However, only those experiencing sexual violence reported unwanted pregnancies. Similarly, community-level IPV was associated with sexual health outcomes. Respondents in communities with higher levels of sexual violence were significantly more likely to have had unwanted pregnancies. The findings corroborate calls for policy makers to consider IPV a reproductive health issue. They also emphasize the need to move beyond individual-level interventions to consider structural and community contexts when addressing the sexual and reproductive health outcomes of women in Ghana.

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Wigle, Jannah, Stewart Paul, Anne-Emanuelle Birn, Brenda Gladstone, and Paula Braitstein. "Youth participation in sexual and reproductive health: policy, practice, and progress in Malawi." International Journal of Public Health 65, no. 4 (April 9, 2020): 379–89. http://dx.doi.org/10.1007/s00038-020-01357-8.

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Courtenay, Thomas, and Paula Baraitser. "Improving online clinical sexual and reproductive health information to support self-care: A realist review." DIGITAL HEALTH 8 (January 2022): 205520762210844. http://dx.doi.org/10.1177/20552076221084465.

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Self-care is the ability of individuals, families and communities to promote health, prevent disease, maintain health, and cope with illness and disability with or without the support of a healthcare provider. In the field of sexual and reproductive health options for self-care predominantly include ordering contraceptives online, or testing and treating genital infections outside a healthcare setting. The shift to digitally facilitated self-care consequently requires information that was previously used by clinicians to be made available to those managing their own sexual and reproductive health. This review was specifically interested in how to optimise this informational enabling environment as self-care becomes more complex. Using a realist approach to facilitate collation, analysis and synthesis of research from multiple disciplines this review sought to enable the generation of a programme theory to inform service development. The majority of research we identified studied information to support the choice to self-care and access to self-care. In contrast to established areas of self-care, for example, the management of diabetes or hypertension, studies of the self-care process in sexual and reproductive health are lacking. There is significant potential to expand digital information resources to support sexual and reproductive health self-care, however, there are currently significant unmet informational needs. This review proposes six key recommendations for providers and key stakeholders involved with sexual and reproductive healthcare for the improvement of digital self-care services.

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Octaviani, Mur, and Dewi Rokhanawati. "Association information sources of reproductive health with sexual behavior of adolescents in Indonesia." International Journal of Health Science and Technology 1, no. 3 (March 28, 2020): 68–74. http://dx.doi.org/10.31101/ijhst.v1i3.1214.

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30% of female adolescents reported their first sexual intercourse at under the age of 15 years old on the grounds of being forced by their partners and 49% of female adolescents could not reject their partner's invitation. The lack of reproductive health information sources is a continuity issue that affects the health status of adolescents. Those who get reproductive health information from the surrounding environment with the same age group and have similar dating experience may increase the risk of misinformation. This research aims to know correlation between the information sources of reproductive health and sexual behavior of adolescents in Indonesia. This quantitative study used cross sectional approach, using data analysis of Indonesian Adolescent Reproductive Health Survey Year 2012 (10,980 men and 8,902 women). The data analysis used Chi Square. It shown with the value of x2 (30,511) with the significance value (p = 0,000 <0,05) and 95% CI. There is a correlation between the information sources of reproductive health and sexual behavior of adolescents in Indonesia. The assessment of Health Technology Assessment (HTA) on planning of WA Gateway based on Android application as Information Center and Adolescent Counseling can be the formulation of health policy with interactive learning media for adolescents.

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Rizqi, Yuditha Nindya Kartika, Lulu Nafisah, and Aisyah Apriliciciliana Aryani. "Service Implementation Analysis of Adolescent Reproductive Health toward Adolescents’ Expectations and Needs." Jurnal Kesehatan Masyarakat 17, no. 2 (January 12, 2022): 269–78. http://dx.doi.org/10.15294/kemas.v17i2.26477.

