Reproductive Health Matters最新文献

{"title":"\"Without this program, women can lose their lives\": migrant women's experiences with the Safe Abortion Referral Programme in Chiang Mai, Thailand.","authors":"Ellen Tousaw,&nbsp;Ra Khin La,&nbsp;Grady Arnott,&nbsp;Orawee Chinthakanan,&nbsp;Angel M Foster","doi":"10.1080/09688080.2017.1392220","DOIUrl":"https://doi.org/10.1080/09688080.2017.1392220","url":null,"abstract":"<p><p>For displaced and migrant women in northern Thailand, access to health care is often limited, unwanted pregnancy is common, and unsafe abortion is a major contributor to maternal death and disability. Based on a pilot project and situational analysis research, in 2015 a multinational team introduced the Safe Abortion Referral Programme (SARP) in Chiang Mai, Thailand, to reduce the socio-linguistic, economic, documentation, and transportation barriers women from Burma face in accessing safe and legal abortion care in Thailand. Our qualitative study documented the experiences of women with unwanted pregnancies who accessed the SARP in order to inform programme improvement and expansion. We conducted 22 in-depth, in-person interviews and analysed them for content and themes using deductive and inductive techniques. Women were overwhelmingly positive about their experiences using the SARP. They reported lack of costs, friendly programme staff, accompaniment to and interpretation at the providing facility, and safety of services as key features. Financial and legal circumstances shaped access to the programme and women learned about the SARP through word-of-mouth and community workshops. After accessing the SARP and receiving support, women became community advocates for reproductive health. Efforts to expand the programme and raise awareness in migrant communities appear warranted. Our findings suggest that referral programmes for safe and legal abortion can be successful in settings with large displaced and migrant populations. Identifying ways to work within legal constraints to expand access to safe services has the potential to reduce harm from unsafe abortion even in humanitarian settings.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 51","pages":"58-68"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1392220","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35227255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sea-change in reproductive health in emergencies: how systemic improvements to address the MISP were achieved.","authors":"Sandra K Krause,&nbsp;Sarah K Chynoweth,&nbsp;Mihoko Tanabe","doi":"10.1080/09688080.2017.1401894","DOIUrl":"https://doi.org/10.1080/09688080.2017.1401894","url":null,"abstract":"<p><p>The Minimum Initial Services Package (MISP) for reproductive health has been the minimum standard for reproductive health service provision in humanitarian emergencies since 1995. Assessments of acute humanitarian settings in 2004 and 2005 revealed few MISP services in place and low knowledge of the MISP among humanitarian responders. Just 10 years later, assessments of humanitarian settings in 2013 and 2015 found largely consistent availability of MISP services and high awareness of the MISP as a standard among responders. We describe the multi-pronged strategy undertaken by the Women's Refugee Commission and other Inter-agency Working Group on Reproductive Health in Crises (IAWG) member agencies to effect systemic improvements in the availability of the MISP at the onset of humanitarian responses. We find that investments in fact-finding missions, awareness-raising, capacity development, policy harmonisation, targeted funding, emergency risk management, and community resilience-building have been critical to facilitating a sea-change in reproductive health responses in acute, large-scale emergencies. Efforts were underpinned by collaborative, inter-agency partnerships in which organisations were committed to working together to achieve shared goals. The strategies, activities, and achievements contain valuable lessons for the health sector, including reproductive health, and other sectors seeking to better integrate emerging or marginalised issues into humanitarian action.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 51","pages":"7-17"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1401894","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35640839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Humanitarian response to reproductive and sexual health needs in a disaster: the Nepal Earthquake 2015 case study.","authors":"Pushpa Chaudhary,&nbsp;Giulia Vallese,&nbsp;Meera Thapa,&nbsp;Valerie Broch Alvarez,&nbsp;Latika Maskey Pradhan,&nbsp;Kiran Bajracharya,&nbsp;Kazutaka Sekine,&nbsp;Shilu Adhikari,&nbsp;Reuben Samuel,&nbsp;Sophie Goyet","doi":"10.1080/09688080.2017.1405664","DOIUrl":"https://doi.org/10.1080/09688080.2017.1405664","url":null,"abstract":"<p><p>This case study describes the health response provided by the Ministry of Health of Nepal with support from UN agencies and several other organisations, to the 1.4 million women and adolescent girls affected by the major earthquake that struck Nepal in April 2015. After a post-disaster