Made available in DSpace on 2016-01-26T12:51:41Z (GMT). No. of bitstreams: 1 celiaramin_dissert.pdf: 1563079 bytes, checksum: e9ef55e61a9de1a8cc8204aba266c2f5 (MD5) Previous issue date: 2003-05-08 / The education of health professionals approaches several aspects such as their social role and care work, research and education; that is, they are educated to give support for all of the individual s needs. For a long time, I have been thinking about the practice of sexuality concepts among nursing students since they have to give instructions of the related issues as familial planning and STD/AIDS prevention; sometimes they are victims of their own setting. This transversal, exploratory, descriptive, quantitative study aimed at investigating among nursing students their knowledge, practice and sources of information on contraceptive methods and STD/AIDS. Moreover, it approaches some aspects of sexual-life practice as well as its consequence. A semi-structured questionnaire was used for collecting data. The results showed that the majority of the students had some information on this issue when attending high school period, especially on contraceptive methods as the use of condoms, pills and withdrawal method. AIDS was the most stressed subject among STD. Learning this subject was more effective when they attended graduation period, especially in the 4th grade during the class of Nursing in the Care of Transmitted Diseases. The sources that most contributed for their knowledge were the classes and related reading. They have had little information from their parents on this issue. They reported the initial age of 10 to 13 years recommended to start receiving information on contraceptive methods and STD/AIDS prevention. Condoms and pills are the most effective contraceptive methods according to them. The great majority of them showed a misunderstanding in relation to some contraceptive methods such as condoms and pills playing a role in the prevention of STD. Seventh seven percent of them have just started their sexual life; out of these, 45.7% in the age of 16 to 18 years. The majority of the students stated to know how to prevent STD, however some of them did not make use of this knowledge. The most used contraceptive methods were the combination of pills and condoms, and/or the single use of one of them. Some of them, who made use of pills and other contraceptive methods, without being the condoms, did not care about the risk of STD/AIDS contamination. Behavioral aspect was the greatest constraint between reason/emotion in relation to STD/AIDS prevention and unwanted pregnancy . The approach of this study is to provide better understanding on subjects related to human sexuality for the nursing students, therefore they will be able to work on these themes at hospitals, HBU (Health Basic Units) or at elementary or high schools. Without this learning either their professional activities or their own behavior in relation to sexual issues will be impaired. / A formação dos profissionais da saúde abrange diversos aspectos tais como o seu papel social e assistencial; de pesquisa e de educação, ou seja, são preparados para atender as pessoas em todas as suas necessidades. Há muito, venho refletindo sobre a interiorização dos conceitos sobre a sexualidade entre os acadêmicos de enfermagem, visto que, apesar de transmitirem conhecimentos à clientela sobre temas relativos a planejamento familiar e prevenção de DST/HIV/AIDS, algumas vezes têm sido as vítimas neste contexto.O presente estudo é do tipo transversal, exploratório descritivo com abordagem quantitativa, com o objetivo de investigar o conhecimento, uso e as fontes de informações dos métodos contraceptivos e prevenção de DST/AIDS, além de abranger o estudo de aspectos da vivência sexual e sua conseqüência. Para tanto foi utilizado um questionário semi-estruturado entregue as acadêmicas da 1ª a 4ª série do Curso de Graduação em Enfermagem da Faculdade de Medicina de São José do Rio Preto. Os resultados mostraram que a maioria das acadêmicas referiu ter recebido informações no ensino médio sobre métodos contraceptivos, principalmente sobre preservativos, pílula anticoncepcional e coito interrompido. A AIDS aparece como a DST mais abordada, o aumento do conhecimento ocorreu no decorrer da graduação, firmando-se efetivamente na 4ª série na disciplina de Enfermagem em Doenças Transmissíveis. As acadêmicas referiram como fontes que mais contribuíram as aulas e leituras específicas. A participação dos pais nesta educação foi incipiente. Acreditam que a idade ideal para se iniciar as orientações sobre métodos contraceptivos e DST/HIV/ADS está entre 10 e 13 anos. Citam como métodos contraceptivos mais seguros os preservativos e os anticoncepcionais orais. Há uma distorção e compreensão errônea por parte de muitas acadêmicas, que alguns métodos contraceptivos como os anticoncepcionais orais e injetáveis e o DIU contribuam em muito para a prevenção de DST. Setenta e sete porcento das acadêmicas já iniciaram a vida sexual, destas 45,7% na idade entre 16 e 18 anos. A maioria (97,8%) afirma saber como prevenir DST, porém nem todas fazem uso do conhecimento adquirido. Os métodos contraceptivos mais utilizados são a combinação de anticoncepcionais orais e preservativos, e/ou pelo uso único de um dos dois, sendo que, as que fazem uso somente da pílula e outros métodos que não a utilização do preservativo, se expõem ao risco de contrair DST/HIV/AIDS. A questão comportamental ainda é a maior barreira entre a razão/emoção dificultando a prevenção das DST/AIDS e gravidez não planejada. A abordagem desta pesquisa reside na perspectiva de inserção de estudantes de enfermagem como orientadores de temas relacionados à sexualidade humana, seja em hospitais, ambulatórios, UBS ou escolas do ciclo fundamental e médio. Entende-se que sem este preparo, tanto sua vivência profissional quanto seu comportamento serão prejudicados em relação à questão sexual e a reflexão sobre sua própria sexualidade.

