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Full-Text Articles in Medicine and Health Sciences

Integrating Prayer And Faith In Complementary Alternative Medicine Into Treating Breast Cancer: Lived Experiences, Barbara Orticelli May 2022

Integrating Prayer And Faith In Complementary Alternative Medicine Into Treating Breast Cancer: Lived Experiences, Barbara Orticelli

Doctoral Dissertations and Projects

The purpose of this transcended phenomenological study was to describe the lived experiences of women who have survived breast cancer and how complementary alternative medicine (CAM), such as prayer and spirituality, were incorporated into their treatments. The research questions used to frame this study include: 1) How do women describe their experiences in seeking to engage faith and prayer praxis as a form of complementary alternative medicine in breast cancer treatment? 2) How do women describe their decision process in choosing faith and prayer as a form of complementary alternative medicine in their breast cancer treatment? The theory guiding this …


Prevalence, Determinants And Outcomes Of Traditional, Complementary And Alternative Medicine Use For Hypertension Among Low-Income Households In Malaysia And The Philippines, Lia M. Palileo-Villanueva, Benjamin Palafox, Arianna Maever L. Amit, Veincent Christian F. Pepito, Fadhlina Ab-Majid, Farnaza Ariffin, Dina Balabanova, Mohamad-Rodi Isa, Nafiza Mat-Nasir, Mazapuspavina My Jan 2022

Prevalence, Determinants And Outcomes Of Traditional, Complementary And Alternative Medicine Use For Hypertension Among Low-Income Households In Malaysia And The Philippines, Lia M. Palileo-Villanueva, Benjamin Palafox, Arianna Maever L. Amit, Veincent Christian F. Pepito, Fadhlina Ab-Majid, Farnaza Ariffin, Dina Balabanova, Mohamad-Rodi Isa, Nafiza Mat-Nasir, Mazapuspavina My

Ateneo School of Medicine and Public Health Publications

Background

Traditional, complementary and alternative medicine (TCAM) is used to treat a broad range of conditions. In low- and middle-income countries (LMICs), TCAM use is particularly common among those with low socio-economic status. To better understand the patterns and impact of TCAM use on the management of non-communicable diseases in these populations, this study examines the prevalence and characteristics of TCAM use for hypertension, its determinants, and its association with hypertension management outcomes and wellbeing among low-income adults in two Southeast Asian countries at different levels of economic and health system development, Malaysia and the Philippines.

Methods

We analysed cross-sectional …


Parental Online Information Access And Childhood Vaccination Decisions In North America: Scoping Review, Sarah Ashfield, Lorie Donelle Oct 2020

Parental Online Information Access And Childhood Vaccination Decisions In North America: Scoping Review, Sarah Ashfield, Lorie Donelle

Nursing Publications

Background: Immunizing children throughout their early years prevents the spread of communicable disease and decreases the morbidity and mortality associated with many vaccine-preventable diseases. Searching online allows individuals rapid access to health information. Objective: The purpose of this review was to develop an understanding of the existing literature of parents’ online health information-seeking behaviors to inform their vaccination choices for their children and to identify gaps in the literature around parents’ use of online health information and their vaccination choices. Methods: A scoping review of peer-reviewed literature from Canada and the United States was performed. The following databases were utilized …


Withania Somnifera As A Potential Future Drug Molecule For Covid-19, Vivek K. Kashyap, Anupam Dhasmana, Murali M. Yallapu, Subhash C. Chauhan, Meena Jaggi Oct 2020

Withania Somnifera As A Potential Future Drug Molecule For Covid-19, Vivek K. Kashyap, Anupam Dhasmana, Murali M. Yallapu, Subhash C. Chauhan, Meena Jaggi

School of Medicine Publications and Presentations

COVID-19 is an infection disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). COVID-19 is a mild to severe respiratory illness which has caused significant disruption to normal life over the past few months, nearly bringing parts of the world to a halt. As of 26 August 2020, more than 24 million COVID-19 infections have been reported and 821,000 deaths are associated with this disease [1]. According to the WHO (Geneva, Switzerland) and the US CDC (MD, USA), the clinical manifestation of COVID-19 is the presence of fever or chills, sore throat, dry cough, fatigue, muscle/body aches, headache, loss …


Preparing Future Health Care Workers: An Assessment Of Undergraduate Student Integrative Pre-Health Education, Haley Bevza Brennan, Pamela Erickson Jan 2020

