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Health Care for Women International

Jaya Gupta, Myra Betron, Jane Brown, Rosemary Morgan
In this paper, a case is made for mainstreaming gender into global women's health programming and policies. The potential implications of conflating "gender" with "women'" in the design and evaluation of women's health programming are first considered. HIV/AIDS case studies are then used to depict examples of (a) where gender has been well integrated and (b) where policies fall short of gender mainstreaming. Finally, practical approaches to mainstream gender in a meaningful way into the design and evaluation of women's health programming and policies are provided for practitioners and researchers...
May 20, 2019: Health Care for Women International
Paul E Nevin, Magaly Blas, Angela Bayer, Marina Angelica Chiappe Gutierrez, Deepa Rao, Yamilé Molina
Peruvian women experience high mortality from reproductive cancers, partially due to suboptimal cancer care utilization and experiences. In this qualitative study, we examined factors contributing to positive cancer care experiences. Our sample included 11 cancer patients and 27 cancer providers who attended the First International Cancer Symposium survivorship conference in Lima, Peru in 2015. We conducted thematic analysis. Emergent themes revealed that, for patients, individualized empathic care by providers was an important facilitator to positive cancer care experiences...
May 15, 2019: Health Care for Women International
Myriam Denov, Antonio Piolanti
We explored the reality of mothers of children born of rape during the Rwandan genocide, particularly as it related to psychological well-being, stigma, recovery, and discussed relevant issues for mental health and psycho-social support interventions. Forty-four mothers participated in semi-structured qualitative interviews. Participants reported long-term psychological impacts resulting from sexual violence. Stigmatization and rejection from family and community aggravated psychological distress and affected their capacity to recover...
May 14, 2019: Health Care for Women International
Binita Desai, Jayendrakumar K Kosambiya, Bharat Patel, Apurva Barve, Ambuj Kumar, Kristen J Wells
In this qualitative study, we investigated knowledge about reproductive tract infections (RTIs) and commercial sex work among female textile workers of Surat, India. We analyzed data from three focus groups conducted with 18 women using content analysis. Participants had some knowledge about the symptoms of RTIs; however, they had limited knowledge about RTI prevention, transmission, and treatment. None used condoms consistently for RTI prevention. The women attributed economic hardship as one of the main reasons for engaging in commercial sex work...
May 14, 2019: Health Care for Women International
Sophie M Morse, Michele R Decker
Colombia has an extensive policy framework to address violence against women. In this qualitative study the authors address the health system and policy response to sexual violence in Bogotá. Interviews were conducted with doctors, nurses, and social workers (n = 46) in emergency departments at public hospitals in Bogotá in 2015, and were analyzed for thematic content. Key findings were compared with district and national policies and 2013 WHO clinical and policy guidelines. Most providers exhibited sensitivity towards victims, but reported inadequate capacity building, undermining policy implementation...
May 14, 2019: Health Care for Women International
Shamsun Nahar, Cecilia Mengo
Women disproportionately confront disparate barriers in accessing reproductive health services across the world. We used qualitative interpretive meta-synthesis (QIMS) to explore cultural barriers that women face in reproductive health decision making and access to reproductive health services in developing countries of South Asia and sub-Saharan Africa. Our findings indicated that experience with domestic violence, son preference, and lack of financial independence were some of the crucial obstacles that women face to enjoy reproductive rights...
May 14, 2019: Health Care for Women International
Adebola Adegboyega, Mollie Aleshire, Mark Dignan, Jennifer Hatcher
Sub-Saharan African immigrant (SSAI) men have significant influence on the health-seeking behavior including cervical cancer screening uptake by their female partners/wives. We conducted a qualitative descriptive study with 21 SSAI men to explore knowledge, perceptions, and support related to cervical screening. Participants were aged 36 ± 9 years, college educated (88%), and 53% have lived in the U.S. > 5 years. Three themes emerged; inadequate cervical cancer knowledge, willingness and strategies for support, and shared versus autonomous decision making for screening...
May 14, 2019: Health Care for Women International
Adi Noy, Orit Taubman-Ben-Ari, Iris Morag, Jacob Kuint
In this study, the researchers examined, from an attachment theory perspective, changes in mothers' (n = 707) perception of the marital relationship over the course of the two years following childbirth. We found a decline in perceived quality of mothers' marital relationship over time, as well as several significant associations between birth circumstances (assisted reproductive technology, first/non-first baby), insecure attachment, and certain forms of support from the grandmothers on the one hand, and marital quality immediately after childbirth and over time on the other...
May 2, 2019: Health Care for Women International
Iwona Malicka, Justyna Hanuszkiewicz, Marek Woźniewski
Physical activity (PA) is an important element of healthy lifestyle, plays a major part in primary and secondary prevention of environmental illness. We examined the level of PA over a period of 7 days using Silva ex3 Connect pedometers in women after breast cancer treatment (BCT). Participants were selected from rural areas with restricted access to recreational and rehabilitative services. Women post BCT exhibited a low level of PA, though not deviating significantly from that of healthy women of the same age...
April 29, 2019: Health Care for Women International
Gloria Peel Giarratano, Veronica Barcelona, Jane Savage, Emily Harville
The health and well-being of pregnant women during and after natural disasters remains an international concern. In this mixed methods study we described pregnant women's mental health, psychosocial concerns and sources of stress living in New Orleans during long term recovery from Hurricane Katrina. Our survey of 402 pregnant women indicated poor social support was associated with higher levels of depression symptomology, post-traumatic stress disorder, anxiety, and stress. Women were interviewed and described seven common areas of worry...
