The understanding and promotion of sexual and reproductive rights are essential in the social work profession, not only to improve the health status of affected populations but to advocate effectively for social justice and to respond to globalized realities. This article highlights the relevance of sexual and reproductive rights in the philosophical foundation and practice of social work, emphasizes the impact of reproductive health and rights on women's lives, and proposes a social work agenda that will embrace and promote sexual and reproductive rights. It uses policy statements from the International Federation of Social Workers as well as a human rights framework focused on sexual and reproductive rights that stems from the global feminist movement.
As of 30 June 2006, more than 3.5 million Colombians are internally displaced persons (IDPs), the second largest IDP population in the world after that of Sudan. While most IDP studies treat the plight of internally displaced women (IDW) as an isolated phenomenon, this paper demonstrates that their situation reflects Colombia's chronic cultural, political and socio-economic crisis. This paper uses a sexual and reproductive rights framework to establish a connection between IDW and Colombia's culture of violence, discrimination and inequality. The effects of this culture of violence, discrimination and inequality are highlighted during a discussion of the rights to health, reproduction, privacy, physical integrity, education, and freedom from violence and sexual exploitation. This paper argues that a holistic understanding of Colombia's humanitarian emergency is essential to improving the lives of IDPs. It ends with some concrete, short-term recommendations to meet some of the needs of IDPs and other vulnerable populations.
Objective: To investigate the association of socioeconomic status (SES) components (education, occupation, and household wealth) with number (1 or ≥2) and timing (planned/emergency) of cesarean delivery (CD) in Colombia, rates of which are well above the levels recommended by the World Health Organization.
Methods:A cross-sectional study using the 2015 Demographic and Health Survey (DHS) of Colombia was carried out; 38 718 women answered the woman only module.Binomial and multinomial logistic regression analyses were conducted to generate estimates of the association between markers of SES and likelihood of CD, timing of CD, and number of CDs.
Results:The analysis included 9977 women. Although education and wealth were strongly associated with CD (P<0.001), the association between occupation and CD suggested that women in agriculture were the least likely to experience CD (odds ratio[OR] 0.67, 95% confidence interval [CI] 0.44-1.03, P=0.061); and women in the "poorer" household wealth category were more likely to have emergency (OR 1.57, CI 1.29-1.90, P<0.001) and two or more (OR 1.64, CI 1.29-2.40, P<0.001) CDs.
Conclusion:Markers of SES are associated with CD overuse in Colombia, as well as the number and timing of CD. More robust qualitative inquiry including additional questions to the DHS survey are needed to elucidate reasons driving the overutilization of CD in the country, particularly among vulnerable populations.
K E Y W O R D S
In addition to currently implemented communication tools and parenting skills to talk with adolescents about sexual health topics, interventions need to consider preferences that may be rooted in cultural aspects that could hinder the application of learned skills.
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