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Full-Text Articles in Medicine and Health Sciences
Health + Equality + School Engagement: Scenarios Usa Reinvents Sex Education, Rafael Mazin, Andrea Lynch
Health + Equality + School Engagement: Scenarios Usa Reinvents Sex Education, Rafael Mazin, Andrea Lynch
Poverty, Gender, and Youth
This issue of Quality/Calidad/Qualité highlights the experience of Scenarios USA, an innovative nonprofit program that has integrated a gender and rights perspective—and a critical-thinking approach—into sex education curricula, while fostering new pedagogies and greater awareness among teachers. Scenarios USA approaches sexual health not as a stand-alone issue but as intertwined with young people’s overall lives and agency. As such, the organization’s “sex ed” work is part of a broader strategy of fostering self-expression, leadership, and advocacy among youth, especially among those living in marginalized communities. The approach has made Scenarios a vanguard in the field of sexuality education. Scenarios’ experience …
The Reproductive Health Of Young People In Egypt, Nahla G. Abdel-Tawab, Noha Roushdy, Maia Sieverding
The Reproductive Health Of Young People In Egypt, Nahla G. Abdel-Tawab, Noha Roushdy, Maia Sieverding
Poverty, Gender, and Youth
This Population Council brief presents results from the Survey of Young People in Egypt (SYPE) on reproductive health (RH). The SYPE results underscore the need for: the assessment of state and civil society initiatives to transmit RH information; a national, comprehensive, age-appropriate reproductive health module to be integrated into the educational program; a national campaign on HIV/AIDS and other sexually transmitted infections that targets young people of reproductive age; the integration of female circumcision into a broader approach to youth reproductive health and bodily rights; specialized reproductive health services for married adolescent girls; and further research on sexuality and reproductive …
The Role Of Schools In Promoting Sexual And Reproductive Health Among Adolescents In Developing Countries, Cynthia B. Lloyd
The Role Of Schools In Promoting Sexual And Reproductive Health Among Adolescents In Developing Countries, Cynthia B. Lloyd
Poverty, Gender, and Youth
This Population Council working paper reviews the state of knowledge about relationships between schooling and adolescent reproductive health. With the spread of mass schooling and the growing share of adolescents who attend school, the opportunities for synergies between health and education policies and programs are growing. Data on cross-country variations in health conditions on the one hand, and variations in attendance and attainment patterns and school systems on the other hand, provide a framework for assessing alternative approaches to the promotion of adolescent sexual and reproductive health in different contexts. Disappointing findings from recent school-based reproductive health interventions in poor …
My Father Didn't Think This Way': Nigerian Boys Contemplate Gender Equality, Françoise Girard
My Father Didn't Think This Way': Nigerian Boys Contemplate Gender Equality, Françoise Girard
Poverty, Gender, and Youth
One of the lessons emerging from adolescent programs around the world is the need to create settings where young men can question things that are often seen as unquestionable, such as what it means to be a man. This issue explores the Conscientizing Male Adolescents (CMA) program in Nigeria which, unlike many programs targeting adolescent boys that emphasize short-term activities aimed at preventing disease and unwanted pregnancy, is a long-term program focusing on sexism and critical-thinking skills. An initial evaluation indicates that such programs affirm that we do know how to engage young men, and that historically reinforced gender attitudes …
« Mon Père Pensait Autrement » : Des Garçons Nigérians Réfléchissent À L'Égalité Entre Les Sexes, Françoise Girard
« Mon Père Pensait Autrement » : Des Garçons Nigérians Réfléchissent À L'Égalité Entre Les Sexes, Françoise Girard
Poverty, Gender, and Youth
L’une des leçons émergeant des programmes pour adolescents dans le monde entier concerne la nécessité de créer des cadres où les jeunes hommes peuvent remettre en question ce qui est souvent considéré comme incontestable, par exemple ce que signifie « être un homme ». Ce numéro décrit le programme nigérian « Conscientiser les adolescents de sexe masculin » (CMA, Conscientizing Male Adolescents). Contrairement à beaucoup de programmes visant les adolescents de sexe masculin, qui mettent l’accent sur des activités à court terme destinées à prévenir la maladie et les grossesses non désirées, le modèle proposé par CMA est un programme …
