Abstract:
BACKGROUND:South Sudan has one of the worst health and maternal health situations in the world. Across South Sudan, while maternal health services at the primary care level are not well developed, even where they exist, many women do not use them. Developing location specific understanding of what hinders women from using services is key to developing and implementing locally appropriate public health interventions. METHODS:A qualitative study was conducted to gain insight into what hinders women from using maternal health services. Focus group discussions (5) and interviews (44) were conducted with purposefully selected community members and health personnel. A thematic analysis was done to identify key themes. RESULTS:While accessibility, affordability, and perceptions (need and quality of care) related barriers to the use of maternal health services exist and are important, women's decisions to use services are also shaped by a variety of social fears. Societal interactions entailed in the process of going to a health facility, interactions with other people, particularly other women on the facility premises, and the care encounters with health workers, are moments where women are afraid of experiencing dignity violations. Women's decisions to step out of their homes to seek maternal health care are the results of a complex trade-off they make or are willing to make between potential threats to their dignity in the various social spaces they need to traverse in the process of seeking care, their views on ownership of and responsibility for the unborn, and the benefits they ascribe to the care available to them. CONCLUSIONS:Geographical accessibility, affordability, and perceptions related barriers to the use of maternal health services in South Sudan remain; they need to be addressed. Explicit attention also needs to be paid to address social accessibility related barriers; among others, to identify, address and allay the various social fears and fears of dignity violations that may hold women back from using services. Health services should work towards transforming health facilities into social spaces where all women's and citizen's dignity is protected and upheld.
journal_name
Reprod Healthjournal_title
Reproductive healthauthors
Kane S,Rial M,Kok M,Matere A,Dieleman M,Broerse JEWdoi
10.1186/s12978-018-0487-6subject
Has Abstractpub_date
2018-03-20 00:00:00pages
51issue
1issn
1742-4755pii
10.1186/s12978-018-0487-6journal_volume
15pub_type
杂志文章abstract:BACKGROUND:It has been proposed that the autonomy of women is one of the mechanisms of how education influences contraceptive use in developing countries. We tested this hypothesis in a national sample of women in Pakistan. METHODS:We used the 2000 Pakistan Reproductive Health and Family Planning Survey, which intervi...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-2-8
更新日期:2005-10-21 00:00:00
abstract:BACKGROUND:An estimated 276 Pakistani women die for every 100,000 live births; with eclampsia accounting for about 10 % of these deaths. Community health workers contribute to the existing health system in Pakistan under the banner of the Lady Health Worker (LHW) Programme and are responsible to provide a comprehensive...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0214-0
更新日期:2016-09-30 00:00:00
abstract:BACKGROUND:Mother-to-child transmission of HIV (MTCT) accounts for over 95% of all paediatric HIV infections worldwide. Several studies have shown that male participation in the antenatal care of their spouses together with couple counselling and testing for HIV, increases use of the interventions for HIV prevention. T...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-12
更新日期:2010-06-23 00:00:00
abstract::The ICPD agenda of reproductive health was declared as the most comprehensive one, which had actually broadened the spectrum of reproductive health and drove the states to embark upon initiatives to improve reproductive health status of their populations. However, like all other countries, Pakistan also seems to have ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-5-4
更新日期:2008-09-10 00:00:00
abstract:BACKGROUND:Male reproductive health is a relatively new concept, and most men are neglected in reproductive health discussions. Therefore, it appears that there is insufficient information about the male reproductive health. This study aims to design a psychometric instrument for assessing the male reproductive health-...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00966-z
更新日期:2020-08-03 00:00:00
abstract::District level healthcare serves as a nexus between community and district level facilities. Inputs at the district level can be broadly divided into governance and accountability mechanisms; leadership and supervision; financial platforms; and information systems. This paper aims to evaluate the effectivness of distr...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/1742-4755-11-S2-S3
更新日期:2014-09-04 00:00:00
abstract:BACKGROUND:Intra-partum mistreatment by healthcare providers remains a global public health and human rights challenge. Adolescents, who are typically younger, poorer and less educated have been found to be disproportionately exposed to intra-partum mistreatment. In Ghana, maternal mortality remains a leading cause of ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00977-w
更新日期:2020-08-24 00:00:00
abstract:BACKGROUND:To study maternal anxiety and perinatal outcomes in pregnant women submitted to a Multidisciplinary Program for Childbirth and Motherhood Preparation (MPCM). METHODS:This is a not randomized controlled trial on 67 nulliparous pregnant women divided into two groups according to participation (MPCM Group; n =...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-7-28
更新日期:2010-10-29 00:00:00
abstract:BACKGROUND:Humanitarian crises and migration make girls and women more vulnerable to poor sexual and reproductive health (SRH) outcomes. Nevertheless, there is still a dearth of information on SRH outcomes and access to SRH services among refugee girls and young women in Africa. We conducted a mixed-methods study to as...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0698-5
更新日期:2019-03-19 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12978-015-0057-0
更新日期:2015-08-05 00:00:00
abstract:BACKGROUND:Phthalates, a class of endocrine disruptors, have been demonstrated to accelerate loss of ovarian follicle pool via disrupting folliculogenesis, and lead to diminished ovarian reserve. However, human data are limited. Here, we aimed to examine whether urinary phthalate metabolites are correlated with markers...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-018-0469-8
更新日期:2018-02-23 00:00:00
abstract:BACKGROUND:Up-to-date, genuine sexual and reproductive health (SRH) education programmes have been possible in Romania only since communism collapsed in 1990. Since 2006, Romania has had no national strategy in this field. Under current global circumstances (high labour mobility, internationally mixed marriages), issue...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-11-48
更新日期:2014-06-23 00:00:00
abstract:BACKGROUND:Prior studies have shown that using uterotonics to augment or induce labor before arrival at comprehensive Emergency Obstetric and Neonatal Care (CEmONC) settings (henceforth, "outside uterotonics") may contribute to perinatal mortality in low- and middle-income countries. We estimate its effect on perinatal...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0241-x
更新日期:2016-10-06 00:00:00
abstract:BACKGROUND:In 2001, the WHO Antenatal Care Trial (WHOACT) concluded that an antenatal care package of evidence-based screening, therapeutic interventions and education across four antenatal visits for low-risk women was not inferior to standard antenatal care and may reduce cost. However, an updated Cochrane review in ...
