Pub Date : 2014-12-31DOI: 10.4172/2167-0420.1000217
Ayanos Taye, M. Woldie, Mekeda Sinaga
Background: A long-acting reversible contraceptive (LARC) method is a birth control method, which provides effective contraception for an extended period of time without requiring user action. The most common methods of these contraceptives are non-hormonal copper intrauterine contraceptive devices (IUCDs) and implantable contraceptive which are safe, effective, convenient and less expensive for the users. Ethiopia is one of the Sub-Saharan African countries with highest maternal mortality rate with 673 maternal deaths per 100,000 live births. The prevalence of family planning in Ethiopia among married women is 29% of these 2% and 3.4% are using IUCD and implant, respectively. There are many factors related to the use of long-acting methods. Despite this, the use of long acting reversible contraceptives is still low in Africa, especially Ethiopia. There is no study that documented use of long acting reversible contraceptive and its predictors in the study area. This study was carried out to fill the gap in information about the practice of long-acting contraceptives use in Jimma Town. Moreover, the study will help the policy makers to design appropriate strategies for encouraging greater use of long-acting contraceptives thereby ensuring further declines in fertility and better reproductive health of couples. Objective: This study was to assess predictors of long acting reversible contraceptives use among married women visiting health facilities in Jimma Town, Southwest Ethiopia. Method: A cross-sectional study was employed from February to March 2012among married women visiting public health facilities in Jimma Town, Southwest Ethiopia. A total of 422 married women were selected using systematic sampling methods. Both quantitative and qualitative data were collected using structured interviewer administered questionnaire and focus group discussion guides, respectively. Multivariable logistic regression model was used to isolate an independent effect of predictors. Results: A total of 418 married women were interviewed giving a response rate of 99.1%. The overall prevalence of long acting reversible contraception use was 16%.Out of 39.8% who intended to use long acting reversible Contraceptives (LARCs), 82.1% preferred to use implant while 17.9% preferred. The main reasons mentioned by the majority of married women for not using LARCs were: rumor (48.1%), husband’s opposition (47.6%), fear of side effects (36.80%), and religious prohibition (34.80%). On multivariable logistic regression analyses, couples discussion, husband’s attitude/ feeling about long acting contraceptives, provider’s discussion with client, myths and beliefs (misconception) and religious prohibition were significant independent predictors of long acting reversible contraceptives use. Conclusions: There is low utilization of LARCs in the study area. The results imply the need for designing appropriate behavior change communication about family planning, especially about LA
{"title":"Predictors of Long Acting Reversible Contraceptive use among Married Women Visiting Health Facilities in Jimma Town","authors":"Ayanos Taye, M. Woldie, Mekeda Sinaga","doi":"10.4172/2167-0420.1000217","DOIUrl":"https://doi.org/10.4172/2167-0420.1000217","url":null,"abstract":"Background: A long-acting reversible contraceptive (LARC) method is a birth control method, which provides effective contraception for an extended period of time without requiring user action. The most common methods of these contraceptives are non-hormonal copper intrauterine contraceptive devices (IUCDs) and implantable contraceptive which are safe, effective, convenient and less expensive for the users. Ethiopia is one of the Sub-Saharan African countries with highest maternal mortality rate with 673 maternal deaths per 100,000 live births. The prevalence of family planning in Ethiopia among married women is 29% of these 2% and 3.4% are using IUCD and implant, respectively. There are many factors related to the use of long-acting methods. Despite this, the use of long acting reversible contraceptives is still low in Africa, especially Ethiopia. There is no study that documented use of long acting reversible contraceptive and its predictors in the study area. This study was carried out to fill the gap in information about the practice of long-acting contraceptives use in Jimma Town. Moreover, the study will help the policy makers to design appropriate strategies for encouraging greater use of long-acting contraceptives thereby ensuring further declines in fertility and better reproductive health of couples. \u0000Objective: This study was to assess predictors of long acting reversible contraceptives use among married women visiting health facilities in Jimma Town, Southwest Ethiopia. \u0000Method: A cross-sectional study was employed from February to March 2012among married women visiting public health facilities in Jimma Town, Southwest Ethiopia. A total of 422 married women were selected using systematic sampling methods. Both quantitative and qualitative data were collected using structured interviewer administered questionnaire and focus group discussion guides, respectively. Multivariable logistic regression model was used to isolate an independent effect of predictors. \u0000Results: A total of 418 married women were interviewed giving a response rate of 99.1%. The overall prevalence of long acting reversible