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Jóvenes feministas en Yucatán: estudio de caso
No full textEn el marco del Proyecto de Investigación Acción Participativa de Juventudes Feministas en México y Kenia, llevamos a cabo un estudio de caso en el Estado de Yucatán. El objetivo ha sido entender las particularidades que la organización de las jóvenes tiene en este Estado.
Para ello, llevamos a cabo entrevistas a profundidad y reuniones con organizaciones feministas, instituciones públicas y organizaciones de la sociedad civil trabajando en Mérida, tal y como se recoge en la nota final metodológica. Las citas textuales que aparecen a continuación son todas de distintas participantes de los grupos focales realizados de manera presencial y online con feministas en Yucatán.
En este artículo breve recabamos información de algunos de los temas actuales que movilizan a las jóvenes feministas en el Estado de Yucatán y sus formas de organizarse; así como las dificultades que ellas identifican para poder sostener sus actividades. A partir de todo ello sintetizamos algunas enseñanzas y recomendaciones de cara a la vinculación con ellas
Trends in the utilisation of maternal and child healthcare services from the public and private health sectors in India, 2005–2021: An analysis of cross-sectional survey data
No full textObjectives: To estimate the levels and trends of maternal and child healthcare (MCH) service utilisation in India across subsidised and unsubsidised health sectors and to explore total market approach to identify geographies where the private sector has potential to improve MCH services in India. Design and setting: This study used three recent rounds of the National Family Health Survey (NFHS), a cross-sectional survey in India, conducted in 2005–2006, 2015–2016 and 2019–2021. Bivariate analysis and multinomial logistic regression were used to estimate the utilisation of key MCH indicators from subsidised and unsubsidised health sectors. Market sustainability of key MCH indicators was assessed by level of MCH services and subsidisation. Participants: 36 850, 190 898 and 176 843 ever-married women aged 15–49 years, 4440, 22 500 and 15 334 children under 5 years of age with diarrhoea before the survey, and 2552, 6960 and 6117 children with symptoms of acute respiratory infections (ARI) in NFHS 2005–2006, 2015–2016 and 2019–2021, respectively. Outcome measures: The study used three maternal healthcare indicators: women had four or more antenatal care (ANC) visits, had institutional delivery, and received postnatal care (PNC); and two child healthcare indicators: care seeking for ARI and diarrhoea. Results: In India, utilisation of maternal healthcare services increased over the last 15 years: four or more ANC visits increased from 37% to 58% and PNC of mothers increased from 33% to 78% between 2005–2006 and 2019–2021. The results of the multivariate analysis showed that utilisation of ANC (67% from public vs 18% from private health facilities), institutional delivery (64% from public vs 25% from private health facilities) and PNC (73% from public vs 27% from private health facilities) was significantly higher (pConclusions: A targeted approach is needed to enhance the competitiveness of private sectors, especially in maternity care markets, to ensure the sustainability of healthcare services in India. Strengthening both the private and public sectors is crucial, with a focus on improving care quality and addressing regional disparities in access to maternal and child health services
Evaluation of the NISITU Program: A quasi-experimental study to determine the effect of a gender attitudes and gender-based violence program for adolescents in Nairobi, Kenya
No full textThis was a quasi-experimental study that reached out to 5500 participants (girls ages 10–19 and boys and young men ages 10–24) in Nairobi County-Kenya. The overall goal of the project was to test an intervention model to: 1) improve gender equitable norms among adolescent girls, boys, and young men; 2) reduce the experience of GBV among adolescent girls; and 3) reduce the perpetration of sexual violence and harassment by adolescent boys and young men
Abortion and unintended pregnancy in Pakistan: New evidence for 2023 and trends over the past decade
No full textBackground: Despite induced abortion being highly legally restricted in Pakistan, studies in 2002 and 2012 showed that many women rely on abortion when faced with an unintended pregnancy. Following the 2012 study, concerted efforts were made to improve contraceptive services and to strengthen postabortion care. The availability and use of misoprostol also expanded in the past decade. Our primary objective was to provide new evidence on the rates of unintended pregnancy, induced abortion and postabortion care in 2023 and to assess trends in these outcomes since 2012. Methods: This is a cross-sectional study based on a Health Professional Survey, and a nationally representative Health Facilities Survey, conducted in 2023. A widely applied methodology is used to estimate rates of abortion and unintended pregnancy. Data sources and methods are comparable across the 2012 and 2023 studies. Results: In 2023, an estimated six million unintended pregnancies occurred and 64% of them or 3.8 (95% CI 2.2 to 6.4) million resulted in induced abortions. This corresponds to an annual unintended pregnancy rate of 104 and an induced abortion rate of 66 (95% CI 38 to 111) per 1000 women aged 15–49. There was no significant change in the unintended pregnancy rate, but the abortion rate increased by 25% between 2012 and 2023. In 2023, 697 913 women were treated for postabortion complications, corresponding to an annual rate of 12.1 (95% CI 6.4 to 16.5) per 1000 women ages 15–49. This treatment rate declined by 16% between 2012 and 2023. Conclusions: The unintended pregnancy rate has remained stable in the past decade. However, Pakistani women are increasingly relying on abortion to resolve unintended pregnancy. The treatment rate of postabortion complications has declined, owing largely to widespread access to misoprostol. This transformation of the abortion landscape calls for concerted efforts to increase contraceptive use and strengthen postabortion care
Africa Regional Report—Pathways to Prosperity for Adolescent Girls in Africa: Kenya Focus
Full text linkThe World Bank, in partnership with the Population Council, and the Center for Global Development (CGD), launched the Pathways to Prosperity for Adolescent Girls in Africa report in October 2024. The joint report brings urgently needed focus to the challenges faced by adolescent girls across the region and presents targeted policy solutions to address their diverse experiences and needs.
