RESUMO
Describes the attitudes and behaviour among low-income adolescents in Jamaica. Contributing factors to early sexual activity and pregnancy; Social pressure and encouragement among boys to be sexually active; Branding of young girls who become pregnant as having loose morals; Motivations for engaging in sex among girls and boys.(AU)
Assuntos
Feminino , Masculino , Adolescente , Comportamento Sexual , Comportamento do Adolescente , Jamaica , Gravidez na Adolescência , Educação SexualRESUMO
Looks at reproductive health policies and programs in eight countries. In-depth interviews in 1997 with stakeholders in Bangladesh, India, Nepal, Jordan, Ghana, Senegal, Jamaica and Peru; Adoption of the 1994 International Conference on Population and Development in six of the eight countries studied; Discussion of implementation problems.(AU)
Assuntos
Gravidez , Feminino , Humanos , Estudo Comparativo , Serviços de Planejamento Familiar/legislação & jurisprudência , Jamaica , Características da Família , Serviços de SaúdeAssuntos
Adulto , Feminino , Humanos , Masculino , Serviços de Planejamento Familiar , Jamaica , Setor Privado , Setor PúblicoRESUMO
This report presents a study of the family planning service-delivery practices of private physicians in Jamaica. All 367 private physicians in Jamaica who offer family planning services, counseling, or referral were included in the survey. The study revealed that a client seeking services might be given a method by one provider and not by another, and that the methods clients use are likely to be influenced by the providers' preferences. Private physicians in Jamaica are in need of access to current international guidance on contraceptive methods and service practices. (AU)
Assuntos
Adulto , Feminino , Humanos , Serviços de Planejamento Familiar , Padrões de Prática Médica , Acessibilidade aos Serviços de Saúde , JamaicaRESUMO
The National Family Planning Board is the agency of Government empowered to prepare, carry out and promote family planning programs in Jamaica. The Board has prioritized the expansion and sustainability of family planning services in large part through encouraging the participation of the private sector. To enhance the availability and effectiveness of private physician family planning services, information was collected on the service practices of 90 percent of physicians, through face to face interviews. Bruce's framework was used to evaluate the findings of the study. The study indicated that: (1) A wide variety of contraceptives are available. (2) Basic equipment and adequate supplies are in place for the provision of services. (3) Provider bias, inapproriate contraindicators and process and scheduling hurdles exist. The major recommendations relate to the: (1) Revision of norms and guidelines for all contraceptives. (2) Continuation of contraceptive technology updates for private physicians. (3) Revision of legal/regulatory barriers which restrict access to some contraceptives for certain target groups (AU)
Assuntos
Feminino , Humanos , Masculino , Adulto , Pessoa de Meia-Idade , Anticoncepção , Serviços de Planejamento Familiar , Prática Privada , Atenção à Saúde , Dispositivos Anticoncepcionais , Anticoncepcionais Orais , Dispositivos Intrauterinos , Jamaica , Esterilização ReprodutivaRESUMO
This paper uses data from 199 providers and 20 simulated clients at 50 public sector and Non Government Organization (NGO) health facilities islandwide in 1995 to compare the two groups' views on quality of care of family planning services. Each of the five components of quality of care studied can be improved in Jamaica. Nearly two-thirds of the simulated clients felt able to freely choose a contraceptive method; however, more adequate and appropriate information needs to be imparted to clients through improved counselling, including promotion of dual method use (against STD/HIV/AIDS and conception). The requirement that a woman must be menstruating to receive services has inadvertently resulted in many clients going away empty-handed (without counselling or condoms) when they visit family planning clinics. While providers generally treat clients well, training and service delivery practices need to be revised to improve the technical competence of providers. All of the providers would recommend these clients to others, compared to a little over half of the simulated clients. Both the providers and simulated clients said that privacy should be strengthened, particularly in small facilities in rural areas. Many of these aspects of quality of care are being improved in Jamaica's public sector health facilities. Managers can learn more about quality of care by seeking the knowledge, opinions and experiences of both providers and clients. (AU)