What About Us? Bringing Infertility Into Reproductive Health Care, Okonofua Friday, Bishakha Datta
What About Us? Bringing Infertility Into Reproductive Health Care, Okonofua Friday, Bishakha Datta
Poverty, Gender, and Youth
Infertility is a major reproductive health problem throughout much of the world. Despite the prevalence and seriousness of infertility, the population and reproductive health field has largely neglected this problem. National policies and international donor organizations have been one-sided in their focus on programs designed to prevent unwanted pregnancies. This issue of Quality/Calidad/Qualité, with clinic-based narratives and case reports from India and Nigeria, illustrates what is involved in trying to address the problem of infertility in developing countries. A possible framework for incorporating limited infertility care into a family planning or reproductive health program includes providing education and counseling, preliminary …
From Patna To Paris: Providing Safe And Humane Abortion, Carmen Barroso, Martha Brady, Batya Elul, Shelley Clark, Sneh Vishwanath, Sunanda Rabindranathan
From Patna To Paris: Providing Safe And Humane Abortion, Carmen Barroso, Martha Brady, Batya Elul, Shelley Clark, Sneh Vishwanath, Sunanda Rabindranathan
Poverty, Gender, and Youth
With access to safe, legal abortion under severe constraint or debate in many parts of the world, less attention has been paid to the issue of quality of abortion care. This issue of Quality/Calidad/Qualité explores two programs that operate in very different settings but with a shared commitment to providing high-quality abortion care in a context of broader reproductive health services: the Clinique d’Orthogénie of Broussais Hospital in France and Parivar Seva Sanstha in India. In both programs, each woman or girl who arrives for abortion receives crucial basic care, including: appropriate medical treatment to ensure complete abortion and safe …
El Método Cope Para Mejorar El Cuidado De La Atención: La Experiencia De La Asociación Para La Planificación Familiar De Kenia, Janet Bradley, Judith Bruce, Soledad Diaz, Carlos Huezo, Kalimi Mworia
El Método Cope Para Mejorar El Cuidado De La Atención: La Experiencia De La Asociación Para La Planificación Familiar De Kenia, Janet Bradley, Judith Bruce, Soledad Diaz, Carlos Huezo, Kalimi Mworia
Poverty, Gender, and Youth
Esta es la primera de varias ediciones de Quality/Calidad/Qualité que describen métodos concebidos para ayudar tanto a los directores como al personal de los programas de planificación familiar a efectuar una evaluación propia de la calidad de los servicios que prestan. Estas herramientas dan a los patrocinadores de los programas la oportunidad de identificar las deficiencias en su entorno de servicio y proponer soluciones. El informe examina la experiencia de la Asociación Nacional de Planificación Familiar de Kenia, proporciona algunas lecciones aprendidas y demuestra que estos ejercicios de autoevaluación están, de hecho, dando como resultado una mejora de la calidad …
Using Cope To Improve Quality Of Care: The Experience Of The Family Planning Association Of Kenya, Janet Bradley, Judith Bruce, Soledad Diaz, Carlos Huezo, Kalimi Mworia
Using Cope To Improve Quality Of Care: The Experience Of The Family Planning Association Of Kenya, Janet Bradley, Judith Bruce, Soledad Diaz, Carlos Huezo, Kalimi Mworia
Poverty, Gender, and Youth
This is the first of several editions of Quality/Calidad/Qualité that describe methodologies designed to assist family planning program managers and staff to self-assess the quality of services they are providing. These tools give program sponsors an opportunity to identify shortfalls in their service environment and propose solutions. This issue focuses on AVSC International's COPE (client-oriented, provider-efficient) methodology, a self-assessment tool that has now been used in 35 countries around the world. The report examines the experience of the National Family Planning Association of Kenya, provides some lessons learned, and demonstrates that these self-assessment exercises are, in fact, resulting in system-wide …
