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Results for “Development Planning--women”

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At least 19 recordsLinked to original sources
PubMed1989

Technology and women's health in developing countries.

In developing countries is medical technology transfer reaching women? Do women control new technologies or are they only passive recipients? What is the impact of these new technologies on women's health and welfare? To answer these questions this article explores concepts of health, technologies, and women, then gives findings from an extensive literature search on contraception, childbirth, immunization, essential drugs, oral rehydration therapy, water, sanitation, and breast-feeding. The article concludes with recommendations on pre-project planning studies, monitoring, and evaluation.

Developing Countries↗
PubMed1997

An Australian study of functional status after childbirth.

OBJECTIVE: To identify key predictive variables of functional status after childbirth. DESIGN: An investigative survey design. SETTING: Primary health care maternal child health centres in one large city in Victoria, Australia. PARTICIPANTS: 200 mothers selected from a culturally diverse population. All were aged 20 to 35 years, had experienced normal pregnancies, labours, deliveries and delivered a healthy baby between 37 and 42 weeks' gestation. MEASURES AND FINDINGS: The Inventory of Functional Status After Childbirth (IFSAC) (Fawcett Tulman & Myers 1988) was used as the main outcome measure. Three variables predictive of functional status after childbirth were identified, namely, satisfaction with level of stamina and well-being, sleep pattern at night and perceived lack of support following childbirth. KEY CONCLUSIONS: Return to full functional status as measured by IFSAC takes longer than physiological recovery after childbirth. Women who experience diminished well-being, interrupted sleep patterns and lacked support, appeared to be at greater risk of role congestion, overload and dysfunction. IMPLICATIONS FOR PRACTICE: To help women avoid the additive nature of assuming the motherhood role while also resuming past role responsibilities, practitioners could encourage pregnant women to develop a postnatal support plan. Women need to be proactive in negotiating specific and ongoing support from others with household responsibilities and some aspects of baby care.

Adult↗
PubMedDate not supplied

[Introduction].

Explore the source record for details and available documents.

Demography↗
PubMed1993

Estrogens, progesterone, and endometrial cancer.

We conducted a case-control study to evaluate the effect of replacement estrogen use alone, and the combined effect of estrogen and progesterone use, on the risk for endometrial cancer. We studied women age 50-64 years at Group Health Cooperative of Puget Sound. We identified 172 incident cases of endometrial cancer diagnosed during the years 1979-1989, and controls of similar age and duration of membership in the plan. Women who had used conjugated estrogens alone for 5 or more years were at increased risk for developing endometrial cancer compared with nonusers [adjusted rate ratio (RR) = 22.0; 95% confidence interval (CI) = 6.5-74.1]. Users of unopposed estrogens of 3-4 years' duration had a relative risk of 1.9 (95% CI = 0.4-8.7). Women who had used medroxyprogesterone acetate in combination with the estrogen therapy for 3 or more years had a risk near that of nonusers (adjusted RR = 1.3; 95% CI = 0.5-3.4) and that of users of unopposed estrogens for less than 5 years. There were insufficient women who used estrogen and progesterone together for 5 or more years to derive a separate risk estimate for these women.

Cross-Sectional Studies↗
PubMed1987

A research agenda on issues affecting poor and minority women: a model for understanding their health needs.

Acquiring data on quality of life indicators such as health, mental health and family roles of poor and minority women remains a low research priority. This paper provides an assessment of current knowledge in this area and an overview of the context in which poor and racial/ethnic women utilize health care services. A model that encompasses the interactive effects of race, gender and class variables is proposed. Such a model is a necessity for understanding the health needs of poor and racial/ethnic women. Suggestions for future research and policy formulation are given.

Female↗
PubMed2000

Evaluation of the first strategic plan for Aboriginal health in south western Sydney, 1993-98.