contraception use was 16%.Out of 39.8% who intended to use long acting reversible Contraceptives (LARCs), 82.1% preferred to use implant while 17.9% preferred. The main reasons mentioned by the majority of married women for not using LARCs were: rumor (48.1%), husband’s opposition (47.6%), fear of side effects (36.80%), and religious prohibition (34.80%). On multivariable logistic regression analyses, couples discussion, husband’s attitude/ feeling about long acting contraceptives, provider’s discussion with client, myths and beliefs (misconception) and religious prohibition were significant independent predictors of long acting reversible contraceptives use. \u0000Conclusions: There is low utilization of LARCs in the study area. The results imply the need for designing appropriate behavior change communication about family planning, especially about LA","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74229733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-29DOI: 10.4172/2167-0420.1000214
A. Santini, A. P. Barbosa, Vanessa Sousa, L. C. Assis, L. S. Vianna, I. Calderon, Adriano Dias
Introduction: During pregnancy, the prevalence of Urinary Incontinence (UI) is higher adversely impacting quality of life. Both Gestational Diabetes (GDM) and mild hyperglycemia have been associated with increased risk of UI. However, UI influence on quality of life is still poorly understood. The objective of this study was to assess the impact of UI on the quality of life of women with GDM. Method: Cross-sectional study including pregnant women allocated into 2 groups: Normoglycemic (NG) or Hyperglycemic/GDM (HG). All women classified as incontinent were asked to respond to the King’s Health Questionnaire (KHQ). Results: Of the 102 pregnant women enrolled, 69 were NG (67.6%) and 33 were HG (32.4%). UI prevalence was 55.9%. HG scores were lower for all KHQ domains with significant differences between groups regarding the scores for KHQ domains general health perception, UI impact, personal relationships emotions, and sleep/energy (p<0.05). Conclusions: UI impact was higher on pregnant women with hyperglycemia and GDM.
{"title":"Cross-Sectional Study of the Influence of Gestational Hyperglycemia Associated With Urinary Incontinence on Quality Of Life","authors":"A. Santini, A. P. Barbosa, Vanessa Sousa, L. C. Assis, L. S. Vianna, I. Calderon, Adriano Dias","doi":"10.4172/2167-0420.1000214","DOIUrl":"https://doi.org/10.4172/2167-0420.1000214","url":null,"abstract":"Introduction: During pregnancy, the prevalence of Urinary Incontinence (UI) is higher adversely impacting quality of life. Both Gestational Diabetes (GDM) and mild hyperglycemia have been associated with increased risk of UI. However, UI influence on quality of life is still poorly understood. The objective of this study was to assess the impact of UI on the quality of life of women with GDM. \u0000Method: Cross-sectional study including pregnant women allocated into 2 groups: Normoglycemic (NG) or Hyperglycemic/GDM (HG). All women classified as incontinent were asked to respond to the King’s Health Questionnaire (KHQ). \u0000Results: Of the 102 pregnant women enrolled, 69 were NG (67.6%) and 33 were HG (32.4%). UI prevalence was 55.9%. HG scores were lower for all KHQ domains with significant differences between groups regarding the scores for KHQ domains general health perception, UI impact, personal relationships emotions, and sleep/energy (p<0.05). \u0000Conclusions: UI impact was higher on pregnant women with hyperglycemia and GDM.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88034910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-27DOI: 10.4172/2167-0420.1000218
A. Yoshimitsu, Punpilai Sriareporn, Suthatip Upalabut, Prueksalada Khiaokham, H. Matsuo
Backgrounds: Many women suffer from peri-menstrual symptoms. This study focused on the acceptance of menstruation and assessed coping methods from both the physical and mental aspects. Methods: Female college students (n=122) were recruited from the Faculty of Nursing, Chiang Mai University. Subjects responded to a survey consisting of questionnaires about their menstruation, peri-menstrual symptoms, and coping behaviors (examples, satisfaction), and three psychometric measurements (State Trait Anxiety Inventory (STAI), Generalized Self-Efficacy Scale, and the Tri-Axial Coping Scale). Also, 25 subjects suffering from premenstrual syndrome (PMS) and 25 non-PMS subjects were investigated in terms of the activity of the autonomic nervous system (ANS) using heart rate variability and the cold pressor test. These surveys were conducted twice: once before and once after ovulation. Results: The subjects who had severe menstrual problem showed significantly low satisfaction with their coping behaviors. About half of the subjects were not satisfied with their coping behaviors because they need more practical information about methods of coping. In the secretory phase, there was no significant difference in levels of coping satisfaction. However, Low satisfied group showed a relatively high STAI score and a low Self-Efficacy score. Additionally, the activated sympathetic nerves appeared to become dominant over the parasympathetic nerves in the secretory phase. Conclusion: The severity of menstruation was correlated to low satisfaction with coping behaviors. This severity was affected by the cyclic change of menstruation and activity of the ANS. This study suggests providing more practical education for young women.
