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::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::In 2007, the US Supreme Court upheld the Partial Birth Abortion Ban Act of 2003, also known as the Federal Abortion Ban or "the Ban." The decision undermines decades of established US abortion law that had recognised the preservation of the health of women as a paramount consideration. The Ban asserts that the state's...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)31374-3
更新日期:2008-05-01 00:00:00
abstract::At the mid-point of the Programme of Action of the 1994 International Conference on Population and Development, we reviewed the situation in the UK in key areas. In recent years, greater attention has been paid to sexual health at a national policy level, including strategies on teenage pregnancy and sexual health, bu...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(05)25182-0
更新日期:2005-05-01 00:00:00
abstract::Disability encompasses the limitations on an individual's basic physical activities, and the consequent social oppressions such individual faces in society. In this regard, the limitation on the use of some parts of the genitals in a patriarchal system is considered a form of disability. This paper describes the perce...
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::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::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::Violence against women is a social mechanism confirming women's subordination in many societies. Sexual violence and harassment have various negative psychological impacts on girls, including a persistent feeling of insecurity and loss of self-esteem. This article aims to contextualize a particular form of sexual hara...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(13)41696-8
更新日期:2013-05-01 00:00:00
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::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
doi:10.1016/s0968-8080(02)00079-4
更新日期:2002-11-01 00:00:00
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 motivat...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)32403-3
更新日期:2008-11-01 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::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::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::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::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::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
doi:10.1016/S0968-8080(07)29030-5
更新日期:2007-05-01 00:00:00
abstract::Viet Nam has high modern contraceptive prevalence (68%), with most services received through the public sector. As the country transitions to middle-income status, Viet Nam's donors have ceased donations of contraceptive supplies, causing a large projected shortfall in the family planning budget. In response, the Mini...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(10)36529-3
更新日期:2010-11-01 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::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 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
pub_type: 杂志文章
doi:10.1080/09688080.2018.1542910
更新日期:2018-11-01 00:00:00
abstract::Women and girls are increasingly the direct and targeted victims of armed conflict and studies show that they are disproportionately and differentially affected. However, humanitarian laws, policies, and protocols have yet to be meaningfully interpreted and adapted to respond to their specific needs, including to sexu...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1080/09688080.2017.1400361
更新日期:2017-11-01 00:00:00
abstract::In support of maternal health, disease-specific and target-oriented global policy initiatives, such as in Millennium Development Goal 5, have led to a prioritisation of narrow indicators at the expense of more comprehensive approaches. In line with global policy, Nicaragua has made skilled attendants and institutional...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(13)42728-3
更新日期:2013-11-01 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
doi:10.1016/s0968-8080(00)90187-3
更新日期:2000-11-01 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::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
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::In 1978 the abortion law was liberalised in Norway. It permits abortion on request up to 12 weeks of pregnancy, and after that with the agreement of a medical commission, taking the woman's own views into consideration. In 2003, 96% of abortions took place before 12 weeks of pregnancy. There is considerable support am...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(04)24016-2
更新日期:2004-11-01 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::Even a few decades ago, it was considered normal and even desirable in Latin America for young women to become pregnant before they were 20--provided they were married; while young men were expected to become sexually active as soon as they entered adolescence, without much concern about potential risks or with whom t...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(01)90018-7
更新日期:2001-05-01 00:00:00
abstract::On 25 July 2001 the Polish Federation for Women and Family Planning organised a Tribunal on Abortion Rights in Warsaw, to publicize the negative consequences of the criminalization of abortion in Poland. A panel of Polish and foreign experts heard the testimonials of seven Polish women's experiences under the 1993 "An...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(02)00023-x
更新日期:2002-05-01 00:00:00