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Physical activity improves the well-being of persons living with dementia but few exercise programs include them. The Dementia-Inclusive Choices for Exercise (DICE) toolkit aims to improve exercise providers' understanding of dementia and ability to support persons living with dementia in physical activity. We evaluated the co-designed DICE toolkit with exercise providers using a mixed-methods approach comprising pre/post questionnaires and interviews and reflection diaries. Among 16 participants, self-efficacy for exercise delivery to persons living with dementia and both knowledge and attitudes toward dementia significantly improved. Thematic analysis suggested participants (a) had a deeper understanding of the variability of dementia, (b) were planning for equitable access for persons living with dementia, (c) planned to promote social connection through exercise, and (d) were optimistic for future engagement with persons living with dementia. The DICE toolkit may improve exercise providers' knowledge and confidence to plan proactively to support persons living with dementia in programs and services. [ABSTRACT FROM AUTHOR]

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Introduction: Congenital transmission is one of the most significant forms of Trypanosoma cruzi transmission worldwide. Migrant women, in particular, often face barriers to accessing the healthcare system; one such barrier being that their health rights are not recognised. The situation in Chile is a reality that can be extrapolated to historical territories affected by Chagas disease and that is characterized by migrant populations. This article explores the healthcare experiences of pregnant and women living with Chagas disease, both nationals and migrants, and residents of three regions of Chile. Methodology: The qualitative research study analyzed the experiences and meanings around the problem of Chagas based on 54 in-depth interviews with women in pregnancy and women who were diagnosed with the disease. The information was processed following the Grounded Theory tenets through the constant encoding feedback procedure, which allowed us to describe and comprehensively understand the phenomenon. Results: The findings indicate that managing information is a sensitive aspect in evaluating healthcare experiences, with the potential to either positively or negatively impact the acceptance of diagnosis and treatment planning. The negative impact is determined by the communicative dimension and how healthcare teams deliver information. Poor attention, poor treatment, and lack of empathy lead patients to reject or distance themseves from the healthcare system. The positive aspects are related to a sensitive, personalized, and highly empathetic treatment. In historically endemic areas, these factors are essential for ensuring continuity in healthcare processes. There is an evident need to understand and value the settings, means, and contents within Chagas´s healthcare contexts. Conclusion: Communication is crucial during diagnostic processes as it determines the assessment, credibility, and trust in the health system, thereby influencing the continuity of treatment, especially in highly sensitive moments such as pregnancy. Therefore, it is necessary to articulate strategies considering information magement with greater empathy and emotional support. [ABSTRACT FROM AUTHOR]

Plain language summaryOur article raises concerns about the basis on which a recent report on “prostitution and violence” by a UN human rights expert, rests its arguments. We wrote as researchers and advocates working around the world. We think that evidence is strong that criminal law making both the buying and selling of sex a crime hurts the very people who are most at risk. Our own work has also led us to engage with how inter-connected ideas about gender, race, age and sexuality matter to support rights for everyone. We also argue that “trafficking” is not the same as “sex work”. While we claim these ideas as a feminist approach, we know that there are researchers and advocates, including the author of the UN report, the Special Rapporteur on violence against women, who disagree with us.Because there is no agreement in international human rights law about what laws best protect the rights of people who sell sex, clear information by experts in the UN, where states debate law, are important. While there are often disagreements within the world of contested rights, we argue that independent experts’ reports should contribute to new law with accuracy and transparency. We say in our article that the SRVAW misuses evidence by inaccurately reflecting other UN experts’ work, especially on state responsibility for rights; not precisely presents facts; and ignores dissenting voices, such as sex workers of all genders and identities. We raise these concerns carefully in our article because we want to build the case for good practices to support the future of human rights, as human rights as a space of dignity and freedom are under attack. [ABSTRACT FROM AUTHOR]

Issue Addressed Methods Results Conclusions So What? This study examines Australia's Hepatitis B public health policies with a focus on the Pacific Australia Labour Mobility scheme seasonal workers as a priority population. The aim is to evaluate if Australia's Hepatitis B public health policies adequately address health disparities and equitable access to health care for seasonal workers as a priority population. We draw comparisons with the public health policies of New Zealand and Canada, to understand how these nations approach similar health concerns among their temporary seasonal workers.A health policy analysis was conducted on the public health Hepatitis B policies in Australia and then compared with those in Canada and New Zealand. Due to the nature of the study question, the review had a major focus on grey literature. The search was undertaken in two stages, including (1) Google search engine and (2) targeted websites. Basic document data was produced in descriptive summaries. Any data either explicitly or inexplicitly relating to the elimination of hepatitis B or equity towards the inclusion of seasonal workers was produced as analytical summaries through multiple revisions.Nineteen documents were identified, predominantly from Australia. Although Hepatitis B public health policies emphasised testing and awareness in priority populations, specifically mentioning seasonal workers as a priority population was absent in all three countries.The study underscores the exclusion of temporary seasonal workers in public health policies and strategies as a human rights issue, conflicting with principles of equity and equitable access to health care. Despite acknowledging challenges for temporary visa holders, policies lack specific provisions for seasonal workers. Addressing this gap is crucial for health equity and inclusive health systems.Our findings highlight the need to prioritise equity for temporary seasonal workers to achieve hepatitis B elimination goals by 2030. Exclusion from public health policies is a human rights concern, impacting access to quality health care. This study advocates for inclusive policies explicitly recognising temporary seasonal workers as a priority population, aligning with international human rights commitments to health care for all. [ABSTRACT FROM AUTHOR]

