Eliminating stigma and discrimination in sexual and reproductive health care: a public health imperative

Hussein, Julia; Ferguson, Laura

doi:10.1080/26410397.2019.1697103

Cited by 25 publications

(12 citation statements)

References 17 publications

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“…Notably, community-based or belief-based organizations or politicians play a key role in sustaining or struggling with stigmatization. 23 Upon examining the literature, it has been shown that stigmatization, which is attributed to unmarried women benefiting from reproductive health services, contains situations, such as stereotypes, fear of being labeled, discrimination, and shame of receiving reproductive health services. In South Asian countries, where premarital sexual relationships are forbidden 24 and a woman's premarital virginity status is valued very much, the procurement of reproductive health services to unmarried women causes significant exposure from these cultures.…”

Section: Discussionmentioning

confidence: 99%

Examining the correlation between sexual and reproductive health stigmatization level and gender perception: a case of a university in Turkey - a descriptive cross-sectional study

Polat

Şenol

2023

Sao Paulo Med. J.

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INTRODUCTIONSocial norms determine the sexual behavior, marriage traditions, punishments for unapproved sexual behavior, prevention of pregnancy, sex education, homosexuality, and attitudes concerning sexual taboos. 1 According to these norms, the sexual behavior of young individuals and pregnancy, abortion, premature birth, and sexually transmitted infections, which occur as a result of such behavior, are defined as immoral according to the social, cultural, and religious norms in some societies and cause the individual to be stigmatized. 2,3 Stigmatization is a condition preventing young women from using birth control methods and services. 4 Stigmatization that emerges depending on the sexual behavior of young individuals leads to negative health and social outcomes, such as shame, social marginalization, violence, and mental health morbidity worldwide. 5 The inability of young people to benefit from reproductive health and counseling services due to stigmatization increases unsafe miscarriages and maternal mortality. 6 Gender role, which is defined as the individual's perception of himself/herself as a woman or a man and the exhibition of behaviors required by his/her sex, is taught to the individual according to the moral principles of his/her society. He/she is expected to behave in line with this role. 1 The role of protecting the "family's honor, " which is attributed to women, causes women to be accused in all kinds of sexual relations. In addition, a reason for honor killings is when single women experience their sexuality against the roles that are expected from them. Moreover, pre-marital sexual intercourse experienced by single women in Turkey is one of the reasons for honor killings. 7

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Section: Discussionmentioning

confidence: 99%

Examining the correlation between sexual and reproductive health stigmatization level and gender perception: a case of a university in Turkey - a descriptive cross-sectional study

Polat

Şenol

2023

Sao Paulo Med. J.

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“…When applied to the specific sexual and reproductive health care experience of abortion, stigma has been conceptualized as, a negative attribute that marks individuals, “internally or externally, as inferior to ideals of womanhood” ( Kumar et al, 2009 ) and based on a “… shared understanding that abortion is morally wrong and/or socially unacceptable” ( Norris et al, 2011 ). While equally criticised for its focus on the individual ( Millar, 2020 ), the definition of abortion stigma recognizes the different levels - individual, community, institutional, legal, mass media and cultural - at which the construct operates ( Kumar et al, 2009 ; Hessini, 2014 ) and how these levels intersect and reinforce one another ( Kumar et al, 2009 ; Hessini, 2014 ) to shape the environment in which abortion is delivered and received ( Seewald et al, 2019 ; Hussein and Ferguson, 2019 ; Makleff et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

Why does abortion stigma matter? A scoping review and hybrid analysis of qualitative evidence illustrating the role of stigma in the quality of abortion care

Sorhaindo

Lavelanet

2022

Social Science & Medicine

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“…Sexual practices, and SRH care in general, are often stigmatised across diverse contexts and populations and this leads to constrained access to information and SRH services. 5 , 6 For instance, stigma toward HIV persists and presents barriers to HIV testing, prevention, and treatment engagement across low- and middle-income contexts 7 as well as high-income contexts. 8 There is also stigma toward sexually transmitted infections (STI) that presents related barriers to testing and treatment.…”

Section: Introductionmentioning

confidence: 99%

Uptake and provision of self-care interventions for sexual and reproductive health: findings from a global values and preferences survey

Logie

Berry

Ferguson

et al. 2022

Sexual and Reproductive Health Matters

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Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers’ confidence in promoting SRH self-care interventions, and how this may differ based on personal uptake experiences. To address these knowledge gaps, we conducted a web-based cross-sectional survey among health workers and laypersons from July to November 2018. We investigated the following information about SRH self-care interventions: knowledge and uptake; decisions for use; and associations between health workers’ uptake and providing prescriptions, referrals, and/or information for these interventions. Participants ( n = 837) included laypersons ( n = 477) and health workers ( n = 360) from 112 countries, with most representation from the WHO European Region (29.2%), followed by the Americas (28.4%) and African (23.2%) Regions. We found great heterogeneity in knowledge and uptake by type of SRH self-care intervention. Some interventions, such as oral contraception, were widely known in comparison with interventions such as STI self-sampling. Across interventions, participants perceived benefits of privacy, convenience, and accessibility. While pharmacies and doctors were preferred access points, this varied by type of self-care intervention. Health workers with knowledge of the self-care intervention, and who had themselves used the self-care intervention, were significantly more likely to feel confident in, and to have provided information or referrals to, the same intervention. This finding signals that health workers can be better engaged in learning about self-care SRH interventions and thereby become resources for expanding access.

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Eliminating stigma and discrimination in sexual and reproductive health care: a public health imperative

Cited by 25 publications

References 17 publications

Examining the correlation between sexual and reproductive health stigmatization level and gender perception: a case of a university in Turkey - a descriptive cross-sectional study

Examining the correlation between sexual and reproductive health stigmatization level and gender perception: a case of a university in Turkey - a descriptive cross-sectional study

Why does abortion stigma matter? A scoping review and hybrid analysis of qualitative evidence illustrating the role of stigma in the quality of abortion care

Uptake and provision of self-care interventions for sexual and reproductive health: findings from a global values and preferences survey

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