De nombreux travaux ont été réalisés sur la franc-maçonnerie, son histoire et ses pratiques, mais aussi sur son influence au XVIIIème siècle. Cependant, aucune recherche universitaire n’a été menée sur son activité au cours des XXème et XXIème siècles. Organisation discrète, la franc-maçonnerie compte aujourd’hui un peu plus de 6 000 000 de membres à travers le monde et a toujours été significativement présente au sein des gouvernements français. Il n’est aujourd’hui plus contesté qu’elle a marqué de son empreinte les combats pour la laïcité de l’enseignement, la liberté d’association ou la séparation de l’Eglise et de l’Etat. Néanmoins, à l’heure actuelle, on doute parfois de la réalité de cette influence. Les lois relatives à la contraception, à l’interruption volontaire de grossesse ou encore, plus récemment, à la bioéthique ou à l’interdiction du voile intégral sont pourtant toutes réputées avoir reçu le soutien de la franc-maçonnerie. De la pure et simple rédaction dans des loges d’un texte voté ultérieurement, à la fameuse coalition parlementaire, sans oublier les innombrables ministres réputés maçons, l’influence des obédiences prendrait des formes diverses. Ce travail a pour objet de démontrer la réalité de cette influence tout en en déterminant les spécificités : son identité, son fonctionnement, mais aussi son but et certaines de ses techniques la distinguent des autres auteurs d’influence. Ensuite, cette recherche s’attache à vérifier l’adéquation de la qualification de groupe d’intérêt que revendique la maçonnerie. La démarche adoptée emprunte aux outils proposés par la sociologie juridique, l’influence de la maçonnerie apparaissant comme un phénomène social, comptant parmi les causes de ces lois. En outre, le recours aux données statistiques, comparatives, historiques, à l’entretien, ainsi qu’à la légistique a permis de pallier les lacunes qu’auraient laissées les seules recherches bibliographiques. / A lot of research work has been carried out about Freemasonry, its history and its customs, but also about its influence in the 18th century. Nevertheless, no academic research has been led on its activity during the 20th and 21st centuries. Freemasonry, a discreet organisation, is nowadays composed of a little more than 6,000,000 members around the world and has always been significantly present within the French governments. No one now denies that it has left its mark in the fights for school secularism, freedom of association or the separation of Church and State. However, currently, the reality of its influence is sometimes put into question. The laws pertaining to contraception, voluntary termination of pregnancy or, more recently, bioethics or the ban on the full veil, are however all well-known for having received the backing of Freemasonry. From the sheer writing in the lodges of a text which is to be voted in at a later stage to the famous parliamentary coalition, as well as the countless ministers who are well-known for being freemasons, the influence of the Masonic Obediences is said to take various forms. This work’s objective is to check the reality of this influence while determining its specificities: its identity, its workings, but also its purpose and some of the techniques used make it different from those written by other influential authors. Moreover this research also aims at checking that the classification claimed by Freemansonry as an interest group is adequate. The approach chosen required the use of the tools suggested by legal sociology, since the influence of Freemasonry appears as a social phenomenon, being one of the causes of these laws. Besides, the use of statistical, comparative and historical data, of interviews as well as legal drafting has made it possible to fill in the gaps that would have remained if only bibliographic sources had been used.

