Routine assessment of health facility capacity to provide abortion and post-abortion care can inform policy and programmes to expand access and improve quality. Since 2018, abortion and/or ...post-abortion care have been integrated into two WHO health facility assessment tools: the Service Availability and Readiness Assessment and the Harmonised Health Facility Assessment. We discuss lessons learnt through experiences integrating abortion into these standardised tools. Our experiences highlight the feasibility of including abortion in health facility assessments across a range of legal contexts. Factors facilitating the integration of abortion include cross-country collaboration and experience sharing, timely inputs into tool adaptations, clear leadership, close relationships among key stakeholders as in assessment coordination groups, use of locally appropriate terminology to refer to abortion and reference to national policies and guidelines. To facilitate high-quality data collection, we identify considerations around question sequencing in tool design, appropriate terminology and the need to balance the normalisation of abortion with adequate sensitisation and education of data collectors. To facilitate appropriate and consistent analysis, future work must ensure adequate disaggregation of recommended and non-recommended abortion methods, alignment with national guidelines and development of a standardised approach for measuring abortion service readiness. Measurement of abortion service availability and readiness should be a routine practice and a standardised component of health facility assessment tools. Evidence generated by health facility assessments that include abortion monitoring can guide efforts to expand access to timely and effective care and help normalise abortion as a core component of sexual and reproductive healthcare.
Indigenous Marketing Welch, Natalie Michelle
Indigenous Business & Public Administration,
08/2023, Letnik:
2, Številka:
1
Journal Article
Recenzirano
Odprti dostop
Apprehension of modern business in Indigenous communities has led to the lack of development of concepts like Indigenous marketing. Indigenous marketing is theoretical and practical. This piece will ...explore the operational definition of Indigenous marketing.
In this essay, I describe three characteristics that Indigenous Business and Public Administration should aim to develop to be a distinctly Native journal. The journal should not be contained by ...dominant stereotypes of Native Americans. It should reflect the adaptability and innovation that Native Americans have shown in surviving the continuing colonial endeavor to erase us. Finally, the relationships between members of this community should be prioritized at least as much as the content. I developed these characteristics by reflecting on my experiences in higher education along with the ideas of other Native scholars.
Introduction: Adolescent idiopathic scoliosis (AIS) is a deformity that affects the spine in three dimensions. Even though AIS patients are usually asymptomatic, AIS negatively impacts them, ...affecting their quality of life and restricting their social life. There are many treatment options but no gold standard. Visceral manipulation (VM) is widely used in osteopathic practice for the treatment of several conditions, but it is little known among the medical community. To the best of our knowledge, there are no scientific studies reporting VM as a treatment alternative for AIS.
Case Presentation: The case was a 14-year-old girl with AIS (baseline Cobb angle of 38.9° in the lumbar spine and 32.3°in the thoracic spine). Although the patient had no physical symptoms, she was recommended for surgery to correct the deformity. The osteopathic assessment indicated that the uterus and pericardium where the main anatomical structures creating tension. Two VM sessions were conducted with a month-and-a-half interval between sessions. The follow-up X-ray revealed a Cobb angle of 32.1° in the lumbar curvature and 34.3° in the thoracic curvature. The results were perceived as an improvement by the patient and her parents. No adverse events or complications were reported.
Discussion: After two session of visceral osteopathic treatment, this document reports a 6.8° Cobb angle reduction of the primary curve in a patient with AIS, with the thoracic curvature becoming the major curve.
Massage Therapy: A Person-Centred Approach to Chronic Pain Lebert, RMT, Richard; Noy, MSc, RMT, Monica; Purves, MSc, RMT, Eric ...
International journal of therapeutic massage & bodywork,
09/2022, Letnik:
15, Številka:
3
Journal Article
Recenzirano
Odprti dostop
Person-centred care is an emergent movement within evidence-based medicine that has the potential to transform the health care system. Person-centred care is a collaborative approach in which health ...care professionals partner with patients to codesign and deliver personalized care with a focus on physical comfort, emotional well-being, and patient empowerment. By embracing person-centred care through two-way communication, patient engagement, and self-management strategies, massage therapists have the potential to further reduce suffering associated with chronic pain in our society.
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