Objectives Methods Results Conclusion To quantify and qualify the experience of workplace violence (WPV) in a global sample of providers in obstetrics and gynecology (OBGYN).We performed a mixed‐methods analysis on data from a global survey. Survey content was designed around categorical and open‐ended questions in relation to WPV; the occurrence and character, the physical and psychological consequences, training and support structures, and perceived triggers of the experience of WPV. Quantitative data were analyzed using descriptive statistics and text data using mixed deductive‐inductive content analysis. These data were integrated using convergent joint display.Between October 2023 and January 2024, survey responses were collected from 77 individual countries. Among the final sample, 764/1016 (75.2%) had experienced WPV, 699/1016 (68.8%) verbal, and 123/1016 (12.1%) physical violence. The violence affected physical health, psychological health, or job satisfaction for 106/764 (13.9%), 36/7642 (47.4%), and 222/764 (29.1%) of individuals respectively; 216/764 (28.3%) received support. Main WPV triggers were staff shortages, lack of security personnel, and long waiting times, identified by 38.8%, 37.5%, and 37.3% of respondents respectively. Qualitative data indicated that violence caused severe and long‐lasting suffering. Catalysts for WPV were often reported as complex interplays between unmet or unrealistic expectations and insufficient resources. Lack of support for WPV was explained as violence being “part of the job” and a culture of assumed resilience among providers.WPV against OBGYN providers seems to be ubiquitous, arises from a complex interplay of factors, and causes significant injury while receiving insufficient mitigation and support. [ABSTRACT FROM AUTHOR]

Since the outbreak of the Covid-19 pandemic, progressive social movements have been engaged in an incredibly intense period of contestation. Confronted with the unprecedented extent of the crisis, the current wave of mobilization brought together both older and newer actors, bridging generations and movement sectors, building on past experiences of previous mobilizations while also innovating in important ways. The Covid-19 pandemic provides an opportunity to contextualize the role of past mobilizations in contemporary struggles, singling out continuities and innovation in the forms of resistance, collective frames, and organizational models. This paper focuses on the framing of health rights and analyzes the emergence of care as a bridging frame in the movement campaigns developed during the Covid-19 crisis. In examining the processes of cross-temporal diffusion, it considers the legacy of the Global Justice Movement and its offspring in the current mobilization in Italy. Through the analysis of key documents produced by social movements triangulated with in-depth interviews with activists, we observe the ways in which some collective frames migrate from past mobilizations to new ones, and are adapted through the reactivation of old organizational networks and the emergence of new organizations. [ABSTRACT FROM AUTHOR]

Gender-affirming care and legal gender recognition (LGR) have been relatively well developed in Russia since Soviet times. During the past decade, in line with the general authoritarian and conservative turn, transgender (trans) rights have increasingly come under attack. In 2023, anti-trans forces succeeded in bringing about the adoption of a law that prohibited gender-affirming care and LGR, preventing marriage and adoption of children for trans people. This article uses the Authoritarian Gender Equality Policy Making framework to understand the structural opportunities, actors, framings, and the autocrat's signaling that led to this result. The policy reversal resulted from increased visibility of trans issues in Russia and worldwide coupled with their reframing from a medical problem to a geopolitical threat in the context of a military and cultural confrontation with the West following Russia's "special military operation" against Ukraine in February 2022. [ABSTRACT FROM AUTHOR]

Drawing on the case of Peru, our analysis looks at the ways in which the mainstream media creates support for government policies aimed at implementing Public-Private Partnerships (PPPs) in the health sector. Peru has a highly fragmented and segmented healthcare system, and the COVID-19 pandemic exposed the deeply embedded inequalities in accessing healthcare across the country. Nevertheless, the construction of hospitals financed and managed via a PPP arrangement has been one of the major solutions proposed and implemented by successive Peruvian governments in response to the health sector's challenges. As our analysis demonstrates, the media has played a significant role in promoting this 'common sense' agenda whereby greater reliance on the private sector is presented as a solution to the weaknesses of the public sector. Our article considers the wider evidence on the role of PPPs in the health sector and contends that there is very little evidence on the system-wide benefits of PPPs, thus raising significant concerns about their ability to address health inequalities effectively. It also raises important questions about how far PPPs are able to support states in guaranteeing the right to health for their citizens. [ABSTRACT FROM AUTHOR]

Objective: Discriminatory practices in mental health care undermine the right to health of marginalized service users. Intersectional approaches enable consideration of multiple forms of discrimination that occur simultaneously and remain invisible in single-axis analyses. The authors reviewed intersectionality-informed qualitative literature on discriminatory practices in mental health care to better understand the experiences of marginalized service users and their evaluation and navigation of mental health care. Methods: The authors searched EBSCO, PubMed, MEDLINE, and JSTOR for studies published January 1, 1989–December 14, 2022. Qualitative and mixed-methods studies were eligible if they used an intersectional approach to examine discrimination (experiences, mechanisms, and coping strategies) in mental health care settings from the perspective of service users and providers. A qualitative evidence synthesis with thematic analysis was performed. Results: Fifteen studies were included in the qualitative evidence synthesis. These studies represented the experiences of 383 service users and 114 providers. Most studies considered the intersections of mental illness with race, sexual and gender diversity, or both and were performed in the United States or Canada. Four themes were identified: the relevance of social identity in mental health care settings, knowledge-related concerns in mental health care, microaggressions in clinical practice, and service users' responses to discriminatory practices. Conclusions: Discriminatory practices in mental health care lead to specific barriers to care for multiply marginalized service users. Universities and hospitals may improve care by building competencies in recognizing and preventing discrimination through institutionalized training. [ABSTRACT FROM AUTHOR]