MCur / Department of Advanced Nursing Science / See the attached abstract below

The aim of the study was to develop strategies to reduce the unmet need for modern contraception among agro-pastoral women. The objectives of the study were to determine the prevalence of unmet need for modern contraception, determine the factors associated with unmet need for modern contraception, and explore the barriers that hindered agro-pastoral women from using modern contraception. A mixed-method research design was used to conduct the study. Data were collected from agro-pastoral women and family planning service providers. Questionnaire and individual in-depth interviews were used to collect the data. The validity and reliability of the quantitative data and trustworthiness of the qualitative data were ensured. Use of standard data collection tools, employing method and data triangulation, and documenting all the procedures of data collection and analysis were among the ways employed to do so The quantitative data were analysed using simple descriptive statistics and multivariate logistic regression. Thematic analysis was employed to analyse the qualitative data. Ethical principles of research such as beneficence, justice, informed consent, respect for persons, privacy and confidentiality and scientific integrity were considered to conduct the study. The study revealed an unmet need of 29.2% (n=112) for modern contraception among agro-pastoral women. The unmet need for birth spacing constituted 21.1% (n=81), whereas the unmet need for birth limiting was 8.1% (n=31). The age of the women, the number of living children, knowledge of modern contraceptive methods, and knowledge of FP service centres were found to be associated with women‘s unmet need for modern contraception. Lack of time and money, lack of knowledge about modern contraception, and fear of side effects were the major individual-level barriers. There were also culture-related factors such as the need for many children that hindered agro-pastoral women from using modern contraception. Moreover, the study disclosed that religious unacceptability and husband‘s and relatives‘ opposition were also among the mentioned barriers. The quality of FP service provision in terms of the competence and behaviour of health service providers, unavailability and inaccessibility of FP service, were also indicated as barriers. The findings informed the development of strategies to reduce agro-pastoral women‘s unmet needs for modern contraception in Eastern Ethiopia. The study further recommended that the health bureaus of the region, zone and district collaborate in ensuring that agro-pastoral women realise the significance of the provision of accessible, equitable, quality modern contraception. It is also essential to equip health facilities with qualified health service providers and necessary facilities. Religious leaders should be involved in disseminating vital, relevant and empowering FP information. / Health Studies / Ph. D. (Public Health)

The aim of this study was to investigate sexual activity as well as contraceptive knowledge and use among termination of pregnancy (TOP) clients at Prince Mshiyeni Memorial Hospital’s TOP clinic in the province of KwaZulu-Natal (KZN). This was a non-experimental quantitative study in the form of a cross sectional study. Self-administered questionnaires were used for collecting data from 61 respondents selected non-randomly. The majority of the respondents were single young women between 18 and 27 years of age. Sexual intercourse frequency was mostly once a month (91.8%). Most were unemployed and dependent on government grants and had heard of both contraception in general and emergency contraception. Only 44 (78.6%) had used contraceptives before and the most frequently used method of contraception was the injection (36.6%). Despite the respondents having heard of contraception, the median score of the knowledge of contraception was only 16%. The distribution of knowledge was very wide, but on the whole the level of knowledge of contraception was very low / Health Studies / M.A. (Public Health)

The purpose of this study was to attain an understanding of knowledge, attitudes and use of contraception amongst learners attending a high school in Mdantsane. A quantitative, descriptive survey was conducted. Data were collected using a semi-structured questionnaire which was self-administered by 150 female learners. These learners were doing grade 10-12 and were aged between 18-20 years. The findings indicated that 86.67% of the learners understood contraception as prevention of pregnancy, only 8.67% understood contraception as prevention of sexually transmitted diseases. The 66.3% of learners had positive attitude towards contraceptives. The 77.27% of the learners were using injectable contraceptives. The main reason for stopping use of contraception was side effects. Majority of learners had basic knowledge of contraceptives, but knew few types and did not know their mechanism of action. Most learners had positive attitude and were using contraceptives. / Health Studies / M.A. (Health Studies)

HORMONAL CONTRACEPTION - USERS̕ KNOWLEDGE Student: Křiklánová, J. Tutor: Marešová, H. Department of Social and Clinical Pharmacy, Faculty of Pharmacy in Hradec Králové, Charles University, Czech Republic Introduction: Hormonal contraception is a broadly used and very reliable birth control method. Nonetheless, it is not entirely risk-free. This thesis deals with the awareness of those risks in women who are currently using hormonal contraception or have ever used it before. Aim of the thesis: The main aim was to determine the extent of the users' awareness of hormonal contraception and its risks, undesirable side effects and contraindications, as well as their source of information. Furthermore, the awareness of the environmental impact, the reasons for using hormonal contraception and user satisfaction were examined. Methodology: The research was carried out by means of online questionnaires, which were spread among current or former users of hormonal contraception regardless of age, educational background or place of residence. 148 completed questionnaires were gathered and the data which were obtained were statistically evaluated. Results: It was discovered that women feel informed (25 %) or rather informed (44,6 %) more often than uninformed; the most frequent source of information is patient...

