The Effect of Village Midwife Program
Findings
The integration of family planning services into midwifery in other countries has been proven in increasing access to family planning information and services. For instance, a study from Cleland et al. (2014) showed that in Senegal, over 20 percent of women with unmet need is highly possible to reach through health integrated services including family planning and antenatal care. The issue of unmet need in family planning services refers to the discrepancy between women’s reproductive intention and their reproductive behavior, including contraceptive seeking behavior (Cottingham et al., 2012). The unmet need of family planning services contributes to 7.4 million disability-adjusted life years and
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Furthermore, some studies reveal an improved level of the uptake of contraceptive methods among women living in the villages who participated in VMP (Shrestha, 2007). According to findings from Indonesian Demographic Health Survey (IDHS), shortly after the implementation of VMP, the contraceptive prevalence rate increased to 57 percent in 2007 compared to 47 percent in 1991 and total fertility rate (TFR) declined significantly from 3.0 to 2.6 during the same period. Also, IDHS 2012 reveals a finding where the contraceptive prevalence rate still increases 2 percentage point for all contraceptive procedures and increases 1 percentage point for modern contraceptive such as IUDs and implants (BPS, …show more content…
Considering such issue, there are some recommendations related to the implementation of VMP to enhance family planning programs. Those recommendations are as follows:
a. Improving recruitment process of village midwives
The government should have clear selection criteria for village midwives such as required skills and working experience in community settings where the selection proses is held by the eligible individual/organizations.
b. Conducting more trainings for village midwives
The government should provide various relevant training for midwives to improve their knowledge as well as to update new contraceptive methods suitable with current condition.
c. Monitoring and supervising
Frequent monitoring and supervising are greatly important to ensure the sustainability and the availability of VMP with good quality of services for communities.
d. Improving integration and collaboration
This can be explained by teenagers in rural areas lacking access contraceptive services. When considering prenatal care in the first trimester, those in urban counties have better access to doctors and clinics. This is shown by the percentage of those that receive prenatal care in Travis County (73.9%) and those that receive it in Nacogdoches County (55.1%). The impression is that when people have better access to health care, like in urban counties, they generally have lower rates of communicable diseases and mortality due to disease. Travis showed a lower rate of sexually transmitted diseases (Chlamydia 599.0 and Gonorrhea 172.0), heart disease deaths (120.9), and cancer deaths (136.3) as opposed to the higher rates shown by Nacogdoches (Chlamydia: 613, Gonorrhea: 172.2, heart disease: 155.9, and cancer: 161.2)
Her work has shown that by starting off with a nursing degree and a passion, there is so much that a nurse can do to improve healthcare for women Nurses have an opportunity to work for organizations like Planned Parenthood and continue to advocate for women’s reproductive rights and care. Nurse practitioners, in particular, can perform roles such as educating women and young girls, inserting IUDs, and prescribing oral contraceptives to women. One of the greatest advantages of this aspect of the nurse practitioner role is that such services are much more affordable to those seeking care, as opposed to visiting a physician for these matters. This concludes that the work of Faye Wattleton and Planned Parenthood have made reproductive healthcare more accessible
Pregnancy and birth is a very personal thing. In 2016, deciding on midwifery care for a transgender, intersex or gay expectant parent should be an easy choice. These parents want the same conveniences and care as every other family. Most LGBT parents want a limited number of care providers due to their unique situation.
As a young woman whose family struggles with finances, health care is not easy to come by. I, and many other young women like me, have limited access to the information and services we need in regards to our bodies. For years Planned Parenthood has ensured women like me get the health care we need, and should it get defunded we, and America as a whole, will suffer. In a country where health care is prices as a luxury Planned Parenthood has shone like a beacon of hope to those who cannot spare the money for hospitals.
After reviewing Healthy People 2020 goals for maternal, infants, and child I can see that an APN can play many different roles to achieve these goals. The main role of an APN in the primary care setting is of educator, patient’s advocate, and care coordinator. As a primary care provider, an APN plays an important role in health promotion and disease prevention across the life span by supporting and providing needed education and information. APNs also facilitate quality care and provide treatments to improve the quality of life, reduce pain, suffering, and prevent further progress of the disease. There are several ways an APN can help achieve Healthy People 2020 goals for maternal, child and infants health.
