Looking Back, Looking Forward


Book Description

"The last decade has witnessed many changes in the sexual and reproductive health situation in India. The policy and programme environment has undergone a significant shift from a narrow target-oriented family planning approach to a broader orientation that stresses sexual and reproductive health and choice. There have also been changes in the context of sexual and reproductive health. Some changes, such as declining infant mortality, increased access to skilled attendance at delivery, and declining unmet need for contraception have been positive. Other trends are disturbing, such as stagnating levels of maternal mortality, the spread of sexually transmitted infections (STIs) notably HIV, the persistence of wide gender imbalances and the limited exercise of reproductive rights by many, particularly women. Moreover, the decade has raised concern about the unique sexual and reproductive health needs of the young. It has also seen the absorption of new technologies into everyday sexual and reproductive life. Finally, while the need for a rights-based approach has been recognised, this has not been reflected in terms of government's accountability in the realisation of health rights. In short, despite the strides made on several fronts, India continues to face a situation of considerable sexual and reproductive ill health and lack of informed choice. This volume provides a comprehensive overview of the reproductive health and rights situation and highlights major programmatic challenges and directions for policy-relevant empirical research on sexual and reproductive health in India.realisation of health rights. In short, despite the strides made on several fronts, India continues to face a situation of considerable sexual and reproductive ill health and lack of informed choice. This volume provides a comprehensive overview of the reproductive health and rights situation and highlights major programmatic challenges and directions for policy-relevant empirical research on sexual and reproductive health in India."




PERCEPTIONS, ATTITUDES AND BELIEFS OF YOUTH REGARDING THE USE OF SEXUAL AND REPRODUCTIVE HEALTH (SRH) SERVICES IN ASHAIMAN, GHANA


Book Description

This research explored the perceptions of young people regarding the use of Sexual and Reproductive Health (SRH) services in Ashaiman, Ghana. In particular, it explored their perceptions about contraceptives, SRH service providers as well as their access and use of SRH educational materials. The study also explored ways of improving service utilization by correcting the misconceptions of young people about SRH services. The health belief model was used to appraise how people’s perceptions of their susceptibility to a particular health condition, the severity, benefits, barriers, cues to action and self-efficacy impact their health behavior, more so reproductive health. Twelve people were recruited using purposive and convenience sampling. They were asked ten sets of open-ended questions concerning the study’s objectives. Using a thematic content analysis approach, it was found that most participants consider contraceptives, especially condoms, as preventing pregnancies and STIs. However, each person expressed concern over the side effects of hormonal contraceptives as this influences their decisions to use condoms and pills more. The findings also established that there is a negative perception about SRH service providers because they are considered unwelcoming to young people, charge higher fees or seek husbands’ consent before administering long-term contraceptives to married women. Participants, therefore, recommended stakeholders to work on improving health workers professionalism and include family planning services under the National Health Insurance. Sex education should also be included in the educational system to provide credible and timely information; government should commit resources to SRH services, and various services providers were encouraged to coordinate efforts towards achieving a common goal. Limitations of the study were noted, and recommendations for stakeholders and future studies were also made.




The Right to Know


Book Description

This book documents the massive deprivation of human rights resulting from governmental censorship, manipulation, and control of reproductive health and sexuality information. The introductory chapter applies a human rights perspective to reproductive health to show that women must have full and impartial information to be able to choose services which further their goals rather than governmental policies. Examples of different types of state manipulation are provided, and demographic, biomedical, and reproductive health paradigms of contraceptive delivery programs are described. Chapter 2 identifies the binding obligations imposed on governments by the international principle that women have a right to appropriate reproductive health information. The third chapter provides a global overview of such topics as health expenditures, fertility rates, infertility, literacy and education, infant and child mortality, maternal mortality, child spacing, contraceptive usage, unmet need, abortion, HIV/AIDS, and sexually transmitted diseases (STDs). Chapters 4-13 present country reports for Algeria, Brazil, Chile, Ireland, Kenya, Malawi, Pakistan, the Philippines, Poland, and the US. The country reports reveal the overwhelming need of women to have access to this information and the innumerable ways in which governments control such access. The country reports also describe factors such as religion, culture, tradition, state of development, and influence of foreign donors which have an impact on access to information. Each country report ends with specific recommendations, and the concluding chapter defines seven obligations of national governments imposed by the right to information contained in international law and contains recommendations of ways nongovernmental organizations can use these obligations to lobby governments for improvements.




Adolescents Reproductive Health Perspectives


Book Description

With reference to India; contributed papers submitted to the Second National Conference on Globalization and Health Equity, organized during February 4-5, 2005 by the Indian Association of Social Sciences in Health, held in Mumbai.