This research report is submitted to the School of Social Sciences at the University of the Witwatersrand, Johannesburg in partial fulfilment of the requirements for the degree of Master of Arts in the field of Demography and Population Studies for the year 2016, September 2017 / Background: South Africa has some of the most progressive legislation when it comes to sexual and reproductive health rights. However, contraceptive use amongst this segment of the population group remains distorted. From a public health perspective, investing in the sexual and reproductive health needs of young people translates into an improvement in the sexual health status of the population at large. As such this paper makes use of the Health Belief Model to investigate the factors associated with the choice of type of contraceptive methods used by sexually active young women to prevent a pregnancy. Methodology: Data for this study was obtained from Wave 2 of the Transitions to Adulthood survey. The weighted sample size is 464. Analysis on the weighted data was conducted in STATA 13.1 in survey mode in order to achieve the objectives of this study. Descriptive statistics were used to analyse the data at the univariate level. The Chi-squared test was conducted to examine the relationship between the variables under investigation and the outcome, contraceptive use. The multinomial logistic regression model was used to analyse the data at the multivariate level. The results of which were provided in terms of relative risk ratios. Findings: Approximately 41% of sexually active young women in KwaZulu Natal did not use contraception to prevent a pregnancy with their most recent sexual partner. Results from the multinomial logistic regression model revealed that sexually active young women who were single were 77% less likely to make use of hormonal and other contraceptive methods to prevent a pregnancy compared to their who were counterparts in a relationship (p-value= 0.00001). Young women who have been pregnant at least once were approximately 60% less likely to utilise hormonal and other contraceptive methods to prevent a pregnancy with their most recent sexual partner. Conclusion: By using the Health Belief Model as a theoretical basis this study highlighted the complex non-linear relationships between the variables selected to constitute the health beliefs as well as the health-related behaviour of contraceptive use. The findings of this study demonstrate two key realities related to contraceptive use of sexually active young women in KwaZulu Natal. Firstly, relatively low rates of contraceptive uptake. Secondly, amongst sexually active young women who utilised contraception, there are even lower usage rates of long-acting reversible contraceptive methods. As such, it is important for healthcare facilities in KwaZulu Natal and South Africa at large to support young women in their decision to protect themselves from unintended pregnancies and from infections of HIV and others STIs. / XL2018

Introdução: A anticoncepção de emergência é um método contraceptivo usado após a relação sexual desprotegida. Apesar da sua alta eficácia e de estar disponível gratuitamente na rede pública de saúde, ainda é subutilizada. Objetivo: Identificar as razões e analisar os determinantes do não uso da anticoncepção de emergência quando indicada. Método: Estudo quantitativo, do tipo transversal, realizado com amostra probabilística de mulheres grávidas usuárias de 12 Unidades Básicas de Saúde da Supervisão Técnica de Saúde do Butantã, São Paulo (n=515), entre março e junho de 2013. O não uso da anticoncepção de emergência quando indicada foi considerado quando as mulheres eram classificadas como tendo gravidez não planejada ou ambivalente segundo o London Measure of Unplanned Pregnancy (n=366). No Stata 12.0, os dados foram analisados por meio de regressão logística multinomial. O grupo de mulheres que usou a anticoncepção de emergência para prevenir a gravidez em curso foi comparado com dois grupos: o de mulheres que estava usando algum método contraceptivo, mas não anticoncepção de emergência no mês em que ficou grávida, e o grupo de mulheres que não usou métodos contraceptivos nem anticoncepção de emergência nesse período. Resultados: Apesar da maioria conhecer a anticoncepção de emergência (96,7%), apenas 9,8% a usou para prevenir a gravidez em curso. A principal razão para o não uso foi pensar que não iria engravidar (47,6%). Outras razões, como querer engravidar/ter um filho no futuro e não pensar ou não se lembrar do método também foram amplamente referidas pelas mulheres. Os determinantes do não uso da anticoncepção de emergência para as