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Lack of knowledge and information on sexual and reproductive health has led to an increase in reproductive health problems, such as sexual violence and abuse, marriage and teenage pregnancy. There are several government programs related to youth health, but only a few young people can use and take advantage of these programs. This study aims to outline the needs and expectations of adolescents in sexual education and reproductive health. The method used is a qualitative method and an in-depth interview was conducted. Use deliberate sampling techniques to determine samples. The interview results showed that all adolescents had heard of adolescent reproductive health (KRR), but they could not fully explain the definition and scope of KRR. The availability of KRR information and services around the residence is still poor, and although there is no regular schedule and incomplete, most are obtained from the school. The services that young people need include youth-friendly counseling, counseling and health checks. The expected facilities are easy-to-use facilities, affordable costs and flexible service hours. Support from policy makers, plan implementers, schools and youth residential communities are needed to provide youth-friendly and easily accessible KRR services.

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Abedi, Parvin, Maryam Jorfi, Poorandokht Afshari, and Ahmad Fakhri. "How does health-promoting lifestyle relate to sexual function among women of reproductive age in Iran?" Global Health Promotion 25, no. 3 (August 31, 2017): 15–21. http://dx.doi.org/10.1177/1757975917706831.

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This study aimed to evaluate the relation between health-promoting lifestyle and sexual function among women of reproductive age. In this cross-sectional study, 1200 women were recruited randomly from 10 public health centers in Ahvaz, Iran. A demographic questionnaire, Health Promoting Lifestyle Profile 2 (HPLP2), and Female Sexual Function Index (FSFI) were used for data collection. The inclusion criteria were as follows: women aged 15–45 years, married, monogamous, and having basic literacy. Data were analyzed using Kruskal–Wallis test, chi-square test, Spearman correlation coefficient, and logistic regression. All aspects of sexual function showed a significant relationship with different dimensions of HPLP2, except for pain and physical activity ( p < 0.001). Women who had better self-actualization were more likely to have better sexual function than other women (OR = 1.10, 95% CI: 1.06–1.14, p < 0.001). Other variables like responsibility, interpersonal relations and stress management also showed a significant correlation with sexual function. Results of this study showed that health-promoting lifestyle dimensions are significantly related to all aspects of sexual function in women of reproductive age. Health policy makers should take lifestyle-related factors of reproductive-aged women into account when seeking to improve the sexual wellbeing of this population. Further attention should also be given to assessing the direction of causality.

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Galarza, Shakira. "The treatment of the issue and the target group in sexual and reproductive health policy." MOJ Public Health 11, no. 2 (August 18, 2022): 144–48. http://dx.doi.org/10.15406/mojph.2022.11.00391.

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This writing is an exercise of reflection on the way policy issues and policy target groups are addressed during the policy design process. Some theoretical approaches, from the cognitive realms of the policy studies, suggest that issues and targets’ treatment of public policies depends on a series of cognitive and socially constructed aspects that interfere in the design as it is a process handled by actors. The proposed written discusses sexual health and reproductive rights as a subfield of policies as well as on trans people as examples of a policy issue and target groups that depict the way in which social artifacts of making sense of the world and cognitive processes such as framing could affect the development of the policy and the benefits for a group of people.

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Lamačková, Adriana. "Conscientious Objection in Reproductive Health Care: Analysis of Pichon and Sajous v. France." European Journal of Health Law 15, no. 1 (2008): 7–43. http://dx.doi.org/10.1163/092902708x300172.

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AbstractThis article explores the issue of conscientious objection invoked by health professionals in the reproductive and sexual health care context and its impact on women's ability to access health services. The right to exercise conscientious objection has been recognized by many international and European scholars as being derived from the right to freedom of thought, conscience and religion. It is not, however, an absolute right. When the exercise of conscientious objection conflicts with other human rights and fundamental freedoms, a balance must be struck between the right to conscientious objection and other affected rights such as the right to respect for private life, the right to equality and non-discrimination, and the right to receive and impart information. Particularly in the reproductive health care context, states that allow health professionals to exercise conscientious objection must accommodate this in such a way that its exercise does not compromise women's access to health services. This article analyses the European Court of Human Rights' decision on admissibility in Pichon and Sajous v. France (2001) and argues that a balancing approach should be applied in cases of conscientious objection in the sexual and reproductive health care context.

