Rendahnya Skor Methods Information Index (MII) dan Faktor-Faktor Terkait: Analisis Survei Demografi dan Kesehatan Indonesia (SDKI) 2012 dan 2017

Informed choice memastikan bahwa pilihan kontrasepsi modern diputuskan perempuan setelah menerima informasi lengkap tentang metode kontrasepsi yang tersedia. Indeks informasi yang disebut Methods Information Index (MII) mengukur tiga elemen, yaitu efek samping masing-masing metode, kemana harus berobat jika efek samping muncul, dan perlu berganti ke kontrasepsi mana. Pemberian informasi lengkap tentang ketiga elemen MII merupakan pemenuhan etika dan hak-hak reproduksi perempuan. Penelitian ini menyajikan temuan rendahnya skoring MII di Indonesia, cermin dari tinggginya persentase perempuan pengguna kontrasepsi yang tidak menerima informasi lengkap dan faktor-faktor terkait. Sebanyak 45.607 dan 49.627 perempuan usia 15-49 tahun yang tercakup dalam Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dan 2017 yang menjadi sampel. Data dianalisis menggunakan statistik regresi logistik yang memperlihatkan korelasi antara skoring MII dengan variabel bebas. Variabel bebas terdiri dari usia perempuan menikah 25 tahun ke atas, tingkat pendidikan menengah ke atas, akses pelayanan KB di bidan dan fasilitas kesehatan, serta pengguna metode IUD terkait dengan peluang lebih besar untuk menerima informasi MII lengkap. Proporsi perempuan penerima informasi MII lengkap adalah 24,60% (2012) dan 28,65% (2017). Lebih dari 70% perempuan pengguna kontrasepsi modern belum mendapatkan informasi MII lengkap. Perlu diupayakan agar program keluarga berencana memonitor peningkatan skoring indeks MII untuk memastikan perempuan pengguna kontrasepsi Indonesia terpenuhi haknya untuk mendapatkan informasi MII lengkap

Improving the health care response to gender-based violence: Phase II

In 2009, the Population Council/Vietnam in collaboration with the Hanoi Health Service carried out an evaluation survey among Duc Giang Hospital staff to assess the extent to which awareness and perceptions of gender-based violence (GBV) had changed since the project commenced in 2005. The survey also assessed the extent to which the response of the hospital and Women’s Center for Counseling and Health had been strengthened, and made recommendations on changes to improve the situation. Overall, this project has been effective in raising awareness and willingness to integrate GBV screening into health services. The project conducted its training program at a time when the community was also becoming increasingly aware, with the result that younger health practitioners are more sensitive to GBV issues. These two actions were complementary and reinforced one another. The result is that health staff are more willing to screen and help GBV victims. This final project evaluation report states that to map out where GBV is most prevalent, who is most vulnerable, and how can it be most effectively addressed, high-quality population-based GBV surveys should be a priority for Vietnam

Improving the health care response to gender-based violence: Project evaluation report

Consistent with previous studies, this study provides evidence that gender-based violence (GBV) remains a problem in Viet Nam with indications that it may be on the increase. In 2009 the Population Council Viet Nam in collaboration with the Hanoi Health Department, carried out an evaluation among the staff of Duc Giang Hospital to assess the extent to which awareness and perceptions of GBV had changed since a pilot intervention project commenced in 2005. Overall the project has been very effective in raising awareness and willingness to integrate GBV screening in the health services. This report documents the results and lists a number of recommendations for moving forward. Implementing the recommendations will allow for an increased level of quality of services to be provided

Female circumcision in Indonesia. Extent, implications and possible interventions to uphold women\u27s health rights

In Indonesia, the practice of female circumcision (FC) has long existed, but information concerning where and how it is carried out has been limited. The specific aims of the study conducted by the Population Council Jakarta were to provide research-based information on FC customary practices and their socio-cultural determinants, and if possible, to assess any long-term physical and psychological consequences. Study findings indicate that in general Muslim communities support the continuation of FC practice, because they perceive it as both a societal custom and a religious duty. The report strongly recommends that key donor agencies pressure the Ministry of Health to protect girls and women\u27s sexual and reproductive rights. While policy and law enforcement can address the available supply of medical providers for the practice, mass communication should be used to reduce the demand for FC from the community, which can facilitate consensus-building and collective decisionmaking in support of abandoning the practice