Introduction: Approximately 1.3 billion people worldwide live with a disability, underlining the need for equitable health care for this group is important. Inclusive health systems are consistent with global health priorities, respond to United Nations sustainable development goals and economically viable. Despite advancements in Morocco's health system and legal framework, significant disparities remains inaccessing sexual and reproductive health (SRH) services for women with disabilities. This study explores barriers and facilitators affecting access to SRH services for these women, aiming to provide recommendations for more inclusive services and improved health outcomes. Methods: Using a mixed approach, this study assessSRH access for women with motor disabilities in two cities in Morocco, selected for their socio-demographic, cultural and and healthcare diversity. Quantitative data will be generated through questionnaires administrered to 400 participants, while qualitative information will come from 20 to 30 interviews. Recruitment involves working with health professionals, NGOs and social media campaigns to ensure a diverse sample. Data analysis includes NVivo for qualitative data and descriptive/inferential statistics for quantitative data. Conclusion: The study aims to explore the perspectives of women with disabilities and health professionals regarding SRH services. It will provide recommendations for making SRH services more equitable and inclusive, ultimately improving health out comes and uphold health rights for women with disabilities. [ABSTRACT FROM AUTHOR]

Background: Informal abortions, commonly known as unsafe abortions, refer to all induced abortions that occur outside of formal healthcare settings conducted without the assistance of a licensed, trained healthcare provider. Despite the legalization of safe induced abortion care services, informal abortions continue to be among the major causes of maternal mortality and morbidity among young women in Rwanda living in rural areas with limited or no access to safe abortion care services. The purpose of this qualitative study was to gain an in-depth understanding of the lived experience of seeking informal abortions from the perspective of young women in rural Rwanda and to identify the underlying factors for these women seeking abortion care services outside of the formal healthcare setting. Methods: This qualitative study was guided by a descriptive phenomenology in rural Rwanda, specifically in a selected district located in the Northern Province of Rwanda. Ten young women between 18 and 24 years of age, who had the experience of seeking informal abortion services from informal providers within the last eight years participated in audio-recorded, in-depth, face-to-face interviews. Collected data were analyzed using Colaizzi's (1978) seven steps of the phenomenological method. Results: The study found that young Rwandan women still seek unregulated abortions to end their unintended pregnancies due to limited access to or utilization of sexual reproductive health and rights services. Among the reasons for seeking abortion care services outside of the formal healthcare setting in Rwanda were sociocultural and economic factors and the stigma associated with terminating unintended pregnancies before marriage. Conclusion: In light of the findings of this study, the authors recommend the Ministry of Health and its stakeholders to expand access to comprehensive adolescent and youth-friendly reproductive health and reproductive rights while addressing the sociocultural stigma through public awareness and economic factors that play a big role in unregulated abortions rather than safe abortion care services. [ABSTRACT FROM AUTHOR]

Out-of-school comprehensive sexuality education (CSE) programmes are viewed by UNFPA as important in empowering youth. These programmes may, however, be critiqued for, firstly, inadvertently equating empowerment with individual agency to the exclusion of social justice; and, secondly, using the word empowerment as a self-evident signifier. We propose that empowerment be conceptualised within a critical sexual and reproductive citizenship (CSRC) framework that draws on feminist and queer re-workings of the principles of citizenship. To operationalise this conceptualisation, we developed the Masizixhobise toolkit from the five key issues outlined in the CSRC framework. The aim of the toolkit is to aid in the design and refinement of theoretically embedded empowerment CSE programmes. In this paper, we demonstrate the use of the toolkit. To do so, we analyse the Partners in Sexual Health’s (PSH) Sexual and Reproductive Health and Rights facilitator’s manual. A template analysis was conducted on this manual using a priori of themes from the toolkit. We sift through the PSH manual’s alignments or misalignments with the CSRC framework and make recommendations for enhancing the empowerment components of the manual. This example may assist others in designing and refining theoretically embedded and socially just youth empowerment CSE programmes. [ABSTRACT FROM AUTHOR]

Background: The phenomenon of high-cost users (HCUs) in health care occurs when a small proportion of patients account for a large proportion of health care expenditures. By understanding this phenomenon during the COVID-19 pandemic, tailored interventions can be provided to ensure that patients receive the care they need and reduce the burden on the health system. Objectives: This study aimed to determine (1) whether the HCUs phenomenon occurred during the pandemic in Thailand by exploring the pattern of inpatient health expenditures over time from 2016 to 2021; (2) the patient characteristics of HCUs; (3) the top 5 primary diagnoses of HCUs; and (4) the potential predictors associated with being an HCU. Methods: The secondary data analysis was conducted via inpatient department (IPD) e-Claim data from the National Health Security Office for the Universal Coverage Scheme, which provides health care to ~ 80% of the Thai population. Health care expenditure over time was calculated, and the characteristics of the population were examined via descriptive analysis. Multinomial logistic regression was applied to explore the potential predictors associated with being an HCU. Results: The characteristics of HCUs remained relatively the same from 2016 to 2021. In terms of the proportion of male (55%) to female patients (45%), the age ranged from 55 to 57 years, with an estimated 8-day length of hospital stay and 7 admissions per year, and the average health care cost per patient was ≥ USD 2,860 (100,000 THB). The low-cost users (LCUs) group (the bottom 50% of the population), had more female patients (55%), a younger age ranging from 27 to 33 years, a 3-day length of stay, 1‒2 admissions per year, and a lower average health care cost per patient, which was less than USD 315 (≤ 11,000 THB). Conclusion: The HCUs phenomenon still existed even with limited health care accessibility or lockdown measures implemented during the COVID-19 pandemic. This finding could indicate the uniqueness of the need for health services by HCUs, which differ from those of other population groups. By understanding the trends of health care utilization and expenditure, along with potential predictors associated with being an HCU, policies can be introduced to ensure the appropriate allocation of health resources to the right people in need of the right care during future pandemics. [ABSTRACT FROM AUTHOR]