Preparing Future Health Care Workers: An Assessment Of Undergraduate Student Integrative Pre-Health Education, Haley Bevza Brennan, Pamela Erickson

Undergraduate Papers

This paper analyzes the current state of, and demand for, integrative pre-health education in the undergraduate setting, specifically at the University of Connecticut. Students’ knowledge of, exposure to, and attitudes towards complementary and alternative medicine (CAM) are assessed through a web-based survey and semi-structured interviews. This paper compares this research with surveys conducted in undergraduate, medical school, and medical professional settings to gauge current efforts to provide a more holistic approach to educating health care workers in subjects such as mind-body therapies, lifestyle contributors to health such as diet and exercise, culturally competent care, and therapeutic techniques outside of the …


Natural Medicines, Neyda V. Gilman Jul 2019

Natural Medicines, Neyda V. Gilman

Library Scholarship

Natural Medicines is a robust and authoritative resource for information related to complementary and alternative medicines, natural therapies, natural ingredients, and natural products. The content is evidence-based with the aim of being as objective and unbiased as possible, and monographs in the database include references for the information provided (Natural Medicines 2019a). It is a fee-based subscription product, but pricing is generally fair and it can be bundled with other resources of interest. There are some inconveniences, such as not working with discovery services or allowing Boolean or quotation searching, but overall the database is easy to use, reliable, and …


The Use Of Dietary Interventions In Pediatric Patients, Shirin Madzhidova, Lusine Sedrakyan Jan 2019

The Use Of Dietary Interventions In Pediatric Patients, Shirin Madzhidova, Lusine Sedrakyan

PCOM Scholarly Papers

Complementary and alternative treatment approaches are becoming more common among children with chronic conditions. The prevalence of CAM use among US adults was estimated to be around 42% in 2015 and around 44% to 50% among adults with neurologic disorders. Studies demonstrate that children with certain chronic illnesses such as asthma, cancer, genetic disorders, attention-deficit/hyperactivity disorder (ADHD), and other neurodevelopmental disorders are treated with complementary and alternative treatments at higher rates. Dietary therapies are gaining increasing popularity in the mainstream population. Although the majority of "fad" diets do not have enough supporting evidence, some dietary therapies have been utilized for …


Attitudes And Factors Involved In Decision-Making Around Complementary And Alternative Medicines (Cams) By Older Australians: A Qualitative Study, Gisselle Gallego, Saira Gugnani, Mike Armour, Caroline A. Smith, Esther Chang Jan 2019

Attitudes And Factors Involved In Decision-Making Around Complementary And Alternative Medicines (Cams) By Older Australians: A Qualitative Study, Gisselle Gallego, Saira Gugnani, Mike Armour, Caroline A. Smith, Esther Chang

Medical Papers and Journal Articles

Introduction: Recent evidence has indicated that older Australians are increasingly turning to complementary and alternative medicines (CAMs) to address a variety of health issues. This qualitative study aimed to explore the attitudes and factors involved in decision-making around CAMs by older Australians upon the completion of a CAM educational intervention.

Methods: Men and women aged over 65 years living in New South Wales, Australia were invited to participate in semi-structured interviews after taking part in a randomised control trial. Interviews were analysed using the framework approach.

Results: A total of 20 participants aged over 65 years were interviewed. Themes captured …


The Complementary Health Approaches For Pain Survey (Chaps): Validity Testing And Characteristics Of A Rural Population With Pain, Termeh Feinberg, Dina L. Jones, Christa Lilly, Amna Umer, Kim Innes May 2018

The Complementary Health Approaches For Pain Survey (Chaps): Validity Testing And Characteristics Of A Rural Population With Pain, Termeh Feinberg, Dina L. Jones, Christa Lilly, Amna Umer, Kim Innes

Clinical and Translational Science Institute

Objectives Little is known about patterns and correlates of Complementary Health Approaches (CHAs) in chronic pain populations, particularly in rural, underserved communities. This article details the development and implementation of a new survey instrument designed to address this gap, the Complementary Health Approaches for Pain Survey (CHAPS). Design Following pilot-testing using pre-specified criteria to assess quality and comprehension in our target population, and after feedback regarding face-validity from content experts and stakeholders, the final cross-sectional self-report survey required 10–12 minutes to complete. It contained 69 demographic, lifestyle and health-related factors, and utilized a Transtheoretical Model (TTM) underpinning to assess short- …


Development Of Health Rehabilitation In Mainland China: From Traditional Chinese Medicine To Modern Western Rehabilitation Methods, Michelle Moy Apr 2018

Development Of Health Rehabilitation In Mainland China: From Traditional Chinese Medicine To Modern Western Rehabilitation Methods, Michelle Moy

Independent Study Project (ISP) Collection

The aim of this study is to understand the changes occurring in China, leading to the development of health rehabilitation. This study will portray the shift of traditional Chinese medicine to modern influences of Western rehabilitation, and will also introduce the idea of an integrated model of TCM and Western Rehabilitation.