{"title":"Current State of College Women's Coping behaviors against Peri-menstrual Symptoms and Educational Challenges in Thailand","authors":"A. Yoshimitsu, Punpilai Sriareporn, Suthatip Upalabut, Prueksalada Khiaokham, H. Matsuo","doi":"10.4172/2167-0420.1000218","DOIUrl":"https://doi.org/10.4172/2167-0420.1000218","url":null,"abstract":"Backgrounds: Many women suffer from peri-menstrual symptoms. This study focused on the acceptance of menstruation and assessed coping methods from both the physical and mental aspects. \u0000Methods: Female college students (n=122) were recruited from the Faculty of Nursing, Chiang Mai University. Subjects responded to a survey consisting of questionnaires about their menstruation, peri-menstrual symptoms, and coping behaviors (examples, satisfaction), and three psychometric measurements (State Trait Anxiety Inventory (STAI), Generalized Self-Efficacy Scale, and the Tri-Axial Coping Scale). Also, 25 subjects suffering from premenstrual syndrome (PMS) and 25 non-PMS subjects were investigated in terms of the activity of the autonomic nervous system (ANS) using heart rate variability and the cold pressor test. These surveys were conducted twice: once before and once after ovulation. \u0000Results: The subjects who had severe menstrual problem showed significantly low satisfaction with their coping behaviors. About half of the subjects were not satisfied with their coping behaviors because they need more practical information about methods of coping. In the secretory phase, there was no significant difference in levels of coping satisfaction. However, Low satisfied group showed a relatively high STAI score and a low Self-Efficacy score. Additionally, the activated sympathetic nerves appeared to become dominant over the parasympathetic nerves in the secretory phase. \u0000Conclusion: The severity of menstruation was correlated to low satisfaction with coping behaviors. This severity was affected by the cyclic change of menstruation and activity of the ANS. This study suggests providing more practical education for young women.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82090338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-27DOI: 10.4172/2167-0420.1000216
R. Hong, Su-Er Guo, A. Welch
Use of art-painting, literary works, poetry, music and film–as expressions of life have the potential to explain the everyday world of human beings. The aim of this hermeneutic phenomenological study was to explore the lived world of 15 single mothers in Taiwan through the processes of in-depth semi-structured interviews and the use of art work. Van Manen (1997)’s analysis was used for data analysis. In addition to using interviews as the traditional method of data gathering, we also included art work as representations of participants’ lived experience of the phenomenon. The inclusion of art work provided a rich repository of information that not only complemented the interview data (by adding a different dimension to the participants’ experiences of the phenomenon of being a single mother in Taiwan), but also lent support for the use of art work in human science research.
