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1.
Lima; Perú. Ministerio de Salud; 20210300. 21 p. tab.
Monografía en Español | MINSAPERÚ | ID: biblio-1151999

RESUMEN

El documento contiene las medidas técnicas, administrativas y procedimientos para acceder a los servicios de salud sexual y reproductiva, en el marco de la emergencia sanitaria por la COVID-19.


Asunto(s)
Atención , Pesos y Medidas , Registros , Infecciones por Coronavirus , Técnicas , Servicios de Salud Reproductiva
3.
BMC Public Health ; 21(1): 276, 2021 02 03.
Artículo en Inglés | MEDLINE | ID: mdl-33536001

RESUMEN

BACKGROUND: Policymakers and health professionals prefer to use summarized evidence of practice recommendations. The aim of this scoping review is therefore to identify available guidelines, consensus statements, the standard of practice, and practice recommendations on reproductive health service provision during the COVID-19 pandemics. METHODS: We searched guideline databases and websites of professional associations and international organizations working on sexual and reproductive health. We looked for practice recommendations on sexual reproductive health services (SRH) during COVID-19 pandemics. Additionally, we searched: MEDLINE, EMBASE, and Google Scholar. Data extraction was done by two independent reviewers using a customized tool that was developed to record the key information of the source that's relevant to the review question. The difference between the two authors on data extraction was resolved by discussion. RESULTS: A total of 21 records were included in the review. Identified recommendations were classified into thematic areas. The records addressed approaches to antenatal care, labour and delivery, postnatal care, safe abortion, contraception, gender-based violence, and artificial reproduction. CONCLUSIONS: There were consistent consensus statements and recommendations that there should be access to sexual and reproductive health services like antenatal care (ANC), postnatal care (PNC), contraception service, safe abortion care, and clinical management of rape survivors during the COVID-19 pandemics with the concerted effort of service re-organization. The practice recommendations focus on innovative ways of service provision to minimize patient and staff exposure to COVID-19 as well as alleviate the burden on the health care system. These include utilizing telemedicine and community/home-based care or self-care.


Asunto(s)
Servicios de Salud Reproductiva , Consenso , Humanos , Guías de Práctica Clínica como Asunto
4.
Reprod Health ; 18(1): 47, 2021 Feb 23.
Artículo en Inglés | MEDLINE | ID: mdl-33622376

RESUMEN

BACKGROUND: Integrating family planning into child immunization services may address unmet need for contraception by offering family planning information and services to postpartum women during routine child immunization visits. However, policies and programs promoting integration are often based on insubstantial or conflicting evidence about its effects on service delivery and health outcomes. While integration models vary, many studies measure integration as binary (a facility is integrated or not) rather than a multidimensional and varying continuum. It is thus challenging to ascertain the determinants and effects of integrated service delivery. This study creates Facility and Provider Integration Indexes, which measure capacity to support integrated family planning and child immunization services and applies them to analyze the extent of integration across 400 health facilities. METHODS: This study utilizes cross-sectional health facility (N = 400; 58% hospitals, 42% primary healthcare centers) and healthcare provider (N = 1479) survey data that were collected in six urban areas of Nigeria for the impact evaluation of the Nigerian Urban Reproductive Health Initiative. Principal Component Analysis was used to develop Provider and Facility Integration Indexes that estimate the extent of integration in these health facilities. The Provider Integration Index measures provider skills and practices that support integrated service delivery while the Facility Integration Index measures facility norms that support integrated service delivery. Index scores range from zero (low) to ten (high). RESULTS: Mean Provider Integration Index score is 5.42 (SD 3.10), and mean Facility Integration Index score is 6.22 (SD 2.72). Twenty-three percent of facilities were classified as having low Provider Integration scores, 32% as medium, and 45% as high. Fourteen percent of facilities were classified as having low Facility Integration scores, 38% as medium, and 48% as high. CONCLUSION: Many facilities in our sample have achieved high levels of integration, while many others have not. Results suggest that using more nuanced measures of integration may (a) more accurately reflect true variation in integration within and across health facilities, (b) enable more precise measurement of the determinants or effects of integration, and (c) provide more tailored, actionable information about how best to improve integration. Overall, results reinforce the importance of utilizing more nuanced measures of facility-level integration.