Observations were held at a TCM hospital, a rehabilitation hospital, as well as a TCM hospital that provided modern rehabilitation services. Two online questionnaire surveys were sent out to rehabilitation health professionals working in mainland China, one of which collected quantitative data while the other collected both qualitative and …


Ontology Of Personhood In Ayurveda From The Perspective Of Patients And Physicians In Palampur, Himachal Pradesh: An Independent Study, Denise Defelice Apr 2018

Ontology Of Personhood In Ayurveda From The Perspective Of Patients And Physicians In Palampur, Himachal Pradesh: An Independent Study, Denise Defelice

Independent Study Project (ISP) Collection

Scholars in western biomedicine describe the body as a physical entity distinct from mind and soul. However, the human body in Indian systems of medicine integrates the multiple natures of personhood and is both deeply physical and spiritual. This study demonstrates the unique view of personhood, being, health, and illness in Ayurveda through literature research and interviews with practitioners and patients. This study extends past a search for the ontology of personhood in Ayurveda and discusses the implications of this ontology on the way one views oneself and the world around him or her. Through this integrative approach, this study …


Perceptions Of Complementary And Alternative Medicine In Western Society: A Focus Study On Switzerland, Sandra B. Saldana Apr 2018

Perceptions Of Complementary And Alternative Medicine In Western Society: A Focus Study On Switzerland, Sandra B. Saldana

Independent Study Project (ISP) Collection

The demand for complementary, alternative, and traditional medicine, or CAM, has been a topic of debate in Western countries like Switzerland in the past decades due to the limited evidence-based research on its effectiveness. However, countries like Switzerland have been implementing CAM in their national health insurance as a response to the pressure of demand from the people. Thus, understanding the motivations for CAM use may help medical and government institutions address the shift towards a new way of managing health and disease. The purpose of this study was to evaluate the psychosocial factors involved in influencing the patients’ perception …


The Complementary Health Approaches For Pain Survey (Chaps): Validity Testing And Characteristics Of A Rural Population With Pain, Termeh Feinberg, Dina L. Jones, Christa Lilly, Amna Umer, Kim Innes Jan 2018

The Complementary Health Approaches For Pain Survey (Chaps): Validity Testing And Characteristics Of A Rural Population With Pain, Termeh Feinberg, Dina L. Jones, Christa Lilly, Amna Umer, Kim Innes

Faculty & Staff Scholarship

Objectives

Little is known about patterns and correlates of Complementary Health Approaches (CHAs) in chronic pain populations, particularly in rural, underserved communities. This article details the development and implementation of a new survey instrument designed to address this gap, the Complementary Health Approaches for Pain Survey (CHAPS).

Design

Following pilot-testing using pre-specified criteria to assess quality and comprehension in our target population, and after feedback regarding face-validity from content experts and stakeholders, the final cross-sectional self-report survey required 10–12 minutes to com- plete. It contained 69 demographic, lifestyle and health-related factors, and utilized a Trans- theoretical Model (TTM) underpinning to …


Factors Associated With The Use Of Complementary And Alternative Medicines For Prostate Cancer By Long-Term Survivors, Sam Egger, Suzanne Hughes, David P. Smith, Suzanne Chambers, Clare Kahn, Annette Moxey, Dianne L. O'Connell Jan 2018

Factors Associated With The Use Of Complementary And Alternative Medicines For Prostate Cancer By Long-Term Survivors, Sam Egger, Suzanne Hughes, David P. Smith, Suzanne Chambers, Clare Kahn, Annette Moxey, Dianne L. O'Connell

Research outputs 2014 to 2021

Objective

To assess whether the use of complementary and alternative medicines therapies (CAMs) for prostate cancer and/or its treatment side effects by long-term survivors is associated with selected socio-demographic, clinical, health-related quality-of-life (HRQOL) and/or psychological factors.