This dissertation investigates the mutual life project of Signe (1896-1988) and Axel Höjer (1890-1974), a married couple who were key actors in the construction of the Swedish welfare state. It emphasises the ways in which they went about asserting a special public health expertise in different contexts. As starting points I take the malleability of the concept folkhälsa (people’s health or population health) and the centrality of expertise in the governance of modern societies. Theoretical concepts such as gender, policy transfer, biopower and governmentality are central to the analysis. The dissertation includes three parts. The first part investigates how the Höjers agreed to coordinate their work and how they, with reference to ideas picked up in France and England at the end of World War I, attempted to reform mother and child health care in Sweden. Their strategies where rhetorical but also practical, using Hagalund outside Stockholm as their experimental ground. The second part investigates, firstly, how Axel Höjer, as General-Director of the Medical Board of Sweden (1935-52) asserted a sociomedical expertise, integrating the emerging social sciences and universalist views on the organisation of the welfare state into the realm of medicine, in order to launch ideas of a thorough reorganisation and expansion of the Swedish health care system. His focus was on preventive medicine and health care, with the complete physical, mental and social health of the whole population as an explicit goal. Secondly, it explores how Signe Höjer at the same time tried to launch ideas on health and wellbeing as a social politician and a public committee member. She also tried to define family policy as a specific policy area. However, despite her training as a nurse and a social worker, she was largely confined to asserting a particularly ”female” expertise, which made her position rather ambiguous in terms of authority. The third part investigates how the Höjers, in the 1950s and 60s, worked with international health, Axel mainly for the WHO in India and Ghana, Signe as a policy entrepreneur, primarily in the fields of childcare and family planning. My findings partly confirm theories that see development aid as an extension of domestic social policy, but they challenge the view of aid as a simple one-way process. I demonstrate how the Höjers at least tried to adapt their projects abroad to meet local circumstances, and also show how they brought lessons from the third world to a domestic public. In the latter case they did not primarily act as experts of Swedish-style social policy, but as experts on the developing countries and on development aid.

The study was done to assess the information and care the men and women have on PCC and develop strategies that could improve provision of PCC that could advance maternal and newborn outcome after pregnancy in Malawi. Most for the interventions to improve pregnancy outcome are done too late in Malawi but there is an opportunity during preconception period to plan to improve the health of the couple so that the goal of a healthy mother and baby is attained. The objectives were to: explore and describe the knowledge men and women of childbearing age have on HTSP and PCC, identify variables that influence men and women to acquire appropriate knowledge on PCC and finally to develop strategies that could assist provision of PCC in developing countries like Malawi. Adverse issues that affect the couples could be addressed promptly before the occurrence of pregnancy. A quantitative non-experimental descriptive-correlation design method was used to determine the knowledge men and women of childbearing have on HTSP and PCC. A structured questionnaire was used to collect data from 300 men and women of childbearing age. The target population for the study was prospective parents that are couples that have an intention to conceive, women of childbearing age that could be accessible at family planning, gyneacological and under-five clinics between the ages of 18-35 years. A questionnaire was adapted from a study conducted in Texas. SPSS version 20 was used to analyse the data by generating frequencies and chi- square. Kruskal Wallis test was used to determine relationship between variables and knowledge on preconception care. The constructs examined were psychological preparation, reproductive health care and the physical care that are provided to ensure a healthy pregnancy outcome. With a 100% response rate the findings indicated a gap of information and care on PCC.Services on PCC were not available in the clinics which indicated a great need to empower health care providers on PCC that could reduce maternal and neonatal mortality rate. The findings were used to develop relevant preconception strategies that would assist health providers to give PCC that would improve maternal and newborn outcomes in Malawi. / D. Litt. et Phil. (Health Studies)

