scholarly journals Attendance of male partners to different reproductive health services in Shinyanga District, North western Tanzania

2018 ◽  
Vol 20 (2) ◽  
Author(s):  
Alfred Chibwae ◽  
Anthony Kapesa ◽  
Ola Jahanpour ◽  
Jeremiah Seni ◽  
Namanya Basinda ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health Outcomes ◽  
Male Partner ◽  
P Value ◽  
Male Partners ◽  
Reproductive Health Services ◽  
Female Partners ◽  
Married Men ◽  
North Western

Background: Male involvement in reproductive health (RH) services in Africa has been associated with improved maternal and child health outcomes. The objective of this study was to determine the prevalence and factors affecting male partner attendance to available reproductive health services in Shinyanga district, north-western Tanzania.Methods: A house to house survey using a structured questionnaire was conducted among randomly selected married men. Additional in-depth interviews were conducted among married men found attending RH services. Factors that motivates the uptake of locally available RH services together with their partners were explored.Results: A total of 204 men participated in the study, 94.4 % (193/204) of them reported to have ever attended the RH service with their female partners at least once whereas 50.6% (103/204) of them attended at least thrice. Three quarters (154/204) attended HIV counselling and testing (VCT) and 63% (129/204) attended antenatal services (ANC). Reported attendance to sexually transmitted infections (STIs/STDs), prevention of HIV transmission from mother to child (PMTCT), and reproductive health cancer services were all less than 13%.  The male partners age group (25-34 years; χ2=9.347, df =3 p-value < 0.001), female partner invitation to HR services (χ2= 29.901, df=1, p-value <0.001) and having less than 2 children (χ2= 6.201, df= 2, p-value < 0.05) were associated with higher RH service attendance. Only 20% (4/20) of married men attended RH because they expected better health outcomes in their presence whilst majority attended because they were summoned or just happen to be at the clinic for other purposes.Conclusion: The male attendance to RH services together with their female partners’ in rural Shinyanga was mainly focused ANC and VCT. Most of men attended because were verbally invited by their partners. Education on couple communication empowerment among women attending RH clinics could sustainably improve attendance to all RH services. 

Conclusion

2018 ◽  
Author(s):  
Yana van der Meulen Rodgers
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Health Outcomes ◽  
Cost Effective ◽  
Reproductive Health Services ◽  
Cost Effective Approach ◽  
Restrictive Legislation

Chapter 7 concludes by highlighting the three biggest messages from the analysis presented in this book: (1) the global gag rule has failed to achieve its goal of reducing abortions; (2) restrictive legislation is associated with more unsafe abortions; and (3) the expanded global gag rule is likely to have negative repercussions across a range of health outcomes for women, children, and men. They are simple but powerful messages that should be heard by policymakers over the voices calling for an ideologically based policy that fails to achieve its desired outcome. The chapter closes with a more constructive and cost-effective approach for US family-planning assistance that targets integrated reproductive health services.

scholarly journals Cost saving in primary versus tertiary level of reproductive health services in Sana'a, Yemen

2021 ◽  
Author(s):  
Abdulkareem Ali Hussien Nassar ◽  
Yahia Ahmed Rajaa ◽  
Najia Saleh Bahubaishi
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Cost Saving ◽  
Financial Burden ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
P Value ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Health Level

Abstract Introduction: In Yemen, women tend to bypass the nearby primary health level facilities (PHLF) for using vaginal delivery (VD), antenatal care (ANC) and intrauterine device (IUD) services. This study aimed to estimate the cost saving for utilization of VD, ANC and IUD services at PHLF instead of tertiary health level facilities (THLF) in Sana'a. Methods: A comparative cross sectional study design was conducted in 2013. It was used to estimate the costs from the patients perspective. A structured questionnaire was used to collect data. Descriptive analyses were performed. P value <0.05 was considered as the cut point for significance. The SPSS version 17 was used. Results: A total of 180 women were found. The median of DMC of VD, ANC and IUD services were US$43.9, US$14.8 and US$9.1 at THLF compared with US$19.5, US$0.9 and US$11.2 at PHLF, respectively. The DMC difference of VD, ANC and IUD services between THLF and PHLF was US$24.4, US$13.9 and US$-2.1, respectively. Regarding the DNMC, the median of VD, ANC and IUD services were US$43.1, US$19.1 and US$17.3 at THLF compared with US$14.0, US$0.0 and US$0.0 at PHLF, respectively. The DNMC difference of VD, ANC and IUD service between THLF and PHLF was US$29.1, US$19.1 and US$17.3, respectively. Moreover, the median of INDC for VD, ANC and IUD services were US$23.9, US$9.5 and US$10.4 at THLF compared with US$7.9, US$1.6 and US$1.1 at PHLF, respectively. The INDC difference of VD, ANC and IUD service between THLF and PHLF was US$16.0, US$7.9 and US$9.3. Conclusion: The study found the utilization of VD, ANC and IUD services at PHLF instead of THLF is a considerable cost saving for families. Therefore, shifting the utilization of services from THLF to PHLF reduces the financial burden affecting individuals, families and their productivity. Implementation of the health referral system is recommended. Keywords: Reproductive health services, bypassing, Direct cost, Indirect cost, Cost saving, Yemen,