{"title":"Use of Arts among Single Mothers in Taiwan: A Hermeneutic Phenomenological Research Study","authors":"R. Hong, Su-Er Guo, A. Welch","doi":"10.4172/2167-0420.1000216","DOIUrl":"https://doi.org/10.4172/2167-0420.1000216","url":null,"abstract":"Use of art-painting, literary works, poetry, music and film–as expressions of life have the potential to explain the everyday world of human beings. The aim of this hermeneutic phenomenological study was to explore the lived world of 15 single mothers in Taiwan through the processes of in-depth semi-structured interviews and the use of art work. Van Manen (1997)’s analysis was used for data analysis. In addition to using interviews as the traditional method of data gathering, we also included art work as representations of participants’ lived experience of the phenomenon. The inclusion of art work provided a rich repository of information that not only complemented the interview data (by adding a different dimension to the participants’ experiences of the phenomenon of being a single mother in Taiwan), but also lent support for the use of art work in human science research.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87372754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-12-24DOI: 10.4172/2167-0420.1000290
H. Pradhan, Rinshu Dwivedi
Background: Improving Reproductive health (RH) is widely recognized as a key component of social and economic development. Interaction of different factors such as individual, household and community level covariates plays an important role in determining the level of unmet need for family planning. Objectives: The objective of the study is to examine the association between individual, household and community level covariates with the level of unmet need for family planning in Bangladesh. Methodology: For the core, analysis data has been extracted from Bangladesh Demographic Health Survey (BDHS), 2011. Multilevel regression analyses have been employed to explore the relative effects of community, household level and individual level factors on unmet need for family planning among currently married women. Results: Results shows that unmet need for contraception marginally declined from 16.8% in 2007 to 13.5% in 2011. Surprisingly the impact of education and wealth index is marginal in determining the level of unmet need. On the other hand, three community level variables (% women exposed to family planning, % women with ideal number of children and % women with primary and higher education) significantly associated with the level of unmet need for family planning in Bangladesh. Conclusion: Since unmet needs for family planning has multiple advantages for both the individual and society, it is necessary for the governments to come up with strategies, which can reduce unmet needs.
{"title":"Why Unmet Need for Family Planning Remains High in Bangladesh: A Community Level Analysis","authors":"H. Pradhan, Rinshu Dwivedi","doi":"10.4172/2167-0420.1000290","DOIUrl":"https://doi.org/10.4172/2167-0420.1000290","url":null,"abstract":"Background: Improving Reproductive health (RH) is widely recognized as a key component of social and economic development. Interaction of different factors such as individual, household and community level covariates plays an important role in determining the level of unmet need for family planning. \u0000Objectives: The objective of the study is to examine the association between individual, household and community level covariates with the level of unmet need for family planning in Bangladesh. \u0000Methodology: For the core, analysis data has been extracted from Bangladesh Demographic Health Survey (BDHS), 2011. Multilevel regression analyses have been employed to explore the relative effects of community, household level and individual level factors on unmet need for family planning among currently married women. \u0000Results: Results shows that unmet need for contraception marginally declined from 16.8% in 2007 to 13.5% in 2011. Surprisingly the impact of education and wealth index is marginal in determining the level of unmet need. On the other hand, three community level variables (% women exposed to family planning, % women with ideal number of children and % women with primary and higher education) significantly associated with the level of unmet need for family planning in Bangladesh. Conclusion: Since unmet needs for family planning has multiple advantages for both the individual and society, it is necessary for the governments to come up with strategies, which can reduce unmet needs.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80346154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-11-01Epub Date: 2014-11-17DOI: 10.4172/2167-0420.1000205
Luciana Lagana, Patricia Fobair, David Spiegel
The need for the psychosexual rehabilitation of breast cancer survivors and their intimate partners is underscored by the high prevalence of multiple psychosexual difficulties encountered by this patient population. Concerns about health, sexuality, and emotional distress are common among women with breast cancer and are often related to the side effects of cancer treatment. Additionally, both intimate relationship problems and partners' distress are likely to influence patients' psychosexual health. A clearer understanding of these complex clinical issues is needed in order to implement effective psychosexual rehabilitation interventions. In this article, we extended the use of the manualized and empirically validated Supportive-Expressive Group Therapy (SEGT) model to target the specific psychosexual needs of couples with breast (as well as other types of) cancer. In view of the pertinent literature in this area and based on our clinical experience utilizing this group therapy model with different patient populations, we have discussed how clinicians involved in the psychosexual care of oncology patients could apply such a model within a couples group therapy format.
