Sexual and Reproductive Health Matters最新文献_第4页

Comprehensive sexuality education for out-of-school young people living with HIV and young people with disabilities: findings from a formative research study in Malawi. 对感染艾滋病毒的失学青年和残疾青年进行全面的性教育:马拉维形成性研究的结果。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 DOI: 10.1080/26410397.2023.2226345

Monica Patricia Malata, Effie Kondwani Chipeta, Patani Mhango, Rose Kamanga, Deus Lupenga

{"title":"Comprehensive sexuality education for out-of-school young people living with HIV and young people with disabilities: findings from a formative research study in Malawi.","authors":"Monica Patricia Malata, Effie Kondwani Chipeta, Patani Mhango, Rose Kamanga, Deus Lupenga","doi":"10.1080/26410397.2023.2226345","DOIUrl":"10.1080/26410397.2023.2226345","url":null,"abstract":"This formative study was undertaken between June 2020 and April 2021 to provide evidence to inform the design and delivery of comprehensive sexuality education (CSE) in Malawi for young people living with HIV (YPLHIV) and young people with disabilities (YPWD). The study included a desk review of the situation of these two groups and a mapping of CSE programmes and delivery approaches in Malawi. The study findings show that YPWD and YPLHIV in Malawi are marginalised groups, face stigma and discrimination, and are more vulnerable to abuse, warranting CSE that addresses their needs. Yet, they are often left out of sexuality education such as school-based programmes (due to early school drop-outs) and out-of-school programmes, as well as traditional modes. Furthermore, in instances where they have access to sexuality education, there is little evidence to suggest that the sexuality education that they receive is designed to address their needs, thus raising questions about its relevance. There is need for tailored CSE that addresses the needs of these groups and that is delivered using an approach that is easily accessible to them.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10364560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9872321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The International Technical and Programmatic Guidance on Out-of-School Comprehensive Sexuality Education - an evidence-informed approach for non-formal, out-of-school programmes reaching young people from left-behind populations. 《校外综合性教育国际技术和规划指南》——为面向留守青年的非正规校外方案提供循证方法。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 DOI: 10.1080/26410397.2023.2242175

Ilya Zhukov, Marina Plesons, Petar Mladenov, Bente Faugli, Kristine Bjatnes, Anjini Agarwal

引用次数: 0

Why do most young women not take up contraceptives after post-abortion care? An ethnographic study on the effectiveness and quality of contraceptive counselling after PAC in Kilifi County, Kenya. 为什么大多数年轻女性在堕胎后护理后不服用避孕药？肯尼亚基利菲县PAC后避孕咨询有效性和质量的人种学研究。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 Epub Date: 2023-11-08 DOI: 10.1080/26410397.2023.2264688

Mercy Kadzo Mwadhi, Martin Bangha, Shelmith Wanjiru, Michelle Mbuthia, Grace Kimemia, Kenneth Juma, Jane Shirima, Shilla Unda, Anne Achieng, Jonna Both, Ramatou Ouedraogo

{"title":"Why do most young women not take up contraceptives after post-abortion care? An ethnographic study on the effectiveness and quality of contraceptive counselling after PAC in Kilifi County, Kenya.","authors":"Mercy Kadzo Mwadhi, Martin Bangha, Shelmith Wanjiru, Michelle Mbuthia, Grace Kimemia, Kenneth Juma, Jane Shirima, Shilla Unda, Anne Achieng, Jonna Both, Ramatou Ouedraogo","doi":"10.1080/26410397.2023.2264688","DOIUrl":"10.1080/26410397.2023.2264688","url":null,"abstract":"Post-abortion care (PAC) counselling and the provision of contraceptive methods are core components of PAC services. Nevertheless, this service is not uniformly provided to PAC patients. This paper explores the factors contributing to young women leaving health facilities without counselling and contraceptive methods. The paper draws from an ethnographic study conducted in Kilifi County, Kenya, in 2021. We conducted participant observation in health facilities and neighbouring communities, and held in-depth interviews with 21 young women aged 15-24 who received PAC. In addition, we interviewed 11 healthcare providers recruited from the public and private health facilities observed. Findings revealed that post-abortion contraceptive counselling and methods were not always offered to patients as part of PAC as prescribed in the PAC guidelines. When PAC contraceptive counselling was offered, certain barriers affected uptake of the methods, including inadequate information, coercion by providers and partners, and fears of side effects. Together, these factors contributed to repeat unintended pregnancies and repeat abortions. The absence of quality contraceptive counselling therefore infringes on the right to health of girls and young women. Findings underscore the need to strengthen the capacities of health providers on PAC contraceptive counselling and address their attitudes towards young female PAC patients.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10653685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71486975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Shifting paradigms through feminist funding. 通过女权主义资助转变模式。