journal_title:Reproductive health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1742-4755-10-19
更新日期:2013-04-12 00:00:00
abstract:BACKGROUND:Paternal preconception risk factors such as smoking, exposure to environmental substances, medication use, overweight and advanced age correlate with the occurrence of malformations and birth defects in the offspring. Nonetheless, the prevalence of risk factors for adverse pregnancy outcomes in the male popu...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0156-6
更新日期:2016-04-14 00:00:00
abstract:BACKGROUND:While the relationship between hemoglobin (Hb) concentrations and pregnancy outcomes has been studied often, most reports have focused on a specific Hb cutoff used to define anemia. Fewer studies have evaluated pregnancy outcomes across the entire range of Hb values. Moreover, to date, most studies of the re...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-01006-6
更新日期:2020-11-30 00:00:00
abstract:BACKGROUND:South Africa faces numerous reproductive challenges that include high rates of unplanned and adolescent pregnancies. The uptake and utilization of family planning services and modern contraception methods depend on numerous factors. The male partner plays a key role in reproductive health but data on this to...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0749-y
更新日期:2019-06-25 00:00:00
abstract:BACKGROUND:Pregnancy as one of the critical stages of life carries a high risk to the health of pregnant women. The amount of weight gained during pregnancy can affect the woman and her infant health immediately or in the future. The present study is conducted to design and explore the effectiveness of an educational i...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0696-7
更新日期:2019-03-12 00:00:00
abstract:BACKGROUND:Parents play an important role in promoting the sexual health of their adolescents. However, many parents experience several challenges. The purpose of this study was to explore the concerns and educational needs of Iranian parents regarding the sexual health of their male adolescents. METHODS:This qualitat...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-0883-6
更新日期:2020-02-14 00:00:00
abstract:BACKGROUND:The increased incidence of sexually transmitted infections (STIs) in Brazil represents a significant public health issue. This issue has raised awareness among health authorities regarding the quality of condoms. In Brazil, male condoms need to be certified. The certification process evaluates in detail the ...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-016-0254-5
更新日期:2016-12-07 00:00:00
abstract:BACKGROUND:Pregnancy and parenthood are known to be high-risk times for mental health. However, less is known about the mental health of pregnant adolescents or adolescent parents. Despite the substantial literature on the risks associated with adolescent pregnancy, there is limited evidence on best practices for preve...
journal_title:Reproductive health
pub_type: 杂志文章,评审
doi:10.1186/s12978-020-00913-y
更新日期:2020-05-14 00:00:00
abstract::An amendment to this paper has been published and can be accessed via the original article. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-020-00950-7
更新日期:2020-07-23 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-0878-3
更新日期:2020-02-22 00:00:00
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journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-020-00986-9
更新日期:2020-09-07 00:00:00
abstract:BACKGROUND:Swedish national guidelines for pregnancy dating were published in 2010. Follow-up is needed to assess adherence and to identify whether any clinical topics are not covered in the guidelines. METHODS:All units in Sweden that performed ultrasound-based pregnancy dating were asked to complete a web-based ques...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0760-3
更新日期:2019-07-04 00:00:00
abstract::Following publication of the original article [1], we have been notified that another author should be added to the team of authors. The Name and affiliation details are below. ...
journal_title:Reproductive health
pub_type: 杂志文章,已发布勘误
doi:10.1186/s12978-019-0812-8
更新日期:2019-10-30 00:00:00
abstract:BACKGROUND:There have been few studies to examine antenatal predictors of incident postnatal depression, particularly in low- and middle-income countries (LMICs). The aim of this study was to investigate antenatal predictors of incident and persistent maternal depression in a rural Ethiopian community in order to infor...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0690-0
更新日期:2019-03-04 00:00:00
abstract::The practice and timing of routine antenatal visits for healthy pregnant women, introduced arbitrarily and without evidence of effectiveness, have become entrenched in obstetric practice over the last century. In 2001 the large, cluster randomized WHO Antenatal Care Trial concluded that a goal-orientated package of an...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-20
更新日期:2013-04-12 00:00:00
abstract:BACKGROUND:In Senegal, unintended pregnancy has become a growing concern in public health circles. It has often been described through the press as a sensational subject with emphasis on the multiple infanticide cases as a main consequence, especially among young unmarried girls. Less scientific evidence is known on th...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/1742-4755-10-59
更新日期:2013-11-19 00:00:00
abstract:BACKGROUND:Despite improved health facility access relative to rural areas, distance and transportation remain barriers in some urban areas. Using household and facility data linked to residential and transportation geographic information we describe availability of health facilities offering long-acting reversible con...
journal_title:Reproductive health
pub_type: 杂志文章
doi:10.1186/s12978-019-0828-0
更新日期:2019-11-08 00:00:00