scholarly journals Youth Friendly Reproductive Health Services Among Students of Mizan-Tepi University, South-western Ethiopia

2020 ◽  
Author(s):  
Samuel Getachew Zewudie ◽  
Lema Abate Adulo ◽  
Abel Mandefro Sirna ◽  
Abiyot Asres
Keyword(s):  
Logistic Regression ◽  
Reproductive Health ◽  
Health Services ◽  
Descriptive Analysis ◽  
Educational Background ◽  
P Value ◽  
Regression Result ◽  
Reproductive Health Services ◽  
Mothers And Fathers ◽  
Youth Friendly

Abstract Background: Youth friendly reproductive health services are designed to entertain the unique needs of youth. Nevertheless, in developing countries like Ethiopia, knowledge, attitude and utilization of these services is very limited. This study was designed to assess the knowledge, attitude and the extent of utilization of youth friendly reproductive health services (YFRHS) and associated factors among students of Mizan-Tepi University, Southwestern, Ethiopia. Method: A public University-based cross-sectional study was conducted between October and January 2019. Simple random sampling technique was used to select participants from target population. Descriptive analysis, Chi-square test and logistic regression model were employed to identify the factors associated with YFRHS. Result: The results of descriptive analysis showed that about 55.4% of participants had no knowledge, 40.2% had negative attitudes and 61.2% had not practiced YFRHS. Majority 258(60.30%) of the respondents were females and 209(48.80%) were in the age group of 21-22 years. Most of the respondents lack basic information and knowledge, and have no any YFRHS in their surroundings 220(51.4%). Out of the 428 respondents, 57.9%, 59.3%, and 36.4% had never been practiced services related to VCT, family planning and contraception and treatment of sexually transmitted infections (STIs), respectively. The multivariable binary logistic regression result revealed that sex, age, religion, mother’s and father’s educational background, availability of YFRHS in the area and source of information had statistical significant effect on the knowledge, attitude and practices of students toward YFRHS. Male students were more likely to have knowledge and practicing experiences (OR = 1.847, p-value =0.015) and (OR=1.821, p-value = 0.017) respectively, however they had less likely positive attitudes (OR=0.519, p-value = 0.010) compared to their counterpart females. Students from primary and above educated mothers and fathers were more likely to have knowledge, attitude and practicing experience compared to students from uneducated mothers and fathers. Conclusion: The overall utilization, attitude and knowledge of YFRHS among study respondents’ are lower and therefore, further efforts like availability of YFRHS providers and improvement of facility, and education related to the service to all young groups and allocation of appropriate time of services is essential.

scholarly journals Karakteristik Remaja yang Memanfaatkan Layanan Kesehatan Reproduksi Remaja Di Wilayah Kerja Puskesmas Martapura 1

2020 ◽  
Vol 11 (3) ◽  
pp. 267
Author(s):  
Annisa Febriana ◽  
Sigit Mulyono ◽  
Widyatuti Widyatuti
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Random Sampling ◽  
Sampling Technique ◽  
P Value ◽  
Reproductive Health Services ◽  
Services Research ◽  
Reproductive Services ◽  
Adolescent Reproductive Health ◽  
Relationship Of