ABSTRACT Background Objective Methods Findings Conclusions The model of obstetric care predominant in Mexico in most public and private healthcare institutions is particularly focused on a physiological perspective of the female body that does not respond to women's need for emotional comfort and satisfaction. In the last decade, however, various initiatives that provide obstetric care centered on women's rights have emerged.To analyze the implementation of a model of humanized/respectful delivery care supervised by nursing and midwifery undergraduate interns in a birthing center in the state of Chiapas, in order to identify achievements and future challenges.We used information from secondary sources and carried out a descriptive analysis.Births attended at the birthing center increased in relation to all the births registered in the Angel Albino Corzo municipality between 2017 and 2022. Positive indicators of respectful care increased with the implemented model, while negative indicators decreased. Between 2016 and 2022, obstetric nurses attended more than 1500 births without maternal deaths and managed some emergency cases referred to specialized care.This case illustrates the potential of alternative models of obstetric care. Evidence‐based, midwife‐ and nurse‐led models of clinical obstetric care should be expanded in the Mexican healthcare system. [ABSTRACT FROM AUTHOR]

Background: Even though human rights advocacy is a part of mental health care, psychiatric nurses in South Africa's primary healthcare (PHC) setting face substantial challenges when advocating for the rights of mental health care users (MHCUs). The study aimed to develop a conceptual framework to facilitate psychiatric nurses' advocacy for mental healthcare users' human rights in a PHC setting. Methods: A qualitative, exploratory, descriptive, and contextual design was used to investigate the psychiatric nurses' experiences advocating for MHCUs' human rights in a PHC setting. Three phases were followed: the empirical phase, the classification of concepts, and a development phase. Following the empirical phase, a conceptual framework was developed to facilitate psychiatric nurses' advocacy for MHCUs human rights in a PHC setting. Results: Three themes were derived from focus group interviews with psychiatric nurses in the empirical phase. These themes yielded the central concept as 'the facilitation of empowerment' of psychiatric nurses in advocating for MHCUs' human rights. The central concepts were also classified. A conceptual framework was developed that included the relationship, working and termination phases. Conclusion: The study described the development of a conceptual framework to facilitate psychiatric nurses' advocacy for mental healthcare users' human rights in a PHC setting. Psychiatric nurses play a key role in advocating for the human rights of MHCUs. This task is important and should be implemented from the government to the societal level, including all stakeholders. [ABSTRACT FROM AUTHOR]

As online education becomes increasingly prevalent, the need for proactive legal frameworks to safeguard the rights and well-being of online educators has never been more pressing. The article explores the application of Proactive Law in addressing the unique challenges faced by online educators in Georgia. Proactive Law, with its emphasis on prevention, foresight, and interdisciplinary collaboration, offers a novel approach to mitigating the health and legal risks associated with digital teaching environments. We begin by identifying the primary health and safety risks encountered by online educators, including ergonomic injuries, mental health concerns, and the challenges of maintaining professional boundaries in a digital space. Additionally, we examine the legal uncertainties surrounding intellectual property rights, data privacy, and the adequacy of current contracts and institutional policies in protecting educators' interests, with a focus on the "Law of Georgia on Health Care" and the "Organic Law of Georgia on Occupational Health and Safety." The article then introduces Proactive Law as a framework that can be modified to enhance the protection of online educators. We propose specific legal measures, such as ergonomic regulations, mental health support requirements, and proactive contract design, to address these issues. Comparative insights from international practices are also discussed to provide a broader context and identify potential models for Georgia. Furthermore, we analyze the current legal landscape in Georgia and propose reforms to incorporate proactive legal strategies into existing frameworks. By emphasizing the need for proactive measures, the article aims to foster a more resilient, equitable, and human-centric legal environment for online educators. In conclusion, we call for policymakers and educational institutions in Georgia to adopt these proactive legal solutions to ensure the health and rights of online educators are adequately protected. The article highlights the importance of continuous research and policy adaptation as online education continues to evolve. [ABSTRACT FROM AUTHOR]

Background/Objectives: Resources to cope with maternity and women's participation are essential modulators of maternal well-being. Therefore, it is relevant that the psychosocial factors of woman be monitored during maternity to promote adequate healthcare. This study involved the design and the validation of two new tools that identify women's knowledge of healthcare rights (MatCODE) and perception of resource scarcity (MatER) during pregnancy, labor and early postpartum; Methods: The content validity was carried out using the Aiken's V coefficient and the content validity index (CVI-i) based on five experts. In addition, for the face validity, the pilot cohort was considered the INFLESZ scale. Finally, the questionnaires were applied to 185 women, which allowed to assess the construct validation by factorial and Rasch analysis. The divergent validity was also studied with validated psychological questionnaires; Results: MatCODE and MatER questionnaires received CVI-i and Aiken's V > 0.80 values, and the INFLESZ demonstrated acceptable semantic understanding. The analysis confirms the unidimensionality of the questionnaires, with fit values for MatCODE of RMSEA = 0.113 [0.105; 0.122] and for MatER of RMSEA = 0.067 [0.063; 0.072]. The divergent validity showed significant and consistent correlations with the constructs assessed. For MatCODE, ω = 0.95 and α = 0.94, and for MatER, ω = 0.79 and α = 0.78; Conclusions: MatCODE and MatER are useful new tools for monitoring maternal healthcare, with adequate psychometric characteristics in the Spanish context. [ABSTRACT FROM AUTHOR]