needs assessment, the response was provided to cater for the identified sexual and reproductive health (RH) needs, following the guidance of the Minimum Initial Service Package for RH developed by the global Inter-Agency Working Group. We describe the initiatives implemented to resume RH services: the distribution of medical camp kits, the deployment of nurses with birth attendance skills, the organisation of outreach RH camps, the provision of emergency RH kits and midwifery kits to health facilities and the psychosocial counselling support provided to maternity health workers. We also describe how shelter and transition homes were established for pregnant and post-partum mothers and their newborns, the distribution of dignity kits, of motivational kits for affected women and girls and female community health volunteers. We report on the establishment of female-friendly spaces near health facilities to offer a multisectoral response to gender-based violence, the setting up of adolescent-friendly service corners in outreach RH camps, the development of a menstrual health and hygiene management programme and the linkages established between adolescent-friendly information corners of schools and adolescent-friendly service centres in health facilities. Finally, we outline the gaps, challenges and lessons learned and suggest recommendations for preparedness and response interventions for future disasters.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 51","pages":"25-39"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1405664","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35668333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Title, Table of Contents and Acknowledgements","authors":"Jocelyn DeJong, Shirin Heidari, Huda Zurayk, Cynthia Myntti, B. Tekçe, Rita Giacaman, Hyam Bashour, N. Gaballah","doi":"10.1080/09688080.2017.1401339","DOIUrl":"https://doi.org/10.1080/09688080.2017.1401339","url":null,"abstract":"","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 1","pages":"i - iii"},"PeriodicalIF":0.0,"publicationDate":"2017-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1401339","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42559560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How they see it: young women's views on early marriage in a post-conflict setting.","authors":"Sonya Em Knox","doi":"10.1080/09688080.2017.1383738","DOIUrl":"https://doi.org/10.1080/09688080.2017.1383738","url":null,"abstract":"<p><p>Current understandings of early marriage in conflict and post-conflict settings are incomplete and under-researched, and do not sufficiently take into consideration the views and experiences of adolescent girls. While much of the literature, development reports and mainstream media emphasise the poverty, health risks and lack of agency of young women married early, they seldom provide these teenagers an open platform from which to speak. In 2007, a Palestinian refugee camp in North Lebanon was destroyed and its residents forced to flee. Returning families experienced extreme hardships and a military cordon. Through ethnographic research undertaken in the camp a year later with adolescent girls in or en route to an early marriage, their mothers and NGO community workers, I explored decision-making processes leading to an early marriage and adolescent brides' assessments of married life. The decision to enter an early marriage, neither unilateral nor imposed, was instead described as an assessment of numerous factors, including economic hardships, insecurity and loneliness, many arising as a result of the conflict. Findings of this study challenge common understandings of early marriage - both the decision and its consequences - and call for greater nuance in designing interventions. These findings are particularly pertinent amid sensationalised media reports of early marriage in Syrian refugee communities; presenting girls in early marriages as victims garners international attention, but is not necessarily an accurate reflection of these girls' own understandings of their situation.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 sup1","pages":"96-106"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1383738","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35537891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gendered bodies and reproduction in the Arab countries and Turkey.","authors":"Jocelyn DeJong,&nbsp;Shirin Heidari","doi":"10.1080/09688080.2017.1386443","DOIUrl":"https://doi.org/10.1080/09688080.2017.1386443","url":null,"abstract":"The Middle East has been a hub of geopolitics since the end of the Cold War and the site of near-constant interand intra-state conflicts. Despite the growing interest in the region as a result of these conflicts, reporting – whether academic or journalistic – has often focused on political authoritarianism and radical religious movements. Given these preoccupations, discourses on health, well-being and gender relations have too often been framed in macro-level terms with insufficient attention to context. Moreover, these trends have combined with the enduring influence of Orientalism to produce a depiction