The study aimed at assessing the factors influencing the low involvement of men in prevention of mother-to-child transmission (PMTCT) of HIV programmes in the Mambwe district, Zambia. The factors studied were grouped as knowledge and awareness, socio-cultural, programmatic and demographic characteristics. A quantitative, exploratory study was used and 127 men were interviewed. The major findings were: Knowledge of PMTCT was the strongest factor which was positively associated with the level of men's involvement in PMTCT. Socio-cultural and programmatic factors were found to negatively influence men's involvement (although weakly); and among the demographic characteristics, age and level of education were positively associated with an increase in the level of involvement, while the duration of the relationship with the female partner was negatively associated with the level of men involvement. / Health Studies / M.A. (Public Health)

Apart from rapid economic growth, China has also experienced significant demographic changes over the past few decades. The People's Republic of China's family planning policies led to a sharp drop in the fertility rate. This MS Thesis aims to assess the possible consequences of the family planning policies on future growth of Chinese economy. The theoretical part defines population policy, assess the connections between population growth and economic growth and deals with the development of population theory over the years. The analytical part describes the family planning policy in China, its principles and instruments. Next it identifies the possible consequences of the demographic changes caused by the drop in fertility rate. The last part of the thesis focuses on two economically most severe consequences - population ageing and shrinking working age population - and evaluates its implications on future growth of Chinese economy.

Deterrents to family planning practices were investigated among Swazi women between 1999- 2001. A total of 171 adolescents, women and men participated in focus group interviews. Information obtained in this way served as a framework for designing structured interview schedules. The views of 205 women were investigated, concerning factors deterring them from using family planning practices by means of conducting face to face studied interviews. Qualitative data were analysed using the NU*DIST and for the quantitative data the SPPS computer programs were used respectively. The results revealed that socio-cultural deterrents to family planning included high cultural value of children determining women's social status, the lack of knowledge about contraceptives, women's dependence on their husbands' decisions concerning reproductive issues and inefficient family planning services. Recommendations included that specific adolescent reproductive health services should be instituted and that the policy on reproductive health for Swaziland be revised. Reproductive health issues should be addressed in the school curriculum. All Swazi men and women, both adolescents and adults, should be educated about contraceptives. / Health Studies / D. Litt. et Phil. (Advanced Nursing Sciences)

Contraceptives are available free of charge throughout South Africa. Nevertheless the number of requests for termination of pregnancy (TOP) services continues to increase. This research investigated challenges preventing women from using contraceptives effectively. Structured interviews were conducted with 47 women who requested TOP services. Gender and financial issues posed challenges for some women to access contraceptives as well as their reported inability to access contraceptives. Most (85,5%) of the respondents used contraceptives. They discontinued using contraceptives because they experienced side-effects, necessitating them to request TOPs. Knowledge about, access to, nor the actual use of contraceptive enabled these women to prevent unwanted pregnancies. More effective counselling about the side-effects of contraceptives and enhanced accessibility of contraceptives during weekends and lunch breaks could enable more women to prevent unwanted pregnancies and reduce the number of requests for TOPs in the Gert Sibande District (Mpumalanga). / Health Studies / M.A. (Health Studies)

