scholarly journals Setting up a family planning and reproductive health programme

2019 ◽  
pp. 313-333
Author(s):  
Clare Goodhart ◽  
Ted Lankester ◽  
Claire Thomas
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Community Health ◽  
Sexually Transmitted Infections ◽  
Health Worker ◽  
Sexually Transmitted ◽  
Large Numbers ◽  
The Family ◽  
Child Spacing ◽  
Health Programme

This chapter explains the importance of family planning and child spacing from a variety of perspectives. It outlines the difficulty of access to family planning for large numbers of people, and the barriers that exist for its widespread uptake. It describes in some detail the range of contraceptives and their different uses. It describes ways in which supplies can be sold, distributed, and managed at community level. It describes the roles of the family planning provider and community health worker (CHW) and emphasizes the importance of reliable and accessible supplies. The chapter also gives information on sexually transmitted infections (STIs), their causes and types, and how they can best be controlled and treated.

scholarly journals A Review of Indian Perceptions on Condom Use

2021 ◽  
pp. 97-100
Author(s):  
Pratibha Wankhede ◽  
Mayur Wanjari
Keyword(s):  
Family Planning ◽  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted ◽  
Condom Usage ◽  
Unintended Pregnancies ◽  
The Family ◽  
Planning Methods ◽  
National Family Planning ◽  
The Media

In the late 1960s, India's National Family Planning Programme introduced condoms as one of the family planning methods. Since its inception, the condom has been promoted as a method of family planning through social marketing. With the rising prevalence and incidence of sexually transmitted infections (STIs), such as HIV/AIDS, the condom has been promoted as a dual method of protection against both unintended pregnancies and sexually transmitted infections. Despite different initiatives at various levels, overall condom use among Indian couples remains low. In this paper, we examine the research on condom perception among Indian couples. The report specifically evaluates research and strategies designed to enhance condom usage among couples; predictors of condom use; reasons for not using a condom; and perception versus the experience of condom failure. Non-acceptance by partners, perceived ineffectiveness, reduced comfort, lack of sexual satisfaction, husband's alcohol usage, depression, and anxiety, and not being accessible at the time were among the reported condom-related issues. The importance of the media in promoting condom use was mentioned as a significant strategy to raise awareness and use. Acceptance of male condoms would be aided in a variety of ways.

scholarly journals Nonclinical Sexual Health Support for HIV, Viral Hepatitis, and Other Sexually Transmitted Infections in Gay, Bisexual, and Other Men Who Have Sex With Men: Protocol for a European Community Health Worker Online Survey (ECHOES)

10.2196/15012 ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. e15012
Author(s):  
Nigel Sherriff ◽  
Jorg Huber ◽  
Nick McGlynn ◽  
Carrie Llewellyn ◽  
Alex Pollard ◽  
...  
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Community Health ◽  
Sexually Transmitted Infections ◽  
Health Worker ◽  
Community Health Worker ◽  
Online Survey ◽  
Sexually Transmitted ◽  
Sex With Men

Background The term “community health worker” (CHW) can apply to a wide range of individuals providing health services and support for diverse populations. Very little is known about the role of CHWs in Europe working in nonclinical settings who promote sexual health and prevent HIV and other sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (MSM). Objective This paper describes the development and piloting of the first European Community Health Worker Online Survey (ECHOES) as part of the broader European Union-funded ESTICOM (European Surveys and Trainings to Improve MSM Community Health) project. The questionnaire aimed to assess the knowledge, attitudes, and practices of CHWs providing sexual health services to gay, bisexual, and other MSM in European settings. Methods ECHOES comprises three superordinate domains divided into 10 subsections with 175 items (routed) based on a scoping exercise and literature review, online prepiloting, and Europe-wide consultation. Additional piloting and cognitive debriefing interviews with stakeholders were conducted to identify comprehension issues and improve the clarity, intelligibility, accessibility, and acceptability of the survey. Psychometric properties, including internal consistency of the standardized scales used as part of the survey were examined. The final survey was available to 33 countries in 16 languages. Results Recruitment closed on January 31, 2018. Data from 1035 CHWs were available for analysis after application of the exclusion criteria. The findings of the ECHOES survey and the wider ESTICOM project, are now available from the ESTICOM website and/or by contacting the first author. Conclusions The findings of this survey will help characterize, for the first time, the diverse role of CHWs who provide sexual health services to gay, bisexual, and other MSM in Europe. Importantly, the data will be used to inform the content and design of a dedicated training program for CHWs as part of the larger ESTICOM project and provide recommendations for MSM-specific strategies to improve sexual health in general and to reduce the incidence and prevalence of HIV, viral hepatitis, and other STIs in particular. International Registered Report Identifier (IRRID) RR1-10.2196/15012

scholarly journals Reaching rural communities through ‘Healthy Entrepreneurs’: a cross-sectional exploration of community health entrepreneurship’s role in sexual and reproductive health

