Abstract：
:In Uganda, lack of resources and skilled staff to improve quality and delivery of maternity services, despite good policies and concerted efforts, have not yielded an increase in utilisation of these services by women or a reduction in the high ratio of maternal deaths. This paper reports a study conducted from November 2000 to October 2001 in Hoima, a rural district in western Uganda, whose aim was to enhance understanding of why, when faced with complications of pregnancy or delivery, women continue to choose high risk options leading to severe morbidity and even their own deaths. The findings demonstrate that adherence to traditional birthing practices and beliefs that pregnancy is a test of endurance and maternal death a sad but normal event, are important factors. The use of primary health units and the referral hospital, including when complications occur, was considered only as a last resort. Lack of skilled staff at primary health care level, complaints of abuse, neglect and poor treatment in hospital and poorly understood reasons for procedures, plus health workers' views that women were ignorant, also explain the unwillingness of women to deliver in health facilities and seek care for complications. Appropriate interventions are needed to address the barriers between rural mothers and the formal health care system, including community education on all aspects of essential obstetric care and sensitisation of service providers to the situation of rural mothers.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Kyomuhendo GBdoi
10.1016/s0968-8080(03)02176-1subject
Has Abstractpub_date
2003-05-01 00:00:00pages
16-26issue
21eissn
0968-8080issn
1460-9576journal_volume
11pub_type
杂志文章abstract：:This paper examines different dimensions of sexual health as related to the measurement of sexual health indicators and the proposed changes in the International Classification of Diseases to address issues related to sexuality and sexual health with an aim of informing health policy-making and programming. The lack o...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2015.11.008
更新日期：2015-11-01 00:00:00
abstract：:Although the majority of births in Mexico are attended by skilled birth attendants, maternal mortality remains moderately high, raising questions about the quality of training and delivery care. We conducted an exhaustive review of the curricula of three representative schools for the education and clinical preparatio...
journal_title：Reproductive health matters
pub_type： 杂志文章
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abstract：:Although the female condom has been introduced into over 90 countries since 1997, it has only been accepted in sexual and reproductive health programmes as a mainstream method in a few. This paper describes introductory strategies developed by Ministries of Health and non-governmental organisations in Brazil, Ghana, Z...
journal_title：Reproductive health matters
pub_type： 杂志文章,评审
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更新日期：2003-05-01 00:00:00
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journal_title：Reproductive health matters
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journal_title：Reproductive health matters
pub_type： 杂志文章
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更新日期：2017-11-01 00:00:00
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journal_title：Reproductive health matters
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journal_title：Reproductive health matters
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更新日期：2011-11-01 00:00:00
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journal_title：Reproductive health matters
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doi：10.1016/s0968-8080(02)00079-4
更新日期：2002-11-01 00:00:00
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journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(14)43795-9
更新日期：2015-02-01 00:00:00
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journal_title：Reproductive health matters
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更新日期：2015-05-01 00:00:00
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journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(09)34462-6
更新日期：2009-11-01 00:00:00
abstract：:Turkey has maintained liberal contraception and abortion policies since the 1980s. In 2012, the government proposed to restrict abortion; a bill limiting abortion was later drafted but never passed into law. Since the proposed restriction, women have reported difficulty accessing abortion services across Turkey. We ai...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2016.11.002
更新日期：2016-11-01 00:00:00
abstract：:A trained health service workforce is critical to ensuring good quality service delivery to people with HIV. There is only limited documented information on the challenges and constraints facing health care providers in meeting the sexual and reproductive health needs of HIV positive women and men. This paper reviews ...
journal_title：Reproductive health matters
pub_type： 杂志文章,评审
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更新日期：2007-05-01 00:00:00
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journal_title：Reproductive health matters
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doi：10.1016/j.rhm.2015.11.003
更新日期：2015-11-01 00:00:00
abstract：:Uganda is often cited as a role model in the fight against HIV/AIDS because of its success in reducing both prevalence and incidence of HIV infection since the late 1980s. Although an increase in sexual abstinence has been highlighted as a primary cause of the declines, large increases have also been recorded in monog...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(04)23118-4
更新日期：2004-05-01 00:00:00
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journal_title：Reproductive health matters
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doi：10.1080/09688080.2018.1513270
更新日期：2018-12-01 00:00:00
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journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2017.1331685
更新日期：2017-05-01 00:00:00
abstract：:In Nepal, the effects of the low social status of women and lack of access to health care and family planning have resulted in a maternal mortality ratio that is among the highest in South Asia. By the mid-1990s, the contribution of unsafe abortions to maternal deaths and morbidity was acknowledged by key individuals ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(04)24007-1
更新日期：2004-11-01 00:00:00
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journal_title：Reproductive health matters
pub_type： 杂志文章
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更新日期：2004-11-01 00:00:00
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journal_title：Reproductive health matters
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journal_title：Reproductive health matters
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journal_title：Reproductive health matters
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更新日期：2012-12-01 00:00:00
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journal_title：Reproductive health matters
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更新日期：2015-05-01 00:00:00
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journal_title：Reproductive health matters
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更新日期：2013-11-01 00:00:00
abstract：:Due to a long-term shortage of obstetricians, the Ministry of Health of Senegal and Dakar University Obstetric Department agreed in 1998 to train district teams consisting of an anaesthetist, general practitioner and surgical assistant in emergency obstetric surgery. An evaluation of the policy was carried out in thre...
journal_title：Reproductive health matters
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更新日期：2009-05-01 00:00:00
abstract：:South Africa's first democratic government passed the Domestic Violence Act (DVA) into law in 1998 as part of local and international commitments to protecting the human rights of women. Although the Act was welcomed as groundbreaking legislation, delays in implementing it led to increasing frustration. This paper des...
journal_title：Reproductive health matters
pub_type： 杂志文章
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更新日期：2000-11-01 00:00:00
abstract：:Since Spain's transition to democracy, abortion has been a public policy issue both inside and outside parliament. This paper describes the history of abortion law reform in Spain from 1979 to 2004 and analyses the discourse on abortion of members of the Spanish parliament by sex and political allegiance. The analysis...
journal_title：Reproductive health matters
pub_type： 历史文章,杂志文章
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更新日期：2007-05-01 00:00:00
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journal_title：Reproductive health matters
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更新日期：2008-05-01 00:00:00
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journal_title：Reproductive health matters
pub_type： 杂志文章
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更新日期：2006-11-01 00:00:00
abstract：:Abortion was completely illegal in Portugal until 1984. Illegal abortion provision was a matter of silence until then and treated as a "black market" issue rather than as a health issue. The first attempts to change the abortion law began in 1982 after two trials and a national campaign for legal abortion and contrace...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(02)00025-3
更新日期：2002-05-01 00:00:00
