Do public health services in Egypt help young married women exercise their reproductive rights?

Abstract Objective To assess supply and demand of family planning services from a reproductive rights perspective among young married women (YMW) in Egypt. Methods Data sources related to family planning included structured interviews with service providers (n = 216); an inventory of equipment and s...

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Veröffentlicht in:International journal of gynecology and obstetrics 2015-08, Vol.130 (S3), p.E52-E55
Hauptverfasser: Abdel-Tawab, Nahla, Rabie, Tamer, Boehmova, Zuzana, Hawkins, Loraine, Saher, Sally, El Shitany, Atef
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container_end_page E55
container_issue S3
container_start_page E52
container_title International journal of gynecology and obstetrics
container_volume 130
creator Abdel-Tawab, Nahla
Rabie, Tamer
Boehmova, Zuzana
Hawkins, Loraine
Saher, Sally
El Shitany, Atef
description Abstract Objective To assess supply and demand of family planning services from a reproductive rights perspective among young married women (YMW) in Egypt. Methods Data sources related to family planning included structured interviews with service providers (n = 216); an inventory of equipment and supplies (n = 40); exit interview s with YMW (n = 147); and focus group discussions (n = 12) with YMW, husbands, and mothers and/or mothers in law. YMW, husbands and mothers in law were not necessarily related. Results Although family planning services were readily available and affordable, YMW had limited access to information and services. Shortfalls were noted regarding respect for privacy, choice of family planning method, access to fertility services, and premarital counseling. Few YMW had sufficient autonomy to make informed reproductive decisions. Effective accountability mechanisms and processes for redress were also lacking. Conclusion Implementation of a rights-based approach and structural changes to family planning service delivery are recommended to empower YMW in Egypt to demand and exercise their reproductive rights.
doi_str_mv 10.1016/j.ijgo.2015.03.012
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Methods Data sources related to family planning included structured interviews with service providers (n = 216); an inventory of equipment and supplies (n = 40); exit interview s with YMW (n = 147); and focus group discussions (n = 12) with YMW, husbands, and mothers and/or mothers in law. YMW, husbands and mothers in law were not necessarily related. Results Although family planning services were readily available and affordable, YMW had limited access to information and services. Shortfalls were noted regarding respect for privacy, choice of family planning method, access to fertility services, and premarital counseling. Few YMW had sufficient autonomy to make informed reproductive decisions. Effective accountability mechanisms and processes for redress were also lacking. Conclusion Implementation of a rights-based approach and structural changes to family planning service delivery are recommended to empower YMW in Egypt to demand and exercise their reproductive rights.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/j.ijgo.2015.03.012</identifier><identifier>PMID: 26001702</identifier><language>eng</language><publisher>United States: Elsevier Ireland Ltd</publisher><subject>Adolescent ; Adult ; Contraception - methods ; Contraception - psychology ; Contraception Behavior - psychology ; Counseling ; Egypt ; Family planning ; Family Planning Services - supply &amp; distribution ; Female ; Health Services Accessibility - statistics &amp; numerical data ; Humans ; Marriage ; Mothers ; Obstetrics and Gynecology ; Personal Autonomy ; Privacy ; Public health services ; Quality of Health Care ; Reproductive rights ; Reproductive Rights - psychology ; Spouses - psychology ; Young Adult ; Young married women</subject><ispartof>International journal of gynecology and obstetrics, 2015-08, Vol.130 (S3), p.E52-E55</ispartof><rights>2015</rights><rights>2015 The Authors. Published by International Federation of Gynecology and Obstetrics and John Wiley &amp; Sons Ltd.</rights><rights>Copyright © 2015. 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Methods Data sources related to family planning included structured interviews with service providers (n = 216); an inventory of equipment and supplies (n = 40); exit interview s with YMW (n = 147); and focus group discussions (n = 12) with YMW, husbands, and mothers and/or mothers in law. YMW, husbands and mothers in law were not necessarily related. Results Although family planning services were readily available and affordable, YMW had limited access to information and services. Shortfalls were noted regarding respect for privacy, choice of family planning method, access to fertility services, and premarital counseling. Few YMW had sufficient autonomy to make informed reproductive decisions. Effective accountability mechanisms and processes for redress were also lacking. Conclusion Implementation of a rights-based approach and structural changes to family planning service delivery are recommended to empower YMW in Egypt to demand and exercise their reproductive rights.