of Middle Eastern women as lacking in agency and in need of defence by Western actors. At the same time, their health and wellbeing have been too often assessed in terms of decontextualised aggregate indicators employed by international and other agencies. Such reports have singled out the Middle East, for example, for its seemingly belated decline in fertility; the low uptake of essential health services; the high prevalence of obesity and non-communicable diseases among women; or the exceptionally low levels of female labour force participation despite rising educational access. Yet, nowhere in these macro-level descriptions are the perspectives of Middle Eastern women taken into account, including their perceptions of their own health, of the health care offered to them, and of how they manage the everyday challenges of maintaining their own or their households’ well-being in the context of growing poverty and inequality, and above all, regional turmoil. This supplement is the first collective product of the work of members of a research network encompassing the Arab region and Turkey, the Reproductive Health Working Group (RHWG), that has been active for nearly three decades. Since its founding in 1988 as a small, multidisciplinary research group, it has provided a platform for the voices of researchers living in or working in the region addressing gender, well-being and the health of women, men and young people from multiple geographic, disciplinary and other perspectives. They have done so despite multiple practical, bureaucratic and political constraints and often amidst political conflict and instability. The idea for this supplement grew out of a conversation among the network’s regional governing committee over lunch in the mountains of Lebanon, as the group struggled with the fact that the interesting and timely research presented at the network’s annual meetings does not always get published in international, peerreviewed journals. This supplement aims to provide a dissemination forum for research presented at these meetings and to highlight complementarities among the individual studies. Recognising that several of the authors are students or recent graduates who are relatively new to publication, authors of each paper were assigned a mentor from the network who could provide support and constructive comments before submission. Pap","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 sup1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1386443","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35537895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coping with cancer diagnosis and treatment: a comparative study on women with breast cancer in Turkey and occupied Palestinian territory.","authors":"Ayşecan Terzioğlu,&nbsp;Weeam Hammoudeh","doi":"10.1080/09688080.2017.1378066","DOIUrl":"https://doi.org/10.1080/09688080.2017.1378066","url":null,"abstract":"<p><p>In this article, we explore the illness narratives of women with breast cancer in Turkey and the occupied Palestinian territory (oPt), underlining the similarities and differences in the ways in which they make sense of their diagnosis and cope with cancer treatment. The article is based on 30 and 35 semi-structured qualitative interviews conducted in Turkey and the oPt, respectively. We do find some parallels in the two settings. We find that a diagnosis of breast cancer is a dramatic event with very strong reactions among many women, with women in both settings pointing to sharp increases in cancer incidence. Interestingly, the perceived increase in the prevalence of breast cancer among women appears to make cancer more manageable. There are clear variations in the degree of medicalisation and prevalence of medical discourse in the two settings, with medical discourse around cancer more common in the Turkish context. Furthermore, socio-economic variations were more discernible in the Turkish setting, and perceived to impact care. The findings affirm that women's breast cancer experiences and the ways in which they make sense of their diagnosis are largely shaped by the cultural contexts they live in, within and across country and cultural settings.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 sup1","pages":"35-46"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1378066","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35537931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health research in a turbulent region: the Reproductive Health Working Group.","authors":"Jocelyn DeJong,&nbsp;Huda Zurayk,&nbsp;Cynthia Myntti,&nbsp;Belgin Tekçe,&nbsp;Rita Giacaman,&nbsp;Hyam Bashour,&nbsp;Atf Ghérissi,&nbsp;Noha Gaballah","doi":"10.1080/09688080.2017.1379864","DOIUrl":"https://doi.org/10.1080/09688080.2017.1379864","url":null,"abstract":"<p><p>The Reproductive Health Working Group (RHWG) was established in 1988 in Cairo to advance research in the Arab countries and Turkey on the health of women, broadly defined. The paper considers the ways in which the group contributed to global health conversations through three examples of interdisciplinary research that, in privileging local contexts, modified or even challenged prevailing approaches to health and often raised entirely new issues for consideration. The three examples cited in the paper are: (i) the network's early research on reproductive morbidity; (ii) a broad set of ongoing studies on childbirth/maternal health; and (iii) emerging research on health and conflict. The paper discusses how the RHWG has strengthened research capability in the region, and explores the reasons for the longevity of this research network.