Barriers to accessing reproductive healthcare

Institutional factors There were several key factors that were common barriers preventing access for beer promoters to the institutions providing sexual and reproductive health care services in these four Asian capitals.

access to reproductive health services

In addition, each site hosted a minimum of four focus groups of key informants. Big city people know what to do when they go to the hospital. Laos, FG BP 3 The beer promoter from Laos quoted above was somewhat unique in her experience among her cohorts from her country. Despite a few differences amongst the surveyed population, the findings were remarkably similar across the four research sites.

All co-investigators reviewed and approved the final draft. Each Asian co-investigator led a team with a country research manager and two research assistants. As a poor beer promoter from the countryside, she was both unaware of this practice and unable to afford it. This research design was an exploratory sequential design, in which the qualitative first phase was used to explore the issues and inform the development of the quantitative survey tool used in the second phase [ 17 ].

Examples of srhr services

There were some differences between the demographic variables in the four countries. The voice of the youth project which is implemented by African Medical and Research Foundation AMREF aims at empowering young girls in Mtwara region to demand, access and utilize quality sexual reproductive health services [ 13 ]. This amount was deemed appropriate by local researchers as a stipend to replace lost wages, and not so large as to be coercive [ 22 ]. The first phase consisted of qualitative focus groups with beer promoters and key informants while the second phase was a survey of beer promoters and case studies of health care institutions. Therefore, there is a need to integrate youth friendly services in health facilities and advocate for behavior change. The purpose of these focus groups was to understand the barriers and facilitators of access for beer promoters to sexual and reproductive health care. The women commonly reported having sex outside of their primary relationship. Initiation ceremonies, early marriages and gender disparities were mentioned as social-cultural barriers to SRH rights. Services sought included; education, family planning and voluntary counseling and testing. The case studies are published in a separate paper [ 16 ]. Our work has found that restricting abortion is not beneficial to women and can interfere with women's reproductive decision making, leading to a number of emotional and financial harms.

While they were raised in the countryside of their respective countries, these women moved to the cities for employment, recognizing that their options to make a living at home were few. In one survey, 15 percent of respondents reported being asked by their employer to engage in sexual relations with a customer [ 10 ].

Table 1 Phase 1 Research Participants Full size table The phase 2 survey of beer promoters was conducted during February to April in each of the four research locations.

All focus groups were held in the local language and were recorded. Translation was done by the local research team members who were present during the focus groups to minimize errors [ 23 ].

Personal factors affecting access were shyness and fear, lack of knowledge, and support from family and friends.

introduction to adolescent reproductive health
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