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Contraception - methods</subject><subject>Contraception - psychology</subject><subject>Contraception Behavior - psychology</subject><subject>Counseling</subject><subject>Egypt</subject><subject>Family planning</subject><subject>Family Planning Services - supply &amp; distribution</subject><subject>Female</subject><subject>Health Services Accessibility - statistics &amp; numerical data</subject><subject>Humans</subject><subject>Marriage</subject><subject>Mothers</subject><subject>Obstetrics and Gynecology</subject><subject>Personal Autonomy</subject><subject>Privacy</subject><subject>Public health services</subject><subject>Quality of Health Care</subject><subject>Reproductive rights</subject><subject>Reproductive Rights - psychology</subject><subject>Spouses - psychology</subject><subject>Young Adult</subject><subject>Young married women</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNqNkk9v1DAQxS0EokvhC3BAPnJJ6rHzzxICVWVpiyr1AJwtx5nsOniTYCdb8u1xtIUDB8TJI_m9pzc_DSGvgaXAoLjoUtvthpQzyFMmUgb8CdlAVcpEZKV8SjaMcZaUXPIz8iKEjjEGJcBzcsaLdWR8Q9THgY5z7ayhe9Ru2tOA_mgNBmp7ut0t4xQ_3EiXYe539KC9t9jQh-GAPcWf6I0NSKc9Wk89jn5oZjPZI1Jvd_spfHhJnrXaBXz1-J6Tb5-2X69ukrv769ury7vEZDnwhItWizYTUvK6FmUGmawKocFkVcGlERqFQaGZgEZUTa1bbAvIWjRQ6BJlKc7J21NurPBjxjCpgw0GndM9DnNQcduqklVEFaX8JDV-CMFjq0Zv42KLAqZWsKpTK1i1glVMqAg2mt485s_1AZs_lt8ko6A8CR6sw-U_ItXt5-v7bb46352cGPkcLXoVjMXeYGM9mkk1g_13s_d_2Y2zvTXafccFQzfMvo_kFajAFVNf1qNYbwLy2DyHTPwCNIqwSw</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Abdel-Tawab, Nahla</creator><creator>Rabie, Tamer</creator><creator>Boehmova, Zuzana</creator><creator>Hawkins, Loraine</creator><creator>Saher, Sally</creator><creator>El Shitany, Atef</creator><general>Elsevier Ireland Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>Do public health services in Egypt help young married women exercise their reproductive rights?</title><author>Abdel-Tawab, Nahla ; Rabie, Tamer ; Boehmova, Zuzana ; Hawkins, Loraine ; Saher, Sally ; El Shitany, Atef</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4512-23fa3f43992bb374149863a1c48629c3ae3ce3a031d38dbafef614fec16a7e973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Contraception - methods</topic><topic>Contraception - psychology</topic><topic>Contraception Behavior - psychology</topic><topic>Counseling</topic><topic>Egypt</topic><topic>Family planning</topic><topic>Family Planning Services - supply &amp; distribution</topic><topic>Female</topic><topic>Health Services Accessibility - statistics &amp; numerical data</topic><topic>Humans</topic><topic>Marriage</topic><topic>Mothers</topic><topic>Obstetrics and Gynecology</topic><topic>Personal Autonomy</topic><topic>Privacy</topic><topic>Public health services</topic><topic>Quality of Health Care</topic><topic>Reproductive rights</topic><topic>Reproductive Rights - psychology</topic><topic>Spouses - psychology</topic><topic>Young Adult</topic><topic>Young married women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abdel-Tawab, Nahla</creatorcontrib><creatorcontrib>Rabie, Tamer</creatorcontrib><creatorcontrib>Boehmova, Zuzana</creatorcontrib><creatorcontrib>Hawkins, Loraine</creatorcontrib><creatorcontrib>Saher, Sally</creatorcontrib><creatorcontrib>El Shitany, Atef</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abdel-Tawab, Nahla</au><au>Rabie, Tamer</au><au>Boehmova, Zuzana</au><au>Hawkins, Loraine</au><au>Saher, Sally</au><au>El Shitany, Atef</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do public health services in Egypt help young married women exercise their reproductive rights?</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2015-08</date><risdate>2015</risdate><volume>130</volume><issue>S3</issue><spage>E52</spage><epage>E55</epage><pages>E52-E55</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><abstract>Abstract Objective To assess supply and demand of family planning services from a reproductive rights perspective among young married women (YMW) in Egypt. 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subjects Adolescent
Adult
Contraception - methods
Contraception - psychology
Contraception Behavior - psychology
Counseling
Egypt
Family planning
Family Planning Services - supply & distribution
Female
Health Services Accessibility - statistics & numerical data
Humans
Marriage
Mothers
Obstetrics and Gynecology
Personal Autonomy
Privacy
Public health services
Quality of Health Care
Reproductive rights
Reproductive Rights - psychology
Spouses - psychology
Young Adult
Young married women
title Do public health services in Egypt help young married women exercise their reproductive rights?
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