{"title":"Targeting the Psychosexual Challenges Faced by Couples with Breast Cancer: Can Couples Group Psychotherapy Help?","authors":"Luciana Lagana, Patricia Fobair, David Spiegel","doi":"10.4172/2167-0420.1000205","DOIUrl":"https://doi.org/10.4172/2167-0420.1000205","url":null,"abstract":"<p><p>The need for the psychosexual rehabilitation of breast cancer survivors and their intimate partners is underscored by the high prevalence of multiple psychosexual difficulties encountered by this patient population. Concerns about health, sexuality, and emotional distress are common among women with breast cancer and are often related to the side effects of cancer treatment. Additionally, both intimate relationship problems and partners' distress are likely to influence patients' psychosexual health. A clearer understanding of these complex clinical issues is needed in order to implement effective psychosexual rehabilitation interventions. In this article, we extended the use of the manualized and empirically validated Supportive-Expressive Group Therapy (SEGT) model to target the specific psychosexual needs of couples with breast (as well as other types of) cancer. In view of the pertinent literature in this area and based on our clinical experience utilizing this group therapy model with different patient populations, we have discussed how clinicians involved in the psychosexual care of oncology patients could apply such a model within a couples group therapy format.</p>","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0420.1000205","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34529082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-11-01DOI: 10.4172/2167-0420.1000199
Yamile Molina, Beti Thompson, Rachel M Ceballos
A growing body of literature has demonstrated psychosocial factors enable mammography intentions and usage among Latinas. Although these factors (e.g., family recommendations, breast cancer perceptions) likely influence one another, little research has examined interactive effects. The current study assessed the moderating effect of perceived breast cancer seriousness and risk on associations between recommendations to obtain mammography and mammography intentions. This sample included 97 Latinas in rural Eastern Washington State. After adjusting for age, two significant interactions emerged: perceived seriousness × physician recommendation and perceived risk × family recommendation. This exploratory study provides important directions for future communication research and planning to improve screening disparities.
{"title":"Physician and Family Recommendations to Obtain a Mammogram and Mammography Intentions: The Moderating Effects of Perceived Seriousness and Risk of Breast Cancer.","authors":"Yamile Molina, Beti Thompson, Rachel M Ceballos","doi":"10.4172/2167-0420.1000199","DOIUrl":"https://doi.org/10.4172/2167-0420.1000199","url":null,"abstract":"<p><p>A growing body of literature has demonstrated psychosocial factors enable mammography intentions and usage among Latinas. Although these factors (e.g., family recommendations, breast cancer perceptions) likely influence one another, little research has examined interactive effects. The current study assessed the moderating effect of perceived breast cancer seriousness and risk on associations between recommendations to obtain mammography and mammography intentions. This sample included 97 Latinas in rural Eastern Washington State. After adjusting for age, two significant interactions emerged: perceived seriousness × physician recommendation and perceived risk × family recommendation. This exploratory study provides important directions for future communication research and planning to improve screening disparities.</p>","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-0420.1000199","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32949567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-10-16DOI: 10.1089/jwh.2014.ab05.abstracts
NagelJoan Davis
{"title":"Abstracts from the NIH Office of Research on Women's HealthEleventh Annual Interdisciplinary Women's Health Research SymposiumNovember 6, 2014","authors":"NagelJoan Davis","doi":"10.1089/jwh.2014.ab05.abstracts","DOIUrl":"https://doi.org/10.1089/jwh.2014.ab05.abstracts","url":null,"abstract":"","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80669174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-10-10DOI: 10.4172/2167-0420.1000197
K. Lulu, T. Nigatu, M. Belachew, G. Kassie, E. Oliveras, Adugna Tamiru, A. Mekonnen, M. Fantahun, Amanuel Kidane, S. Hagos
Background: Integrating Family Planning (FP) into HIV services provides opportunity to increase access to contraception among clients. However, data on the effectiveness of FP/HIV integration on FP uptake is limited. Objective: Determine the effect of FP/HIV services integration, focusing on FP integration with Antiretroviral Therapy (ART) Methods: A cross-sectional comparative design was conducted in facilities with and without FP/ART integration in four major regions of Ethiopia. The study population included HIV positive women attending ART clinics. Data were collected using structured questionnaire from 843 and 691 HIV positive women in intervention and comparison facilities respectively from April 23 to May 2, 2012. Data entry and analysis was done using SPSS version 17.0 and proportions and relevant associations were computed. Results: Most of the women (94.7%) received one or more HIV services. In both groups, 736 (48.2%) women used any type of FP method; the majority (97%) used modern FP and 54.6% used injectables. Over all CPR was 48%; with higher CPR in intervention than comparison group (52.6 %versus 42.9%) [AOR (95%CI) =1.23, (1.23, 1.92). A higher proportion of women in intervention than comparison group used dual methods [AOR (95%CI) =1.50 (1.01, 2.2)]. Total unmet need for FP in the study was 16.2 percent. There was no significant difference in unmet need for FP between intervention and comparison groups (15.7% vs. 16.9% respectively) [(OR 0.94 95% CI (0.63, 1.39)]. Conclusion and Recommendation: FP/HIV integration improved CPR and use of dual methods showing the benefit of FP/HIV integration. However, there was no difference in unmet need for FP between the two groups calling the need for more research.
