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An Approach to Medical Emergencies in Forced Displacement Settings
Published in Miriam Orcutt, Clare Shortall, Sarah Walpole, Aula Abbara, Sylvia Garry, Rita Issa, Alimuddin Zumla, Ibrahim Abubakar, Handbook of Refugee Health, 2021
Natalie Roberts, Louisa Baxter, Maryam Omar, Halfdan Holger Knudsen, Clare Shortall
Any medical intervention for SGBV should be delivered alongside mental health and psychosocial support and legal and protection activities including shelter. Female displaced populations face in general specific challenges in relation to sexual and reproductive health and rights (see Chapter 14.1).
Young key populations in Southern Africa
Published in Kaymarlin Govender, Nana K. Poku, Preventing HIV Among Young People in Southern and Eastern Africa, 2020
Jane Freedman, Tamaryn L. Crankshaw, Carolien Aantjes, Russell Armstrong, Nana K. Poku
The health and well-being of young people (10–24 years) is vital to the social and economic development goals of the Africa continent, which is home to a youthful and growing population.1 Protecting the sexual and reproductive health and rights (SRHR)2 of these young people is clearly a fundamental requisite. However, there remain substantial barriers to young people accessing quality health services, and they face a range of serious health challenges, particularly with regard to their sexual and reproductive health (SRH) (Kabiru, 2013; Fatusi, 2016). In sub-Saharan Africa, HIV prevention remains a persistent challenge among young people, where 37% of all new infections are among youth aged 15–24 and where females are disproportionately affected (UNAIDS, 2019). Likewise, there exist high rates of teenage pregnancy, unsafe abortion and maternal mortality and morbidity in the region, all underpinned by pervasive sexual and gender-based violence (SGBV) and harmful cultural and gendered practices (Juma and Klot, 2011; Anderson, 2015).
The decriminalisation of abortion in Colombia as cautionary tale. Social movements, numbers and socio-technical struggles in the promotion of health as a right
Published in Emily E. Vasquez, Amaya Perez-Brume, Richard G. Parker, Social Inequities and Contemporary Struggles for Collective Health in Latin America, 2020
At first, these groups’ actions were relatively uncoordinated without a clear leadership. However, the appointment of conservative activists at key state institutions triggered a big counter-mobilisation against sexual and reproductive health and rights and specifically against the decriminalisation of abortion. In 2009, a prominent conservative public official, Alejandro Ordoñez, was appointed as General Prosecutor, head of the Procuraduría General de la Nación. This institution was created by the 1991 Constitution to cover the duties of both Inspector General and Attorney General. This institution should enforce the Constitution, general laws, judicial decisions and administrative acts.
Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study
Published in Sexual and Reproductive Health Matters, 2023
Daniel Maceira, Silvia Oizerovich, Gabriela Perrotta, Rodolfo Gómez Ponce de León, Ariel Karolinski, Natalia Suarez, Natalia Espinola, Sonja Caffe, Venkatraman Chandra-Mouli
The legal framework for sexual and reproductive health and rights in Argentina has led to the development and execution of several very important public policies and programmes nationwide, including those focused on reducing unintended pregnancies among adolescents. Among these is the creation of the national sexual health and family planning programme (PNSSyPR, from the name in Spanish) by Law 25,673 in 2002. This law guarantees access to information, counselling, public services at the primary level and referral when needed, as well as the free provision of contraceptive methods to guarantee access and coverage to the most vulnerable populations nationwide. The Division of Sexual and Reproductive Health offers technical assistance and trainings for healthcare providers and leaders, generates clinical guidelines and protocols, monitors actions in the different provinces and regions and carries out other actions together with other related government bodies to inform and educate the general population.
Breaking the silence around infertility: a scoping review of interventions addressing infertility-related gendered stigmatisation in low- and middle-income countries
Published in Sexual and Reproductive Health Matters, 2023
Trudie Gerrits, Hilde Kroes, Steve Russell, Floor van Rooij
This scoping review builds upon a study commissioned by Share-Net International (SNI), the International Knowledge Platform on Sexual and Reproductive Health and Rights, in preparation for the Co-Creation Conference “Breaking the Silence on Infertility”, held in Amsterdam in 2019.22b The study aimed to identify existing interventions related to infertility (and if available, their effectiveness), as well as gaps in infertility policies, programmes and interventions. It included a review of interventions in three priority areas: (1) the prevention of infertility; (2) access to quality (in)fertility care, and (3) destigmatisation of infertility and childlessness.22c To capture an overview of the different types of existing interventions, a combination of research methods was used: academic database searches, Google and social media searches, and primary data collection (key informant interviews and focus groups; described below). In this article, we build on the third priority area (destigmatisation).
Implementing medical abortion through telemedicine in Colombia: a qualitative study
Published in Sexual and Reproductive Health Matters, 2023
Nora Piay-Fernández, Emma Stenbacka, Mariana Calderón Jaramillo, Giovanni Guerrero, Alejandro Antonio Solano Rodríguez, Paola Montenegro, Diana Carolina Moreno, Amanda Cleeve
Our findings indicate that at an early stage of implementation, TM for medical abortion was positively viewed and deemed feasible by healthcare providers and others involved in its implementation in Colombia. Pre-implementation training and clinical experience among those implementing and coordinating the service, as well as a strong leadership, played a central role in overcoming implementation bottlenecks at the individual and organisational level. In Colombia, TM for medical abortion can overcome barriers in access to abortion care. However, concerns for medical safety among implementers and contextual challenges, such as the regulatory environment, communication-related limitations and social opposition to abortion, remain to be addressed to allow TM for medical abortion to live up to its full potential. Lessons learnt from this study may be useful for those wishing to implement or scale-up TM for medical abortion with the goal of realising sexual and reproductive health and rights for all.