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Sheets, John R. "Christian Anthropology as it Applies to Reproductive and Sexual Morality1." Linacre Quarterly 56, no. 4 (November 1989): 23–37. http://dx.doi.org/10.1080/00243639.1989.11878030.

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Duberstein Lindberg, Laura, Adam Sonfield, and Alison Gemmill. "Reassessing Adolescent Male Sexual and Reproductive Health in the United States: Research and Recommendations." American Journal of Men's Health 2, no. 1 (December 5, 2007): 40–56. http://dx.doi.org/10.1177/1557988307309460.

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Adolescent males are practicing safer sexual behaviors and experiencing healthier outcomes than their predecessors. In recent years, adolescent males have tended to start having sex later in life, have fewer sexual partners, use condoms and other contraceptive methods more often, and father fewer children. Yet sexual activity during adolescence remains the norm, and thus adolescent sexual and reproductive health (SRH) remains an important concern. Moreover, large disparities remain in risk and outcomes according to race/ethnicity, sexual orientation, social connectivity, and where men live. Policy and program advances have been limited. Adolescent males are less likely than they were a decade ago to be receiving broad-based SRH information in school, and their access to clinical services has increased only marginally. Most new funding has been provided for ineffective abstinence-only education programs. Prerequisites for continued progress include research to fill in gaps in our knowledge, arriving at societal consensus around key controversies, and new tactics and allies in the political arena.

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Igras, Susan, Marina Plesons, and Venkatraman Chandra-Mouli. "Building evidence on what works (and what does not): practical guidance from the World Health Organization on post-project evaluation of adolescent sexual and reproductive health projects." Health Policy and Planning 36, no. 5 (March 29, 2021): 811–15. http://dx.doi.org/10.1093/heapol/czab028.

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Abstract Over the past 25 years, there has been significant progress in increasing the recognition of, resources for, and action on adolescent health, and adolescent sexual and reproductive health (ASRH) in particular. As with numerous other health areas, however, many of the projects that aim to improve ASRH are implemented without well-thought-out plans for evaluation. As a result, the lessons that projects learn as they encounter and address policy and programmatic challenges are often not extracted and placed in the public arena. In such cases, post-project evaluation (PPE) offers the possibility to generate learnings about what works (and does not work), to complement prospective studies of new or follow-on projects. To fill the gap in the literature and guidance on PPE, the World Health Organization developed The project has ended, but we can still learn from it! Practical guidance for conducting post-project evaluations of adolescent sexual and reproductive health projects. This article provides an overview of the guidance by outlining key methodological and contextual challenges in conducting PPE, as well as illustrative solutions for responding to them.

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Buttigieg, Sandra C., Gabrielle Attard Debono, and Dorothy Gauci. "Needs assessment for sexual health services development in a small European Union member state." Health Services Management Research 32, no. 4 (May 22, 2019): 180–90. http://dx.doi.org/10.1177/0951484819846086.

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Introduction Awareness of sexual health in Malta – a small European Union member state started to gain momentum in the new millennium. Taboos and norms about sexuality pose strong barriers for the provision of information, and reproductive health services. A major contributor is the strong influence of the Roman Catholic Church, which holds fast to its prohibitions of sexual behaviours, albeit counterbalanced by the liberal standpoint adopted by the State in recent years. Methods Survey data were collected from 269 students aged 16–21 (response rate 89.7%) in a state post-secondary school. The sample was selected through convenience sampling within the school grounds. Results Women were more knowledgeable in relation to available services and risks when compared to men. No geographical differences were found. School was the most common source for information, while health professionals, namely general practitioners were considered trusted resources for their needs. Confidentiality was deemed to be the most requested and crucial feature of sexual health services. Conclusions Three important multisectoral needs emerged, namely adequate dissemination system of sexual health information, scientifically based sexual health education for professionals in contact with young people, and well-designed and accessible sexual health services. Implications for management include updating health sexual education and promotion strategies, as well as designing better services. Young people should be able to make informed choices regarding their sexual health, in line with contemporary needs.