Deterrents to family planning practices were investigated among Swazi women between 1999- 2001. A total of 171 adolescents, women and men participated in focus group interviews. Information obtained in this way served as a framework for designing structured interview schedules. The views of 205 women were investigated, concerning factors deterring them from using family planning practices by means of conducting face to face studied interviews. Qualitative data were analysed using the NU*DIST and for the quantitative data the SPPS computer programs were used respectively. The results revealed that socio-cultural deterrents to family planning included high cultural value of children determining women's social status, the lack of knowledge about contraceptives, women's dependence on their husbands' decisions concerning reproductive issues and inefficient family planning services. Recommendations included that specific adolescent reproductive health services should be instituted and that the policy on reproductive health for Swaziland be revised. Reproductive health issues should be addressed in the school curriculum. All Swazi men and women, both adolescents and adults, should be educated about contraceptives. / Health Studies / D. Litt. et Phil. (Advanced Nursing Sciences)

Contraceptives are available free of charge throughout South Africa. Nevertheless the number of requests for termination of pregnancy (TOP) services continues to increase. This research investigated challenges preventing women from using contraceptives effectively. Structured interviews were conducted with 47 women who requested TOP services. Gender and financial issues posed challenges for some women to access contraceptives as well as their reported inability to access contraceptives. Most (85,5%) of the respondents used contraceptives. They discontinued using contraceptives because they experienced side-effects, necessitating them to request TOPs. Knowledge about, access to, nor the actual use of contraceptive enabled these women to prevent unwanted pregnancies. More effective counselling about the side-effects of contraceptives and enhanced accessibility of contraceptives during weekends and lunch breaks could enable more women to prevent unwanted pregnancies and reduce the number of requests for TOPs in the Gert Sibande District (Mpumalanga). / Health Studies / M.A. (Health Studies)

Many religious leaders in the early 1900s were afraid of the immoral associations and repercussions of birth control. The Catholic Church and some Protestants never accepted contraception, or accepted it much later, but many mainline Protestants leaders did change their tune dramatically between the years of 1920 and 1931. This investigation seeks to understand how Margaret Sanger was able to use her rhetoric to move her reform from the leftist outskirts and decadent, sexual connotations into the mainstream of family-friendly, morally virtuous, and even conservative religious approval. Securing the approval of religious leaders subsequently provided the impetus for legal and medical acceptance by the late-1930s. Margaret Sanger used conferences, speeches, articles, her magazine (Birth Control Review), and several books to reinforce her message as she pragmatically shifted from the radical left closer to the center and conservatives. She knew the power of the churches to influence their members, and since the United States population had undeniably a Judeo-Christian base, this power could be harnessed in order to achieve success for the birth control movement, among the conservative medical and political communities and the public at large. Despite the clear consensus against birth control by all mainline Christian churches in 1920, including Roman Catholics and Protestants alike, the decade that followed would bring about a great divide that would continue to widen in successive decades. Sanger put forward many arguments in her works, but the ones which ultimately brought along the relatively conservative religious leaders were those that presented birth control not as a gender equity issue, but rather as a morally constructive reform that had the power to save and strengthen marriages; lessen prostitution and promiscuity; protect the health of women; reduce abortions, infanticide, and infant mortality; and improve the quality of life for children and families. Initially, many conservatives and religious leaders associated the birth control movement with radicals, feminists, prostitutes, and promiscuous youth, and feared contraception would lead to immorality and the deterioration of the family. Without the threat of pregnancy, conservatives feared that youth and even married adults would seize the opportunity to have sex outside of marriage. Others worried the decreasing size of families was a sign of growing selfishness and materialism. In response, Sanger promoted the movement as a way for conservatives to stop the rising divorce rates by strengthening and increasing marriages, and to improve the lives of families by humanely increasing the health and standard of living, for women and children especially. In short, she argued that birth control would not lead to deleterious consequences, but would actually improve family moral values and become an effective humanitarian reform. She recognized that both liberals and conservatives were united in hoping to strengthen the family, and so she emphasized those virtues and actively courted those same conservative religious leaders that had previously shunned birth control and the movement. Throughout the 1920s, she emphasized the ways in which birth control could strengthen marriages and improve the quality of life of women and children, and she effectively won over the relatively conservative religious leaders that she needed to bring about the movement’s public, medical, and political progress.