This study explored how people who use drugs (PWUD) experience and respond to stigma in biomedical chronic non-cancer pain management. Thematic analysis of in-depth interviews with PWUD (n = 26) who had sought care for chronic non-cancer pain in public hospitals in Uyo, Nigeria, drew on the idea of stigma as process of social reproduction and the concept of borderwork. Accounts framed stigma as a normalised feature of healthcare that emerged under different circumstances and operated to position chronic non-cancer pain patients who were PWUD as illegitimate subjects underserving of care. Stigma was widely seen as something to be expected, and was often tolerated by PWUD due to its ubiquity. However, they enacted borderwork marking-off stigma experiences that violated values of fairness and humaneness as well as those that spurned traditional gender norms. Participants responded to intolerable stigma through various acts of resistance, including dropping out of care. Stigma creates barriers to adequate pain management and establishes a context where basic care is accessed at the cost of fundamental human rights and dignity. Routine toleration of stigma helps to naturalise the phenomenon and render it invisible. Resistance to stigma provides a basis for interventions to address all forms of stigma in healthcare. [ABSTRACT FROM AUTHOR]

BackgroundObjectives/AimsDesignData sourcesMethodsResultsConclusionChildhood is a time when health behaviours are established and the foundations for health literacy are cemented. In Aotearoa New Zealand nurses are responsible for communicating health messages to children at key stages in children’s lives.This review explores the ways in which nurses communicate health messages to children and adolescents in Aotearoa New Zealand. It evaluates whether current approaches to health communication are in-line with a child’s rights-based approach.An integrative review using a systematic literature search strategy.In July 2022, 9 databases were searched including: Medline (Ovid), Embase (Ovid), Scopus (Elsevier), Cochrane Library, EBSCO (host), Web of Science Core Collection, CINHIAL plus, psychINFO and PsychEXTRA.Following title and abstract screening 41 articles went through to full-text screening. These were uploaded into NVivo v.12 for analysis. Results were analysed using content analysis with a deductive coding framework informed by the UN Convention on the Rights of the Child. A total of 20 articles met all inclusion criteria and were assessed of high quality using the Mixed Methods Appraisal Tool.Nurses communicate health messages using a variety of strategies, some of which align with the rights of the child. No evidence was found of nurses communicating health messages through play or creative activities or by adopting principles and practice of continuity of care, including health communication beyond the paediatric context.Opportunities exist for improvements to the rights of children and adolescents within nursing practice. Further research about the rights of children in healthcare services including not only identifying the barriers but research that includes interventions and proposes solutions is necessary . [ABSTRACT FROM AUTHOR]

AbstractThis study draws from qualitative research conducted using a participatory action framework with 47 young adults who identified as people living with HIV, men who have sex with men, transgender, non-binary, or sex workers in Vietnam. The research objectives were to explore their experiences using mobile phones to access sexual and reproductive (SRH) health information and support and the impact of the digital turn in health on their autonomy, privacy and equality. The research was conducted through key informant interviews, focus group discussions, and digital ethnography. The project utilised a participatory action research framework. The research was led by the Vietnam Network of People Living with HIV within the frame of a three-country study, and the authors describe how the network used the findings to advance policy. The paper concludes by proposing participatory action research as a useful methodology for studying human rights and digital health governance. [ABSTRACT FROM AUTHOR]

Prisons, due to various risk factors, are environments that are conducive to infectious disease transmission, with significantly higher prevalence of infectious diseases within prisons compared to the general population. This underscores the importance of preventive measures, particularly vaccination. As part of the international project "Reaching the hard-to-reach: Increasing access and vaccine uptake among the prison population in Europe" (RISE-Vac), this study aimed to map the availability and delivery framework of vaccination services in prisons across Europe and beyond. A questionnaire designed to collect data on the availability and delivery model of vaccination services in prisons was validated and uploaded in SurveyMonkey in July 2023. Then, it was submitted to potential participants, with at least one representative from each European country. Potential participants emailed an invitation letter by the RISE-Vac partners and by the European Organization of Prison and Correctional Services (EUROPRIS). Twenty European countries responded. Vaccines are available in European countries, although their availability differs by country and type of vaccine. The first dose is offered to people living in prisons (PLP), mostly within one month, COVID-19 is the most widely offered vaccine. In all countries, vaccines are actively offered by healthcare workers; in most countries, there is no evaluation of vaccination status among people who work in prison. The survey shows variance in vaccine availability for PLP and staff across countries and vaccine types. Quality healthcare in prisons is not only a matter of the right to health but also a critical public health investment: enhancing vaccine uptake consistently among PLP and staff should be prioritized. [ABSTRACT FROM AUTHOR]

The article outlines the practices for pharmacy services that specialize in transitions of care, focusing on optimizing medication management across different healthcare settings. Topics include the role of pharmacists in preventing medication errors, the importance of interprofessional collaboration in transitions of care, and the evidence supporting pharmacist-led interventions to reduce hospital readmissions and improve patient outcomes.