IF 3.3 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 Epub Date: 2024-07-29 DOI: 10.1080/26410397.2024.2344361

Anisha Chugh, Sanjana Gaind

引用次数: 0

Reaching young people living with HIV & AIDS and young people in detention with comprehensive sexuality education (CSE): a preparatory formative study in Ghana. 向感染艾滋病毒和艾滋病的年轻人和被拘留的年轻人提供全面性教育：加纳的一项初步形成性研究。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 DOI: 10.1080/26410397.2023.2235801

Joshua Amo-Adjei, Adwoa Yenyi, Brian Ahanotu, Joshua Okyere

{"title":"Reaching young people living with HIV & AIDS and young people in detention with comprehensive sexuality education (CSE): a preparatory formative study in Ghana.","authors":"Joshua Amo-Adjei, Adwoa Yenyi, Brian Ahanotu, Joshua Okyere","doi":"10.1080/26410397.2023.2235801","DOIUrl":"10.1080/26410397.2023.2235801","url":null,"abstract":"As an interface between health and education, comprehensive sexuality education (CSE) offers a potent tool among other interventions to accelerate healthy transition of adolescents into adulthood. With increasing interest in in-school CSE provision/delivery, young people in out-of-school contexts may be left behind. This study forms part of implementation research to understand if the activities used to train and support the facilitators are feasible, appropriate, acceptable, and effective in enabling them to engage a defined group of young people, deliver CSE to them in the out-of-school context, and assist them in obtaining relevant services. This paper presents findings of mapping of out-of-school CSE interventions in Ghana, ongoing or completed between 2015 and 2020, and then discusses a needs assessment of two purposively selected groups of vulnerable out-of-school youth: young people living with HIV and AIDS (YPLHIV) and those living in detention (YPiD). We conducted 10 interviews with YPLHIV and three focus group discussions with YPiD in November 2020. Qualitative data were analysed thematically using both deductive and inductive approaches. The mapping yielded 29 interventions (18/62% were ongoing) focused extensively on the delivery of CSE-related knowledge and information; none were aimed at building facilitators' capacity and most targeted the northern regions. Among YPLHIV, living positively after diagnosis, disclosure skills and use of HIV/AIDS health services were critical. YpID sought clarification on personal hygiene, consent in sexual relationships, medium/channel to deliver CSE, and issues around same-sex sexual intercourse. Both groups sought skills in dealing with stigmatisation and discrimination. Implications of the findings for our own and other interventions are highlighted.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/ae/ZRHM_31_2235801.PMC10373617.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9876890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"To give life is a journey through the unknown": an ethnographic account of childbirth experiences and practices in Southern Benin. “赋予生命是一次穿越未知的旅程”：对贝宁南部分娩经历和做法的民族志描述。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 Epub Date: 2023-10-09 DOI: 10.1080/26410397.2023.2258478

Armelle Akouavi Vigan, Jean-Paul Dossou, Christelle Boyi, Lydie Kanhonou, Lenka Benova, Thérèse Delvaux, Charlotte Gryseels