2019 ◽  
Vol 34 (9) ◽  
pp. 676-683
Author(s):  
Robert A J Borst ◽  
Trynke Hoekstra ◽  
Denis Muhangi ◽  
Isis Jonker ◽  
Maarten Olivier Kok
Keyword(s):  
Rural Communities ◽  
Reproductive Health ◽  
Community Health ◽  
Sexually Transmitted Infections ◽  
Sexual And Reproductive Health ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Logistic Regression Models

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.

scholarly journals Family planning program under low fertility: where to go

2021 ◽  
Author(s):  
Baochang Gu
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Unmet Needs ◽  
Family Planning Program ◽  
Population Control ◽  
First Century ◽  
Low Fertility ◽  
Planning Program ◽  
The People ◽  
The Family

AbstractThis commentary is intended to take China as a case to discuss the mission of the family planning program under low fertility scenario. After a brief review of the initiation of family planning program in the 1970s, as well as the reorientation of family planning program since ICPD in 1994, it will focus on the new mission for the family planning program under low fertility scenario in the twenty-first century, in particular concerning the issue of induced abortion among the others. Given the enormous evidence of unmet needs in reproductive health as identified in the discussion, it is argued that family planning programmes are in fact even more needed than ever before under low-fertility scenario, and should not be abandoned but strengthened, which clearly has nothing to do to call back to the program for population control in the 1970s–1980s, and nor even go back to the program for “two reorientations” in the 1990s, but to aim to serving the people to fulfill their reproductive health and reproductive rights in light of ICPD and SDGs, and to become truly integral component of “Healthy China 2030” Strategy.

scholarly journals Quick and collaborative response to teenage pregnancies in a poor semi-rural area of Belgium

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Déom ◽  
L Ben Abdelhafidh ◽  
N Annez ◽  
C Glorie ◽  
M Roland
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Rural Areas ◽  
Sexual And Reproductive Health ◽  
Health Clinic ◽  
Local Health ◽  
Reproductive Health Services ◽  
Sexually Transmitted ◽  
Victims Of Violence ◽  
The City

Abstract Early pregnancies are often linked to precarious situations. Even if Belgium has seen a decrease in teenage pregnancies, in the former mining region of the Hainaut there are still twice as many births to young women under 20 compared to the national rate. Colfontaine is one of the poorest cities in Belgium. Last year, one of the local high schools counted 10 pregnant teenagers out of 450 students. Médecins du Monde was already present in the city at the time with a mobile health clinic called the Médibus. In response, we carried out a mapping of the local sexual and reproductive health actors. The lack of accessibility to social and health structures capable of welcoming teenagers anonymously and free of charge quickly emerged as a problem, the nearest family planning center being located 30 minutes away by bus. In September 2019, in partnership with 5 local health actors, we decided to reshape the Médibus into the Adobus in order to offer family planning consultations, health promotion and harm reduction activities at the high school once a week. In addition to offering health information services, we also aim to detect teenagers experiencing vulnerable situations such as addiction, violence, gender issues and refer them to appropriate services. Halfway through the project, we met 430 teenagers in 14 afternoons. The most common reasons for consultation (N = 310) were questions related to contraception for 29% and to sexually transmitted infections for 24,5%. 70,9% of teenagers received condoms and 13 girls were tested for pregnancy. One girl received a morning-after pill. 3 teenagers with addiction problems and 17 victims of violence were detected. The teams referred 18 teenagers to other services. The success of this outreach project confirms the need for information regarding sexual and reproductive health for teenagers living in precarious situations as well as the need to develop reachable and affordable sexual and reproductive health services in semi-rural areas. Key messages Outreach is an efficient approach to respond to teenagers’ needs in poor semi-rural areas. Outreach facilitated the detection of early pregnancies, addiction and violence issues among teenagers.

scholarly journals Towards the promotion of reproductive health of the young

2007 ◽  
Vol 39 (2) ◽  
pp. 383-396
Author(s):  
Biljana Stankovic
Keyword(s):  
Reproductive Health ◽  
Female Adolescents ◽  
Attitudes And Beliefs ◽  
Sexually Active ◽  
Value System ◽  
Knowledge And Skills ◽  
Sexually Transmitted ◽  
Childhood And Youth ◽  
The Family ◽  
The Media

Premature sexual activity of the young, before reaching physical and psycho-social maturity, brings along the risk of jeopardizing their reproductive health, mostly because it can lead to sexually transmitted infections or pregnancy, which is mostly unwanted in adolescence. The starting assumption of the promotion of reproductive health of the young is understanding and acceptance of their sexuality and relevant needs in social environment in which they live. Primarily in the family, the media, healthcare institutions and school. During the period of childhood and youth, school possesses the unique possibility to enable a large number of young people to acquire knowledge and skills related to sexuality and reproductive health and shape their values, attitudes and beliefs. The complexity of the process of making the decision about becoming sexually active, as well as the space for action towards its postponement to older age, are also indicated by the results of the research conducted in Belgrade, on the sample of one hundred and eleven female adolescents aged fourteen to twenty, who became sexually active at the age sixteen and earlier. These are primarily those results which refer to the meaning of love and sex in their value system, motives, feelings and attitudes related to becoming sexually active.