The report findings were discussed in Nairobi, Kenya during a policy and evidence workshop held on March 3, 2025. The workshop shone a spotlight on the status and wellbeing of adolescent girls in Kenya and enabled stakeholders to share insights and priority actions that will set adolescent girls on the path to prosperity, positioning them as key drivers of Kenya and Africa\u27s future. The workshop brought together over 100 participants, including representatives of government ministries and county departments serving adolescents, multi-lateral agencies, youth representatives, and international, national and grassroots organizations focused on adolescents.
Key indicators on adolescent girls in Kenya are included in the Kenya country brief and this presentation
Is ethical review a barrier to the publication of research on violence against women and children for low- and middle-income country researchers?
No full textProducing and publishing research on violence against women (VAW) and violence against children (VAC) is essential for developing evidence-based solutions to these widespread issues. However, researchers in low- and middle-income countries (LMICs) face numerous challenges and structural inequities that hinder their ability to contribute to the global knowledge base. Among these, obtaining research ethics approval, which is essential for ensuring research integrity and safeguarding participant welfare, stands out as a particularly critical and often arduous hurdle. Access to research ethics approval presents significant challenges for researchers in low- and middle-income countries (LMICs), due to: (1) limited availability and accessibility of appropriate Research Ethics Committees (RECs) at universities, hospitals, or other institutions; (2) difficulties in navigating bureaucratic ethical review systems; (3) limited access to funding for research ethics approval fees, particularly for early-career researchers; (4) fee-for-service ethics review models and associated conflicts of interest; (5) limited expertise of REC members to evaluate and advise on VAW and VAC research; and (6) conflicts between international REC criteria and local mandates or expectations regarding how research should be conducted. This paper explores these barriers and inequities, providing recommendations to strengthen support and infrastructure for ethical review in LMICs. It calls for the development of accessible, contextually relevant ethical review mechanisms that uphold global standards while accommodating local realities
Violence against children and youth in refugee settings in Ethiopia: Factsheet
Full text linkThis factsheet presents key findings from the second-ever Humanitarian Violence Against Children and Youth Survey conducted in refugee camps across Ethiopia
Understanding caregivers’ and community influencers’ perspectives on the barriers to childhood immunisation in Northern Nigerian States with public-private partnerships in routine immunisation programme
No full textBackground: Despite investments by the Nigerian government and international organisations in childhood immunisation to combat child mortality, coverage in many northern states remains below the national average, thereby increasing the risk of vaccine-preventable diseases. This paper examines the barriers to immunisation in six states in northeast and northwest Nigeria, which have the lowest vaccination coverage rates in the country. Method: We conducted 24 focus group discussions (FGDs) with mothers/caregivers and community influencers who collaborate with health workers to provide routine immunisation. The socio-ecological framework informed the design of the FGDs. We thematically analysed inductively and deductively coded data on NVivo version 12. Results: Barriers to immunisation uptake included: Individual and interpersonal level - limited female mobility, adverse events after immunisation; community level - misconceptions and myths about vaccines, religious beliefs and norms, health provider-patient gender discordance, mistrust of immunisation; system level - poor health worker attitude, ineffective documentation of immunisation appointments, distance to health facilities, inadequate human resource capacity at health facilities, vaccine supply shortages, and lack of incentives. Conclusion: This study highlights the intricate barriers to immunisation uptake in northern Nigeria. Key recommendations include engaging male caregivers through tailored social and behavioural change initiatives and capacity building for health workers to improve their counselling skills on vaccine side effects. Findings from the study provide valuable insights for policymakers and programme implementers. Implementing these interventions can tackle ongoing challenges and improve routine immunisation in these states
Bridging the gaps: Advancing preconception nutrition in South Asia through evidence, policy, and action
No full textThis paper summarises the research, policy, and program gaps impeding the advancement of preconception nutrition in South Asia. In line with our evidence reviews, qualitative semi-structured interviews with researchers and programme implementers identified gaps in our understanding of the prevalence and burden of preconception malnutrition due to limited survey and programme data, poor coverage of recommended interventions, and gaps in programme knowledge on effective intervention mechanism. Key barriers identified were the lack of evidence linking preconception care with long-term maternal and child health and nutrition outcomes and how to integrate preconception nutrition interventions into national health systems. We highlight the need for evidence-based, context-specific interventions which utilise effective delivery platforms and engage appropriate actors to reach diverse groups of women and men during the preconception period. We, as part of the South Asia Preconception Nutrition Collective, present actionable recommendations to address these gaps