April 26, 2019: Health Care for Women International
Favorite Iradukunda
Observing food taboos during pregnancy might have impacts on maternal and neonatal health outcomes. The author's purpose in this review was to explore the most common food taboos during pregnancy and potential health implications. PubMed, CINAHL, and Web of Science were searched. We identified more than 50 types of tabooed food during pregnancy with examples such as fresh meat, eggs, and different varieties of fruits and vegetables. While observing food taboos may predispose women to poor nutrition outcomes, some taboos could potentially protect women against unhealthy eating habits...
April 18, 2019: Health Care for Women International
Virginia Zweigenthal, Anna Strebel, Jo Hunter-Adams
In South Africa, exclusive breastfeeding rates are low, and rates of teenage pregnancy are high. Educational policy enables mothers' return to school, which conflicts with policy emphasizing exclusive breastfeeding. We elicited adolescent women's perceptions and experiences of infant feeding choices, and conducted six focus groups (N = 57) in two periurban settlements. Participants knew arguments in favor of and against breast and formula-feeding, but in practice, mixed feeding occurred early after birth...
April 17, 2019: Health Care for Women International
Dipa Sharma Gautam, Gesine Hearn
In Nepal, a large gap exists between non-dalit and dalit women in regard to maternal mortality and prenatal care. Especially rural Dalits are far behind non-dalits in utilizing prenatal care. We explored rural dalit women's prenatal practices and barriers to accessing prenatal care. Interviews revealed that lack of cultural and economic capital, unequal domestic and economic burden, and gender and caste discrimination impact the use of prenatal care. The use of prenatal care might be improved by informing women about free services and incentives, better access and transportation, and heightened sensitivity to the situation of these women...
April 16, 2019: Health Care for Women International
Fernanda Gontijo Araújo, Gustavo Velasquez-Melendez, Mariana Santos Felisbino-Mendes
The authors estimated the prevalence and trends of overweight, obesity, diabetes and hypertension among Brazilian women of reproductive age. A time series was constructed with Vigitel data from 2008 to 2015 and we analyzed trends of the prevalence of these conditions, considering sociodemographic characteristics. We observed an increasing trend in prevalence of overweight, obesity, and diabetes (for some sociodemographic characteristics), and stationary trends for hypertension. Our results highlight the need for early interventions in lifestyle of this population to reduce the NCDs risk factors burden and potentially contribute to improve maternal and neonatal outcomes and reduce the NCDs load...
April 15, 2019: Health Care for Women International
Alexandra J Hawkey, Jane M Ussher, Janette Perz
In this study, adult migrant and refugee women's negotiation of sexual agency in the context of marriage is explored. In Sydney, Australia and Vancouver, Canada, 78 semistructured individual interviews, and 15 focus groups, comprised of 82 participants, were conducted with women who had recently migrated from Afghanistan, Iraq, Somalia, South Sudan, Sudan, Sri Lanka, and South America. Women's negotiation of sexual agency was evident with respect to husband choice, disclosure of sexual desire, pleasure, pain, and sexual consent...
April 15, 2019: Health Care for Women International
Toshiaki Aizawa
In this study, we estimate the effects of health insurance on the out-of-pocket expenditure on health care for maternal delivery in Indonesia. Distinguishing between the types of health insurance, we explore heterogeneity in the size of the impact of noncontributory insurance for poor households vis-à-vis contributory insurance for nonpoor households. We find that noncontributory insurance and contributory insurance reduce the average out-of-pocket expenditure by 1,136,966 IDR ( <mml:math xmlns:mml="http://www...
April 15, 2019: Health Care for Women International
Karen Synne Groven, Ellen Berg Svendby, Gro Rugseth
During the past years, co-production in medical and health related research has gained more focus. The purpose is to ensure that researchers - and the individuals that the research is relevant and has consequences for - will develop and produce the research, and accordingly also, the results together. In our understanding, the eventual success of co-production in research has to be based on some sort of sensitivity to and negotiation as to the perspectives and categories describing the research theme. In this article, based on empirical data from interviews with adolescents participating in treatment for lifestyle change, we explore the significance of the researchers' sensitivity for adolescents' resistance during the interview process...
April 8, 2019: Health Care for Women International
Sandra Cairo de Oliveira Amaral, Filipa Pimenta, João Marôco, Clemax Couto Sant'Anna
Brazil has a high prevalence of pediatric asthma, which can be a stressor to parents/caretakers. Researchers aimed to assesses the efficacy of a stress reduction intervention for mothers of children/adolescents with asthma through a randomized controlled study. Stress, anxiety, and depression were evaluated in three moments. The intervention group (n = 20), entailed 5-weekly sessions; the control group (n =34) had waiting list format. There was a significant decrease in stress, anxiety, and depression in the intervention group...
April 8, 2019: Health Care for Women International
Linda Murray, Nicole McDonald, Vo Van Thang
There is little research on beliefs and practices regarding unsettled infant behavior and infant sleep in low and lower-middle income countries such as Vietnam. Here, researchers used a participatory qualitative visual method (photo-elicitation) to investigate how infant settling was perceived "through the eyes" of new mothers in Central Vietnam. Four qualitative themes emerged from the data: "loneliness in the midst of the crowd", "finding the right position", "protecting from cold", and "affection and exhaustion"...
April 5, 2019: Health Care for Women International
Farnoosh Asgharvahedi, Leila Gholizadeh, Soraya Siabani
Cardiovascular disease (CVD) remains the main cause of morbidity and mortality in women worldwide. Apart from the well-established risk factors, some adverse pregnancy outcomes have been found to be associated with increased risk of CVD in women. We reviewed the literature on the risk of CVD in women with a history of pregnancy loss (miscarriage and/or stillbirth). Electronic databases including MEDLINE and CINAHL were searched for English language articles published from 2000 to July 2016. Following the application of study inclusion and exclusion criteria, we selected seven studies for review...
April 5, 2019: Health Care for Women International
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