Reproductive And Sexual Health Education For Adolescents


Book Description

Contents: Reproductive and Sexually Health Education An Introduction, Education in Reproductive and Sexually Health for Adolescents, Rationale for the Study, Review of Researches, Methodology, Results and Discussions, Reflective Perspectives and Conclusive Comments, Epilogue Women Empowerment and Reproductive Rights.




Advancing Sexual and Reproductive Health and Rights in Africa


Book Description

This book explores recent developments, constraints and opportunities relating to the advancement of sexual and reproductive health and rights in Africa. Despite many positive developments in relation to sexual and reproductive health in recent years, many Africans still encounter challenges, for instance in poor maternity services, living with HIV, and discrimination on the basis of age, gender, sexual orientation or identity. Covering topics such as abortion, gender identity, adolescent sexuality and homosexuality, the chapters in this book discuss the impact of culture, morality and social beliefs on the enjoyment of sexual and reproductive health and rights across the continent, particularly in relation to vulnerable and marginalized groups. The book also explores the role of litigation, national human rights institutions and regional human rights bodies in advancing the realization of sexual and reproductive health and rights in the region. Throughout, the contributions highlight the relevance of a rights-based framework in addressing topical and contentious issues on sexual and reproductive health and rights within Sub-Saharan Africa. This book will be of interest to researchers of sexuality, civil rights and health in Africa. The Open Access version of this book, available at http://www.taylorfrancis.com/books/e/9781003175049, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.




Sexual and Reproductive Health and Rights in India


Book Description

This open access book addresses self-care on sexual and reproductive health and rights and HIV prevention and treatment in the most marginalized and vulnerable communities. Case studies and personal narratives are used to share their perspectives and experiences, sources of information for self-care products, motivations for self-care, and challenges and outcomes. Self-care provides the way to reach the last mile in achieving universal health coverage and the Sustainable Development Goals. Issues related to stigma, discrimination and violence among these communities are highlighted. Changes in policies and programs to improve their sexual and reproductive health, education and employment are discussed. The last chapter in the book examines how the agenda on self-care can be advanced in the years ahead. The audience for this publication includes health professionals, researchers, those managing health institutions and service providers.




Perception of Students & Teachers on Reproductive Health Education


Book Description

Reproductive health education is critical in addressing the alarming rates of sexual infections and diseases among adolescents. The essence of educating youth on their reproductive health and sexuality is critical as it helps them in making informed decisions related to their sexuality and health aside reducing the rate of sexual risky behaviours. Such education is further aimed at enhancing sociocultural relations as well as encourage young people to seek relevant information to enhance their sexual development. In Ghana, teachers are the primary sources of information for students and the quality of such information churned out by educators to students depends on his/her confidence, perceptions, knowledge and skills. Most educators are adamant and reluctant in teaching students about their sexual and reproductive health systems. Globally, about 2.1 million adolescent girls get impregnated each year and more than 600,000 teenage pregnancies have been recorded in Ghana between 2016 and 2021 while between 2016 and 2021, Ghana has recorded more than 100,000 new HIV infection cases. The research aimed at exploring the perceptions of educators and students on reproductive health and its related issues in Ghana as well as understand why there is low rate of education on reproductive health in schools. In addition, the research examined what informs educators and students on the investigated matter. A sample of 85 respondents were interviewed. Results show that religious commitments and personal biases inform teachers and students when it relates to reproductive health issues. Most educators and students do not use contraceptives during sexual intercourse because they believe they are not prune to contracting diseases and infections. Condom usage amongst students stands at 28% and more females tend to have sex earlier than males. Furthermore, 69.4% of students don't believe in contracting infections and diseases with just a single unprotected sex. The best modality to encourage students to be educated about their reproductive health issues is by including it into the school curriculum, training teachers on the issue and making counselling sessions available to students and ensuring their privacy when they confide in educators.




Promoting Adolescent Sexual and Reproductive Health in East and Southern Africa


Book Description

In Africa, as in many parts of the world, adolescent reproductive health is a controversial issue for policy makers and programme planners. Adolescents are particularly vulnerable to HIV and AIDS and to a host of other problems such as sexually transmitted infection, unwanted pregnancy, unsafe abortions, sexual abuse, female genital mutilation and unsafe circumcision. Yet many countries do not have adolescent health policies in place and much remains to be done to ensure that adolescents can access appropriate sexual and reproductive health services. The authors of this volume present new perspectives and strategies to promote adolescent sexual and reproductive health. In particular, they make a unique attempt to bring together social and biomedical science and to disseminate concrete empirical evidence from existing programmes, carefully analysing what works and what does not at the local level.