Design, setting and participants

The Prostate Cancer Care and Outcomes Study (PCOS) is a population-based cohort study of men with prostate cancer who were aged less than 70 years at diagnosis in New South Wales, Australia. Included in these analyses were men who returned a 10-year follow-up questionnaire, which included questions about CAM use.

Methods

Validated instruments assessed patient’s HRQOL and psychological well-being. Poisson …


Anxiety, Patricia L. Gerbarg, Heather Mason Jan 2018

Anxiety, Patricia L. Gerbarg, Heather Mason

NYMC Faculty Publications

No abstract provided.


The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund Jan 2017

The Experience Of Qigong Among Women Cancer Survivors, Jennifer Sveund

Antioch University Full-Text Dissertations & Theses

Research has shown that qigong can be beneficial for a variety of health related conditions; However, evidence suggests that in the United States, a lack of well designed clinical trials limits the efficacy of qigong in the context of cancer treatment. Research has indicated that careful consideration should be given to the design of randomized control trials using qigong due to the conflicting philosophical methodologies. In the United States, qigong has been under investigated, particularly lacking are qualitative inquiries into qigong use and cancer survivorship. This study is an interpretative phenomenological inquiry that sought to understand women’s experience of qigong …


Incorporating Naturopathic Medicine Into A Hospital Setting: One Institution's Experience, Thomas Lanni, Maureen Anderson, Hallie Armstrong, Gail Elliott Patricolo Aug 2016

Incorporating Naturopathic Medicine Into A Hospital Setting: One Institution's Experience, Thomas Lanni, Maureen Anderson, Hallie Armstrong, Gail Elliott Patricolo

Articles

The number of patients seeking complementary health approaches combined with conventional treatments has grown considerably over the past decade. The current authors have previously described how an integrative medicine department was initiated and implemented at Beaumont Hospital, Royal Oak, Michigan. This article discusses how the integrative medicine department was expanded to include naturopathic medicine. This expansion was implemented because patients were taking herbs and supplements without their doctors' knowledge. This situation can be dangerous, especially for patients with cancer who are receiving chemotherapy, as various herbs and supplements can interact with treatment for these patients. Because the State of Michigan …


The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis Apr 2016

The Changing Roles And Reputations Of Dais In Rural Uttarakhand: An Investigation Into The Maternal Health Services Of Villages In Okhalkanda Block In Nainital, Jenna Davis

Independent Study Project (ISP) Collection

The dai, once a prominent figure in Indian maternal health, now faces marginalization as the government of India adopts the goal of universal institutional delivery. Under pressure from international discourse that Skilled Birth Attendants (SBAs) were more effective at lowering Maternal Mortality Rate (MMR) than Traditional Birth Attendants (TBAs) like dais (World Health Organization), dai training was discontinued and left in the hands of NGOs, while concurrently women and ASHAs were monetarily incentivized for every institutional birth (Park, 419). Yet in rural, isolated, or hilly areas like Okhalakanda block in Uttarakhand, institutional delivery is a long way from universal—only …


Short-Term Effects Of Rhythmic Sensory Stimulation In Alzheimer’S Disease: An Exploratory Pilot Study, Amy Clements-Cortés, Heidi Ahonen, Michael Evans, Morris Freedman, Lee Bartel Feb 2016

Short-Term Effects Of Rhythmic Sensory Stimulation In Alzheimer’S Disease: An Exploratory Pilot Study, Amy Clements-Cortés, Heidi Ahonen, Michael Evans, Morris Freedman, Lee Bartel

Music Faculty Publications

This study assessed the effect of stimulating the somatosensory system of Alzheimer’s disease (AD) patients at three stages of their illness with 40 Hz sound. In this AB cross-over study design, 18 participants (6 mild, 6 moderate, 6 severe) each participated in 13 sessions: one intake and 12 treatment. Treatment A consisted of 40 Hz sound stimulation and Treatment B consisted of visual stimulation using DVDs, each provided twice a week over 6 weeks for a total of 6 times per treatment. Outcome measures included: St. Louis University Mental Status Test (SLUMS), Observed Emotion Rating Scale, and behavioral observation by …


Sex Differences In The Use Of Complementary And Alternative Medicine Among Adults With Multiple Chronic Conditions, Monira Alwhaibi, Usha Sambamoorthi Jan 2016

Sex Differences In The Use Of Complementary And Alternative Medicine Among Adults With Multiple Chronic Conditions, Monira Alwhaibi, Usha Sambamoorthi

Faculty & Staff Scholarship

Objective. To examine sex differences in complementary and alternative medicine (CAM) use among adults with multiple chronic conditions. Methods. This study used a cross-sectional design with data from the 2012 National Health Interview Survey. The participants were interviewed in 2012 and the reference period for the questions in the survey varied from 1 week to 12 months prior to the interview date. The study included adults (age > 21 years) with no missing data on CAM use variables and who had multiple chronic conditions. Multivariable regression analyses were used to examine the association between sex and CAM use. Results. A significantly …


Barriers To Prevention And Treatment Of Type 2 Diabetes Mellitus: A Qualitative Analysis Of Women In East Sikkim, India, Emily Applewhite Apr 2015

Barriers To Prevention And Treatment Of Type 2 Diabetes Mellitus: A Qualitative Analysis Of Women In East Sikkim, India, Emily Applewhite

Independent Study Project (ISP) Collection

Diabetes Mellitus is a metabolic disorder that affects more people in India than anywhere else in the world (Ramachandran et. al., 2010). A recent national study concluded that Sikkim, a small northeastern state in the Himalayas, has the highest prevalence of Diabetes Mellitus compared to any other state in India. In order to determine why this is so, this study looks at the barriers women face when attempting to prevent and treat Type 2 Diabetes Mellitus (T2DM) in East Sikkim. Fieldwork for this study was facilitated by The Volunteer Health Association of Sikkim, and took place in Gangtok and a …


Differences In Referral And Use Of Complementary And Alternative Medicine Between Pediatric Providers And Patients, Brooke N. Jenkins, Nicole Vincent, Michelle Fortier Mar 2015

Differences In Referral And Use Of Complementary And Alternative Medicine Between Pediatric Providers And Patients, Brooke N. Jenkins, Nicole Vincent, Michelle Fortier

Psychology Faculty Articles and Research

Objectives

The goal of this study was to compare pediatric complementary and alternative medicine (CAM) use and pediatric health care provider CAM referral as well as identify predictors of use and referral.

Design

Surveys were administered to 283 parents/caregivers of pediatric patients and 200 pediatric health care providers (HCP).

Setting

This study took place at the Children's Hospital of Orange County (CHOC Children's) in Orange, CA.

Main outcome measures

Caregivers and HCP were provided a list of 32 CAM interventions and asked to indicate which treatments their child had ever used or which they would consider using for their child …


Surveys Of Cancer Patients And Cancer Health Care Providers Regarding Complementary Therapy Use, Communication, And Information Needs, Ngaire King, Lynda G. Balneaves, Gregory T. Levin, Thao Nguyen, Jill G. Nation, Cynthia Card, Tracy Truant, Linda E. Carlson Jan 2015

Surveys Of Cancer Patients And Cancer Health Care Providers Regarding Complementary Therapy Use, Communication, And Information Needs, Ngaire King, Lynda G. Balneaves, Gregory T. Levin, Thao Nguyen, Jill G. Nation, Cynthia Card, Tracy Truant, Linda E. Carlson

Research outputs 2014 to 2021

Background. Complementary therapies (CTs) are increasingly utilized by cancer patients. Nonetheless, patients report insufficient support from health care practitioners (HCPs) and there is a general lack of patient-practitioner communication about CT use. Best care practices suggest that HCPs should address the needs of patients, including CT use. This study examined current practices of patients and HCPs as well as their interactions relating to CTs. Methods. A total of 481 cancer outpatients and 100 HCPs completed questionnaires. Patient questions addressed CT use and information needs; HCP questions addressed knowledge, opinions and beliefs about complementary and alternative medicine. Patient-practitioner communication around CT …


Exploring The Intersection Between Folk And Conventional Medicine In Albany, Kentucky, Chloe J. Brown Dec 2014

Exploring The Intersection Between Folk And Conventional Medicine In Albany, Kentucky, Chloe J. Brown

Mahurin Honors College Capstone Experience/Thesis Projects

Approximately 60% of patients surveyed (in Albany, KY) practice folk medicine, which suggests that a significant segment of the population may practice folk medicine. Patients typically use folk medical treatments concurrently with conventional medical treatments; while the interaction of these treatments is generally innocuous or positive, folk medical treatments can sometimes be harmful, lead to negative interactions with other drugs prescribed by a conventional medical professional. Since folk medicine and conventional medicine frequently interact, it is important for medical professionals to be aware of and address folk medical practices in a conventional medical environment. In order to better address folk …