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 sup1","pages":"4-15"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1379864","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35537893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When he is \"tied\": power, vulnerability, and embodied masculinity in Egypt.","authors":"Farha Ghannam","doi":"10.1080/09688080.2017.1374803","DOIUrl":"https://doi.org/10.1080/09688080.2017.1374803","url":null,"abstract":"<p><p>This paper looks at the notion of rabt [tying], the inability of the groom to engage in penetrative intercourse on the wedding night, to explore the relationship between masculinity, embodiment, and sexual performance. Drawing on ethnographic fieldwork in Egypt between 1993 and 2015, this paper explores the notion of groom rabt, how it is socially defined and managed. After presenting my conceptual framework for the study of sexuality and embodiment, the paper moves to discuss the meaning of the wedding night; the social clues people draw on when they identify rabt; how these clues relate different events to the (in)abilities of the groom; and how women, particularly mothers, work to protect and heal their male relatives from this affliction. To understand moments when individuals are unable, or \"fail,\" to produce desirable physical and social effects, it is important that we do not exclusively consider the individual sexed body - the body that is clearly defined, bounded, and invested with unique desires and feelings. We must also consider the broader configurations that connect different bodies, endow them with certain meanings, and produce their materiality. My discussion shows that our understanding of sexuality and reproductive health will continue to be limited if we consider only men or women as separate individuals or as autonomous couples. Exploring moments of biological-social vulnerability, such as rabt, and how they relate to broader projects of gendering helps us understand issues linked to reproductive health and sexual rights in a deeper sense.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 sup1","pages":"56-64"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1374803","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35537930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women's satisfaction and perception of control in childbirth in three Arab countries.","authors":"Tamar Kabakian-Khasholian,&nbsp;Hyam Bashour,&nbsp;Amina El-Nemer,&nbsp;Mayada Kharouf,&nbsp;Salah Sheikha,&nbsp;Nasser El Lakany,&nbsp;Rafik Barakat,&nbsp;Ohoud Elsheikh,&nbsp;Nadia Nameh,&nbsp;Rabih Chahine,&nbsp;Anayda Portela","doi":"10.1080/09688080.2017.1381533","DOIUrl":"https://doi.org/10.1080/09688080.2017.1381533","url":null,"abstract":"<p><p>Women's satisfaction and perceived control in childbirth are important attributes of the childbirth experience and quality of care indicators. This article presents findings from the pre-intervention phase of a multi-centre implementation study in Egypt, Lebanon and Syria, to introduce a labour companionship model in these countries. A sample of 2620 women giving birth in three public teaching hospitals from November 2014 to July 2015 in Beirut and Mansoura, and from November 2014 to April 2015 in Damascus were interviewed by trained field workers. Additional information was abstracted from medical charts. An adapted version of the Mackey Childbirth Satisfaction Rating Scale was used to measure women's satisfaction and the shortened version of the Labor Agentry Scale was used to assess perception of control. The total satisfaction score was high in all sites with the lowest being in Egypt. Perceived control was directly related to satisfaction. Women with low education levels had higher levels of childbirth satisfaction. Women who had fewer children from Egypt and Lebanon, and those who received care by a team including both male and female physicians in the Syrian hospital were more likely to be dissatisfied than their counterparts. Variations in the management and provision of care between the three countries may explain the differences in satisfaction levels observed. Further qualitative research is needed to deepen our understanding of the concepts of control and satisfaction in the Arab culture as well as to establish the factors associated with women's positive childbirth experiences to inform the provision of quality maternity care.</p>","PeriodicalId":32527,"journal":{"name":"Reproductive Health Matters","volume":"25 sup1","pages":"16-26"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/09688080.2017.1381533","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35537497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}