Abstract:Background: In 2014, United Nations member states proposed a set of sustainable development goals (SDGs) to help further the millennium development goals that they had proposed in New York in 2000. Of these 13 SDGs, Goal 3 (i.e., SDG 3) was titled “Good Health and Well-Being.” This goal highlighted women’s health and well-being via two key objectives. The first, SDG 3.1, aimed to reduce maternal mortality rates (MMR) and the second, SDG 3.7, aimed to ensure access to sexual and reproductive health care service… Show more
“…We argue that researchers and health care workers should give these factors as much attention as they do the physical symptoms. We assume that the absence of studies on sexual functioning indicates that the sexuality, sexual health, and sexual functioning of women and their ability to express their attitudes and feelings toward it are still considered inappropriate or taboo [ 88 ]. Similarly, the social stigma surrounding mental health constitutes a barrier to seeking help for the patient, and a barrier to researchers in asking patients about the issue [ 89 ].…”
Breast cancer, the most common cancer among women in the Middle East and North Africa (MENA) region, is associated with social and psychological implications deriving from women’s socio-cultural contexts. Examining 74 articles published between 2007 and 2019, this literature/narrative review explores the psychosocial aspects of female breast cancer in the MENA region. It highlights socio-cultural barriers to seeking help and socio-political factors influencing women’s experience with the disease. In 17 of 22 Arab countries, common findings emerge which derive from shared cultural values. Findings indicate that women lack knowledge of breast cancer screening (BCS) and breast cancer self-examination (BSE) benefits/techniques due to a lack of physicians’ recommendations, fear, embarrassment, cultural beliefs, and a lack of formal and informal support systems. Women in rural areas or with low socioeconomic status further lack access to health services. Women with breast cancer, report low self-esteem due to gender dynamics and a tendency towards fatalism. Collaboration between mass media, health and education systems, and leading social-religious figures plays a major role in overcoming psychological and cultural barriers, including beliefs surrounding pain, fear, embarrassment, and modesty, particularly for women of lower socioeconomic status and women living in crises and conflict zones.
“…We argue that researchers and health care workers should give these factors as much attention as they do the physical symptoms. We assume that the absence of studies on sexual functioning indicates that the sexuality, sexual health, and sexual functioning of women and their ability to express their attitudes and feelings toward it are still considered inappropriate or taboo [ 88 ]. Similarly, the social stigma surrounding mental health constitutes a barrier to seeking help for the patient, and a barrier to researchers in asking patients about the issue [ 89 ].…”
Breast cancer, the most common cancer among women in the Middle East and North Africa (MENA) region, is associated with social and psychological implications deriving from women’s socio-cultural contexts. Examining 74 articles published between 2007 and 2019, this literature/narrative review explores the psychosocial aspects of female breast cancer in the MENA region. It highlights socio-cultural barriers to seeking help and socio-political factors influencing women’s experience with the disease. In 17 of 22 Arab countries, common findings emerge which derive from shared cultural values. Findings indicate that women lack knowledge of breast cancer screening (BCS) and breast cancer self-examination (BSE) benefits/techniques due to a lack of physicians’ recommendations, fear, embarrassment, cultural beliefs, and a lack of formal and informal support systems. Women in rural areas or with low socioeconomic status further lack access to health services. Women with breast cancer, report low self-esteem due to gender dynamics and a tendency towards fatalism. Collaboration between mass media, health and education systems, and leading social-religious figures plays a major role in overcoming psychological and cultural barriers, including beliefs surrounding pain, fear, embarrassment, and modesty, particularly for women of lower socioeconomic status and women living in crises and conflict zones.
“…To find appropriate influencing factors to measure SHED, studies seek approaches to measure SHED [19]. In detail, the UN proposes the following dimensions of sustainability in education: inclusiveness, gender equality, qualified education, lifelong education, and social interactions [20,21]. Berchem proposes that competitive higher education depends on scientific research, economic contributions, and social and cultural interactions [22].…”
This paper constructs the 6E evaluation index system, a comprehensive index including the dimensions of economy, effectiveness, efficiency, equity, earnings and equality, to measure the sustainable higher education development of the 31 provincial regions of China by utilizing the information entropy weight-TOPSIS method. This paper then makes a spatial and temporal analysis of the coupling coordination relationship among the dimensions of sustainable higher education development by using the coupling coordination model. In addition, this paper proposes specific and applicable countermeasures for sustainable higher education development. The results show that the comprehensive degrees of sustainable higher education development in most regions are not high, and the coastal regions and the Central-south China regions have higher grades; in addition, for most regions, the coupling coordination degrees mainly remain stable, with mild growth in the respective classifications, and the gap between the west and other regions is declining. The improved method is applicable to measure the sustainable development of higher education and to propose detailed and appropriate suggestions for further development.
“…Education also enhances women's autonomy (24,42) to decide to attend services (1). Achieving equity in the SDG 3 targets for maternal, newborn, and child health outcomes depends on reaching access to education, as de ned in SDG 4 (45). Hence, media and education programs should contribute to reducing gender-based and educational inequities.…”
Section: Discussionmentioning
confidence: 99%
“…A systematic review done in low-income countries showed that inequities in maternal and child health services utilization occur in the intersection between social determinants of health (42) and poorly functioning health systems (52). Thus, addressing poverty (SDG 1), coverage and quality of education (SDG 4), ensuring gender equality (SDG 5), and ensuring good health and well-being (SDG 3) will substantially reduce inequities (45). Equity-oriented policies and interventions need to be integrated with social development programs, such as targeting poverty reduction, promoting gender equality and empowerment, and mitigating inequalities (42,50).…”
Background: We have earlier shown that the utilization of Ethiopian maternal health services was distributed pro-rich, while child immunization was equitably distributed. Hence, this study aimed at exploring rural Ethiopian women’s and primary health care workers’ perceptions of inequities and their causes in the provision and utilization of maternal, newborn, and child health services. Methods: The study was conducted from August to December 2019 in two rural districts of Tigray, Ethiopia. We performed twenty-two in-depth interviews and three focus group discussions with women who had given birth the last year preceding the survey, women’s development group leaders, health extension workers from health posts, and health workers from health centers. The final sample was determined based on the concept of saturation. The interviews and focus group discussions were audiotaped, transcribed, translated, coded, and analyzed using thematic analysis. Results: The provision and utilization of antenatal care, facility-based delivery, and care-seeking for sick children were perceived inequitably distributed. Immunization was perceived as an equitable service. The inequity in the provision and utilization of maternal and child health services was linked to the economy, distance, social and cultural norms, low quality of service, maternal age, and education. Poor implementation of the Government’s equity-oriented policies, such as community-based health insurance, was perceived to result in health inequities. Conclusion: Mothers and primary healthcare providers in rural Ethiopia indicated weaknesses in delivering equitable services and reasons for inequitable utilization. The narratives could inform efforts to provide universal health coverage for mothers, newborns, and children. These problems require multisectoral actions to address the identified sources of inequities.
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