Cultural Competency In The Medical Workplace: A Look At Outpatient Clinic Nurses At A Children's Hospital In New England, Evelyn S. Callahan Apr 2014

Cultural Competency In The Medical Workplace: A Look At Outpatient Clinic Nurses At A Children's Hospital In New England, Evelyn S. Callahan

Honors Scholar Theses

This paper analyzes the current state of progress toward cultural competency in the medical workplace, specifically in the hospital setting. It compares the current writing on the topic to research done at a large New England children’s hospital. The nurses are all individuals who work in an out patient setting so they often see the same patients regularly for longer periods of time. This differs from the in-patient or floor nurses who only spend limited time with a constantly changing population of patients. The research involved one-on-one interviews and a focus group with nurses at the hospital. The focus group …


Mid-Atlantic Ethics Committee Newsletter, Spring 2014 Apr 2014

Mid-Atlantic Ethics Committee Newsletter, Spring 2014

Mid-Atlantic Ethics Committee Newsletter

No abstract provided.


Complementary And Alternative Medicine Use In Women During Pregnancy: Do Their Healthcare Providers Know?, Lisa Strouss, Amy Mackley, Ursula Guillen, David A Paul, Robert Locke Mar 2014

Complementary And Alternative Medicine Use In Women During Pregnancy: Do Their Healthcare Providers Know?, Lisa Strouss, Amy Mackley, Ursula Guillen, David A Paul, Robert Locke

Student Papers, Posters & Projects

BACKGROUND: The National Institutes of Health reported in 2007 that approximately 38% of United States adults have used at least one type of Complementary and Alternative Medicine (CAM). There are no studies available that assess general CAM use in US pregnant women.The objectives of our study were to determine the prevalence and type of CAM use during pregnancy at one medical center; understand who is using CAM and why they are using it; and assess the state of patients' CAM use disclosure to their obstetrical providers.

METHODS: A cross-sectional survey study of post-partum women was done to assess self-reported CAM …


A Tale Of Two Needles, Chengyi Liu Sep 2013

A Tale Of Two Needles, Chengyi Liu

SURGE

Looking back, I guess the name should have been my first clue. “Alternative” medicine? “Complementary” medicine? What is it about these medical practices, which to me are completely traditional, that places them in a secondary position to other medicinal options in the United States? [excerpt]


Complementary And Alternative Medicine: The History, Current Prevalence, And Future Projections, Melissa J. De Nijs Apr 2013

Complementary And Alternative Medicine: The History, Current Prevalence, And Future Projections, Melissa J. De Nijs

Senior Honors Theses

Complementary and alternative medicine (CAM) has been used for centuries. Common methods include chiropractic, diet, yoga, and prayer. Though some methods have proven more successful than others, many have insufficient data to support claims of effectiveness.

A survey of medical professionals involving twenty-seven CAM methods was conducted in order to evaluate modern perceptions of complementary and alternative medicine. They were asked their experience with CAM, their personal opinion regarding its effectiveness, and how likely they would be to recommend a CAM treatment to a patient.

It has been hypothesized that more CAM treatments will be utilized in the future. This …


Provider Imposed Restrictions To Clients' Access To Family Planning In Urban Uttar Pradesh, India: A Mixed Methods Study, Lisa S. Calhoun, Ilene S. Speizer, Rajiv N. Rimal, Pooja Sripad, Nilesh Chatterjee, Pranita Achyut, Priya Nanda Jan 2013

Provider Imposed Restrictions To Clients' Access To Family Planning In Urban Uttar Pradesh, India: A Mixed Methods Study, Lisa S. Calhoun, Ilene S. Speizer, Rajiv N. Rimal, Pooja Sripad, Nilesh Chatterjee, Pranita Achyut, Priya Nanda

Prevention and Community Health Faculty Publications

Background

Medical barriers refer to unnecessary policies or procedures imposed by health care providers that are not necessarily medically advised; these restrictions impede clients' access to family planning (FP). This mixed methods study investigates provider imposed barriers to provision of FP using recent quantitative and qualitative data from urban Uttar Pradesh, India.

Methods

Baseline quantitative data were collected in six cities in Uttar Pradesh, India from service delivery points (SDP), using facility audits, exit interviews, and provider surveys; for this study, the focus is on the provider surveys. More than 250 providers were surveyed in each city. Providers were asked …