247 research outputs found
Additional file 2 of Young migrants’ sexual rights in Sweden: a cross-sectional study
No full textAdditional file 2. Detailed results of all questions in the five domains of sexual rights. Supplementary information of To what extent are young migrants’ sexual rights being fulfilled in Sweden? A cross-sectional study. Mazen Baroudi, Anna-Karin Hurtig, Isabel Goicolea, Miguel San Sebastian, Robert Jonzon, Faustine Kyungu Nkulu-Kalengayi
Additional file 1 of Young migrants’ sexual rights in Sweden: a cross-sectional study
No full textAdditional file 1. Full list of questions in the five domains of sexual rights. Supplementary information of To what extent are young migrants’ sexual rights being fulfilled in Sweden? A cross-sectional study. Mazen Baroudi, Anna-Karin Hurtig, Isabel Goicolea, Miguel San Sebastian, Robert Jonzon, Faustine Kyungu Nkulu-Kalengayi
Adolescent pregnancies in the Amazon Basin of Ecuador: a rights and gender approach to adolescents’ sexual and reproductive health
No full textIn the Andean region of Latin America over one million adolescent girls get pregnant every year. Adolescent pregnancy (AP) has been associated with adverse health and social outcomes, but it has also been favorably viewed as a pathway to adulthood. AP can also be conceptualized as a marker of inequity, since it disproportionately affects girls from the poorest households and those who have not been able to attend school. Using results from a study carried out in the Amazon Basin of Ecuador, this paper explores APs and adolescents’ sexual and reproductive health from a rights and gender approach. The paper points out the main features of a rights and gender approach, and how it can be applied to explore Aps. Afterward it describes the methodologies (quantitative and qualitative) and main results of the study, framing the findings within the rights and gender approach. Finally, some implications that could be generalizable to global reserach on APs are highlighted. The application of the rights and gender framework to explore APs contributes to a more integral view of the issue. The rights and gender framework stresses the importance of the interaction between rights-holders and duty-bearers on the realization of sexual and reproductive rights, and acknowledges the importance of gender–power relations on sexual and reproductive decisions. A rights and gender approach could lead to more integral and constructive interventions, and it could also be useful when exploring other sexual and reproductive health matters
What a critical public health perspective can add to the analysis of healthcare responses to gender-based violence that focus on asking
No full textAbstract In this comment I analyze the effects of approaching gender-based violence as a public health problem, that the health system should address through ‘daring to ask’. I acknowledge the potential of the ‘daring to ask’ strategy, but I also argue that asking has effects, and that we should be aware of them
Adolescent pregnancies in the Amazon basin of Ecuador : a rights and gender approach to girls' sexual and reproductive health
No full textAdolescent pregnancy has been associated with adverse health and social outcomes, but it has also been favorably viewed as a pathway to adulthood. In Ecuador, where 20% of girls aged between 15-19 years get pregnant, the adolescent fertility rate has increased and inequalities between adolescent girls from different educational, socio-economic levels and geographical regions are prominent: 43% of illiterate adolescents become pregnant compared to 11% with secondary education. The highest adolescent fertility rates are found in the Amazon Basin. The overall aim of this study was to explore adolescent pregnancy in the Amazon Basin of Ecuador (Orellana province) from a rights and gender approach. Specific aims and methodologies included: to explore women‟s reproductive health situation, focusing on government‟s obligations, utilization of services, inequities and implementation challenges, assessed through a community-based cross-sectional survey and a policy analysis (Paper I); to examine risk factors associated with adolescent pregnancy, through a case-control study (Paper II); to explore experiences and emotions around pregnancy and motherhood among adolescent girls, using content analysis (Paper III); and to analyze providers‟ and policy makers‟ discourses on adolescent pregnancies (Paper IV). Reproductive health status findings for women in Orellana indicated a reality more dismal than that depicted in official national health data and policies. Inequities existed within the province, with rural indigenous women having reduced access to reproductive health services. In Orellana, 37.4% of girls aged 15-19 had experienced pregnancy, almost double the national average. Risk factors associated with adolescent pregnancy at the behavioral level included early sexual debut and non-use of contraception, and at the structural level poverty, having suffered from sexual abuse, and family disruption. Gender inequity played a key role through the machismo-marianismo system. Girls were raised to be fearful and ignorant regarding sexuality and reproduction, to be submissive and obedient, to be fatalistic, and to accept the established order of the male and adult dominance. Sexuality was conceptualized as negative, while motherhood was idealized. Those gender structures constrained girls‟ agency, making them less able to make choices regarding their sexual and reproductive lives. Providers‟ discourses and practices were also strongly influenced by gender structures. Adolescent sexuality was not sanctioned, girls‟ access to contraceptives still faced opposition, adolescent autonomy was regarded as dangerous, and pregnancy and reproductive health issues were conceptualized as girls‟ responsibility. However, mechanisms of resistance and challenge were also found both among adolescent girls and providers. Programs addressing adolescent pregnancies in the area need to look at the general situation of women‟s reproductive health and address the gaps regarding access and accountability. Adolescent pregnancy prevention programs should acknowledge the key role of structural factors and put emphasis on gender issues. Gender inequity affects many of the factors that influence adolescent pregnancies; sexual abuse, girls‟ limited access to use contraceptives, and girls‟ curtailed capability to decide regarding marriage or sexual intercourse, are strongly linked with young women‟s subordination. By challenging negative attitudes towards adolescents‟ sexuality, the encounter between providers and adolescents could become an opportunity for strengthening girls‟ reproductive and sexual agency
Does the health system respect immigrants’ right to health? Analysing immigrant women’s healthcare access in the Basque Country
No full text92 p.Tesi honek emakume inmigranteen Euskadiko osasun zerbitzuetarako sarbidea aztertzeko helburua dauka. Ikerketa kuantitatibo batean eta bi ikerketa kualitatibotan oinarritzen da. Lehenengo ikerketarako datu bilketa, kontsulta zenbakien kontaketaren bitartez egin zen. Bigarren eta hirugarren ikerketarako, elkarrizketen bidez egin zen. Lehenengo ikerketan, Euskadin 2012. urteko legearen aldaketak dohaineko klinika baten kontsulta kopuruan izan zezaken eragina ebaluatzeko, datuei erregresio analisi binomial negatiboa aplikatu genion. Bigarren eta hirugarren ikerketetan, edukiaren analisi kualitatiboaren metodologia aplikatu genuen. Hauen helburua, emakume inmigranteen sarbiderako oztopoak ezagutzeko nahian, dohaineko kliniketan lan egiten duten osasun profesionalen pertzepzioa ezagutzea eta Afrika Sub-Sahararreko emakume inmigranteen osasun sistemarekiko pertzepzioak eta esperientziak ezagutzea zen, hurrenez hurren. Lehenengo ikerketan, ez zen erlazio argirik aurkitu legearen aldaketa eta dohaineko klinikaren kontsulta kopuruaren artean. Bigarrenaren emaitzarik esanguratsuenek, sarbidean eragiten duten faktoreak, lau talde hauetan sailkatutako faktoreetan oinarritzen dela diote: 1) inmigranteen ezaugarri pertsonalak, haien jatorriarekin estu erlazionaturik daudenak; 2) osasun zentruetako langileen inmigranteenganako jokaera; 3) osasun sistemaren ezaugarriak eta funtzionamendua eta 4) eskakizun legalak. Hirugarren ikerketaren bitartez, aurreko faktoretaz aparte, arrazismo estrukturalaren eraginak ere inmigranteen osasun zerbitzuetarako oztopoa suposatzen duela aurkitu zen. Bitartean, legeei buruzko informazioa, akonpainamendua eta sostengua jasotzeak sarbiderako faktore erraztaileak kontsideratu ziren. Hauek, profesionalengandik, gizarte erakundengandik edo sare sozial pertsonalengandik jasotzen dituztelarik. Populazio zaurgarrienen osasun zerbitzuak jasotzeko eskubidea indartzeaz aparte, diskriminazioa ekiditeko, eskubideetan oinarritutako arretaren balioa indartu behar litzateke, osasun sistema barneratzaileagoa izan dadin
Does the health system respect immigrants’ right to health? Analysing immigrant women’s healthcare access in the Basque Country
No full text92 p.Tesi honek emakume inmigranteen Euskadiko osasun zerbitzuetarako sarbidea aztertzeko helburua dauka. Ikerketa kuantitatibo batean eta bi ikerketa kualitatibotan oinarritzen da. Lehenengo ikerketarako datu bilketa, kontsulta zenbakien kontaketaren bitartez egin zen. Bigarren eta hirugarren ikerketarako, elkarrizketen bidez egin zen. Lehenengo ikerketan, Euskadin 2012. urteko legearen aldaketak dohaineko klinika baten kontsulta kopuruan izan zezaken eragina ebaluatzeko, datuei erregresio analisi binomial negatiboa aplikatu genion. Bigarren eta hirugarren ikerketetan, edukiaren analisi kualitatiboaren metodologia aplikatu genuen. Hauen helburua, emakume inmigranteen sarbiderako oztopoak ezagutzeko nahian, dohaineko kliniketan lan egiten duten osasun profesionalen pertzepzioa ezagutzea eta Afrika Sub-Sahararreko emakume inmigranteen osasun sistemarekiko pertzepzioak eta esperientziak ezagutzea zen, hurrenez hurren. Lehenengo ikerketan, ez zen erlazio argirik aurkitu legearen aldaketa eta dohaineko klinikaren kontsulta kopuruaren artean. Bigarrenaren emaitzarik esanguratsuenek, sarbidean eragiten duten faktoreak, lau talde hauetan sailkatutako faktoreetan oinarritzen dela diote: 1) inmigranteen ezaugarri pertsonalak, haien jatorriarekin estu erlazionaturik daudenak; 2) osasun zentruetako langileen inmigranteenganako jokaera; 3) osasun sistemaren ezaugarriak eta funtzionamendua eta 4) eskakizun legalak. Hirugarren ikerketaren bitartez, aurreko faktoretaz aparte, arrazismo estrukturalaren eraginak ere inmigranteen osasun zerbitzuetarako oztopoa suposatzen duela aurkitu zen. Bitartean, legeei buruzko informazioa, akonpainamendua eta sostengua jasotzeak sarbiderako faktore erraztaileak kontsideratu ziren. Hauek, profesionalengandik, gizarte erakundengandik edo sare sozial pertsonalengandik jasotzen dituztelarik. Populazio zaurgarrienen osasun zerbitzuak jasotzeko eskubidea indartzeaz aparte, diskriminazioa ekiditeko, eskubideetan oinarritutako arretaren balioa indartu behar litzateke, osasun sistema barneratzaileagoa izan dadin