Improving quality of health care for gender-based violence victims at health facilities in Viet Nam

This report presents the results of the May 2009 baseline (pre-intervention) assessment among health care providers (HCPs), and the July 2010 pre- and post-Training of Trainers assessments among HCPs, in Ho Chi Minh City (HCMC) and Da Nang, regarding the issue of quality of care for victims of gender-based violence (GBV) at health facilities in Vietnam. The views of HCPs detailed in this report represent an important foundation for project development and implementation in the study locations. The pre- and post-Training of Trainers questionnaire aimed to assess the HCPs on the topics covered in the training course. The results showed that basic knowledge of hospital staff about GBV improved significantly as an immediate result of training. After the training all the participants were aware of the GBV Laws and related regulations. Many HCPs in Vietnam seek information independently to help them better serve patients who are victims of GBV. Results of this report encourage continuing support of additional training, hospital protocols, and a network of referral agencies

Health Research for Development Initiative in Vietnam (HRDI): Impact evaluation results

The Population Council Viet Nam joined the Hanoi School of Public Health and Ho Chi Minh City University of Medicine and Pharmacy – Faculty of Public Health to create fellowships to increase research skills, provide competitive awards, and develop a network to link fellows to various national and international institutes and conferences. The core target population of the project is Vietnamese health professionals who have studied overseas and have obtained recent master’s degrees in public health or health social sciences under three programs managed by the Population Council. This evaluation report provides information from baseline and endline surveys of returned fellows participating in the Health Research for Development Initiative (HRDI) program in Viet Nam. Comparisons in types of work, job sector, research skills, participation in research studies, and job satisfaction can be inferred from this data, yet there are some barriers and limitations to the available data. Continuation and expansion of the HRDI program will require increased ownership from the Schools of Public Health participating in the fellowship program, more attention to the actual content of training programs, and more variety of survey research opportunities in Viet Nam

The prevention and management of HIV and sexual and gender-based violence: Responding to the needs of survivors and those-at-risk

The Population Council seeks to understand the social, economic, political, and physical context of risks for sexual and gender-based violence and HIV. Among the top priorities of Council research are supporting and evaluating efforts to prevent violence and HIV, including creating safe spaces for adolescent girls, and working with men and boys to change gender norms within the community; and comprehensively responding to the needs of survivors (including those who are HIV-infected) by strengthening health systems and integrating services. The purpose of this guide is to provide practical guidance on the steps necessary to establish and strengthen sexual violence (SV) services within existing public health facilities, improve linkages to other sectors, and engage local communities around issues of sexual violence. It includes tips, resources, and tools that will help partners and stakeholders design, implement, and evaluate SV programs

Receiving voluntary family planning services has no relationship with the paradoxical situation of high use of contraceptives and abortion in Vietnam: a cross-sectional study

<p>Abstract</p> <p>Background</p> <p>Vietnam shows a paradoxical situation where high contraceptive prevalence goes together with high abortion rates. This study examined the associations between self-reports of having received voluntary family planning (VFP) services and induced abortions.</p> <p>Methods</p> <p>A cross sectional survey was conducted in Thai Nguyen province, covering a total of 1281 women. Data were derived from a sample of 935 married women aged 18–49 years who were ever-users (93.5%) and current users of contraceptives (84%), and had completed birth histories. The dependent variables were the likelihood of having an induced abortion and repeated (two or more) induced abortions. The main independent variable was having received the three VFP dimensions (counselling, broader information, and access to availability). The association was examined using multivariate logistic regressions, taking into account women’s socio-demographic characteristics.</p> <p>Results</p> <p>The overall induced abortion percentage was 19.4 per 100 pregnancies. None of the three VFP dimensions was significantly associated with the odds of having an induced abortion or having repeated induced abortions. Mother’s age of 35 or older, having more than three living children, and ever used female contraception methods significantly doubled or more the odds of having an induced abortion and significantly tripled the odds of having repeated abortions.</p> <p>Conclusions</p> <p>Results indicate that women receiving VFP services were not less likely to have induced abortions. The provision of family planning counselling, information on contraceptive method mix, and management skills to ensure availability, are in need of reinforcement in a new set of policy and program strategies in the future.</p