The 1993-98 Aboriginal Health Strategic Plan for South Western Sydney represented the first partnership of its kind between an Area Health Service, local Aboriginal Health Workers and the local Aboriginal Community Controlled Health Service in Australia. During 1998, an evaluation of the plan was undertaken as part of the preparation for the second Aboriginal Health Plan. Of the 45 strategies in the first plan, 38% had been fully implemented, 42% had been partly implemented, and 20% were not implemented at all. This paper discusses the importance of data collection and monitoring systems, the integration of Aboriginal health into mainstream services, the further development of Aboriginal health infrastructure, and continued leadership by senior managers.

Child↗
PubMed1992

Gender-planned health services.

Gender-planned health services are planned on the basis that women and men play different roles in society and have different medical needs. The feminist movement has provided a broad charter of rights for women, reflecting women's needs, but these have yet to be translated into operational programmes. National programmes for women would allow co-ordination of broad-based programmes to improve women's health and social position. To change social norms discriminating against women will require changing male attitudes. Health programmes for males have received little attention, except from family planning organizations, although in most countries, males have a high rate of accidents, infections and parasitic disease. Controlled studies are required to evaluate the benefits of gender-planned health services.

Developing Countries↗
PubMed1997

Sexuality, reproduction, and family planning in women with schizophrenia.

This article reviews data about how schizophrenia affects sexuality, pregnancy, the puerperium, parenting, and family planning. Women with schizophrenia have high rates of coerced sex, sexual risk behavior, and unwanted pregnancies. High rates of obstetric complications and custody loss increase morbidity for women and their offspring. Since untreated psychosis increases these problems, the risks of withholding pharmacotherapy must be weighed against the risks of prescribing medications during pregnancy. The puerperium is a time when women are especially vulnerable to exacerbations of schizophrenia. Mothers with schizophrenia may have a reduced ability to read children's cues, and they often have weak social support networks. Their children may be more difficult to raise than other children. Parenting rehabilitation can address some of these problems. Often, women with schizophrenia who are sexually active and do not wish to become pregnant do not use contraception. Incorporating family planning measures into mental health care delivery systems may reduce unwanted pregnancies.

Antipsychotic Agents↗
PubMed2000

Development of a business plan for women's health services, using Malcolm Baldrige Performance Excellence Criteria.

A new process for business planning at Hartford Hospital was needed to achieve critical business results. This article describes the Hospital's use of the Malcolm Baldrige Performance Excellence Criteria as a way to standardize and improve business planning. Women's Health Services is one of Hartford Hospital's "centers for excellence" and one of the first to use these criteria to improve its service. Staff learned how to build their business plan upon a set of core values and concepts such as customer-driven quality, leadership that sets high expectations, continuous improvement and learning, valuing employees, faster response to market demands, management by fact, and a long-range view of the future.

Commerce↗
PubMedDate not supplied

Population policy forum. Women as subjects, not objects.

I very much agree with Marge Berer that feminists must recognize that there needs to be a population policy, worldwide and country by country, that encourages lower birth rates and that it is essential to start talking about population policies that respect and promote women's moral agency. Indeed I think it would be fair to say that the failure to respect and promote women's moral agency is the major reason why government-sponsored population policies have failed in the past. Male population planners habitually think of mass population as objects, rather than subjects, of population policy. This is why they think so readily of "incentives" or even more coercive methods. Birth control is thought of as a "war" to be imposed on the population, not as an integral part of the self-development of the people's own capacity to organize and become decisionmakers. If this is true in relation to the male population, it is even more so in relation to women. Population policy continues the basic male approach to women as bodies under their control, not as self-actualizing subjects. Until population policies take as their starting point women's human development as persons and moral agents in their own right, such policies both will be abusive to women and also will not "work." However, Marge Berer's remarks about oppressive, dehumanizing governments as incapable of promoting any other form of population policy give one pause. If this is the case, then neither national governments nor most international agencies linked to Western hegemonic neocolonialism can be the authentic promoters of feminist population policy. There must be a global effort to build parallel women's health organizations that work on the grassroots level with women, especially poor women, to empower these women themselves to become the leaders in educational and economic development of the women in their communities. Only in and through this larger context can such women both learn how to use and become empowered to use methods of birth control.

Behavior↗