Unintended pregnancy in the amazon basin of Ecuador : a multilevel analysis
No full textThis study showed the significance of individual factors in increasing the risk of unintended pregnancy, while the role of community factors was found to be negligible. In order for all women to be able to realize their right to reproductive autonomy, there needs to be a diverse range of solutions, with particular attention paid to cultural issues
¿Cómo acceden las mujeres inmigrantes a los servicios sanitarios en el País Vasco? Percepciones de profesionales sanitarias
No full textResumen: Objetivo: Explorar la percepción de las profesionales sanitarias que trabajan en centros sanitarios alternativos sobre las barreras y los facilitadores en el acceso de las mujeres inmigrantes a los servicios sanitarios públicos generales y de salud sexual y reproductiva en el País Vasco. Emplazamiento: País Vasco. Diseño: Análisis de contenido cualitativo basado en 11 entrevistas individuales. Participantes: Profesionales sanitarias que trabajan en centros sanitarios alternativos de atención primaria y salud sexual y reproductiva. Método: La recolección de datos se realizó entre septiembre y diciembre de 2015 en cuatro centros sanitarios alternativos. Tras su transcripción, se identificaron unidades de significado, códigos y categorías. Resultados: Del análisis emergieron cuatro categorías que representan cómo las características de las mujeres inmigrantes (Dime cómo eres y te diré cómo accedes), la actitud del personal administrativo y sanitario («Cuando ya les atienden, estupendamente. El problema está con los administrativos»), el funcionamiento del sistema sanitario (Sistema de salud inflexible, pasivo y receptor de necesidades) y las políticas sanitarias («Si no cumples los requisitos, pues no entras. La ley es la ley») influyen en el acceso a los servicios sanitarios públicos de las mujeres inmigrantes. Conclusiones: Este estudio indica que hay un considerable número de barreras y pocos facilitadores en el acceso de las mujeres inmigrantes a los servicios sanitarios públicos y de salud sexual y reproductiva en el País Vasco. Los centros sanitarios alternativos se presentaron como favorecedores en la mejora de la salud de la población inmigrante y en su acceso. Abstract: Objective: To determine the perception of health professionals working in alternative health centres on the barriers and facilitators in the access by immigrant women to general public health services and sexual and reproductive health in the Basque Country. Location: Basque Country. Design: Analysis of qualitative content based on 11 individual interviews. Participants: Health professionals working in alternative health centres of Primary Care and sexual and reproductive health. Method: Data collection was performed between September and December 2015 in four alternative health centres. After transcription, the units of meaning, codes and categories were identified. Results: Four categories emerged from the analysis, which represented how the characteristics of immigrant women (Tell me how you are and I will tell you how to access), the attitude of the administrative and health staff (“When they are already taken care of”), the functioning of the health system (Inflexible, passive and needs-responsive health system), and health policies (“If you do not meet the requirements, you do not go in. The law is the law”) influence access to health services of immigrant women. Conclusions: This study shows that there are a considerable number of barriers and few facilitators to the access by immigrant women to public health and sexual and reproductive health services in the Basque Country. The alternative health centres were presented as favouring the improvement of the health of the immigrant population and in their access. Palabras clave: Mujeres inmigrantes, Accesibilidad a los servicios de salud, Servicios de salud para mujeres, Consultas sanitarias alternativas, Salud sexual, Investigación cualitativa, Keywords: Immigrant women, Health services accessibility, Women's health services, Alternative health centres, Sexual health, Qualitative researc
Sisterhood at a Distance: Doing Feminist Support Work Online
No full textThe aim of this study is to analyze the characteristics of feminist peer support in the context of online chat counseling. Based on 15 interviews with female lay supporters associated with a branch of the Swedish women's shelter movement targeting young women, we explore how the digital setting—characterized by distance and anonymity—affects the meaning and doing of feminist support. Our results show that core principles of feminist support—striving for equality and trust, the crafting of safe spaces, and sharing experiences—are all renegotiated and/or accentuated by the digital setting. The chat is experienced as enabling a more equal relationship and a high level of safety. The meaning of safety has largely shifted, however, from being associated with a feminist community to safety associated with solitude and distance. We further show a tension in the respondents’ understanding of shared experiences, stressing both the importance of situated knowledges and the value of not knowing who is seeking or offering support. By combining research and material on feminist support and online youth counseling, the article offers novel perspectives on feminist counseling and social work, the power dimensions of online counseling, and the virtual space as an arena for feminist activism
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