scholarly journals Risk of Sexually Transmitted Infections and HIV in Adolescence

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Alba Cortés Alfaro
Keyword(s):  
Sexually Transmitted Infections ◽  
Family Doctor ◽  
Review Article ◽  
Vulnerable Group ◽  
Sexually Transmitted ◽  
The Family ◽  
The World ◽  
The Caribbean ◽  
Good Coverage ◽  
Hiv Aids

Introduction adolescents represent a vulnerable group exposed to sexually transmitted infections including HIV/AIDS. It is a stage in which they are subjected to constant changes in physical, mental and social development and risk factors such as ignorance, early sex, drug addiction, social inequality, gender and myths contribute to this exposure. Objective: To delve into the characteristics of adolescents that put them at risk of acquiring an STI-HIV/AIDS. Methods: A bibliographic review was carried out where the databases included in the LILACS, EBSCO and HINARI services were consulted, and very good coverage was achieved, both in Cuba, Latin America and the Caribbean, and in the rest of the world. Conclusions: This review article on the risks to which adolescents are subjected to acquiring an STI-HIV/AIDS is put in the hands of all personnel involved in working with adolescents. For the family doctor in particular for being a staff closely linked to the community, allowing them to be in better conditions to detect these behaviors thus contributing to exercise and undertake prevention actions that will allow us to achieve the objectives of our Ministry of Public Health in relation to with this indicator.

scholarly journals Prevalence of Reproductive Tract Infections/Sexually Transmitted Infections among Rural Married Women – A Community Based Study Using Syndromic Approach

Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 72-81
Author(s):  
Anita Punia ◽  
Jyoti Yadav ◽  
Babita ◽  
Sanjay Kumar Jha ◽  
Sanjeet Singh ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Sexually Transmitted Infections ◽  
Rural Areas ◽  
Reproductive Tract ◽  
Married Women ◽  
Reproductive Tract Infections ◽  
Community Based ◽  
Sexually Transmitted ◽  
Syndromic Approach ◽  
Tract Infections

Introduction: Reproductive Tract Infections (RTIs) and Sexually transmitted infections (STIs) continue to be a major public health problem and affecting women's health. Objectives: To estimate the prevalence of RTIs/STIs among married women aged 18-49 years in rural areas and to determine the factors associated with these conditions. Method: A community-based cross-sectional study was carried out among 308 eligible married women aged 18-49 years in rural areas in District Sonipat, Haryana using the WHO-Syndromic Approach for diagnosis of RTIs/STIs. Results: The mean age of study subjects in our study was 32.1 years (SD = ± 8.3 years) with a range from 18 to 49 years. The overall RTIs/STIs prevalence was 49.3%. The most frequent symptom was vaginal discharge (55.3%) followed by pain during micturition (34.2%), dyspareunia (26.9%), pain lower abdomen (24.3%) and vulval itching (16.4%). RTI/STI symptoms were found significantly more among women who had history of any chronic disease, who had irregular menstrual cycles, used cloths as sanitary pads and among those whose husbands were substance users. Conclusions: This study revealed a high prevalence (49.3%) of RTIs/STIs. Awareness about symptoms of RTIs, menstrual and personnel hygiene, raising literacy level of women, drive against use of addictive substances etc. by husbands is needed for control and prevention of RTIs. Primary health care services in respect of reproductive health should be strengthened and raising awareness among women about reproductive health issues through suitable communication strategies in order to bring about a positive behavior change for effective control of STIs.

scholarly journals Family Planning Methods and Practices Adopted by Married Women in Anambra

2021 ◽  
Vol 11 (6) ◽  
pp. 182-189
Author(s):  
Alagbu C. E. ◽  
Iloghalu, A. N. ◽  
Nnaemezie, N. O
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Married Women ◽  
Chi Square ◽  
Anambra State ◽  
Significant Difference ◽  
The Family ◽  
Planning Methods ◽  
Wide Issue ◽  
Family Planning Methods

Introduction: Family planning is a world-wide issue in reproductive health which tends to affect individuals of every tribe or race, irrespective of age, religion or educational level. This study investigated the family planning methods and practices adopted by married women in Anambra State. Methods: Three research questions were formulated to guide the study and two null hypotheses tested at 0.05 level of significance. The design for the study was descriptive survey. The study has a population of 133, 736 married women in Onitsha, Nnewi and Awka who were registered under the population commission of Anambra State as at August, 2019. A sample of 420 married women was involved in the study. The instrument titled “Questionnaire Family planning methods and practices adopted by married women in Anambra State was used for collection of data. The data collected was analyzed using Frequency and Percentage and Chi Square. Results: The findings indicated that greater percentage of married women in Anambra State is aware of family planning but practicing it was the major problem. There were no significant difference in the family planning methods adopted by married women in Anambra State based on their ages and parity level. Conclusion: Based on the findings and their implications, it was recommended among others, that there is need for there is need to create more awareness or sensitization on other methods of family planning which the women might not know. Key words: Family planning, reproductive health, married women, Anambra

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