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Jozkowski, Kristen N., and Brandon L. Crawford. "The Status of Reproductive and Sexual Health in Southern USA: Policy Recommendations for Improving Health Outcomes." Sexuality Research and Social Policy 13, no. 3 (October 9, 2015): 252–62. http://dx.doi.org/10.1007/s13178-015-0208-7.

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Jia-miao, Hou, and Shuai Li-na. "Investigation on Reproductive Health Knowledge Cognition and Service Demand of University Students——Based on Three Universities in Huangjiahu University Town." E3S Web of Conferences 292 (2021): 03085. http://dx.doi.org/10.1051/e3sconf/202129203085.

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The paper aims to provide a reference for policy-making on reproductive health services for university students by investigating the recognition degree of reproductive health knowledge and current status of reproductive health service needs of students of three universities in Huangjiahu University Town. The author carries out the questionnaire surveys in the three universities using “wjx”, a platform for questionnaire-making, then adopts descriptive analysis and spss analysis to process the data obtained from the questionnaire survey. Sexual behavior among university students is a common phenomenon. However, due to the low cognition degree of reproductive health, they have a strong demand for reproductive health services.

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Valizadeh, Farzaneh, Abolfazl Mohammadbeigi, Reza Chaman, Fatemeh Kashefi, Ali Mohammad Nazari, and Zahra Motaghi. "Sexual and Reproductive Health Challenges in Temporary Marriage: A Systematic Review." Journal of Research in Health Sciences 21, no. 1 (January 18, 2021): e00504-e00504. http://dx.doi.org/10.34172/jrhs.2021.42.

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Background: Temporary marriage is a legal form of marriage in Shia Islam allowing a man and a woman to become married in a fixed period of time. This review was conducted to identify the potential effects of temporary marriage on the sexual and reproductive health of women. Study design: A systematic review Methods: Electronic databases, including Web of Knowledge, Embase, PubMed, Scopus, ScienceDirect, PsycINFO, ProQuest, IranMedex, Scientific Information Database (SID), and Magiran, were searched up to October 2020 to identify the studies carried out on sexual and reproductive health challenges in temporary marriage. All the selected articles were assessed for eligibility according to their titles and abstracts. Results: During the search on articles published within 1995 to October 2020, 1,802 relevant records were identified, and after evaluation 30 full-text papers were included in the present systematic review. Out of the 34,085 study participants in the selected studies, 3,547 subjects had temporary marriage who were studied under six different categories, namely (1) sexually transmitted infections (STIs)/human immunodeficiency viruses, (2) early child marriage, (3) unplanned pregnancy and induced abortion, (4) violence, (5) psychosocial disorders, and (6) other issues. Individuals with temporary marriage are vulnerable and need to have easy access to health education and sexual and reproductive health services in a safe and unprejudiced environment. Ignoring the aforementioned facts will cause serious public health problems, especially for women from a lower socioeconomic background. Conclusions: In the current situation with under-reporting of temporary marriage-related events due to social stigma and absence of quality services in sexual and reproductive health, women with temporary marriage are under the additional risk of STIs, unwanted pregnancy, abortion, and violence.

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Anena, Rachel Mary, Judith Orishaba, and David Mwesigwa. "Literature review of teenage pregnancy in Uganda." Advances in Social Sciences Research Journal 7, no. 8 (September 6, 2020): 586–93. http://dx.doi.org/10.14738/assrj.78.8848.