Reproductive health is one of the problems that occur in adolescent life. Adolescents who have never been exposed to information about reproductive health from an early age are the main causes of these problems. Reproductive health service facilities for adolescents are available at the Puskesmas, but have not been properly utilized by adolescents. The purpose of this study was to determine the relationship of adolescent characteristics with the utilization of adolescent reproductive health services. The method used is descriptive. The sampling technique used was random sampling, as many as 370 teenagers who had used reproductive health services. Results. There is a relationship of age (p value 0.01), parental past education (p value 0.02), and parental income (p value 0.01) with the use of adolescent reproductive health services. Research recommendations are expected that community nurses can increase the scope of visits both at school and in families with adolescents so that adolescents are more exposed to information about reproductive health and are able to make use of available reproductive health services optimally. Keywords: characteristics; adolescents; reproductive health; utilization of reproductive services ABSTRAK Kesehatan reproduksi menjadi salah satu permasalahan yang terjadi dalam kehidupan remaja. Remaja yang tidak pernah terpapar informasi mengenai kesehatan reproduksi sejak dini menjadi penyebab utama timbulnya masalah tersebut. Fasilitas layanan kesehatan reproduksi untuk remaja telah tersedia di Puskesmas, namun belum dimanfaatkan dengan baik oleh remaja. Tujuan penelitian untuk mengetahui hubungan karakteristik remaja dengan pemanfaatan layanan kesehatan reproduksi remaja. Metode yang digunakan adalah deskriftif. Teknik pengambilan sampel yang digunakan adalah random sampling, sebanyak 370 remaja yang pernah memanfaatkan layanan kesehatan reproduksi. Hasil. Terdapat hubungan usia (p value 0,01), pendidikan terakhir orangtua (p value 0,02), dan penghasilan orangtua (p value 0,01) dengan pemanfaatan layanan kesehatan reproduksi remaja. Rekomendasi penelitian diharapkan perawat komunitas mampu meningkatkan cakupan kunjungan baik di sekolah maupun di keluarga dengan anak remaja agar remaja lebih terpapar informasi mengenai kesehatan reproduksi serta mampu memanfaatkan layanan kesehatan reproduksi yang tersedia secara optimal. Kata kunci: karakteristik; remaja; kesehatan reproduksi; pemanfaatan layanan reproduksi

scholarly journals Husband's Knowledge and Involvement in the Reproductive Rights of Women in Harar, Eastern Ethiopia

2020 ◽  
Author(s):  
Aminu Mohammed ◽  
Tadesse Alemayehu ◽  
Assefa Desalew ◽  
Yalelet Belay ◽  
Alekaw Sema ◽  
...  
Keyword(s):  
Social Media ◽  
Reproductive Health ◽  
Health Services ◽  
Associated Factors ◽  
Reproductive Rights ◽  
Sub Saharan Africa ◽  
Health Concern ◽  
P Value ◽  
Reproductive Health Services ◽  
Eastern Ethiopia

Abstract Objective: Reproductive rights violations are a serious public health concern worldwide, particularly in Sub-Saharan Africa including Ethiopia, where more than 38.83% of victims are living. Understanding the status of husbands’ knowledge and involvement helps to set important programs and interventions. However, there is a paucity of data related to husbands' roles in women's reproductive rights in the study setting. Therefore, this study aimed to assess husbands’ knowledge and involvement in women's reproductive rights and associated factors in Harar, eastern Ethiopia. Methods: A community-based cross-sectional study was conducted on 611 husbands in March 2020. A multi-stage sampling and a systematic random sampling technique were used to select districts and study participants. Data were collected using an interviewer-administered questionnaire. Data were entered using EpiData 3.1 and analyzed with SPSS Version 22. Multivariable logistic regression was used to examine associated factors. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used, and a p-value <0.05 was considered statistically significant. Results: The magnitude of husbands' knowledge and involvement were 48.3% and 40.1% respectively. Social media utilization (AOR=4.97; 95% CI: 2.79-8.85), Spousal discussion (AOR=2.33; 95% CI: 1.60-3.39), nearby facility types: hospital (AOR=3.21; 95% CI: 1.23-8.36) and health post (AOR=2.86; 95% CI: 1.20-6.94) were associated factors with knowledge of husbands. Likewise, experience of using reproductive health services (AOR=2.15; 95% CI: 1.52-3.03), spousal discussion (AOR=1.95; 95% CI: 1.35-2.82), social media use (AOR=1.74; 95% CI: 1.05-2.89) and age 40 to 49 years (AOR=1.99, 95%CI: 1.19-3.32) were associated with husbands involvement.Conclusions: Less than half of the husbands were knowledgeable and involved in the protection of partners’ reproductive rights. Promoting and creating effective media utilization is very important to create awareness of reproductive rights. Moreover, using reproductive health services and empowering women to have an open discussion is crucial to increase the knowledge and involvement of husbands.

scholarly journals Utilization of sexual and reproductive health services and associated factors among adolescents in youth-friendly service implemented and non-implemented high school of South Ari District, South Omo Zone, Southern Ethiopia, 2019.

