Budgeting for comprehensive sexual and reproductive health and rights under universal health coverage

Lince-Deroche, Naomi; Sully, Elizabeth; Firestein, Lauren; Riley, Taylor

doi:10.1080/26410397.2020.1779631

Cited by 8 publications

(13 citation statements)

References 20 publications

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“…This has culminated in discussions on ways to reduce maternal mortality by creating awareness among women about safe and unsafe abortion practices [18][19][20]. Indeed, one of the targets of Sustainable Development Goal 3 is to reduce maternal mortality by promoting equitable access to reproductive health services [21][22][23][24]. However, deliberations on access to and awareness of safe abortion practices have yet to include deaf women.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of deaf persons towards safe abortion services in Ghana

Mprah

Duorinaah²,

Opoku

et al. 2023

PLoS ONE

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Background Deafness refers to partial or total loss of hearing, which, if not appropriately accommodated, may interfere with day-to-day living experiences. Deaf people encountered challenges in their efforts to access essential services, such as health care. While some attention has been given to general access to reproductive health services, less research has focused on the experiences of deaf women and girls when accessing safe abortion services. With unsafe abortion being a major cause of maternal deaths among women in developing countries, this study attempted to explore the perception of deaf women and girls in Ghana towards safe abortion services. Objective The main aim of this study was to understand the perception and awareness safe abortion services among deaf women and girls in Ghana. In doing this, the contributors towards unsafe abortion practices among deaf women and girls were gathered. Method Penchansky and Thomas’ accessibility to health care theory availability, accessibility, accommodation/adequacy, affordability, and acceptability guides this study. A semi-structured interview guide based on components of the theory was used for data collection from 60 deaf persons. Results The components of the theory were used as a priori themes that guided the data analysis. The results showed challenges associated with the indicators of health access. For instance, in terms of availability, it was revealed that deaf women had little knowledge about existing laws on safe abortion in Ghana. In relation to acceptability, deaf women were highly opposed to abortion for cultural and religious reasons. However, there was consensus that safe abortion could be conducted under certain conditions. Conclusion The results of the study have implications for policymaking aimed at attaining equitable access to reproductive health care for deaf women. The need for policymakers to expedite public education and incorporate the needs of deaf women in reproductive health policies, as well as other study implications, are discussed.

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Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes of deaf persons towards safe abortion services in Ghana

Mprah

Duorinaah²,

Opoku

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

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“…There is a corpus of literature on challenges relating to the accessibility of SRH services, especially in sub-Saharan African contexts [ 13 , 16 , 24 – 27 ]. Most studies have reported that challenges such as lack of policies [ 28 , 29 ], low education levels [ 30 ], poverty [ 12 , 24 , 31 , 32 ], culture [ 33 , 34 ], stigma [ 8 , 16 ] and lack of parental support [ 14 , 35 ] contribute to the inability of girls and women to access SRH services. Other studies have also found that a high prevalence of teenage pregnancy is likely linked to factors such as poverty [ 12 , 25 ], illiteracy [ 30 , 36 – 38 ] and lack of awareness of contraceptive methods [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Achieving universal reproductive health coverage for deaf women in Ghana: an explanatory study of knowledge of contraceptive methods, pregnancy and safe abortion practices

Nketsia

Mprah

Opoku

et al. 2022

BMC Health Serv Res

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Background The first world conference on sexual and reproductive health (SRH) in 1994 helped create the awareness that reproductive health is a human right. Over the years, attempts have been made to extend services to all persons; however, lapses persist in service provision for all in need. Recently, countries have been encouraged to target minority groups in their reproductive health service provision. However, studies have rarely attempted to develop deeper insights into the experiences of deaf men and women regarding their knowledge of SRH. The purpose of this study was to develop an in-depth understanding of the knowledge of deaf persons regarding services such as knowledge of contraceptive methods, pregnancy and safe abortion practices. Methods A sequential explanatory mixed-methods approach was adopted for this study. In the first quantitative phase, 288 deaf persons recruited from three out of the 16 regions in Ghana participated in this study. They completed a 31-item questionnaire on the main issues (knowledge of contraceptive methods, pregnancy and safe abortion practices) addressed in this study. In the second phase, a semi-structured interview guide was used to collect data from 60 participants who took part in the first phase. The key trend emerging in the first phase underpinned the interview guide used for the data collection. While the quantitative data were subjected to the computation of means, t-tests, analyses of variance, correlations and linear regressions to understand the predictors, the in-depth interviews were analysed using the thematic method of analysis. Results The results showed a convergence between the quantitative and qualitative data. For instance, the interview material supported the initial findings that deaf women had little knowledge of contraceptive methods. The participants offered reasons explaining their inability to access services and the role of religion in their understanding of SRH. Conclusion The study concludes by calling on policymakers to consider the needs of deaf persons in future SRH policies. The study limitations and other implications for future policymaking are discussed.

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“…Scaling up provision of modern family planning could reduce the unintended pregnancies that often result in unsafe abortion, and doing so could be a cost-effective strategy. Lince-Deroche et al estimated that in Tanzania in 2019, the annual health system costs of providing modern contraception per woman varied from just $0.62 for intrauterine contraceptive devices (IUDs) to $6.54 for injectable methods [40]. Further, in 2019 Sully et al estimated that meeting the contraceptive needs of all women in low-and middle-income [41].…”

Section: Discussionmentioning

confidence: 99%

The health system costs of post abortion care in Tanzania

Lince-Deroche

Ruhago

Castillo

et al. 2021

BMC Health Serv Res

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Background Unsafe abortion is common in Tanzania. Currently, postabortion care (PAC) is legally provided, but there is little information on the national cost. We estimated the health system costs of offering PAC in Tanzania in 2018, at existing levels of care and when hypothetically expanded to meet all need. Methods We employed a bottom-up costing methodology. Between October 2018 and February 2019, face-to-face interviews were conducted with facility administrators and PAC providers in a sample of 40 health facilities located across seven mainland regions and Zanzibar. We collected data on the direct and indirect cost of care, fees charged to patients, and costs incurred by patients for PAC supplies. Sensitivity analysis was used to explore the impact of uncertainty in the analysis. Results Overall, 3850 women received PAC at the study facilities in 2018. At the national level, 77,814 women received PAC, and the cost per patient was $58. The national health system cost for PAC provision at current levels totaled nearly $4.5 million. Meeting all need for PAC would increase costs to over $11 million. Public facilities bore the majority of PAC costs, and facilities recovered just 1% of costs through charges to patients. On average PAC patients incurred $7 in costs ($6.17 for fees plus $1.35 in supplies). Conclusions Resources for health care are limited. While working to scale up access to PAC services to meet women’s needs, Tanzanian policymakers should consider increasing access to contraception to prevent unintended pregnancies.

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Budgeting for comprehensive sexual and reproductive health and rights under universal health coverage

Cited by 8 publications

References 20 publications

Knowledge and attitudes of deaf persons towards safe abortion services in Ghana

Knowledge and attitudes of deaf persons towards safe abortion services in Ghana

Achieving universal reproductive health coverage for deaf women in Ghana: an explanatory study of knowledge of contraceptive methods, pregnancy and safe abortion practices

The health system costs of post abortion care in Tanzania

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