mulheres que usavam métodos contraceptivos foram a não consciência do risco de engravidar [OR=3,44; IC95%: 1,48-8,03] e morar com o parceiro [OR=3,23; IC95%: 1,43-7,28]. Para aquelas que não usavam métodos contraceptivos, morar com o parceiro [OR= 3,19; IC95%: 1,40-7,27], gravidez ambivalente [OR: 3,40; IC95%: 1,56-8,54] e o não uso prévio do método [OR=3,52; IC95%: 1,38-8,97] foram associados ao não uso da anticoncepção de emergência. Conclusões: Viver com um parceiro pode fazer com que a mulher se sinta menos preocupada em evitar uma gravidez, ou seja, menos propensa a usar a anticoncepção de emergência. De toda forma, reconhecer as situações em que corre o risco de engravidar, saber por experiência própria como obter e usar o método e ter claras intenções reprodutivas podem aumentar o uso da anticoncepção de emergência quanto indicada / Introduction: Emergency contraception is a contraceptive method to be used after unprotected intercourse. Despite its high efficacy, availability both at primary health care and private pharmacies in Brazil, it is still underutilized. Objective: To identify the reasons and analyze the determinants of emergency contraception non-use when indicated. Method: Cross-sectional, quantitative study conducted with a probabilistic sample of pregnant women from 12 Primary Health Facilities at the Health Supervision of Butantã, São Paulo, Brazil (n=515), from March to June 2013. We considered an emergency contraception non-use when indicated women who were either in an unplanned or ambivalent pregnancy according to the London Measure of Unplanned Pregnancy (n=366). In Stata 12.0, we used multinomial logistic regression to analyze the data. Women who used the method to prevent the current pregnancy were the reference and were compared to two groups of women: those who did not use emergency contraception, but used another method; and those who used no method at all. Results: Although there was a high proportion of emergency contraception awareness (96.7%), only 9.8 % used it to prevent the current pregnancy. The main reason for non-use was believing that she would not become pregnant (47.6%); but wanting to become pregnant in the future and not remembering to use the method were also largely reported. Associated aspects to emergency contraception non-use among women who used a method were not being aware of pregnancy risk [OR=3,44; IC95%: 1,48-8,03] and cohabitation with a partner [OR=3,23; IC95%: 1,43-7,28]. Among women that did not use any contraception, cohabitation with a partner [OR= 3,19; IC95%: 1,40-7,27], ambivalent pregnancy [OR: 3,40; IC95%: 1,56-8,54] and no previous use of emergency contraception [OR=3,52; IC95%: 1,38-8,97] were associated with the method non-use. Conclusions: Living with a partner can make a woman feel less concerned about preventing a pregnancy, which means, less likely to use emergency contraception. Eventually, having skills to recognize pregnancy risk situations, having experience on how to use and when to obtain the pill and a clear pregnancy intention can increase the use of emergency contraception when indicated

Introdução: O uso de métodos anticonceptivos modernos pela maior parte das mulheres brasileiras não diminuiu, conforme esperado, assim como a ocorrência de gestações não desejadas, abortamentos e, consequentemente, mortes maternas, o que revela uso com perfil irregular e descontínuo. No Brasil, há pouca informação sobre os padrões e os determinantes da ocorrência dessas descontinuidades contraceptivas. Devido às inconsistências no uso de métodos serem relativamente comuns, é necessário mensurar o quanto as mulheres interrompem seu uso a despeito de não desejarem engravidar e/ou os alternam inúmeras vezes, nem sempre com opção por um método mais eficaz. Objetivo: Analisar os padrões e os determinantes das descontinuidades contraceptivas no uso da pílula oral, do hormonal injetável e do preservativo masculino. Método: Estudo longitudinal retrospectivo, conduzido com amostra probabilística de 1.551 mulheres de 18 a 49 anos de idade, usuárias de 57 Unidades Básicas de Saúde da cidade de São Paulo/SP (2015) e Aracaju/SE (2016). Os dados foram coletados por entrevista face a face usando o calendário contraceptivo. No Stata 14.2, as análises das taxas de descontinuidade contraceptiva no período de doze meses foram realizadas pelo método de Kaplan-Meier e dos fatores associados por meio dos Modelos de Riscos Proporcionais de Cox, ambos para descontinuidade total, abandono, troca para método menos eficaz e troca para método mais eficaz. Resultados: A taxa de descontinuidade total no uso de métodos foi 41,9% aos doze meses, sendo maior entre usuárias