{"title":"The Effect of Integrating Family Planning with HIV and Aids Services on Contraceptives Uptake among HIV Positive Women","authors":"K. Lulu, T. Nigatu, M. Belachew, G. Kassie, E. Oliveras, Adugna Tamiru, A. Mekonnen, M. Fantahun, Amanuel Kidane, S. Hagos","doi":"10.4172/2167-0420.1000197","DOIUrl":"https://doi.org/10.4172/2167-0420.1000197","url":null,"abstract":"Background: Integrating Family Planning (FP) into HIV services provides opportunity to increase access to contraception among clients. However, data on the effectiveness of FP/HIV integration on FP uptake is limited. \u0000Objective: Determine the effect of FP/HIV services integration, focusing on FP integration with Antiretroviral Therapy (ART) \u0000Methods: A cross-sectional comparative design was conducted in facilities with and without FP/ART integration in four major regions of Ethiopia. The study population included HIV positive women attending ART clinics. Data were collected using structured questionnaire from 843 and 691 HIV positive women in intervention and comparison facilities respectively from April 23 to May 2, 2012. Data entry and analysis was done using SPSS version 17.0 and proportions and relevant associations were computed. \u0000Results: Most of the women (94.7%) received one or more HIV services. In both groups, 736 (48.2%) women used any type of FP method; the majority (97%) used modern FP and 54.6% used injectables. Over all CPR was 48%; with higher CPR in intervention than comparison group (52.6 %versus 42.9%) [AOR (95%CI) =1.23, (1.23, 1.92). A higher proportion of women in intervention than comparison group used dual methods [AOR (95%CI) =1.50 (1.01, 2.2)]. Total unmet need for FP in the study was 16.2 percent. There was no significant difference in unmet need for FP between intervention and comparison groups (15.7% vs. 16.9% respectively) [(OR 0.94 95% CI (0.63, 1.39)]. \u0000Conclusion and Recommendation: FP/HIV integration improved CPR and use of dual methods showing the benefit of FP/HIV integration. However, there was no difference in unmet need for FP between the two groups calling the need for more research.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84350172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-10-04DOI: 10.4172/2167-0420.1000193
Mir, A. S. Terry
Violence against women (VAW) is a broad term used to capture aggressive acts committed toward women, which consists of numerous types of violence with the most commonly known types of abuse being emotional, sexual, and physical. One relatively invisible group, women with disabilities, not only experiences emotional, sexual, and physical abuse but also a unique type of disability-related abuse, which may increase their risk of experiencing acts of violence. The U.S. Congress passed two distinct yet not mutually exclusive policies into law to address violence against women and rights for individuals with disabilities: the Violence against Women Act and the Americans with Disabilities Act. This paper will discuss these policies with suggestions to increase protection for women with disabilities experiencing violence and the implications for these policy changes using the social ecological model.
{"title":"Applying the Social Ecological Model to Violence against Women with Disabilities","authors":"Mir, A. S. Terry","doi":"10.4172/2167-0420.1000193","DOIUrl":"https://doi.org/10.4172/2167-0420.1000193","url":null,"abstract":"Violence against women (VAW) is a broad term used to capture aggressive acts committed toward women, which consists of numerous types of violence with the most commonly known types of abuse being emotional, sexual, and physical. One relatively invisible group, women with disabilities, not only experiences emotional, sexual, and physical abuse but also a unique type of disability-related abuse, which may increase their risk of experiencing acts of violence. The U.S. Congress passed two distinct yet not mutually exclusive policies into law to address violence against women and rights for individuals with disabilities: the Violence against Women Act and the Americans with Disabilities Act. This paper will discuss these policies with suggestions to increase protection for women with disabilities experiencing violence and the implications for these policy changes using the social ecological model.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76482543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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