Introducing Sexuality Within Family Planning: The Experience Of Three Hiv/Std Prevention Projects From Latin America And The Caribbean, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla
Introducing Sexuality Within Family Planning: The Experience Of Three Hiv/Std Prevention Projects From Latin America And The Caribbean, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla
Poverty, Gender, and Youth
This edition of Quality/Calidad/Qualité relates the experience of three family planning associations affiliated with the International Planned Parenthood Federation/Western Hemisphere Region that have tried to incorporate an HIV/AIDS prevention strategy into their existing family planning programs and services. It examines how BEMFAM/Brazil, ASHONPLAFA/ Honduras, and FAMPLAN/Jamaica have made a transition toward a range of family planning services more focused on the clients themselves and more explicit in the treatment of sexual themes. In each of the three countries, the staff received special training that not only enabled them to provide information on HIV/AIDS, but also helped them adopt a broader …
Integrando La Sexualidad En La Planificación Familiar: La Experiencia De Tres Proyectos De Vih/Ets En América Latina Y El Caribe, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla
Integrando La Sexualidad En La Planificación Familiar: La Experiencia De Tres Proyectos De Vih/Ets En América Latina Y El Caribe, Julie Becker, Elizabeth Leitman, Mahmoud F. Fathalla
Poverty, Gender, and Youth
Esta edición de Quality/Calidad/Qualité relata la experiencia de tres asociaciones de planificación familiar afiliadas con la International Planned Parenthood Federation/Western Hemisphere Region que han tratado de incorporar una estrategia de prevención del VIH/SIDA en su esquema de trabajo cotidiano. Se examina cómo BEMFAM/Brasil, ASHONPLAFA/Honduras, y FAMPLAN/Jamaica han logrado una transición hacia una oferta de servicios de planificación familiar más enfocada en los clientes mismos y más explícita en el tratamiento de temas sexuales. En cada uno de los tres países, el personal recibió capacitación especial que no sólo los habilitó para proveer información sobre el VIH/SIDA, sino que también les …
Gente Joven: Un Diálogo Sobre La Sexualidad Con Adolescentes Mexicanos, Magaly Marques, John M. Paxman, Judith Bruce
Gente Joven: Un Diálogo Sobre La Sexualidad Con Adolescentes Mexicanos, Magaly Marques, John M. Paxman, Judith Bruce
Poverty, Gender, and Youth
Este número de Quality/Calidad/Qualité relata la experiencia de Gente Joven, un programa de educacion sexual para adolescentes en Mexico. Gente Joven comenzó reconociendo una realidad: que los problemas relativos a la sexualidad no desaparecen por mucho que tratemos de negar su existencia. A través de los años los dirigentes de Gente Joven han aprendido, y siguen aprendiendo, muchas lecciones sobre como diseñar un programa eficaz para adolescentes. En estas páginas ellos comparten algunas de esas experiencias y el epilogo explora con mayor detalle un tema que Gente Joven ha identificado como su próximo gran desafío: una reconsideración del programa desde …
Doing More With Less: The Marie Stopes Clinics In Sierra Leone, Nahid Toubia, Grace Ebun Delano
Doing More With Less: The Marie Stopes Clinics In Sierra Leone, Nahid Toubia, Grace Ebun Delano
Poverty, Gender, and Youth
This edition of Quality/Calidad/Qualité reports on the Marie Stopes Sierra Leone (MSSL) organization which pursues its goals with compassion and ambition, despite seemingly insurmountable economic hardships. MSSL has established a service model that many programs in richer countries should try to imitate. Several particularly important lessons emerged, including: creative, skillful management, well-organized and flexible financial administration, and human motivation and perseverance can enable an organization to overcome financial difficulties; family planning is an integral part of people's reproductive and general health concerns and can dovetail with concern for development in useful and practical ways; men appreciate being involved in the …
El Coletivo: Un Colectivo Feminista De Salud Y Sexualidad Femenina En Brasil, Margarita Diaz, Debbie Rogow, Jose Barzelatto
El Coletivo: Un Colectivo Feminista De Salud Y Sexualidad Femenina En Brasil, Margarita Diaz, Debbie Rogow, Jose Barzelatto
Poverty, Gender, and Youth