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Teenage pregnancy is a serious social and health concern. The aim of the study, as a literature review, was to investigate the causes, effects and strategies put forward to curb down the teenage pregnancy among girls between 13-19 years in lira district, Uganda. This study used desktop research using secondary data. The data was collected by others for their own purpose and it had been derived from various sources. This entails the findings and discussion got from causes, effects and strategies put in place to curb down teenage pregnancy. Social factors include decreased supervision by parents, early initiation to sexual activities, and pressure from families to marry early. Effects of teenage pregnancy were found to be preterm labour, intrauterine growth, sexually transmitted infections, sexual violence and limited access to medical services. There are policies designed to delay and protect young women from becoming pregnant during adolescence. These policies include the National Health Policy, the National Adolescent Health Policy, the National Policy on Young People and HIV/AIDS, the Sexual Reproductive Health Minimum Package, the Minimum Age of Sexual Consent Policy the defilement law. These policies also serve the purpose of fostering a supportive environment to encourage adolescent reproductive health. Given the factors that contribute to teenage pregnancy and its associated effects, it is concluded that the measures proposed in form of policies will help to curb down the problem of teenage pregnancy in Lira district.

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Gogna, Mónica, and Nina Zamberlin. "Sexual and reproductive health in Argentina: Public policy transitions in a context of crisis." Journal of Iberian and Latin American Research 10, no. 2 (December 2004): 95–112. http://dx.doi.org/10.1080/13260219.2004.10426797.

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Herrmann, Michael. "Sustainable development, demography and sexual and reproductive health: inseparable linkages and their policy implications." Reproductive Health Matters 22, no. 43 (January 2014): 28–42. http://dx.doi.org/10.1016/s0968-8080(14)43757-1.

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Cameron, Sharon T., Anna Glasier, Lisa McDaid, Andrew Radley, Susan Patterson, Paula Baraitser, Judith Stephenson, et al. "Provision of the progestogen-only pill by community pharmacies as bridging contraception for women receiving emergency contraception: the Bridge-it RCT." Health Technology Assessment 25, no. 27 (May 2021): 1–92. http://dx.doi.org/10.3310/hta25270.

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Introduction Unless women start effective contraception after using emergency contraception, they remain at risk of unintended pregnancy. Most women in the UK obtain emergency contraception from community pharmacies that are unable to provide ongoing contraception (apart from barrier methods which have high failure rates). This means that women need an appointment with a general practitioner or at a sexual and reproductive health clinic. We conducted a pragmatic cluster randomised cohort crossover trial to determine whether or not pharmacist provision of a bridging supply of a progestogen-only pill plus the invitation to attend a sexual and reproductive health clinic resulted in increased subsequent use of effective contraception (hormonal or intrauterine). Methods Twenty-nine pharmacies in three UK cities recruited women receiving emergency contraception (levonorgestrel). In the intervention, women received a 3-month supply of the progestogen-only pill (75 µg of desogestrel) plus a card that provided rapid access to a local sexual and reproductive health clinic. In the control arm, pharmacists advised women to attend their usual contraceptive provider. The primary outcome was reported use of an effective contraception (hormonal and intrauterine methods) at 4 months. Process evaluation was also conducted to inform any future implementation. Results The study took place December 2017 and June 2019 and recruited 636 women to the intervention (n = 316) and control groups (n = 320). There were no statistically significant differences in demographic characteristics between the groups. Four-month follow-up data were available for 406 participants: 63% (198/315) of the control group and 65% (208/318) of the intervention group. The proportion of participants reporting use of effective contraception was 20.1% greater (95% confidence interval 5.2% to 35.0%) in the intervention group (58.4%, 95% confidence interval 48.6% to 68.2%) than in the control group (40.5%, 95% confidence interval 29.7% to 51.3%) (adjusted for recruitment period, treatment arm and centre; p = 0.011). The proportion of women using effective contraception remained statistically significantly larger, when adjusted for age, current sexual relationship and history of past use of effective contraception, and was robust to the missing data. There were no serious adverse events. Conclusion Provision of a bridging supply of the progestogen-only pill with emergency contraception from a pharmacist and the invitation to a sexual and reproductive health clinic resulted in a significant increase in self-reported subsequent use of effective contraception. This simple intervention has the potential to prevent more unintended pregnancies for women after emergency contraception. Trial registration Current Controlled Trials ISRCTN70616901. Funding This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 27. See the NIHR Journals Library website for further project information.

