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 three districts in 2006, covering trends in rates of major obstetric interventions, outcomes in newborns and mothers, and the views of key informants, community members and final year medical students. From 2001 to 2006, 11 surgical teams were trained but only six were functioning in 2006. The current rate of training is not rapid enough to cover all districts by 2015. An increase in the rate of interventions was noted as soon as a team had been put in place, but unmet need persisted. Central decision-makers considered the policy more viable than training gynaecologists for district hospitals, but resistance from senior academic clinicians, a perceived lack of career progression among the doctors trained, and lack of programme coordination were obstacles. Practitioners felt the work was valuable, but complained of low additional pay and not being replaced during training. Communities appreciated that the services saved lives and money, but called for improved information and greater continuity of care.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
De Brouwere V,Dieng T,Diadhiou M,Witter S,Denerville Edoi
10.1016/S0968-8080(09)33437-0subject
Has Abstractpub_date
2009-05-01 00:00:00pages
32-44issue
33eissn
0968-8080issn
1460-9576pii
S0968-8080(09)33437-0journal_volume
17pub_type
杂志文章abstract：:Drug regimens and procedures now exist that will prevent parents from transmitting HIV to infants, and the ethical and legal obligation to promote and protect the reproductive rights of those living with HIV should form part of training for HIV/AIDS care and prevention. This paper reports a study that investigated iss...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(03)02293-6
更新日期：2003-11-01 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
abstract：:'Microbicide' is the name for a number of new products currently under research which could become a new class of barrier method for use in the vagina and rectum for protection against HIV, prevention and/or treatment of other sexually transmitted diseases and/or act as a contraceptive. This is a summary report of thi...
journal_title：Reproductive health matters
pub_type：
doi：10.1016/s0968-8080(00)90014-4
更新日期：2000-05-01 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
pub_type： 杂志文章
doi：10.1016/S0968-8080(09)34476-6
更新日期：2009-11-01 00:00:00
abstract：:Pregnant women routinely undergo prenatal screening in Australia and this has become a common experience of motherhood. When prenatal screening or prenatal testing results in diagnosis of a serious fetal abnormality, women are presented with a decision to continue or terminate their pregnancy. Few recent studies have ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2016.04.003
更新日期：2016-05-01 00:00:00
abstract：:Although it is well known that refugees engage in sex work as a form of livelihood, stigma and silence around this issue persist within humanitarian circles. As a result, these refugees' sexual and reproductive health and rights, and related vulnerabilities, remain overlooked. Their protection and health needs, which ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2017.1405674
更新日期：2017-11-01 00:00:00
abstract：:High unmet need for limiting contraception persists in most states of India despite wide access to sterilisation. Qualitative evidence from a rural community in which child mortality is high and women's autonomy is low suggests that women may seek reversibility in a contraceptive even if they have finished childbearin...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(00)90194-0
更新日期：2000-11-01 00:00:00
abstract：:The female condom has received surprisingly little serious attention since its introduction in 1984. Given the numbers of women with HIV globally, international support for women's reproductive and sexual health and rights and the empowerment of women, and, not least, due to the demand expressed by users, one would ha...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(10)35499-1
更新日期：2010-05-01 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
pub_type： 杂志文章
doi：10.1080/09688080.2018.1513270
更新日期：2018-12-01 00:00:00
abstract：:Argentina has recognized women's right to not be subjected to obstetric violence, the violence exercised by health personnel on the body and reproductive processes of pregnant women, as expressed through dehumanizing treatment, medicalization abuse, and the conversion of natural processes of reproduction into patholog...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2016.05.001
更新日期：2016-05-01 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
pub_type： 杂志文章
doi：10.1016/S0968-8080(06)28267-3
更新日期：2006-11-01 00:00:00
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
doi：10.1016/s0968-8080(03)02178-5
更新日期：2003-05-01 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
pub_type： 杂志文章
doi：10.1016/S0968-8080(13)42738-6
更新日期：2013-11-01 00:00:00
abstract：:A rights-based approach in HIV service delivery for adults is increasingly taking root in sub-Saharan Africa in the context of greater availability of antiretroviral therapy. Yet there has been comparatively little progress in strengthening a rights-based approach to adolescent HIV services, which we learned during a ...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(13)41701-9
更新日期：2013-05-01 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
更新日期：2014-11-01 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
pub_type： 杂志文章
doi：10.1016/S0968-8080(05)26206-7
更新日期：2005-11-01 00:00:00
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：:The unmet need for family planning in Uganda is among the world's highest. Injectable contraceptives, the most available method, were used by only 14.1% of married women in 2011. Recent data suggest that the main reason for unmet need is not lack of access, but fear of and unacceptability of side effects. In this qual...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(12)40654-1
更新日期：2012-12-01 00:00:00
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：:Outdated second trimester abortion methods are still being used in some countries, and very few studies have compared them to currently recommended methods. To this end, we studied the efficacy and safety of vaginal misoprostol used alone for abortions in 189 women at 13-20 weeks gestation, in 2004-2006. We also retro...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(08)31392-5
更新日期：2008-05-01 00:00:00
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
pub_type： 杂志文章
doi：10.1016/S0968-8080(07)30319-4
更新日期：2007-11-01 00:00:00
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：:Although Chile is a traditionally conservative country, considerable legal advances in sexual and reproductive rights over the past decade have brought discourses on sexuality into mainstream political, social and media agendas. In light of these changes it is important to explore how adolescents conceptualize sexuali...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/j.rhm.2015.11.003
更新日期：2015-11-01 00:00:00
abstract：:In Argentina adolescent pregnancy is still regarded as a public health problem or a "social epidemic". However, it is necessary to ask from which perspective and for whom it is a problem, and what type of problem. This article presents the findings of a large quantitative and qualitative study conducted in five Northe...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(08)31358-5
更新日期：2008-05-01 00:00:00
abstract：:Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabo...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2017.1402670
更新日期：2017-11-01 00:00:00
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
doi：10.1016/S0968-8080(12)39610-9
更新日期：2012-06-01 00:00:00
abstract：:Organizational changes, increased funding and the demands of HIV antiretroviral (ARV) treatment create particular challenges for governance in the health sector. We assess resource allocation, policy making and integration of the national responses to ARV provision and reproductive health in Burkina Faso, using nation...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(11)38587-4
更新日期：2011-11-01 00:00:00
abstract：:Withdrawal is an ancient and prevalent form of male contraception which has largely been ignored by family planning programme managers all over the world. The objective of this study was to understand men's perspectives on withdrawal use, both users and non-users. In-depth interviews with 62 male factory workers in we...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/s0968-8080(05)25175-3
更新日期：2005-05-01 00:00:00
abstract：:The Irish Protection of Life During Pregnancy Act seeks to clarify the legal ground for abortion in cases of risk to life, and to create procedures to regulate women's access to services under it. This article explores the new law as the outcome of an international human rights litigation strategy premised on state du...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1016/S0968-8080(14)44798-0
更新日期：2014-11-01 00:00:00
abstract：:This paper discusses the type of work migrant women from the former Eastern European countries perform in nightclubs in Amman, Jordan. The fieldwork for this qualitative study was conducted in 2010 and is based on in-depth interviews with 13 women. The topic is approached from the perspective of describing women's cho...
journal_title：Reproductive health matters
pub_type： 杂志文章
doi：10.1080/09688080.2017.1378063
更新日期：2017-10-01 00:00:00