Nursing's efforts at organizing in the United States have encompassed various approaches to creating change at a systemic and political level, namely shared governance, professional associations, and nurse unions. The United States is currently experiencing the effects of an authoritarian sociopolitical agenda that has taken aim at our profession's ethic of providing equitable care for all people through legislation that bans gender‐affirming care and abortions. Nursing is simultaneously experiencing a crisis of burnout and moral distress, as we navigate the everyday functions of a for‐profit healthcare system under the Capitalocene. As we situate ourselves within these policies and practices of late‐stage capitalism and an increasingly authoritarian nation‐state, we are compelled to think deeply about how nursing is currently organizing ourselves. Our paper will explore the evolution of various forms of organizing through the lens of intersectionality, which offers a framework for considering the ways that power operates, creating a matrix of sociostructural processes that fuel injustice. Intersectionality also compels us to examine whether our organizing has resisted, or perpetuated, a matrix of oppression. We will conclude by offering examples of radical imagining for a future of nursing resistance, where our collective organizing has a greater impact and responsibility for dismantling the status quo to achieve justice and liberation. [ABSTRACT FROM AUTHOR]

The article discusses the Bar Hostess Empowerment & Support Programme (BHESP) in Nairobi, Kenya, which aims to provide support and services for female sex workers (FSWs) who use drugs. BHESP employs a person-centered approach to develop tailored interventions that address the specific needs and challenges faced by FSWs who use drugs, including stigma, violence, and isolation. Through community engagement, stakeholder consultations, and continuous monitoring and evaluation, BHESP has successfully improved access to essential healthcare services for FSWs who use drugs, leading to positive health outcomes and increased acceptance of harm reduction interventions. The article highlights the importance of collaborative and culturally sensitive approaches in addressing the intersectional challenges faced by marginalized populations. [Extracted from the article]

This paper documents the results of an intervention conducted in Nigeria to test the effectiveness of a mobile phone technology, text4life, in enabling women to self-report gender-based violence (GBV). Women experiencing GBV and other challenges related to sexual and reproductive health and rights were requested to use their mobile phones to text a code to a central server. In turn, the server relayed the messages to trained nearby health providers and civil society organization (CSO) officials who reached out to provide health care and social management services to the callers. Interviews were conducted with some callers, health care providers, and CSO staff to explore their experiences with the device. The interviews and data from the server were analyzed qualitatively and quantitatively. The results indicate that over a 27-month period, 3,403 reports were received by the server, 34.9% of which were reporting GBV. While interviewees perceived that a large proportion of the women were satisfied with the use of text4life, and many received medical treatment and psychological care, the consensus opinion was that many women reporting GBV did not wish to pursue police or legal action. This was due to women's perceptions that there would be negative cultural and social backlash should they pursue civil punishments for their partners. We conclude that a mobile phone device can be used effectively to report GBV in low-resource settings. However, the device would be more useful if it contributes to equitable primary prevention of GBV, rather than secondary prevention measures. [ABSTRACT FROM AUTHOR]

The document provides a historical overview of sexology, tracing its origins in Germany in the early 20th century and its subsequent development in the United States. It highlights key figures, institutions, and events that shaped the field, emphasizing the interdisciplinary approach and advocacy for sexual reform. The text also discusses the impact of societal shifts, the role of Jewish sexologists, and the resurgence of sexology in the United States post-World War II. Additionally, it explores the field's evolution towards sexual health, rights, and pleasure, culminating in the issuance of declarations and collaborations with organizations like the WHO. The document concludes by addressing current challenges and the importance of advocacy efforts to advance sexual health and rights globally. [Extracted from the article]

This article seeks to revitalize feminist engagement with citizenship by articulating the concept of reproductive citizenship. Drawing upon the work of feminist and queer citizenship theorists, among others, it argues that a feminist conceptualization of citizenship with reproduction at its core is a useful tool for identifying, exploring, and addressing women's ongoing exclusion from and subordination by the Western liberal intellectual and legal tradition. Citizenship, understood as a contested process around the right to have rights and to determine the scope of those rights, has long operated to exclude and oppress liberalism's others on the basis of bodily difference, reproduction, and sexuality. Focusing on abortion access and sexual and reproductive health and rights (SRHR), this article will argue that the framework of reproductive citizenship is a helpful and effective means of understanding why abortion and SRHR are so viscerally contested and is helpful for navigating the difficult conceptual and real-world terrain that limits their full realization. [ABSTRACT FROM AUTHOR]

The article describes the community engagement in the development and adoption by countries of the World Health Organization (WHO) Consolidated guideline on sexual and reproductive health and rights of women living with HIV. Cited are the process of integrating the input of women living with HIV in the development of the guideline, the benefits of the inclusive approach of community engagement, and evidence suggesting high adherence to the guideline by local health workers.