do preservativo masculino (48,1%), seguida de hormonal injetável (39,0%) e pílula oral (38,6%). Entre as usuárias de pílula oral, a taxa de abandono foi a maior; entre as usuárias do hormonal injetável, foi a troca para um método menos eficaz; e, entre as usuárias do preservativo masculino, foi a troca para um método mais eficaz. Os aspectos associados às descontinuidades variam segundo o tipo de método. A descontinuidade no uso da pílula oral foi associada à idade (18-24 anos), vivência de abortamento, incerteza quanto à intenção reprodutiva e aos efeitos colaterais/preocupação com a saúde. A descontinuidade no uso do hormonal injetável foi associada ao maior número de parceiros sexuais, à vivência de abortamento e aos efeitos colaterais/preocupação com a saúde. A descontinuidade no uso do preservativo masculino foi associada à idade (25-34 e 35-49 anos), à união conjugal, ao menor poder aquisitivo (classe econômica D/E) e ao maior número de filhos vivos. Conclusões: Foram observadas altas taxas de descontinuidades no uso de métodos contraceptivos, que variaram conforme o tipo de método. Chama a atenção o papel dos efeitos colaterais na determinação da ocorrência de descontinuidade no uso dos métodos hormonais. Por sua vez, a troca por método mais eficaz foi pouco frequente, com exceção das usuárias de preservativo masculino. Sugere-se ampliar o acesso aos métodos contraceptivos mais eficazes e de longa duração e melhorar a assistência em contracepção nos serviços do Sistema Único de Saúde, de forma a contemplar as necessidades de saúde das mulheres e seus direitos sexuais e reprodutivos. / Introduction: Use of modern contraceptive methods by the majority of Brazilian women did not reduce the occurrence of unintended pregnancies, abortions or maternal deaths as expected, which means that it might be an irregular and discontinuous use. In Brazil, there is a little information on the patterns and determinants of the occurrence of these contraceptive discontinuations. Because inconsistencies in the use of methods are relatively common, it is necessary to measure how much women discontinue their use despite they are willing to get pregnant and/or switching them countless times, not always with the option of a more efficient method. Objective: Our purpose is to investigate patterns and determinants of contraceptive discontinuations in the use of oral pill, hormonal injection and condom. Method: We conducted a retrospective longitudinal study with probabilistic sample of 1,551 women among 18-49 year old who are primary users of 57 health care facilities, both in Sao Paulo (2015) city and Aracaju city (2016). Data were collected by face-to-face interview in line with contraceptive calendar. In Stata 14.2 analyzes of 12-month contraceptive discontinuation rates were performed using the Kaplan-Meier Survival Estimates method and associated factors using the Cox Proportional Hazards Models, both for total discontinuation, abandonment, and switching to a less efficient method and switching to more efficient method. Results: The discontinuation rate in the use of methods was 41.9% at 12 months, being higher among male condom users (48.1%), followed by hormonal injection (39.0%) and oral pill (38.6%). Among oral pill users, the abandon rate was the highest; among users of hormonal injections, was the switching to a less efficient method; and among male condom users, it was the switching to a more efficient method. The aspects associated to the discontinuations varied according to the type of method. Discontinuation of oral pill users was associated with age (18-24 years old), experience of abortion, uncertainty about reproductive intention and side effects/health concern. Discontinuation in the use of hormonal injections was associated with a greater number of sexual partners, the experience of abortion, and the side effects/health concern. Discontinuation of condom users was associated with age (25-34 and 35-49 years old), marital union, lower income and the highest number of live children. Conclusion: High discontinuation rates were observed in the use of contraceptive methods, which varied according to the type of method. The role of side effects/health concern in determining the occurrence of discontinuation in the use of hormonal methods is noteworthy. On the other hand, switching to more efficient method was infrequent, except for the male condoms users. It is suggested to amplify access to the more effective methods as well as long active also improving care in contraception in the all health care facilities services, in order to take into account both women health needs and their sexual and reproductive rights.