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Lee, So-Young, Soo-Young Oh, and In-Sook Sohn. "Reproductive Health Rights and Indicators." Journal of The Korean Society of Maternal and Child Health 25, no. 1 (January 31, 2021): 1–9. http://dx.doi.org/10.21896/jksmch.2021.25.1.1.

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This study aimed to review the definitions of reproductive health rights, investigate reproductive health status, and suggest policy strategies to promote reproductive health in Korea. Current laws, the Constitution of the World Health Organization, works from Guttmacher-Lancet Commission on Sexual and Reproductive Health and Rights, the Program of Action of the International Conference on Population Development, the Nairobi Statement on ICPD25, and the Convention on the Elimination of all Forms of Discrimination Against Women were reviewed to define reproductive health rights. The reproductive health status focusing on high-risk pregnancy was analyzed. Definitions of reproductive health rights include the right of every person to have lifetime access to the information, resources, services, and support needed to achieve bodily integrity, privacy and personal autonomy regarding their reproductive health. Most indices of reproductive health in Korea analyzed here are and would remain negative. Reproductive health should be approached from the perspectives of rights. We should continuously monitor the indicators of reproductive health and policies corresponding to low fertility rates in Korea should focus on improving women’s reproductive health. This suggests support for obstetrics and gynecology check-ups and treatments before pregnancy and postpartum care, the provision of education on the importance of prepregnancy health care for men and women and comprehensive information and counseling services. It is also necessary to establish a delivery infrastructure for safe pregnancy and childbirth and unify governmental ministries related to pregnancy and childbirth.

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Dawson, Angela J., Kumuda Wijewardena, and Ellie Black. "Health and education provider collaboration to deliver adolescent sexual and reproductive health in Sri Lanka." South East Asia Journal of Public Health 3, no. 1 (January 18, 2014): 42–49. http://dx.doi.org/10.3329/seajph.v3i1.17710.

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The complex nature of adolescent sexual and reproductive health (ASRH) determinants demands a multidisciplinary and intersectoral approach. Collaborative approaches are central to the delivery of quality health care and services but the focus is often health sector specific. Few research studies have explored the views and experiences of health workers and teachers and examined how ASRH services and information are provided by professionals across the education and health sector. Sri Lanka has made considerable progress towards addressing the Millennium Development Goals (MDG), however, there are still gaps reflected in adolescent health, social indicators, and the delivery of services. Enhancing the collective efforts of teachers and health professionals may help to improve the quality and use of services and ASRH knowledge. This study aimed to identify the experiences, needs, knowledge, attitudes and practices of primary healthcare and education professionals and the strategies that best support them to deliver sexual and reproductive health information, education, counseling and clinical services to Sri Lankan adolescents. Qualitative and survey data were gathered from 65 nurses, midwives, public health inspectors, medical officers, teachers, counselors and principals in the district of Kalutara. Knowledge, attitudes and service gaps were identified in relation to contraception and policy guiding practice. Participants highlighted concerns with confidence, roles and training that were said to affect student access to appropriate health services. ASRH Collaborative practices were noted across the sectors and strategies suggested for improvement. Findings suggest that inter-professional educa-tion and training may provide opportunities to enhance collaboration supported and guided by appropriate policy, supervision and job descriptions (i.e. roles and responsibilities). South East Asia Journal of Public Health 2013; 3(1): 42-49 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17710

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Dobrowolska, Karolina. "PRAWA REPRODUKCYJNE I SEKSUALNE W ONZ I ICH DOKTRYNALNE UWARUNKOWANIA." Zeszyty Prawnicze 16, no. 2 (December 9, 2016): 163. http://dx.doi.org/10.21697/zp.2016.16.2.08.