Not only would their access to affordable birth control be cut off, but also their access to STI testing and treatments, and their access to life-saving cervical and breast cancer
One in three Texas women do not have a regular healthcare provider after defunding Planned Parenthood (Sullivan). Planned Parenthood was established on October 16, 1916, as an organization helping to prevent breast cancer, STI’s, diseases, and also give affordable contraceptives to its patients. Their mission is to help the men and women who have no healthcare because of the rising prices, by having a low-cost effective program. From political leaders to magazines, Planned Parenthood is portrayed to only have abortion services, which is only 3% of what they do. Planned Parenthood, an organization that helps prevent diseases in men and women, is something that you should invest money and awareness in because many people do not have the money
Laurel Ulrich’s A Midwifes Tale is a book over Marth Ballard who was a New England women living in America. Ulrich uses Marth Ballard diary entries along with other historical documents from the eighteenth century to show her audience the life of women specifically a midwife in the American society, and the sexual standards that were present during the eighteenth century. Martha Ballard the wife of Ephraim Ballard was midwife during the eighteenth century in Hallowell, who not only played the role of a midwife in the society, but also the role of a wife and a mother. Ulrich starts to book by talking about scarlet fever epidemic that had taken places in Hallowell during the summer of 1787. During the time of the fever and after the epidemic had ended, Martha played the role of an important member in the community, even though the social structure in Hallowell was giving more importance to male doctors.
A MIDWIFE’S TALE, A HISTORY OF JONATHAN ALDER, and VOICES FROM SLAVERY all give insight into the past. Specifically the past of different groups of people, these include, Native Americans, African Americans, women, rich, middle class, and working white men. While they all give insight into the past of these groups they all have their similarities and differences, strengths and weaknesses. After analyzing what each book says about these groups the conclusion of which book is most trustworthy will be made.
“What a man can be, he must be,” is a quote by Dr. Abraham Maslow in the book Motivation and Personality, which talked about a hierarchical pyramid of human needs. It means, such as, if a girl wants to be a midwife, she must be a midwife, like in the book The Midwife’s Apprentice by Karen Cushman. The main character, Alyce, wants to find a place in the world by becoming a midwife, and it is the most important thing to her. However, her age and gender affect the conflict.
In contras, each year in Indonesia, millions of women become pregnant unintentionally, and many choose to end their pregnancies, despite the fact that abortion is generally illegal. Abortion due to unwanted pregnancy is considered the best solution. Whereas it is the same as solving the problem with a new problem. Like many pregnant women by “accident” in many developing countries where abortion is stigmatized and highly restricted, Indonesian women often seek abortion with harm procedures performed by untrained providers (for example; dukun). Some women already know the negative impact of having an abortion but most women tend to ignore it.
Unintended pregnancies happen around the world daily. According to Guttmacher Institute, “In 2011, the most recent year for which national-level data are available, 45% of all pregnancies in the United States were unintended, including three out of four pregnancies to women younger than 20.” Birth control was approved for contraceptive use in 1960 and after two years, 1.2 American women were on the pill. Birth control should be available without a prescription due to the positive feedback. It should only be available to customers aged higher than 15, and must have a monthly check up with their OBGYN.
Midwifery has been able to survive mostly through rural and low-income populations in the United States that is culturally entrenched in the belief of natural birth. The “right to choose has been transformed into a message of consumer rights” which is often distinguished among racial and class lines (Craven). The perception among wealthy women that it is their “right” to have control within their childbirth experiences is not shared by all low-income women, who often express their support for midwives in terms of affordability (Craven).
Further highlighted was the importance of partnerships between mothers and midwives and the aspects of Nga Maia and the Treaty of Waitangi 1840 and how these support the midwifery
Looking at the low numbers of contraceptives being use one of the factors that has been over looked is the fact that Black men and women will not use condoms or any other form of contraceptive due them seeing them as a white man’s things. Lectures have been taking place in the rural places to try help educate the young people however some parents may feel as though their children are being taught to be sexually active but they are being taught how to be safe when they have sexual intercourse. Some parents prefer the government to do the teaching because they are not comfortable about that conversation or they do not have the knowledge except telling not to have sex. The Zulu culture has put a lot of pressure when it comes to women bearing sons and sadly of they had Daughters they were not a favourable and this led to the man taking a second wife. We have looked at the different contraception’s