Este ejemplar de Quality/Calidad/Qualité narra la historia de un grupo de mujeres brasileñas que se formó en 1981 con el convencimiento compartido—no tan extendido entonces como ahora—de que los enfoques convencionales sobre la salud de la mujer y los servicios de planificación familiar estaban dominados por una perspectiva médica incapaz de dar cuenta de la relación entre sexualidad y anticoncepción, y que además restaba poder de las usuarias. Fundaron el Coletivo, que maneja una clínica, un instituto de capacitación, y un programa de educación pública que ha “dado voz” a miles de mujeres, ha proporcionado un liderazgo al gobierno brasileño …
The Coletivo: A Feminist Sexuality And Health Collective In Brazil, Margarita Diaz, Debbie Rogow, Jose Barzelatto
The Coletivo: A Feminist Sexuality And Health Collective In Brazil, Margarita Diaz, Debbie Rogow, Jose Barzelatto
Poverty, Gender, and Youth
This issue of Quality/Calidad/Qualité tells the story of a group of Brazilian women who came together in 1981 with the shared belief—not as widely understood then as it is now—that conventional approaches to women's health and family planning services were overly medicalized, incapable of dealing with the relationship between sexuality and contraception, and disempowering to clients. They started the Coletivo which runs a clinic, a training institute, and a public education program that has “given voice” to thousands of women, provided leadership to the Brazilian government and women’s health movement, and has been active in research and international policy affairs. …
Gente Joven/Young People: A Dialogue On Sexuality With Adolescents In Mexico, Magaly Marques, John M. Paxman, Judith Bruce
Gente Joven/Young People: A Dialogue On Sexuality With Adolescents In Mexico, Magaly Marques, John M. Paxman, Judith Bruce
Poverty, Gender, and Youth
This issue of Quality/Calidad/Qualité describes the experience of one adolescent sexuality program, Gente Joven in Mexico. Gente Joven began by acknowledging reality: that the problems related to teenage sexuality will not go away simply by denying their existence. Along the way Gente Joven learned, and is continuing to learn, many lessons about how to build a successful program for adolescents. Here they share their experiences and the Afterword explores in greater depth one particular issue that Gente Joven has identified as its next major challenge: re-examining their work with young people from a gender perspective.
By And For Women: Involving Women In The Development Of Reproductive Health Care Materials, Valerie J. Hull, Barbara L. Ibrahim, Nadia Farah, Blanca Figueroa, Margaret Winn
By And For Women: Involving Women In The Development Of Reproductive Health Care Materials, Valerie J. Hull, Barbara L. Ibrahim, Nadia Farah, Blanca Figueroa, Margaret Winn
Poverty, Gender, and Youth
The studies in this issue of Quality/Calidad/Qualité describe three efforts to involve women in the development of reproductive health care materials in different settings in the developing world. In Cairo, a women's health collective produced a comprehensive reference book for women; in Peru, a woman's group, with the extensive involvement of their nonliterate audience, developed a series of illustrated teaching materials; and in the South Pacific, an all-woman production crew produced three motivation and teaching videos developed in response to the expressed needs of Pacific Island women. Despite contrasts in the characteristics of the intended audiences, the development process, and …
Por Y Para Mujeres: Motivando Su Participación En El Desarrollo De Materiales Para La Atención En Salud Reproductiva, Valerie J. Hull, Barbara L. Ibrahim, Nadia Farah, Blanca Figueroa, Margaret Winn
Por Y Para Mujeres: Motivando Su Participación En El Desarrollo De Materiales Para La Atención En Salud Reproductiva, Valerie J. Hull, Barbara L. Ibrahim, Nadia Farah, Blanca Figueroa, Margaret Winn
Poverty, Gender, and Youth
Los estudios en este número de Calidad/Quality/Qualité describen tres esfuerzos para involucrar a las mujeres en el desarrollo de materiales de atención de salud reproductiva en diferentes escenarios del mundo en desarrollo. En El Cairo, un colectivo de salud de mujeres elaboró un libro comprehensivo de consulta para mujeres; en Perú, un grupo de mujeres, con una gran participación de su audiencia analfabeta, desarrolló una serie de materiales ilustrados para la enseñanza; y en el Pacífico del Sur, un grupo de producción integrado por mujeres, produjó tres videos motivacionales y para la enseñanza, desarrollados como respuesta a las necesidades expresadas …
The Bangladesh Women's Health Coalition, Bonnie J. Kay, Adrienne Germain, Maggie Bangser