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Sexual and Reproductive Health and Rights at the United Nations and Their Doctrinal Background Summary The concept of sexual and reproductive health and rights still remains unclear in the international law regime. Despite the fact that during the United Nations International Conference on Population and Development in Cairo (1994), all UN Member States agreed that the term sexual and reproductive health and rights does not contain the “right to abortion,” one can observe continuous attempts to renegotiate the established consensus. The discussion on SRHR is exerting a great impact on the policy of international organizations and therefore it has a potential to create obligations on their Member States. The aim of this article is to present the history of the concept of “sexual and reproductive health and rights” and to analyze it in two aspects. First, the article elaborates on the doctrinal and ideological connotations of SRHR construction. It shows how the SRHR construction derives from feminist theories that regard the spheres of procreation and sexuality as the main sources of inequality between men and women. Second, the article shows how feminist concepts of human sexuality have influenced and shaped the legal constructions of international treaties under the UN auspices.

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Phongluxa, Khampheng, Ghislaine Langeslag, Tej Ram Jat, Sengchanh Kounnavong, Mariam A. Khan, and Dirk R. Essink. "Factors influencing sexual and reproductive health among adolescents in Lao PDR." Global Health Action 13, sup2 (July 30, 2020): 1791426. http://dx.doi.org/10.1080/16549716.2020.1791426.

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Rajabi, Elham, Hamidreza Khankeh, Maryam Ranjbar, Mirtaher Mousavi, Mehdi Norouzi, and Mehrdad Farokhi. "Evaluation of Women's Reproductive Health Status after Kermanshah Earthquake." Health in Emergencies & Disasters Quarterly 7, no. 4 (August 14, 2022): 0. http://dx.doi.org/10.32598/hdq.7.4.271.2.

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Objective: Women are more at risk of dying during disasters than men due to physical, biological, psychological, and cultural differences. In the aftermath of a disaster, women experience more than usual miscarriages, premature births, inadequate fetal growth, low birth weight, sexual violence, and unwanted pregnancies. This study aimed to evaluate the reproductive health status of women affected by the Kermanshah earthquake. Methods: This descriptive cross-sectional study was performed in the fall of 2018. The study population was girls and women aged 15-49 years who lived in one of the areas of Sarpol-e Zahab, Javanrood, and Thalas Babajani during the Kermanshah earthquake. The questionnaire used was the standard questionnaire for assessing the status of reproductive health in disasters, which has already been localized in Iran and its reliability and validity have been confirmed. Native Kurdish language questionnaires have been completed the questionnaires by asking 396 people. Central and dispersion indices were used to describe the frequency of variables. Results: The mean age of participants was 31.7 years. 42.4% complained of unprecedented menstrual irregularities and 34.09% of limited menstrual hygiene items. Sixty married women were pregnant at the time of the earthquake, all of whom gave birth in hospital and had two miscarriages, two premature births, and one stillbirth. Urinary tract infection was the most common problem (21%) in pregnancy. 48% of married women used the contraceptive method after the earthquake, the most commonly used method being the pill (23%). Access to post-earthquake contraception was difficult for 14.4% of them. Regarding the experience of sexual violence after the earthquake, 25% answered positively that 30 people reported physical violence, 86 people verbally and 13 people forced to have sex without desire. Conclusion: Although despite the extensive primary care system, control of pregnancy and safe delivery in disaster-affected areas is relatively acceptable, services in the field of reproductive health and sexual health after disasters seem to face challenges. It is recommended to pay attention to menstrual hygiene, regular distribution of contraceptives as soon as possible after disasters (despite the current population policy of the country), address sexual violence, and develop a protocol to follow up its victims.

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