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At least 505 records · Page 28Linked to original sources
PubMed2004

Using evidence to improve reproductive health quality along the Thailand-Burma border.

The Mae Tao Clinic, located on the Thailand-Burma border, has provided health services for illegal migrant workers in Thailand and internally displaced people from Burma since 1989. In 2001, the clinic launched a project with the primary aim of improving reproductive health services and the secondary aim of building clinic capacity in monitoring and evaluation (M&E). This paper first presents the project's methods and key results. The team used observation of antenatal care and family-planning sessions and client exit interviews at baseline and follow-up, approximately 13 months apart, to assess performance on six elements of quality of care. Findings indicated that improving programme readiness contributed to some improvement in the quality of services, though inconsistencies in findings across the methods require further research. The paper then identifies lessons learned from introducing M&E in a resource-constrained setting. One key lesson was that a participatory approach to M&E increased people's feelings of ownership of the project and motivated staff to collect and use data for programme decision-making to improve quality.

Continuity of Patient Care↗
PubMed1999

Women's reproductive health: some recent developments in occupational epidemiology.

Epidemiological research on occupational hazards and reproductive health is an expanding and strongly developing area. This article focuses on some recent areas of occupational reproductive epidemiology that are or seem to be important for the future. Interest in the research on fertility has increased during the past decade, and time to pregnancy has proved to be a useful measure of fertility. The research on menstrual function or early fetal loss is still limited, and further research is desirable. It is important to chart the advantages and disadvantages of various methods for measuring these outcomes. Recently developed methods of exposure assessment provide new possibilities to improve the validity of exposure data. Biological exposure markers can also provide useful dosimeters for reproductive studies. Research on the reproductive effects of job stress and individual susceptibility to reproductive toxicants is also gaining in importance.

Disease Susceptibility↗
PubMed1999

Shankar: reproductive health teaching aids kit for adolescent boys.

Currently being developed by the Thoughtshop Foundation in collaboration with the Child In Need Institute in West Bengal, this kit is intended to help peer educators in generating awareness about reproductive health issues among rural adolescent boys and men through discussions and other activities. The central theme is men's responsibility for their sexual behavior and the reproductive and sexual health of their partners. In five modules, the kit tells the story of Shankar, a boy 13 years old. Each module consists of a flip chart and accompanying visual aids/activities. The modules are as follows: 1) Puberty, self-esteem, responsibility; 2) Knowledge of changes which girls experience during puberty; 3) Childbirth; 4) Contraception--why/how; 5) Safer sex, hygiene, STD/HIV/AIDS.

Adolescent↗
PubMed2006

Poor uptake of reproductive health screening services by female renal transplant recipients.

Women with functioning renal transplants are a high-risk group for de novo malignancies and other gynaecological health problems. The objective of this study was to assess patients' awareness of gynaecological issues, and to assess uptake of cervical and breast cancer screening services. A structured questionnaire on family planning, menopausal issues and knowledge/use of cervical and breast cancer screening was administered to 64 female renal transplant recipients. 58 (91%) responded to the questionnaire. Mean age at first transplantation was 35 years (range 11 - 69). 84% were aware as to why they should have regular cervical smears. 15 (26%) had, however, never had a smear and only 9 (16%) were having yearly smears. 12 of 28 postmenopausal women entered the menopause under the age of 41 years, but only 5 of these had received Hormone Replacement Therapy. Breast self examination is practiced by 71%, but only 26% have had mammograms. These figures suggest that female renal transplant patients are not adequately screened for cervical and breast cancer. The results also indicate a need for further education regarding family planning issues and menopausal health concerns. We conclude that formal gynaecological review should be routinely available for women with renal transplants.

Adult↗
PubMed1995

Standards of care in reproductive health services.

Standards of care for all medical services are designed by and for professionals and generally follow medical professional society guidelines. Most managed care organizations rely on professional medical standards of practice, which provide broad guidelines to providers. Family planning agencies, on the other hand, generally follow Title X program guidelines, which provide specific standards of care. The Title X guidelines include detailed instructions about service delivery and program content. The differences between these two sets of standards result in a wide variation in practice guidelines across the spectrum of health care providers. From the patient perspective, evaluation of care is generally not related to professional standards, but instead focuses on quality measures related to access and interpersonal aspects of care. The member satisfaction surveys developed by some managed care organizations now have a large enough sample size to provide meaningful measures of patient satisfaction at the individual provider level. A uniform set of practice guidelines is needed for family planning services that incorporates the strengths of all three approaches and that link performance to generally accepted practice guidelines.

Adolescent↗
PubMed1989

Reproductive health of Asian women: a comparative study with hospital and community perspectives.

A comparative study of Asian and non-Asian women's reproductive health was performed. The hospital case notes of 48 Asian and 51 non-Asian women, matched for age, were examined. Asian women had shorter stature, bigger families, booked later for antenatal care, and were less likely to have a cervical smear taken. Of the above, 30 Asian and 24 non-Asian women were interviewed in their homes. Many Asian women had difficulties with the English language and a low literacy rate which gave rise to communication barriers during health care. Their knowledge of procedures and tests such as amniocentesis, self examination of the breast etc. was comparatively low. Fewer Asians attended parent-craft classes or did post-natal exercises. Many disliked, and some refused, vaginal examination by male doctors. Despite equal access, Asian women were less well informed and made lesser use of services. Lack of knowledge and difficulties of communication, rather than negative attitudes, may explain Asian women's lesser use of services and to some extent the poor outcome of pregnancy observed in many studies.

Adult↗
PubMedDate not supplied

[Toxocariasis: spread and impact on reproductive health].

To study the prevalence of toxocariasis and its impact on the reproductive health of inhabitants in the Saratov Region, enzyme immunoassay was used to examine 1404 patients, including 210 children, 912 females, and 282 males. Toxocariasis was shown to be a risk factor of male (oligoasthenozoospermia) and female (tuboperitoneal) infertility. The high incidence of toxocariasis in females with reproductive dysfunction (recurrent abortion) and an aggravated obstetric history complicated by chronic renal diseases is indicative of the existence of the urogenital form of toxocariasis. Toxocariasis greatly increases a risk of giving birth to a baby with clinical manifestations of intrauterine infection (IUI), promotes homeostatic disorder and the formation of long-term pathology in babies with IUI. At the same time, there was a significant relationship of abnormal cardiotocograms to toxocariasis and to the presence of Trichomonas, Mycoplasma, Chlamydia, and Cytomegalovirus.

Abortion, Spontaneous↗
PubMedDate not supplied

[Morbidity and reproductive health of female students of higher school].

The studies demonstrated a low level of somatic and reproductive health of female students. An increase of morbidity was recorded during recent 3 years, with specific characteristics in each age groups. An unfavorable model of reproductive and sexual behavior is characteristic of students in general. Under present conditions, the authors emphasize the priority trend of family planning service in work with young people, specifically with students as a population representing the economic, working, and reproductive potential of the country.

Adolescent↗