Sexual and reproductive health

Adolescent sexual and reproductive health

Planned research

More than a sexual venue - Feasibility of internet-based provision of sexual health services to young people, PERU

Dr Carlos Caceres, Cayetano Heredia University, Lima

This proposal aims to describe and analyze both heterosexual and same-sex sexual interactions among young people using the internet. Specific objectives of the study are to:

  • Describe the extent, purpose and characteristics of present-day use of the internet as a sexual venue by young people, for both heterosexual and same sex contacts, and assess the extent to which internet-based contacts derive into personal (sexual and non-sexual) contacts;
  • Assess access to sexual health information and services among young people who use the internet to find partners;
  • Explore the acceptability of sexual health services offered through the internet to young people (including on-line and in-person services);
  • To conduct a stakeholder meeting to share findings and discuss policy implications
  • Assess the feasibility of on-line data collection as an alternative to face-to-face interviews for estimation of the WHO sexual health indicators.

This proposal is for an exploratory study that is intended to pave the way for developing an intervention that would offer on-line SRH services for young people accessing the internet. Studying whether young people accessing the internet have unmet SRH service needs, what those services could be, and how best to offer them is the goal of the study.

The Sexual and Reproductive Health of Young Married Women in Yemen, YEMEN

Dr Jocelyn DeJong, American University of Beirut (AUB), Lebanon

The two objectives of the proposed survey of self-reported symptoms of reproductive tract infections and genital prolapse among married adolescents in Yemen are a) to assess their prevalence and determinants and to determine the proportion of women seeking modern health care services - public or private; and b) to compare the results of the study with that of the nationally representative 2003 Yemen Family Health Survey on the severity and duration of symptoms as well as systematic probes. The study has both quantitative and qualitative components.

The qualitative component aims to a) to explore barriers to seeking care for symptoms of RTI and genital prolapse (including socio-cultural, economic and health-care related factors); and b) to study the relationship between the perceived impact of these reproductive health conditions (for example on fulfilment of daily responsibilities and marital life) and health-care seeking patterns. Also, in the process, young women’s terminology for RTI and genital prolapse will be investigated.

The main quantitative objectives are a) To assess the prevalence and determinants of self-reported symptoms of RTI and genital prolapse among a representative sample of young married women aged 15 to 24 in a rural and an urban area of Yemen; and b) To determine the proportion of those young married women reporting such symptoms who seek modern health care services (public or private).

There are two secondary objectives to the quantitative part: a) To compare the reproductive morbidity-related results of the nationally representative 2003 Yemen Family Health Survey with findings from this study which uses more detailed questions on the severity and duration of symptoms as well as systematic probes; and b) To provide a representative sample of young married women on which to base further qualitative research.

Las necesidades anticonceptivas de las mujeres viviendo con VIH. Aportes para mejorar la oferta de servicios y empoderar a las usuarias, ARGENTINA

Dr Monica Gogna, Centro de Estudios de Estado y Sociedad (CEDES), Centro de Estudios de Población (CENEP) and CNRS Centro Nacional de Referencia para el Sida (CNRS)

The project aims to generate new evidence on the experience, needs and expectation of women living with HIV/AIDS and their partners regarding their sexual and reproductive rights, and provide perspectives of health care providers. The researchers propose: 1) to identify and analyse the obstacles to access family planning services for women living with HIV who wish to postpone or avoid pregnancies; 2) to help understand the perspective of health professionals regarding pregnancy prevention and contraception services for women living with HIV; 3) raise professionals’ awareness of the sexual and reproductive needs and rights of persons living with the virus; 4) familiarize professionals with new information on national and international practices for provision of prevention services for HIV affected persons; and 5) design, implement, and evaluate an intervention to help improve access to prevention for persons living with HIV and their partners and help them prevent unwanted pregnancies, infections and re-infections, and transmissions from mother to child .

The project is a collaboration among four centers in Argentina: CEDES (Centro de Estudios de Estado y Sociedade); CENEP (Centro de Estudio de Populacion); CNRS (Centro de Referencia Nacional de La SIDA) and Instituto de Investigacion Gino Germani de La Universidade de Buenos Aires.