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 qualitative study in 2010 among 111 adolescents living with HIV, 21 parents and 38 health providers in three districts in Zambia. Adolescents in the study expressed a range of information and support needs and wanted locally relevant interventions to meet those needs. They wanted greater access to HIV, sexual and reproductive health information, information on how to protect themselves, privacy and confidentiality in service sites, skills training so as to be able to earn money, and better control over disclosure of their HIV status to others. Both health workers and parents acknowledged that information and services needed to be improved to meet those needs far better. This paper provides examples of successful programmes in Zimbabwe, Uganda, Tanzania, Botswana and South Africa and calls for adolescent services to be linked to both paediatric and adult services, peer networks to be established to increase adolescents' ability to collectively voice their concerns and support each other, interventions supporting adolescents' control over self-disclosure, and lastly that adolescent health should become a training specialty in sub-Saharan Africa.
journal_name
Reprod Health Mattersjournal_title
Reproductive health mattersauthors
Mburu G,Hodgson I,Teltschik A,Ram M,Haamujompa C,Bajpai D,Mutali Bdoi
10.1016/S0968-8080(13)41701-9subject
Has Abstractpub_date
2013-05-01 00:00:00pages
176-85issue
41eissn
0968-8080issn
1460-9576pii
S0968-8080(13)41701-9journal_volume
21pub_type
杂志文章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::This paper summarises the findings of a study on second trimester abortion in England and Wales in 2005. Second trimester abortions constitute a relatively small proportion of the total number of legal abortions performed in these countries yet attract quite substantial public, and particularly media, attention. Discu...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(08)31375-5
更新日期:2008-05-01 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 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::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::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::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::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::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 Novemb...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(03)02176-1
更新日期:2003-05-01 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::This study seeks to examine the reasons why young women aged 14-20 in Maputo, Mozambique were engaging in risky sexual behaviour, and to ascertain whether the spread of HIV is due to socioeconomic factors and/or patriarchal beliefs and mores, or both. It is based on in-depth interviews and questionnaires among 182 gir...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(01)90011-4
更新日期:2001-05-01 00:00:00
abstract::The Young Men's Project has been working with young men and young fathers as part of Great Yarmouth Primary Care Trust in the UK since June 2001. The Project works in schools and other educational environments to promote positive personal development, particularly around sex and relationships, and to increase accessib...
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::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
pub_type: 杂志文章
doi:10.1016/S0968-8080(14)43795-9
更新日期:2015-02-01 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
doi:10.1016/S0968-8080(07)30332-7
更新日期:2007-11-01 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::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::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
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::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::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
pub_type: 杂志文章
doi:10.1016/S0968-8080(09)33437-0
更新日期:2009-05-01 00:00:00
abstract::Recent years have seen a push to apply criminal law to HIV exposure and transmission, often driven by the wish to respond to concerns about the ongoing rapid spread of HIV in many countries. Particularly in Africa, some groups have begun to advocate for criminalization in response to the serious phenomenon of women be...
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::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::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
abstract::Menopausal symptoms can be grim, and the desire to replace the hormonal "deficit" with exogenous hormones remains strong. Since the 1950s, hormone replacement therapy has been used increasingly, while evidence on the risks of unwanted side effects has accumulated. What have we learned over these decades? Firstly, curr...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(04)24144-1
更新日期:2004-11-01 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::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::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
doi:10.1016/S0968-8080(07)29295-X
更新日期:2007-05-01 00:00:00
abstract::In Kenya in 1999, an estimated 6.9% of women nationally said they had exchanged sex for money, gifts or favours in the previous year. In 2000 and 2001, in collaboration with sex workers who had formed a network of self-help groups, we conducted an exploratory survey among 475 sex workers in four rural towns and three ...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/s0968-8080(04)23125-1
更新日期:2004-05-01 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::Western countries have reported an increased risk of maternal mortality among African immigrants. This study aimed to identify cases of maternal mortality among immigrants from the Horn of Africa living in Sweden using snowball sampling, and verify whether they had been classified as maternal deaths in the Cause of De...
journal_title:Reproductive health matters
pub_type: 杂志文章
doi:10.1016/S0968-8080(07)30322-4
更新日期:2007-11-01 00:00:00