Can a human right to good mental health be justified? This is an under‐explored question: until recently, rights in relation to mental health have been framed and debated primarily in terms of their relevance to psychosocial disability and mental ill‐health/mental distress. By contrast, in this article, I propose the basis of a normative justification for a population‐wide right to good mental health, focusing in particular on individuals who do not experience mental ill‐health/distress or do not have (or may never have) a psychiatric diagnosis or a psychosocial disability. The article is structured into three parts. First, I will outline the emergence of a population‐wide right to good mental health in mental health discourse, led by recent reports published by the former United Nations Special Rapporteur on the Right to Health, Danius Pūras. I will then go on to explore what we might understand by 'good mental health'. Finally, I will explain how a right to good mental health may be justified, drawing on insights from compassion, 'vulnerable agency', and James Wilson's account of 'a right to public health'. I then respond to feasibility and demandingness concerns about such a right, which together inform the basis of the qualified public health right to good mental health I propose. [ABSTRACT FROM AUTHOR]

Current literature on internal bordering has suggested understanding health care as a key migration control field. This article takes a closer look at the humanitarian medical offices in Frankfurt am Main, Germany, and patients from Romania and Bulgaria in precarious life circumstances. It addresses the strategies identified in the accounts of frontline workers beyond the mere provision of access to free and anonymous medical attention. Based on 16 interviews with medical staff, social workers and administrative officers, two approaches emerged. One clearly strives for the formalisation of the human right to health care in close collaboration with, or by challenging the local bordering actors; the other insists on bypassing any point of contact with them, focusing exclusively on informal and direct solutions. The interviews showcase how the resulting strategies can contribute to internal bordering and debordering on an urban scale, and affect the individuals' trajectories as patients and as migrants. [ABSTRACT FROM AUTHOR]

No existing conceptual framework can describe the family precursors and dynamics that explain East Asian American (EAA) youth's mental health problems in their cultural context. To address this conceptual gap and better elucidate EAA youth's mental health issues, we present a conceptual framework that combines two existing theories: the triadic model of family process and acculturation gap-distress theory. We selected these two theories because they address youth mental health problems as a common outcome explained by family domains and complement each other by addressing certain processes in more depth. Using a cultural lens that allows researchers to reconstruct assumptions of theory in specific cultural contexts, the presented integrative framework of family processes identifies how universal and East Asian-specific aspects of familial factors influence the mental health problems of EAA youth. This framework is intended to guide future research efforts on EAA youth development and provide preliminary guidelines for social workers working with EAA families to provide culturally responsive care and services. [ABSTRACT FROM AUTHOR]

Using the United Nations' 'leave no one behind' framework for the achievement of sustainable development goals, this article underscores the key role of geography as one of the core factors why certain people are left behind, deprived, and continue to experience inequality in terms of access to (quality) health care facilities and services. This article specifically examines the consequences of physical inaccessibility to health outcomes and health-seeking behavior in geographically isolated and disadvantaged areas (GIDAs) in the Philippines. This article illustrates that physical accessibility is an ignored aspect of the public health paradigm. For that reason, public health facilities, no matter how critical the facility is to a person's care, are not an immediate option for GIDA residents who seek medical aid. Responsive policy measures are vital to address this seemingly paradigmatic error. Subsidizing transportation costs and allocating funds for road improvements are called for, among other changes. The government must act on the people's right to ease of access as part of fulfilling fundamental health-related state obligations. But for the government to act, it will be crucial for claimants to health rights to proactively demand these changes. The latter is key for the fulfillment of the affected people's right to get easier access to meaningful health care. [ABSTRACT FROM AUTHOR]

Health is undoubtedly the supreme good for every person, but work also occupies an important dimension in life, as it gives the individual the opportunity to live in a dignified manner. For this reason, health and work are elevated to fundamental rights, as such inviolable. In particular, as regards Albania, health protection is provided for in Article 55 of the Constitution. This article goes to guarantee the health of the person in a reductive way, explicitly including, in compliance with the principle of equality, the right to health care by the State, and the right to health insurance according to the procedure established by law. Likewise, the right to work is provided for in the constitution, which explicitly provides for the right of every individual to earn a living by carrying out lawful work of their own choice or acceptance. Furthermore, the freedom to choose the profession, the workplace and the professional qualification system is envisaged. Although the link between work is health and inextricable, this correlation is not provided for in the constitution. Likewise, the protection of mental health in the workplace is not provided for in any article. Protecting mental health in the workplace is very important as work can have a positive influence on mental health, at the same time poor conditions in the workplace can be a source of stress and consequently have a negative impact not only on life of the individual but also on mental health. Likewise, work can amplify social aspects such as discrimination and inequalities and negatively affect the mental state of the working population. The object of this study is to analyse the interaction that these two fundamental rights have with each other and how they are guaranteed in the Albanian constitution. [ABSTRACT FROM AUTHOR]

The author talks about some of the challenges faced by educators in social work and argues for greater activism, spanning national and regional boundaries, building strength through relationship and solidarity. She discusses the persistence of extractive capitalism, activism in social work, and the actions that should be taken by social work educators and scholars to model to their students.

Background: Sexually active adolescents sometimes seek contraceptives without parental consent, posing challenges due to minors' confidentiality and consent regulations. This is especially the case under the un-nuanced Israeli legal scheme regarding adolescents' care. Methods: Israeli OBGYNs were contacted through mailing lists and social media groups and asked to fill an online questionnaire regarding their experience and protocols concerning prescription of contraceptives to minors. They were also asked about their comprehension of the relevant legal obligations, the importance they ascribe to different ethical interests and considerations, as well as their training. Results: Of the 177 responding gynecologists, 132 (74.58%) consulted minors about contraceptives during the past year, regardless of a vast lack of training on providing care to minors. More than a third of respondents believed that there is no legal requirement to involve parents in the process, and only 8% assumed a legal obligation for parental involvement in all minors under the age of 18. Three quarters would "almost always" prescribe contraceptives without parental knowledge, if requested, while 20% never would. No correlation was found between respondents' practices and their perception of the relevant legal obligations. Participants agreed that the risk to the health of the minor as a result of having sex without contraceptives is of utmost importance. Yet, those willing to prescribe gave greater weight to this consideration, while those who do not prescribe were more concerned with the legal ramifications of such an act. The majority identified the age of 15 as the threshold for consistently prescribing contraceptives to minors without parental involvement. Conclusion: This study highlights the significant gaps in both the legal framework and the training of Israeli OBGYNs, and further supports confidential prescription of contraceptives to minors 15 years and older, via Article 6 of the Israeli Legal Competence and Guardianship Law. Legislative reform, professional guidelines and education and training programs are all needed to ensure consistent and legally sound practices, that safeguard the health and rights of minors. It is imperative to guide healthcare providers, including OBGYNs prescribing contraceptives to minors, on managing the care of minors refusing parental involvement, clarifying the legal framework and ethical considerations involved. [ABSTRACT FROM AUTHOR]