Asunto(s)
Prestación Integrada de Atención de Salud , Servicios de Planificación Familiar , Administración de Instituciones de Salud , Programas de Inmunización , Servicios de Salud Reproductiva , Adulto , Niño , Preescolar , Estudios Transversales , Prestación Integrada de Atención de Salud/organización & administración , Prestación Integrada de Atención de Salud/normas , Servicios de Planificación Familiar/organización & administración , Servicios de Planificación Familiar/normas , Servicios de Planificación Familiar/provisión & distribución , Femenino , Instituciones de Salud/normas , Administración de Instituciones de Salud/métodos , Administración de Instituciones de Salud/normas , Indicadores de Salud , Humanos , Programas de Inmunización/organización & administración , Programas de Inmunización/normas , Programas de Inmunización/provisión & distribución , Lactante , Recién Nacido , Masculino , Nigeria/epidemiología , Embarazo , Salud Reproductiva/normas , Servicios de Salud Reproductiva/organización & administración , Servicios de Salud Reproductiva/normas , Servicios de Salud Reproductiva/provisión & distribución , Encuestas y Cuestionarios , Población Urbana/estadística & datos numéricos , Vacunación/métodos , Vacunación/estadística & datos numéricos
7.
JMIR Mhealth Uhealth ; 9(1): e19109, 2021 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-33448930

RESUMEN

BACKGROUND: Digital health usability assessments can help explain how well mobile health (mHealth) apps targeting young people with sexual and reproductive health (SRH) information performed and whether the intended purpose was achieved. However, few digital health assessments have been conducted to evaluate young people's perceptions regarding mHealth system interactions and content relevance on a wide range of SRH topics. In addition, the majority of randomized controlled trials (RCTs) have focused on push messaging platforms; therefore, the mHealth field lacks sufficient RCTs investigating on-demand mHealth SRH platforms. OBJECTIVE: The objective of this study was to explore young people's experiences using an on-demand SRH mHealth platform in Kenya. METHODS: We used qualitative data related to the usability of an mHealth platform, Adolescent/Youth Reproductive Mobile Access and Delivery Initiatives for Love and Life Outcome (ARMADILLO), collected at the end of the intervention period. A total of 30 in-depth interviews (IDIs) were held with the intervention participants (15 women and 15 men) to elicit their experiences, opinions, and perspectives on the design and content of the ARMADILLO platform. The study participants were randomly selected from a list of intervention arm participants to participate in the IDIs. The interviews were later transcribed verbatim, translated into English, and coded and analyzed thematically using NVivo version 12 software (QSR International). RESULTS: Respondents reported varied user experiences and levels of satisfaction, ranging from ease of use by the majority of the respondents to systematic frustrations that prevented some participants from progressing to other stages. Interesting features of the mHealth platform included the immediate response participants received when requesting messages, weekly remunerated quizzes, and perceived ability of educative and informative content and messages to change behaviors. Proposed enhancements to the platform included revising some concepts and words for easy understanding and increasing the interactivity of the platform, whereby young people could seek clarity when they came across difficult terms or had additional questions about the information they received. CONCLUSIONS: The importance of understanding the range of health literacy and technological variations when dealing with young people cannot be overemphasized. Young people, as mHealth end users, must be considered throughout intervention development to achieve optimum functionality. In addition, young people targeted with mHealth SRH interventions must be sensitized to the interactions on mHealth platforms or any other digital health apps if implemented in a nonresearch setting for optimal use by the targeted audience.


Asunto(s)
Teléfono Celular , Salud Reproductiva , Telemedicina , Envío de Mensajes de Texto , Adolescente , Adulto , Prestación de Atención de Salud , Femenino , Humanos , Entrevistas como Asunto , Kenia , Masculino , Investigación Cualitativa , Servicios de Salud Reproductiva/organización & administración , Adulto Joven
8.
Artículo en Inglés | MEDLINE | ID: mdl-33477290