{"title":"\"To give life is a journey through the unknown\": an ethnographic account of childbirth experiences and practices in Southern Benin.","authors":"Armelle Akouavi Vigan, Jean-Paul Dossou, Christelle Boyi, Lydie Kanhonou, Lenka Benova, Thérèse Delvaux, Charlotte Gryseels","doi":"10.1080/26410397.2023.2258478","DOIUrl":"10.1080/26410397.2023.2258478","url":null,"abstract":"In Benin maternal mortality remains high at 397 deaths per 100,000 live births, despite 80% of births being attended by skilled birth attendants in health facilities. To identify childbirth practices that potentially contribute to this trend, an ethnographic study was conducted on the use of biomedical and alternative health services along the continuum of maternal care in Allada, Benin. Data collection techniques included in-depth interviews (N = 83), informal interviews (N = 86), observations (N = 32) and group discussions (N = 3). Informants included biomedical, spiritual and alternative care providers and community members with a variety of socioeconomic and religious profiles. In Southern Benin alternative and spiritual care, inspired by the Vodoun, Christian or Muslim religions, is commonly used in addition to biomedical care. As childbirth is perceived as a \"risky journey to the unknown\", these care modalities aim to protect the mother and child from malevolent spirits, facilitate the birth and limit postpartum complications using herbal decoctions and spiritual rites and rituals. These practices are based on mystical interpretations of childbirth that result in the need for additional care during facility-based childbirth. Because such complementary care is not foreseen in health facilities, facility-based childbirth is initiated only at an advanced stage of labour or at the onset of a perceived immediate life-threatening complication for the mother or baby. Programmes and policies to reduce maternal mortality in Benin must seek synergies with alternative providers and practices and consider the complementary and integrated use of alternative and spiritual care practices that are not harmful.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/dc/ZRHM_31_2258478.PMC10563624.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The influence of gender-equitable attitudes on sexual behaviour among unmarried adolescents in rural Tanzania: a longitudinal study. 性别平等态度对坦桑尼亚农村未婚青少年性行为的影响：一项纵向研究。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 Epub Date: 2023-10-18 DOI: 10.1080/26410397.2023.2260169

Kate Rogers, Meghna Ranganathan, Lusajo Kajula, R Lorraine Collins, Jennifer A Livingston, Tia Palermo

{"title":"The influence of gender-equitable attitudes on sexual behaviour among unmarried adolescents in rural Tanzania: a longitudinal study.","authors":"Kate Rogers, Meghna Ranganathan, Lusajo Kajula, R Lorraine Collins, Jennifer A Livingston, Tia Palermo","doi":"10.1080/26410397.2023.2260169","DOIUrl":"10.1080/26410397.2023.2260169","url":null,"abstract":"Plain language statement: Gender norms that centre men and disadvantage women create gender inequality, which can lead to risky sexual behaviour. This study examined how both community and individual attitudes toward gender norms influenced risky sexual behaviour in adolescents, and whether that influence was different between males and females. We found that higher gender-equitable attitudes were linked to increased odds of HIV testing in the last 12 months, and decreased odds of engaging in a sexual relationship with a much older partner. Individual high gender-equitable attitudes among girls were also linked to higher odds of them using condoms and contraceptives. Gender-equitable attitudes did not seem to influence early sexual debut, engagement in transactional sex, having multiple sexual partners at the same time, or the number of sexual partners a participant had in the last 12 months. Based on these findings, programming designed to increase gender-equitable attitudes might be helpful in increasing HIV testing and condom and contraceptive use, but it needs to involve the entire community, not just individual boys and girls.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a9/de/ZRHM_31_2260169.PMC10586071.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Forgotten by donors: a call to action by persons with disabilities to resource disability justice within sexual and reproductive health rights funding. 被捐助者遗忘：呼吁残疾人采取行动，在性健康和生殖健康权利资金范围内为残疾司法提供资源。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 Epub Date: 2023-11-08 DOI: 10.1080/26410397.2023.2261688

Lisa Adams

引用次数: 0

Tírala Plena: findings from the formative research to inform the initiative "Reaching those most left behind through comprehensive sexuality education for out-of-school young people" in Colombia. Tírala Plena:为哥伦比亚“通过对失学青年的全面性教育帮助那些最落后的人”倡议提供信息的形成性研究结果。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 Epub Date: 2023-11-20 DOI: 10.1080/26410397.2023.2267202

Jair Vega Casanova, Johanna Blanco, Natalia Buitrago Rovira, Diana Matilde Pulido Jaramillo, Karen Adrians Pacheco, Alma Virginia Camacho-Hubner

{"title":"Tírala Plena: findings from the formative research to inform the initiative \"Reaching those most left behind through comprehensive sexuality education for out-of-school young people\" in Colombia.","authors":"Jair Vega Casanova, Johanna Blanco, Natalia Buitrago Rovira, Diana Matilde Pulido Jaramillo, Karen Adrians Pacheco, Alma Virginia Camacho-Hubner","doi":"10.1080/26410397.2023.2267202","DOIUrl":"10.1080/26410397.2023.2267202","url":null,"abstract":"This paper presents the results of formative research conducted from January to June 2020 in the Department of Atlántico, Caribbean region of Colombia, whose findings were used as inputs to design the national strategy for comprehensive sexuality education (CSE) outside school - Tírala Plena - including its curriculum. This is within the framework of the multi-country project coordinated by UNFPA and WHO aimed at generating evidence on the role of facilitators in the delivery of CSE in non-school contexts. The research was carried out in four municipalities in northern Colombia, in rural and marginal urban contexts with conditions of vulnerability for the adolescent population, including a strong presence of migrant populations from Venezuela. A total of 150 male and female adolescents ages 10-17 participated in the formative research. Workshops such as patchwork quilt, body mapping and talking maps were used as methods to gather information. The groups were divided by sex and age (10-13 years old and 14-17 years old). Knowledge, attitudes and social norms regarding adolescent pregnancy, sexually transmitted infections, including human immunodeficiency virus, and gender-based violence, were identified in adolescents (schooled and not schooled, but with minimal or no access to CSE). All of the above enabled us to establish a set of recommendations for the strengthening of the CSE strategy Tírala plena.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10776069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing acceptability and effectiveness of a pleasure-oriented sexual and reproductive health chatbot in Kenya: an exploratory mixed-methods study. 评估可接受性和有效性的快乐导向的性和生殖健康聊天机器人在肯尼亚:一个探索性的混合方法研究。

IF 6 2区医学

Sexual and Reproductive Health Matters Pub Date : 2023-12-01 Epub Date: 2023-11-20 DOI: 10.1080/26410397.2023.2269008

Julius Njogu, Grace Jaworski, Christine Oduor, Aarons Chea, Alison Malmqvist, Claire W Rothschild

{"title":"Assessing acceptability and effectiveness of a pleasure-oriented sexual and reproductive health chatbot in Kenya: an exploratory mixed-methods study.","authors":"Julius Njogu, Grace Jaworski, Christine Oduor, Aarons Chea, Alison Malmqvist, Claire W Rothschild","doi":"10.1080/26410397.2023.2269008","DOIUrl":"10.1080/26410397.2023.2269008","url":null,"abstract":"Integrating pleasure may be a successful strategy for reaching young people with sexual and reproductive health and rights (SRHR) interventions. However, sexual pleasure-related programming and research remains sparse. We aimed to assess chatbot acceptability and describe changes in SRHR attitudes and behaviours among Kenyan young adults engaging with a pleasure-oriented SRHR chatbot. We used an exploratory mixed-methods study design. Between November 2021 and January 2022, participants completed a self-administered online questionnaire before and after chatbot engagement. In-depth phone interviews were conducted among a select group of participants after their initial chatbot engagement. Quantitative data were analysed using paired analyses and interviews were analysed using thematic content analysis. Of 301 baseline participants, 38% (115/301) completed the endline survey, with no measured baseline differences between participants who did and did not complete the endline survey. In-depth interviews were conducted among 41 participants. We observed higher satisfaction at endline vs. baseline on reported ability to exercise sexual rights (P ≤ 0.01), confidence discussing contraception (P ≤ 0.02) and sexual feelings/needs (P ≤ 0.001) with their sexual partner(s). Qualitative interviews indicated that most participants valued the chatbot as a confidential and free-of-judgment source of trustworthy \"on-demand\" SRHR information. Participants reported improvements in sex-positive communication with partners and safer sex practices due to new learnings from the chatbot. We observed increases in SRHR empowerment among young Kenyans after engagement with the chatbot. Integrating sexual pleasure into traditional SRHR content delivered through digital tools is a promising strategy to advance positive SRHR attitudes and practices among youth.","PeriodicalId":37074,"journal":{"name":"Sexual and Reproductive Health Matters","volume":null,"pages":null},"PeriodicalIF":6.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11003647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0