Women's status, institutional barriers and reproductive health care: A case study in Yunnan, China

Tian, Lichun; Li, Jianghong; Zhang, Kaining; Guest, Philip

doi:10.1016/j.healthpol.2007.04.008

Cited by 14 publications

(27 citation statements)

References 13 publications

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“…As found in other studies [5,17], male sterilization was not used: Strong aversion to vasectomy has been linked to fear of male impotence in some societies [18,19], and/or reluctance to terminate males' reproductive career [14]. Our study also showed low use of dual methods of contraception among PLHIV.…”

Section: Discussionsupporting

confidence: 77%

Family planning among people living with HIV in post-conflict Northern Uganda: A mixed methods study

Nattabi

Thompson

et al. 2011

Confl Health

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BackgroundNorthern Uganda experienced severe civil conflict for over 20 years and is also a region of high HIV prevalence. This study examined knowledge of, access to, and factors associated with use of family planning services among people living with HIV (PLHIV) in this region.MethodsBetween February and May 2009, a total of 476 HIV clinic attendees from three health facilities in Gulu, Northern Uganda, were interviewed using a structured questionnaire. Semi-structured interviews were conducted with another 26 participants. Factors associated with use of family planning methods were examined using logistic regression methods, while qualitative data was analyzed within a social-ecological framework using thematic analysis.ResultsThere was a high level of knowledge about family planning methods among the PLHIV surveyed (96%). However, there were a significantly higher proportion of males (52%) than females (25%) who reported using contraception. Factors significantly associated with the use of contraception were having ever gone to school [adjusted odds ratio (AOR) = 4.32, 95% confidence interval (CI): 1.33-14.07; p = .015], discussion of family planning with a health worker (AOR = 2.08, 95% CI: 1.01-4.27; p = .046), or with one's spouse (AOR = 5.13, 95% CI: 2.35-11.16; p = .000), not attending the Catholic-run clinic (AOR = 3.67, 95% CI: 1.79-7.54; p = .000), and spouses' non-desire for children (AOR = 2.19, 95% CI: 1.10-4.36; p = .025). Qualitative data revealed six major factors influencing contraception use among PLHIV in Gulu including personal and structural barriers to contraceptive use, perceptions of family planning, decision making, covert use of family planning methods and targeting of women for family planning services.ConclusionsMultilevel, context-specific health interventions including an integration of family planning services into HIV clinics could help overcome some of the individual and structural barriers to accessing family planning services among PLHIV in Gulu. The integration also has the potential to reduce HIV incidence in this post-conflict region.

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Section: Discussionsupporting

confidence: 77%

Family planning among people living with HIV in post-conflict Northern Uganda: A mixed methods study

Nattabi

Thompson

et al. 2011

Confl Health

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“…Compared with anecdotal evidence from the past and recent empirical studies (Li and Lavely, 2003;Lin, 2009;Tian et al, 2007;Xiong, 1994;Zhang, 2005) our results indicate that women's status has improved considerably over the last few decades across the range of factors we Indian Journal of Gender Studies, 20, 1 (2013): 85-109 examined. Secular trends are further indicated by the fact that more traditional views were held by older interviewees or were attributed to interviewees' parents or older people in the community.…”

Section: Discussioncontrasting

confidence: 43%

Rising Women’s Status, Modernisation and Persisting Son Preference in China

Wang

Dong

et al. 2013

Indian Journal of Gender Studies

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Evidence from many countries shows that as societies modernise and women’s status rises, son preference declines. Yet in China the sex ratio at birth has been the highest in the world for over two decades despite rapid modernisation, urbanisation and huge improvements in women’s status. This study explored this apparent contradiction through interviews with 212 men and women in urban and rural areas of Zhejiang, Guizhou and Yunnan provinces. Results showed that women’s status is perceived as high across a range of factors, including educational attainment and opportunity, labour participation and roles at home and the workplace. The majority of interviewees expressed gender indifference and had clear views about why the sex ratio is persistently high in China. High sex ratios persist probably because, while the majority is essentially gender indifferent, it takes only a small minority undergoing selective abortion to skew the sex ratio.

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“…In the Far East, Tian, Li, Zhang, and Guest (2007) evaluated the status of reproductive health among the Chinese women through a qualitative method and concluded that men have more and better access to reproductive health care services. Incorrect diagnosis, overtreatment and IUD insertion with unsterilized tools contributed to the persistent high rate of reproductive tract infections (RTIs) in the study settings.…”

mentioning

confidence: 99%

Women's Health Bridges and Barriers: A Qualitative Study

Parvizy¹,

Kiandokht²,

Ivbijaro³

2013

Health Care for Women International

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The authors aimed to understand the social bridges and social barriers to women's health in Iran. We used a qualitative content analysis method and interviewed 22 women. The participants identified appropriate employment, physical exercise, and cultural and educational development as social bridges to women's health. Social barriers to women's health included gender inequalities, burden of responsibility, and financial difficulties. Based on the results of this study, we suggest an interdisciplinary approach to plan social-based health programs in order to improve women's health outcomes in the developing countries such as Iran.

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Women's status, institutional barriers and reproductive health care: A case study in Yunnan, China

Cited by 14 publications

References 13 publications

Family planning among people living with HIV in post-conflict Northern Uganda: A mixed methods study

Family planning among people living with HIV in post-conflict Northern Uganda: A mixed methods study

Rising Women’s Status, Modernisation and Persisting Son Preference in China

Women's Health Bridges and Barriers: A Qualitative Study

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