Introdução: A prescrição da pílula anticoncepcional passa a ser realizada no Brasil a partir de 1962. Sua prática trouxe transformações políticas e sociais ao país: a pílula passa a ter grande aceitabilidade das mulheres e permanece como o método anticoncepcional mais utilizado por elas até a atualidade. Seu uso influenciou na queda da taxa de fecundidade e compõe, atrelada a uma série de outros fatores, um conjunto de transformações que modifica a formulação de políticas públicas referentes à saúde reprodutiva e à saúde sexual feminina. Objetivo: Compreender como a prescrição da pílula anticoncepcional por médicos ginecologistas era realizada no Brasil na época em que começa a ser utilizada no país. Metodologia: Trata-se de uma pesquisa qualitativa, tendo como material empírico as narrativas de seis médicos ginecologistas que atuaram na década de 1960, no estado de São Paulo. Resultados e Discussão: A partir das entrevistas, foram identificados quatro eixos temáticos de análise, que contemplaram a descrição Introdução: A prescrição da pílula anticoncepcional passa a ser realizada no Brasil a partir de 1962. Sua prática trouxe transformações políticas e sociais ao país: a pílula passa a ter grande aceitabilidade das mulheres e permanece como o método anticoncepcional mais utilizado por elas até a atualidade. Seu uso influenciou na queda da taxa de fecundidade e compõe, atrelada a uma série de outros fatores, um conjunto de transformações que modifica a formulação de políticas públicas referentes à saúde reprodutiva e à saúde sexual feminina. Objetivo: Compreender como a prescrição da pílula anticoncepcional por médicos ginecologistas era realizada no Brasil na época em que começa a ser utilizada no país. Metodologia: Trata-se de uma pesquisa qualitativa, tendo como material empírico as narrativas de seis médicos ginecologistas que atuaram na década de 1960, no estado de São Paulo. Resultados e Discussão: A partir das entrevistas, foram identificados quatro eixos temáticos de análise, que contemplaram a descrição sobre o primeiro contato dos médicos com a pílula, seguido das diferentes formas de utilização da pílula anticoncepcional como uma nova tecnologia. Também foi identificada a relação entre a prescrição médica e a indústria farmacêutica, assim como o uso da pílula anticoncepcional e a construção do discurso médico sobre o corpo feminino. Esses achados foram analisados à luz dos estudos sobre medicalização do corpo feminino, e como a sua prescrição foi sendo incluída na clínica médica a partir da década de 1960. Considerações Finais: O uso da pílula anticoncepcional apresentou-se como uma nova tecnologia de controle da reprodução e dos corpos femininos. Compreender a história da prescrição da pílula é levar em consideração os múltiplos agentes, interesses e práticas que ainda se inscrevem sobre os corpos das mulheres / Introduction: The prescription of the contraceptive pill began in Brazil in 1962. This practice brought political and social changes to the country: the pill becomes highly accepting of women and remains the contraceptive method most used by them until nowadays. The pill use has influenced the fall in fertility rate and, based on a series of other factors, is a set of transformations that modifies the formulation of public policies regarding reproductive health and female sexual health. Goal: To understand how the prescription of the contraceptive pill happened in Brazil, carried by gynecologists at the time when it begins to be used in the country. Methodology: This is a qualitative research, having as empirical material the narratives of six gynecologists who worked in the 1960s, at São Paulo state. Results and Discussion: From the interviews, four thematic axes of analysis were identified, which included the description of the first contact of the doctors with the pill, followed by different ways of using the contraceptive pill as a new technology. Also, were identified the relationship between medical prescription and the pharmaceutical industry, as well as the use of the contraceptive pill and the construction of the medical discourse about the female body. These findings were analyzed in light of the studies on medicalization of the female body, and how the contraceptive pill prescription was included in the medical clinic from the 1960s. Final Considerations: The use of the contraceptive pill was presented as a new technology for the control of Reproduction and of female bodies. Understanding the history of pill prescription is to take into account the multiple agents, interests, and practices that are still inscribed on women\'s bodies