The Bangladesh Women's Health Coalition, Bonnie J. Kay, Adrienne Germain, Maggie Bangser
Poverty, Gender, and Youth
The Bangladesh Women's Health Coalition (BWHC) represents an important initiative in the movement toward more responsive modes of family planning delivery. In the context of a society where there are strict limits on the social role and physical mobility of most girls and women, BWHC has set itself the ambitious goal of enabling women—no matter what their income or education—to learn how to manage their own reproductive health and the health of their children in a way that enhances their sense of strength and competence. One of the real strengths of BWHC has been its willingness to learn from experience …
Man/Hombre/Homme: Respuestas A Las Necesidades De La Salud Reproductiva Masculina En América Latina, Debbie Rogow, Judith Bruce, Ann Leonard
Man/Hombre/Homme: Respuestas A Las Necesidades De La Salud Reproductiva Masculina En América Latina, Debbie Rogow, Judith Bruce, Ann Leonard
Poverty, Gender, and Youth
Esta edición de Quality/Calidad/Qualité responde a la siguiente pregunta: ¿cómo pueden los programas de planificación familiar entender y atender mejor a los intereses de los hombres? Las propuestas del artículo se derivan de la experiencia de PRO-PATER, en São Paulo, Brasil, y brevemente, de las actividades de la Clínica para el Hombre de Profamilia en Colombia. Las experiencias de tanto PRO-PATER como Profamilia sugieren que, aunque las necesidades de salud reproductiva de los hombres pueden ser distintas a las que expresan las mujeres, de todas maneras ellos están muy interesados. Queda claro que existe una abundante demanda para servicios de …
Man/Hombre/Homme: Meeting Male Reproductive Health Care Needs In Latin America, Debbie Rogow, Judith Bruce, Ann Leonard
Man/Hombre/Homme: Meeting Male Reproductive Health Care Needs In Latin America, Debbie Rogow, Judith Bruce, Ann Leonard
Poverty, Gender, and Youth
This edition of Quality/Calidad/Qualité answers the following question: how can family planning programs understand and better serve the interests of men? The proposals in the article are derived from the experience of PRO-PATER, in São Paulo, Brazil, and briefly, from the activities of the Profamilia Men’s Clinic in Colombia. The experiences of both PRO-PATER and Profamilia suggest that, although the reproductive health needs of men may be different from those of women, they are still very interested. It is clear that there is abundant demand for high-quality services that offer convenience, confidentiality, information, attentive providers, and attention to reproductive health …
Celebrating Mother And Child On The Fortieth Day: The Sfax Tunisia Postpartum Program, Francine Coeytaux, Beverly Winikoff
Celebrating Mother And Child On The Fortieth Day: The Sfax Tunisia Postpartum Program, Francine Coeytaux, Beverly Winikoff
Poverty, Gender, and Youth
This edition of Quality/Calidad/Qualité gives information about a postnatal family planning program in the Sfax Center of the Tunisia Maternity and Newborns Hospital. This program, developed jointly by the national family planning program and the Maternity staff, has had extraordinary success in getting more mothers to return after six weeks for their postnatal visit. During the visit, the period between births is discussed; and family planning services are offered as an important means for achieving both the recovery and good health of the mother, as well as the physical and mental development of the infant. The report describes a few …
Festejando A La Madre Y Al Bebé En El Cuarentavo Día El Programa Post-Parto De Sfax, Tunicia, Francine Coeytaux, Beverly Winikoff
Festejando A La Madre Y Al Bebé En El Cuarentavo Día El Programa Post-Parto De Sfax, Tunicia, Francine Coeytaux, Beverly Winikoff
Poverty, Gender, and Youth
En esta edición de Quality/Calidad/Qualité se da información sobre un programa de planificación familiar postnatal que se lleva a cabo en el Centro Sfax del Hospital de Tunisia para Maternidad y Recién Nacidos. Este programa, desarrollado conjuntamente por el programa nacional de planificación familiar y por el personal de Maternidad, ha tenido extraordinario éxito en lograr que un mayor número de madres regresen después de seis semanas a su visita postnatal. Durante la visita, el período entre nacimientos se discute; y se ofrecen servicios de planificación familiar como medio importante para lograr tanto la recuperación y la buena salud de …