RESUMEN

Background: In low-income countries such as Benin, most people have poor access to healthcare services. There is scarcity of evidence about barriers to accessing healthcare services in Benin. Therefore, we examined the magnitude of the problem of access to healthcare services and its associated factors. Methods: We utilized data from the 2017-2018 Benin Demographic and Health Survey (n = 15,928). We examined the associations between the demographic and socioeconomic characteristics of women using multilevel logistic regression. The outcome variable for the study was problem of access to healthcare service. Adjusted odds ratios (AORs) with 95% confidence intervals (95% CI) were estimated. Results: Overall, 60.4% of surveyed women had problems in accessing healthcare services. Partner's education (AOR = 0.70; 95% CI; 0.55-0.89), economic status (AOR = 0.59; 95% CI; 0.47-0.73), marital status (AOR = 0.44; 95% CI; 0.39-0.51), and parity (AOR = 1.85; 95% CI; 1.45-2.35) were significant individual-level factors associated with problem of access to healthcare. Region (AOR = 5.24; 95% CI; 3.18-8.64) and community literacy level (AOR = 0.69; 95% CI; 0.51-0.94) were the main community-level risk factors. Conclusions: Enhancing husband education through adult education programs, economic empowerment of women, enhancing national education coverage, and providing priority for unmarried and multipara women need to be considered. Additionally, there is the need to ensure equity-based access to healthcare services across regions.


Asunto(s)
Prestación de Atención de Salud/organización & administración , Accesibilidad a los Servicios de Salud , Servicios de Salud Reproductiva/organización & administración , Adulto , Actitud Frente a la Salud , Teorema de Bayes , Benin , Femenino , Encuestas de Atención de la Salud , Instituciones de Salud , Conocimientos, Actitudes y Práctica en Salud , Servicios de Salud , Humanos , Análisis Multinivel , Embarazo , Factores Socioeconómicos
10.
Int Perspect Sex Reprod Health ; 46(Suppl 1): 83-89, 2020 12 14.
Artículo en Inglés | MEDLINE | ID: mdl-33326403

RESUMEN

COVID-19 has compromised and disrupted sexual and reproductive health (SRH) across multiple dimensions: individual-level access, health systems functioning, and at the policy and governance levels. Disruptions to supply chains, lockdown measures and travel restrictions, and overburdened health systems have particularly affected abortion access and service provision. The pandemic, rather than causing new issues, has heightened and exposed existing fractures and fissures within abortion access and provision. In this viewpoint, we draw on the concept of "structural violence" to make visible the contributing causes of these ruptures and their inequitable impact among different groups.


Asunto(s)
Aborto Inducido/psicología , Accesibilidad a los Servicios de Salud , Disparidades en Atención de Salud , Racismo/psicología , Servicios de Salud Reproductiva , Femenino , Humanos , Pandemias , Política , Embarazo , Determinantes Sociales de la Salud , Violencia
11.
PLoS One ; 15(12): e0242046, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33347460

RESUMEN

INTRODUCTION: Delivering integrated sexual and reproductive health services (SRHS) in emergencies is important in order to save lives of the most vulnerable as well as to combat poverty, reduce inequities and social injustice. More than 60% of preventable maternal deaths occur in conflict areas and especially among the internally displaced persons (IDP). Between 2016 and 2018, unprecedented violence erupted in the Kasaï's region, in the Democratic Republic of Congo (DRC), called the Kamuina Nsapu Insurgency. During that period, an estimated three million of adolescent girls and women were forced to flee; and have faced growing threat to their health, safety, security, and well-being including significant sexual and reproductive health challenges. Between August 2016 and May 2017, the "Sous-Cluster sur les violences basées sur le genre (SC-VBG)" in DRC (2017) reported 1,429 Gender Based Violence (GBV) incidents in the 49 service delivery points in the provinces of Kasaï, Kasaï Central and Kasaï Oriental. Rape cases represented 79% of reported incidents whereas sexual assault and forced marriage accounted for respectively 11% and 4% of Gender Based Violence (GBV) among women and adolescent girls. This study aims to assess the availability of SRHS in the displaced camps in Kasaï; to evaluate the SRHS needs of young girls and women in the reproductive age (12-49). Studies of sexual and reproductive health (SRH) in the Democratic Republic of Congo (DRC) have often included adolescent girls under the age of 15 because of high prevalence of child marriage and early onset of childbearing, especially in the humanitarian context. According to the 2013 Demographic and Health Survey (DHS), about 16% of surveyed women got married by age 14 while the prevalence of early child marriage (marriage by 15) was estimated at 30%; to assess the use of SRHS services and identify barriers as well as challenges for SRH service delivery and use. Findings from this study will help provide evidence to inform towards more needs-based and responsive SRH service delivery. This is hoped for ultimately improve the quality and effectiveness of services, when considering service delivery and response in humanitarian settings. DATA AND METHODS: We will conduct a mixed-methods study design, which will combine quantitative and qualitative approaches. Based on the estimation of the sample size, quantitative data will be drawn from the community-based survey (500 women of reproductive age per site) and health facility assessments will include assessments of 45 health facilities and 135 health providers' interviews. Qualitative data will comprise materials from 30 Key Informant Interviews (KII) and 24 Focus Group Discussions (FGDs), which are believed to achieve the needed saturation levels. Data analysis will include thematic and content analysis for the KIIs and FGDs using ATLAS.ti software for the qualitative arm. For the quantitative arm, data analysis will combine frequency and bivariate chi-square analysis, coupled with multi-level regression models, using Stata 15 software. Statistic differences will be established at the significance level of 0.05. We submitted this protocol to the national ethical committee of the ministry of health in September 2019 and it was approved in January 2020. It needs further approval from the Scientific Oversee Committee (SOC) and the Provincial Ministry of Health. Prior to data collection, informed consents will be obtained from all respondents.


Asunto(s)
Prestación Integrada de Atención de Salud/organización & administración , Refugiados/psicología , Servicios de Salud Reproductiva/organización & administración , Salud de la Mujer , Adolescente , Adulto , Niño , República Democrática del Congo , Femenino , Humanos , Persona de Mediana Edad , Salud Reproductiva , Salud Sexual , Adulto Joven
12.
JAMA Netw Open ; 3(12): e2030214, 2020 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-33337495

RESUMEN

Importance: Sexual and reproductive health services are a primary reason for care seeking by female young adults, but the association of the 2010 Patient Protection and Affordable Care Act Dependent Coverage Expansion (ACA-DCE) with insurance use for these services has not been studied to our knowledge. Insurer billing practices may compromise dependent confidentiality, potentially discouraging dependents from using insurance or obtaining care. Objective: To evaluate the association between implementation of ACA-DCE and insurance use for confidential sexual and reproductive health services by female young adults newly eligible for parental coverage. Design, Setting, and Participants: For this cross-sectional study, a difference-in-differences analysis of a US national sample of commercial claims from January 1, 2007, to December 31, 2009, and January 1, 2011, to December 31, 2016, captured insurance use before and after policy implementation among female young adults aged 23 to 25 years (treatment group) who were eligible for dependent coverage compared with those aged 27 to 29 years (comparison group) who were ineligible for dependent coverage. Data were analyzed from January 2019 to February 2020. Exposures: Eligibility for parental coverage under the ACA-DCE as of 2010. Main Outcomes and Measures: Probability of insurance use for contraception and Papanicolaou testing. Emergency department and well visits were included as control outcomes not sensitive to confidentiality concerns. Linear probability models adjusted for age, plan type, annual deductible, comorbidities, and state and year fixed effects, with SEs clustered at the state level. Results: The study sample included 4 690 699 individuals (7 268 372 person-years), with 2 898 275 in the treatment group (mean [SD] age, 23.7 [0.8] years) and 1 792 424 in the comparison group (mean [SD] age; 27.9 [0.8] years). Enrollees in the treatment group were less likely to have a comorbidity (77.3% vs 72.9%) and more likely to have a high deductible plan (14.6% vs 10.1%) than enrollees in the comparison group. Implementation of the ACA-DCE was associated with a -2.9 (95% CI, -3.4 to -2.4) percentage point relative reduction in insurance use for contraception and a -3.4 (95% CI, -3.9 to -3.0) percentage point relative reduction in Papanicolaou testing in the treatment vs comparison groups. Emergency department and well visits increased 0.4 (95% CI, 0.2-0.7) and 1.7 (95% CI, 1.3-2.1) percentage points, respectively. Conclusions and Relevance: The findings suggest that implementation of the ACA-DCE was associated with a reduction in insurance use for sexual and reproductive health services and an increase in emergency department and well health visits by female young adults newly eligible for parental coverage. Some young people who gained coverage under the expansion may not be using essential, confidential services.


Asunto(s)
Cobertura del Seguro/tendencias , Seguro de Salud , Servicios de Salud Reproductiva , Salud Sexual , Servicios de Salud para Mujeres , Anticoncepción/estadística & datos numéricos , Estudios Transversales , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Humanos , Revisión de Utilización de Seguros , Seguro de Salud/organización & administración , Seguro de Salud/estadística & datos numéricos , Medicaid/estadística & datos numéricos , Prueba de Papanicolaou/estadística & datos numéricos , Patient Protection and Affordable Care Act , Servicios de Salud Reproductiva/economía , Servicios de Salud Reproductiva/estadística & datos numéricos , Salud Sexual/economía , Salud Sexual/estadística & datos numéricos , Estados Unidos , Servicios de Salud para Mujeres/economía , Servicios de Salud para Mujeres/estadística & datos numéricos , Adulto Joven
13.
Pan Afr Med J ; 35(Suppl 2): 143, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33193958

RESUMEN

Zimbabwe reported its first case of COVID-19 on 20 March 2020, and since then the number has increased to over 4000. To contain the spread of the causative SARS-CoV-2 and prepare the healthcare system, public health interventions, including lockdowns, were imposed on 30 March 2020. These resulted in disruptions in healthcare provision, and movement of people and supply chains. There have been resultant delays in seeking and accessing healthcare by the patients. Additionally, disruption of essential health services in the areas of maternal and child health, sexual and reproductive health services, care for chronic conditions and access to oncological and other specialist services has occurred. Thus, there may be avoidable excess morbidity and mortality from non-COVID-19 causes that is not justifiable by the current local COVID-19 burden. Measures to restore normalcy to essential health services provision as guided by the World Health Organisation and other bodies needs to be considered and implemented urgently, to avoid preventable loss of life and excess morbidity. Adequate infection prevention and control measures must be put in place to ensure continuity of essential services whilst protecting healthcare workers and patients from contracting COVID-19.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud , Pandemias , Neumonía Viral/epidemiología , Enfermedad Crónica/epidemiología , Control de Enfermedades Transmisibles/organización & administración , Continuidad de la Atención al Paciente , Infecciones por Coronavirus/prevención & control , Guías como Asunto , Recursos en Salud/provisión & distribución , Accesibilidad a los Servicios de Salud , Humanos , Pacientes no Asegurados , Medicina , Modelos Teóricos , Mortalidad , Neoplasias/terapia , Pandemias/prevención & control , Aceptación de la Atención de Salud , Equipo de Protección Personal/provisión & distribución , Neumonía Viral/prevención & control , Servicios de Salud Reproductiva/provisión & distribución , Organización Mundial de la Salud , Zimbabwe/epidemiología
14.
Lancet HIV ; 7(10): e711-e720, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33010243

RESUMEN

Despite a large and growing body of literature on sexual and reproductive health (SRH) and HIV integration, the drivers of integration of SRH and HIV services, from a health systems perspective, are not well understood. These drivers include complex so-called hardware (structural and resource) and software (values and norms, and human relations and interactions) factors. Two groups of software factors emerge as essential enablers of effective integration of SRH and HIV services that often interact with systems hardware: (1) leadership, management, and governance processes and (2) provider motivation, agency, and relationships. Evidence suggests the potential for software elements that are essential enablers to overcome some of the obstacles posed by the non-integration of health system hardware elements (eg, financing, guidelines, and commodity supplies). These enabling factors include flexible decision making, inclusive management, and support in motivating frontline staff who can work with agency as a team. Improved software, even within constrained hardware (especially in low-income and middle-income countries), can directly contribute to improved SRH and HIV service delivery.


Asunto(s)
Prestación Integrada de Atención de Salud , Infecciones por VIH/epidemiología , Servicios de Salud Reproductiva , Salud Sexual , África del Sur del Sahara/epidemiología , Toma de Decisiones , Análisis Factorial , Personal de Salud , Humanos , Vigilancia en Salud Pública , Responsabilidad Social
15.
PLoS One ; 15(10): e0238585, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33044966

RESUMEN

BACKGROUND: There is evidence that persons with disabilities often encounter grave barriers when accessing sexual and reproductive health services. To the best of our knowledge, however, no systematic review has been conducted to pull together these pieces of research evidence for us to understand the nature, magnitude and extent of these barriers in different settings in sub-Saharan Africa. We do not yet have a good understanding of the strength/quality of the evidence that exist on the barriers persons with disabilities face when accessing sexual and reproductive health services in sub-Saharan Africa. We therefore conducted a systematic review to examine the barriers persons with disabilities face in accessing sexual and reproductive health services in sub-Saharan Africa. METHODS: A systematic review was conducted using PRISMA guidelines (PROSPEROO protocol registration number: CRD42017074843). An electronic search was conducted in Medline, EMBASE, CINAHL, PsycINFO, and Web of Science from 2001 to 2020. Manual search of reference list was also conducted. Studies were included if they reported on barriers persons with disability face in accessing sexual and reproductive health services. The Critical Appraisal Skills Programme and Centre for Evidence Based Management (CEBMa) appraisal tools were used to assess methodological quality of eligible studies. FINDINGS: A total of 1061 studies were identified. Only 26 studies covering 12 sub-Saharan African countries were eligible for analysis. A total of 33 specific barriers including inaccessible physical health infrastructure and stigma and discrimination were identified. These barriers were further categorised into five levels: broader national level barriers; healthcare system/institutional barriers; individual level barriers; community level barriers; and economic barriers. CONCLUSION: Persons with disabilities face a myriad of demand and supply side barriers to accessing sexual and reproductive healthcare in sub-Saharan Africa. Multilevel interventions are urgently needed to address these barriers.


Asunto(s)
Personas con Discapacidad , Accesibilidad a los Servicios de Salud , Servicios de Salud Reproductiva , Adolescente , Adulto , África del Sur del Sahara , Femenino , Humanos , Masculino , Adulto Joven
17.
Gac. sanit. (Barc., Ed. impr.) ; 34(5): 524-527, sept.-oct. 2020. tab
Artículo en Español | IBECS | ID: ibc-198878

RESUMEN

Las sexualidades son un aspecto central de la vida de las personas jóvenes. Es una labor de la salud pública entender cómo se construyen -con toda su diversidad- para dar respuestas satisfactorias en el ámbito de la salud sexual. Las características propias de la investigación cualitativa (flexible, abierta y reflexiva) brindan la oportunidad de diseñar estudios aceptados y adaptados a las realidades juveniles, especialmente en un campo sensible. Esta nota tiene como objetivo aportar claves para la captación de jóvenes. En nuestro caso, resultó imprescindible el conocimiento de informantes clave respecto a la población de estudio y el contexto de la investigación, tanto para elegir una estrategia de acercamiento y captación como para adecuar las técnicas de recogida de datos. Finalmente, se emplearon entrevistas individuales y grupos triangulares oportunísticamente en salas de espera de servicios de atención a la salud sexual especializados en jóvenes, donde ya había una predisposición a hablar de sexualidad


Sexuality is a central aspect of young's lives. It is a task of public health to understand how they are constructed with all their diversity, and to give satisfactory answers in the field of sexual health. The characteristics of qualitative research (flexible, open and reflective) provide the opportunity to design studies that are accepted and adapted to the realities of young people, especially in a sensitive field. The aim of this note is to provide clues for the recruitment of young people. In our case, the knowledge of key informants regarding the study population and the research context was essential, both to choose an approach and recruitment strategy and to adapt the data collection techniques. Finally, we used individual interviews and triangular groups opportunistically in waiting rooms of sexual health care services specialized in young people, where there was already a predisposition to talk about sexuality


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Sexualidad/psicología , Conducta Sexual/psicología , Salud Sexual/clasificación , Selección de Paciente , Sujetos de Investigación/psicología , Desarrollo Psicosexual/clasificación , Grupos Focales/métodos , Tamaño de la Muestra , 25783 , Servicios de Salud Reproductiva/estadística & datos numéricos
18.
J Nepal Health Res Counc ; 18(2): 313-315, 2020 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-32969400

RESUMEN

The national lockdown imposed in Nepal as a response to the COVID-19 pandemic is having indirect consequences on sexual and reproductive (SRH) in Nepal. Although the Government of Nepal and partners have committed to ensuring the continuity of SRH services during the pandemic, this comment aims to illustrate the potential impacts to SRH if these commitments are not met. Keywords: COVID-19; Nepal; reproductive health; sexual health.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Accesibilidad a los Servicios de Salud , Neumonía Viral/epidemiología , Servicios de Salud Reproductiva/provisión & distribución , Salud de la Mujer , Adolescente , Adulto , Betacoronavirus , Femenino , Humanos , Masculino , Nepal/epidemiología , Pandemias
19.
S Afr Med J ; 110(6): 514-518, 2020 May 29.
Artículo en Inglés | MEDLINE | ID: mdl-32880564

RESUMEN

BACKGROUND: HIV testing rates have increased in recent years. Repeat testing is recommended to identify and treat new HIV infections timeously. However, there are limited data on repeat HIV testing, especially in South Africa (SA). OBJECTIVES: To provide data on repeat HIV testing rates in males and females in a district in SA. METHODS: A sexual and reproductive health (SRH) service integration model was implemented in seven healthcare facilities in eThekwini District, KwaZulu-Natal Province, SA, between 2009 and 2011. HIV testing data were collected from male and female clients attending these facilities, prior to (baseline) and after the implementation (endline) of the 3-year health services integration intervention. RESULTS: There were 230 clients at baseline (195 female, 35 male) and 200 at endline (169 female, 31 male). High ever-tested rates were reported at baseline (females 95.4%, males 74.3%) and endline (females 91.7%, males 87.1%), with large increases in male testing rates over time. In addition, high increases were seen between baseline and endline among those who had tested more than once and more than twice in their lifetime. Increases between baseline and endline testing rates were highest in HIV testing services (HTS) (37.0 - 93.3% for clients who had tested more than once, and 11.1 - 53.3% for those who had tested more than twice). CONCLUSIONS: HIV testing and repeat testing increased over time, especially in males and in HTS. Promotion and integration of SRH services are critical to facilitate improved health-seeking behaviour and HIV testing of both male and female clients. They are also important for continued access to HTS at multiple service delivery points.


Asunto(s)
Infecciones por VIH/diagnóstico , Tamizaje Masivo/estadística & datos numéricos , Servicios de Salud Reproductiva , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Infecciones por VIH/epidemiología , Humanos , Masculino , Persona de Mediana Edad , Retratamiento , Sudáfrica/epidemiología
20.
Clín. investig. ginecol. obstet. (Ed. impr.) ; 47(3): 96-105, jul.-sept. 2020. tab, graf
Artículo en Español | IBECS | ID: ibc-190826

RESUMEN

La pandemia por el nuevo virus SARS-CoV-2 ha provocado un proceso de adaptación a la nueva situación por parte de toda de la sociedad y, con ello, los centros de reproducción asistida. Tras la fase aguda de la crisis sanitaria, en la que se redujo de forma drástica la actividad, se han reanudado los ciclos, guiados por las recomendaciones de las sociedades científicas. En este artículo revisamos toda la información publicada respecto al virus y el sistema reproductivo, señalando la presencia de enzima convertidora de angiotensina tipo ii(angiotensin-converting enzyme 2, ACE2) en el sistema reproductivo femenino y masculino, a nivel testicular, ovárico, endometrial y a nivel embrionario. Además, realizamos un análisis comparativo entre las recomendaciones de las sociedades científicas en cuanto al cribado de la infección, las normas de funcionamiento y las medidas generales de laboratorio


The pandemic caused by the new SARS-CoV-2 virus has led to a process of adaptation to the new situation by society as a whole and, therefore, by assisted reproduction centres. After the acute phase of the health crisis, when activity was drastically reduced, cycles have resumed, guided by the recommendations of scientific societies. In this article, a review is presented of all the published information regarding the virus and the reproductive system, pointing out the presence of angiotensin-converting enzyme 2 (ACE2) in the female and male reproductive system, at the testicular, ovarian, endometrial and embryonic levels. In addition, a comparative analysis is carried out between the recommendations of the scientific societies regarding the screening of infection, performance standards, and general laboratory measurements


Asunto(s)
Humanos , Pandemias , Técnicas Reproductivas , Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Fertilidad , Técnicas Reproductivas Asistidas/normas , Fertilización In Vitro , Inseminación Artificial , Infecciones por Coronavirus/fisiopatología , Medicina Reproductiva/organización & administración , Servicios de Salud Reproductiva/normas
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