Abstract:
:South Africa's cervical screening policy recommends three free Pap smears at ten-year intervals for all women over 30 years of age, aiming to achieve 70% coverage by 2010 by targeting the age group most at risk of developing pre-cancerous cervical lesions. Attaining wide coverage requires an adequate supply of motivated and supported public sector health workers with appropriate training and skills, working in a functional health system. Given the dearth of doctors in South Africa, professional nurses were tasked with performing the bulk of Pap smears at primary care level. Coverage remains sub-optimal and a significant proportion of women with precursor lesions do not receive treatment. Further, health system strengthening - essential for cytology-based screening - has not happened. Research to evaluate alternative screening technologies has proliferated in recent years, but regrettably, strengthening of the health system required to make the new technology work has not received similar attention. Using the South African experience, this article argues that technological interventions and innovations alone are not sufficient to improve cervical screening programmes. Task-shifting is limited unless other human resource concerns (e.g. training, increasing demands on personnel, attrition, and skills mix) are concurrently addressed within a comprehensive workforce development strategy, alongside work to make the health care delivery system functional.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Kawonga M,Fonn Sdoi
10.1016/S0968-8080(08)32403-3subject
Has Abstractpub_date
2008-11-01 00:00:00pages
32-40issue
32eissn
0968-8080issn
1460-9576pii
S0968-8080(08)32403-3journal_volume
16pub_type
杂志文章abstract::In April and May 2006, internal conflict in Timor-Leste led to the displacement of approximately 150,000 people, around 15% of the population. The violence was most intense in Dili, the capital, where many residents were displaced into camps in the city or to the districts. Research utilising in-depth qualitative inte...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)31355-X
更新日期:2008-05-01 00:00:00
abstract::In spite of wide availability of menstrual regulation services, women often resort to a variety of medicines for inducing abortion. The Bangladeshi Government is now supporting attempts to investigate the introduction of medical menstrual regulation in the public sector. This study examined the acceptability of medica...
journal_title:Reproductive health matters
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更新日期:2015-02-01 00:00:00
abstract::Unsafe abortion in Sudan results in significant morbidity and mortality. This study of treatment for complications of unsafe abortion in five hospitals in Khartoum, Sudan, included a review of hospital records and a survey of 726 patients seeking abortion-related care from 27 October 2007 to 31 January 2008, an interv...
journal_title:Reproductive health matters
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doi:10.1016/S0968-8080(09)34476-6
更新日期:2009-11-01 00:00:00
abstract::How rurality relates to women's abortion decision-making in the United States remains largely unexplored in existing literature. The present study relies on qualitative methods to analyze rural women's experiences related to pregnancy decision-making and pathways to abortion services in Central Appalachia. This analys...
journal_title:Reproductive health matters
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abstract::This paper reports on a community-based study in 1999 of the beliefs and practices of people in Faranah District, Guinea regarding female genital excision (FGE). Semi-structured individual interviews and focus group discussions were carried out with women of reproductive age, older women, married men, community and re...
journal_title:Reproductive health matters
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abstract::In 1997, the Supreme Court of India recognised sexual harassment in the workplace as a violation of human rights. However, little is known about the extent or persistence of sexual harassment. To obtain an understanding of women's experiences of sexual harassment in the health sector, an exploratory study was undertak...
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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journal_title:Reproductive health matters
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更新日期:2000-05-01 00:00:00
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journal_title:Reproductive health matters
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abstract::Structural and social inequalities, a harsh political economy and neglect on the part of the state have made married adolescent girls an extremely vulnerable group in the urban slum environment in Bangladesh. The importance placed on newly married girls' fertility results in high fertility rates and low rates of contr...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(06)27221-5
更新日期:2006-05-01 00:00:00
abstract::This article offers some insights into the experiences of HIV positive women with the female condom, drawing on my own personal experience and responses of 18 members of the International Community of Women Living with HIV/AIDS to an e-mail survey conducted in 2005. Major barriers reported to female condom use were co...
journal_title:Reproductive health matters
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更新日期:2006-11-01 00:00:00
abstract::The Women's Right to Life and Health project aimed to reduce maternal morbidity and mortality in Bangladesh through provision of comprehensive emergency obstetric care (EmOC) in the country's district and sub-district hospitals. Human resources development was one of the project's major activities. This paper describe...
journal_title:Reproductive health matters
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doi:10.1016/S0968-8080(06)27229-X
更新日期:2006-05-01 00:00:00
abstract::Unmet need for contraception represents a major failure in the provision of reproductive health services and reflects the extent of access to services for spacing and limiting births, which are also affected by personal, partner, community and health system factors. In the context of the Millennium Development Goals, ...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(07)29284-5
更新日期:2007-05-01 00:00:00
abstract::Integrated reproductive health services for people living with HIV must address their fertility intentions. For HIV-serodiscordant couples who want to conceive, attempted conception confers a substantial risk of HIV transmission to the uninfected partner. Behavioral and pharmacologic strategies may reduce HIV transmis...
journal_title:Reproductive health matters
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doi:10.1016/S0968-8080(12)39639-0
更新日期:2012-12-01 00:00:00
abstract::Abortion has been available legally in Moldova since 1955, and since then the abortion rate has gradually declined. The quality of abortion care remains low, however, and there is a high level of maternal mortality related to unsafe abortion. The goals of the 2005-2015 National Reproductive Health Strategy are to redu...
journal_title:Reproductive health matters
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doi:10.1016/S0968-8080(05)26206-7
更新日期:2005-11-01 00:00:00
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journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(06)28252-1
更新日期:2006-11-01 00:00:00
abstract::The Global Commission on HIV and the Law was established in 2010 to identify and analyse the complex framework of international, national, religious and customary law shaping national responses to HIV and the well-being of people living with HIV and key populations. Two years of deliberation, based on an exhaustive re...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(14)44807-9
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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
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journal_title:Reproductive health matters
pub_type: 杂志文章
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abstract::In the last days of 2011, President of Brazil Dilma Rousseff issued a provisional measure (or draft law) entitled "National Surveillance and Monitoring Registration System for the Prevention of Maternal Mortality" (MP 557), as part of a new maternal health programme. It was supposed to address the pressing issue of ma...
journal_title:Reproductive health matters
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abstract::This paper explores sexual and reproductive health and rights (SRHR) among young people, identifying intersecting factors that create inequities in access to services, health-seeking behaviour, and ultimately health outcomes. Based on qualitative interviews with young people in the Maldives, it demonstrates how these ...
journal_title:Reproductive health matters
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更新日期:2018-11-01 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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abstract::In 2011, the Committee on the Elimination of Discrimination against Women (CEDAW) issued two landmark decisions. In Alyne da Silva Pimentel v. Brazil, the first maternal death case decided by an international human rights body, it confirms that States have a human rights obligation to guarantee that all women, irrespe...
journal_title:Reproductive health matters
pub_type: 杂志文章
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abstract::Health sector reformers, particularly the economists among them, are prone to reject calls for more financial support for reproductive health as "special pleading" even when the argument is made that reproductive health is a basic human right. Reproductive health is not alone in this. Up to now, however, the idea that...
journal_title:Reproductive health matters
pub_type: 杂志文章
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更新日期:2002-11-01 00:00:00
abstract::Understanding the flow of resources at the country level to reproductive health is essential for effective financing of this key component of health. This paper gives a comprehensive picture of the allocation of resources for reproductive health in Kenya and the challenges faced in the resource-tracking process. Data ...
journal_title:Reproductive health matters
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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
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journal_title:Reproductive health matters
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