2020 ◽  
Author(s):  
Bayu Haile ◽  
Mulugeta Shegaze ◽  
Tesfaye Feleke ◽  
Mustefa Glagn
Keyword(s):  
Logistic Regression ◽  
Reproductive Health ◽  
Health Services ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Southern Ethiopia ◽  
P Value ◽  
Reproductive Health Services ◽  
South Omo ◽  
Youth Friendly

Abstract Background In Ethiopia a number of efforts have been made to support sexual and reproductive health services (SRHS) for adolescents. However, there is limited information regarding the level of SRH utilization and associated factors among adolescents. Therefore, this study aimed to assess the magnitude of utilization of sexual and reproductive health services and associated factors among secondary school adolescents in youth friendly services (YFS) implemented and non-implemented areas of South Ari Woreda, South Omo zone, Southern Ethiopia, 2019. Methods Institution based comparative cross-sectional study with multistage stage sampling procedure was employed. Data were collected by self- administered questionnaire. The collected data were entered in to Epi Data version 4.4.1 software and then exported to SPSS version 20 statistical packages for further analysis. Descriptive statistics were computed and summarized by tables, frequencies, graphs, mean, and proportion. Both Bivariate and multivariable analysis were carried by using binary logistic regression. Variables with a p-value ≤ 0.25 in Bivariate logistic regressions were taken as potential candidate for multivariable logistic regression analysis to control confounders. Association between reproductive health services utilization and associated factors were reported by odds ratio at 95% CI. Variables having p-value less than 0.05 in multivariable logistic regression model were considered as statistically significant. Results The magnitude of SRHS in YFS implemented and non-implemented schools were 33.8% [95% CI (28.2-40.4)] and 9.4% [95% CI (5.6, 13.6)] respectively. Grade ten level adolescents and those who discuss SRH issues with their family members were three times [AOR=3.28, 95% CI (1.7, 6.29)] and [AOR=3.3, 95% CI (1.47, 7.41)] more likely to have sexual and reproductive health care-seeking behavior as compared to grade nine level adolescents and those who didn’t discuss respectively. Furthermore, adolescents who travel less than 30 minutes were six times [AOR=5.72, 95%CI, 2.58, 12.64] more likely to uptake the SRHS as compared to those travel more an hour. Conclusion The magnitude of utilization of SRH services were low in YFS non implemented school when compared to YFS implemented school. There is a need of more efforts to scale up SRHS in YFS non implemented schools among stakeholders at different hierarchies. In addition, it is better to promote open discussion with adolescents at family level, and emphasizes should be given for women education.

scholarly journals EXPLORING BARRIERS TO REPRODUCTIVE HEALTH SERVICES UTILIZATION AMONG YOUTH, A QUALITATIVE STUDY IN DISTRICT RAWALPINDI, PUNJAB, PAKISTAN

1970 ◽  
Vol 7 (3) ◽  
pp. 132-136
Author(s):  
Shakila Bangash ◽  
Saima Hamid ◽  
Nasreen Hassan Niazi
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Cultural Context ◽  
System Level ◽  
P Value ◽  
Public Facility ◽  
Reproductive Health Services ◽  
Cross Sectional ◽  
Services Utilization ◽  
Qualitative Part

Background: Reproductive health services are vital to health and survival of young women. Pakistan has 35% of young population and according to PDHS 48% births takes place in health facility in which only15 % in public facility and 52% takes place at home. Youth faces barriers to utilization are related to accessibility, acceptability, how appropriate the services are and equity of reproductive health services. Methods: Cross sectional Qualitative method was used. Quantitative part of study consisted of 130 females of 15 - 24 years of age and qualitative part comprised of five in depth interviews with HCP including Doctors and Nursing staff from five clinics providing reproductive health services in BBH, Rawalpindi, Punjab.. Results: The barriers that HCP considered were married women centered reproductive health services, no separate place for youth, timings were not convenient to youth, and cultural context was barrier to confidentiality. The factors youth consider to be hindering utilization of health services were behavior of health care provider, treatment of reception and support staff, cost of health services, knowledge regarding available services, confidentiality, interruptions during service delivery, lack of privacy as the p value is less than 0.05 Conclusion: For enhancing the utilization of reproductive health services in public facility by youth these barriers needs to be addressed at policy level and at health system level.

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