The ongoing conflict in Gaza has led to severe destruction of the health system and eventually its collapse. Moreover, multiple attacks on health workers were reported which led to obstacles in service delivery. The conflict has led to further humanitarian crises including shortage of food, water sanitation, and hygiene, and outbreaks of infectious diseases. About 2 million of Gaza's population are internally displaced with the majority in Rafah. Rafah's population has increased by 500% in less than four months. This has led to acute food severity in Gaza for the whole of the population. Moreover, the cut of UNRWA aid is expected to further expand the humanitarian crisis as over 2 million of the population depends on the aid. [ABSTRACT FROM AUTHOR]

Background: Women who have migrated often encounter difficulties in accessing healthcare and experience inequitable sexual and reproductive health outcomes in destination countries. These health inequities include contraceptive access and use. To better understand what influences contraceptive access and use, this scoping review set out to synthesize the evidence on contraceptive access and use and on associated interventions among women with migratory experience in high-income countries (HICs) in Europe, North America and Australasia. Methods: The scientific databases PubMed, Web of Science and CINAHL were searched for peer-reviewed quantitative, qualitative and mixed method articles published between January 2000 and June 2023. Articles were included if they reported on studies exploring contraceptive use to prevent pregnancies among women of reproductive age with migratory experience living in HICs. Two researchers independently screened and extracted data from the articles. Findings were categorized by patient and health system level factors according to Levesque et al.'s framework of access to health care. Results: A total of 68 articles were included, about half (n = 32) from North America. The articles focused on the individual level rather than the health system level, including aspects such as women's contraceptive knowledge, the influence of culture and religion on accessing and using contraception, partner involvement, and differing health insurance coverage. On the health system level, the articles highlighted lack of information on contraceptive services, cultural (in)adequacy of services and communication aspects, contraceptives' side effects, as well as geographic availability and cost of services. The review further identified three articles reporting on interventions related to contraceptive counselling. Conclusions: There is a lack of knowledge regarding how health systems impose obstacles to contraceptive services for women with migratory experience on an organizational level, as research has focused heavily on the individual level. This review's findings may serve as a foundation for further research and advances in policy and practice, specifically recommending early provision of health system related information and contraceptive education, engagement of male partners in contraceptive discourses, cultural competency training for healthcare professionals, and strengthening of interpretation services for contraceptive counselling. [ABSTRACT FROM AUTHOR]

Using a financial‐actuarial approach, a formal methodological proposal is presented, using to estimate the loss ratio of the maximum budgets, an ex‐ante financing mechanism for the health promoting entities (HPEs) of the contributory, and subsidized schemes of the General System of Social Security in Health in Colombia. Using public information from the financial statements of the HPEs, available on the website of the National Health Superintendency, the loss ratios for the years 2020 and 2021 were calculated. The results showed values above 150% for more than 40% of the HPEs analyzed. This generates a financial sustainability alert for the health sector regarding this specific mechanism. To ensure the efficiency of spending and guarantee the fundamental right to health of all inhabitants of the Colombian territory, it is proposed to invest more in the assessment of health technologies, use the cost‐effectiveness threshold already estimated for Colombia, establish clinical guidelines for health technologies not included in the Capitation Payment Unit, and update the health benefit plan in a systematic, participatory, and clear manner for all strategic actors. [ABSTRACT FROM AUTHOR]

Sexuality is a central part of being human, however, talking about sexual health is generally avoided in forensic psychiatry. The aim of this qualitative study was to explore how healthcare professionals experience talking about sexuality and sexual health with patients cared for in forensic psychiatry. Individual interviews were conducted with eighteen healthcare professionals from ten different forensic psychiatry care units in Sweden. The interviews were semi-structured, and the data was analyzed with qualitative content analysis. The findings showed the overarching theme "Balancing on a slack line". The conversations the healthcare professionals have about sexuality and sexual health with patients in this setting are affected by forensic psychiatry's dual mission; to provide care and at the same time protect patients and society. These conversations can be about opening up for having responsive conversations, but also closing conversations since the field of sexuality and sexual health is fraught with norms and preconceptions. To be able to conduct these conversations can be a challenge since the professionals can experience uncertainty due to a lack of competence, indicating that knowledge and resources are needed to facilitate conversations. In conclusion, the study indicates that there is a lack of support and structure for performing conversations about sexuality and sexual health in forensic psychiatry care, and there is a need for increased knowledge among healthcare professionals. In order to support staff, the forensic psychiatry services need to acknowledge the national guidelines for sexual and reproductive health and rights and to develop and adapt the local guidelines. [ABSTRACT FROM AUTHOR]

Decisions about the treatment of eating disorders do not occur in a socio-political vacuum. They are shaped by power relations that produce categories of risk and determine who is worthy of care. This impacts who gets access to care and recognition of rights in mental health services. