scholarly journals Transcripts of Unfulfillment: A Study of Sexual Dysfunction and Dissatisfaction among Malay-Muslim Women in Malaysia

Religions ◽  
2021 ◽  
Vol 12 (3) ◽  
pp. 205
Author(s):  
Rosediani Muhamad ◽  
Dell Horey ◽  
Pranee Liamputtong ◽  
Wah Yun Low ◽  
Maryam Mohd Zulkifli ◽  
...  

The prevalence of female sexual dysfunction (FSD), or in everyday notion, sexual dissatisfaction, among Malay women remains high, denoting that there are several influences shaping their experience of sex within marriage. This qualitative study identified the perceived effects of social factors in the development of sexual dysfunction among Malay women. Engaging a phenomenological framework, 26 in-depth face-to-face interviews were conducted among married women from Peninsular Malaysia, based on their self-reporting of FSD symptoms. All sessions were audio-recorded and the data were transcribed verbatim and managed in the ATLAS.ti software before being analysed. The three themes that emerged—‘sex is taboo and culturally unacceptable’, ‘self-ignorance about sex’, and ‘lack of husband’s role in mutual sexual enjoyment’—suggest some influence of Islamic teachings and cultural conduct, as in Adat, on sexuality in society. However, a lack of knowledge and nonadherence to positive values and teachings around sexual satisfaction between men and women, as espoused through the Islamic religion, have affected woman’s sexual functions and coupling relationship even more significantly. The results of this qualitative study show that a formal, culturally sensitive, and comprehensive sex education programme incorporating both medical and Islamic knowledge may work to effectively reduce FSD.

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Azwihangwisi Helen Mavhandu-Mudzusi ◽  
Bongangani Glorious Mhongo

Parent-adolescent communication on sexuality is one of the key determinants of sexual and reproductive health outcomes of adolescents. Despite parent-adolescent communication on sexuality, statistics show an increase in the number of teenage pregnancies. This interpretative phenomenological analysis explored the perceptions of parents in a rural village in the Umzinyathi Health District in KwaZulu-Natal regarding the provision of sex education to adolescents. Ten parents of adolescent children were purposively selected to participate in the study, and data were collected using face-to-face, semi-structured interviews. Field notes were also taken to complement the audio recordings. Data were analysed thematically using the framework for interpretative phenomenological analysis. The results showed that rural parents face challenges in providing sex education to their teenagers. Sex education provided to adolescents is uncoordinated and haphazard. Parents have inadequate information and they are fearful and embarrassed to initiate sex talks with their teenagers. An age-appropriate, structured, formal, culture-sensitive, community-based sexual education programme aimed at empowering parents with knowledge and skills to provide contextual and age-relevant sex education to their teenage children is recommended.


2019 ◽  
Vol 18 (2) ◽  
pp. 1-6 ◽  
Author(s):  
Dev R Acharya ◽  
Malcolm Thomas ◽  
Rosemary Cann ◽  
Pramod R Regmi

Sex education is taught to secondary school students in Nepal. Nevertheless, there are concerns that the school-based sexual health education is not effective and adequate to address young people’s necessities. We carried out a qualitative study comprising key informant interviews with teachers (n=8) and parents (n=6) in Makwanpur district in Nepal. Interviews were recorded, transcribed and translated into English. Thematic analysis was performed to identify patterns or themes within the qualitative data. Most participants (both teachers and parents) had thought of delivering sex education preferably from grade seven to avoid the effects of globalised mass media and the internet. The practical aspects of school sex education programme and the importance of parent-child communication were of major concerns. Comprehensive training to health teachers, an informal approach to teaching sex education and seeking outside health professionals, such as health facilitators were the frequently reported issues. There is a need to offer sexual health services along with sex education to protect young people from potential dangers of STIs including HIV infection. Particularly, health teachers should be trained properly to mitigate the social and cultural impacts, and to allow a smooth sex education discussion in the classroom. The curriculum for sex education should be relevant, engaging and developmentally suitable with clear progressive avenues for learning experience.


Author(s):  
Nicole Blackburn ◽  
Mathias Skjodt ◽  
Mark Tully ◽  
Ilona Mc Mullan ◽  
Maria Giné-Garriga ◽  
...  

Background: The SITLESS programme comprises exercise referral schemes and self-management strategies and has been evaluated in a trial in Denmark, Spain, Germany and Northern Ireland. The aim of this qualitative study was to understand the implementation and contextual aspects of the intervention in relation to the mechanisms of impact and to explore the perceived effects. Methods: Qualitative methodologies were nested in the SITLESS trial including 71 individual interviews and 12 focus groups targeting intervention and control group participants from postintervention to 18-month follow-up in all intervention sites based on a semi-structured topic guide. Results: Overarching themes were identified under the framework categories of context, implementation, mechanisms of impact and perceived effects. The findings highlight the perceived barriers and facilitators to older adults’ engagement in exercise referral schemes. Social interaction and enjoyment through the group-based programmes are key components to promote adherence and encourage the maintenance of targeted behaviours through peer support and connectedness. Exit strategies and signposting to relevant classes and facilities enabled the maintenance of positive lifestyle behaviours. Conclusions: When designing and implementing interventions, key components enhancing social interaction, enjoyment and continuity should be in place in order to successfully promote sustained behaviour change.


2021 ◽  
pp. 109019812110532
Author(s):  
Elodie Charuel ◽  
Martial Bernard ◽  
Hélène Vaillant Roussel ◽  
Benoit Cambon ◽  
Thibault Ménini ◽  
...  

Background Participation in regular physical activity (RPA) is beneficial to the quality of life and life expectancy of patients with chronic heart failure (CHF). However, it is inadequate in many patients. Aims To determine the factors that influence the practice of RPA in patients with CHF managed in general practice. Method This was a qualitative study using semistructured, individual face-to-face interviews. Patients with CHF (New York Heart Association Stages 1–3) capable of participating in RPA were enrolled by their general practitioner. A longitudinal and transversal inductive thematic analysis was performed by two researchers. Results Five themes emerged from the 19 interviews that were conducted. Poor knowledge of the disease and the benefits of participating in RPA, as well as the lack of motivation or enjoyment, in particular due to the absence of previous participation, were considered significant obstacles. Fear associated with CHF or other comorbidities was also an obstacle. Attendance at a rehabilitation center, family and social circles, and having a pet all appeared to be beneficial. Family and friends were important for motivating the patient to participate in an activity but could also be an obstacle when they were overprotective. Conclusion This study helps highlight the difficulties for patients with CHF associated with participation in RPA. Despite the obstacles, there are enabling factors on which the general practitioner may rely to motivate their patients.


2018 ◽  
Vol 22 (4) ◽  
pp. 243-251
Author(s):  
Hanieh Gholamnejad ◽  
Ali Darvishpoor Kakhki ◽  
Fazlollah Ahmadi ◽  
Camelia Rohani

Purpose Hypertension is the most common chronic disease throughout the world. Self-care is the key criteria in determining the final course of the disease. However, the majority of elderly people do not observe self-care behaviors. The purpose of this paper is to analyze the experiences of elderly people with hypertension in order to understand the barriers of their self-care behaviors. Design/methodology/approach This is a qualitative study with a conventional content analysis approach conducted in Tehran, Iran in 2017. Data collection was done among 23 participants – 14 elderly people; 6 cardiologists, geriatric physicians and nurses working in the cardiovascular ward; and 3 caregivers – who were selected by purposeful sampling. Using semi-structured, face-to-face interviews, data collection was continued until data saturation. Findings Three main categories, including attitude limitations, inefficient supportive network and desperation, all showed barriers to self-care by the experiences of elderly people with hypertension. Originality/value Lack of knowledge of the disease and its treatment process is one of the main barriers to self-care in elderly people with hypertension. Deficient supportive resources along with economic and family problems exacerbate the failure to do self-care behaviors.


2020 ◽  
Vol 3 ◽  
pp. 137-150
Author(s):  
Bhan Singh Dhami

Face-to-face delivery of education system had been greatly affected due to the outbreak of COVID-19. As an alternative to it, classes were run online wherever there was access to the Internet with technological devices. With this scenario, this study explored the perceptions of semester students about online class at master’s level during COVID-19 pandemic. By using the phenomenological research design of qualitative study, purposive sampling technique was used to collect the views of three students of master’s level studying at third and fourth semesters at an affiliated campus of Tribhuvan University (TU) and a constituent campus under Far Western University (FWU) of Nepal. Semi-structured online interview was conducted to collect the data. The result showed that the students were positive towards online delivery mode due to the need for getting education during COVID-19 pandemic.


2019 ◽  
Vol 12 (04) ◽  
pp. 1923-1935
Author(s):  
Ananta Swargiary ◽  
Mritunjoy Kumar Roy ◽  
Manita Daimari

Ethnobotanical knowledge has been the backbone of rural healthcare since ancient times. Many diseases including helminthiasis are cured by traditional medicine in many parts of the world. The present study aims at exploring the ethnobotanicals used as anthelmintic medicines by the tribal communities of Chirang district of Assam. The present study was conducted in different villages under Chirang district of Assam, India. A face-to-face interview was carried out during survey work along with readymade questionnaire. In our survey work, 20 neighbouring villages were taken as a single cluster and one sample informant was collected. Information regarding the plant and plant parts used, methodology of use as well as informant demography such as age, sex, education was also collected. A total of 20 villages were surveyed and information was gathered from 27 informants, 23 kaviraja and 4 elderly people, 15 male and 12 female. The information collected revealed 43 medicinal plants belonging to 27 families. Lamiaceae was found to be most common family followed by Cucurbitaceae, Fabaceae, Zutaceae and Zingiberaceae. The most highly cited plants were Ananas comosus, Andrographis paniculata, Asparagus racemosus, Alstonia scholaris and Leucas aspera. Leaves, fruits and tubers were found to be the most commonly used plant parts. Except few, most of the herbal medicines were prepared as raw materials and are consumed orally. Documentation of important ethnomedicinal information from the remote areas of Assam will help scientific investigators to look into its scientific aspect leading to the development of new medicines against helminthiasis and many other diseases.


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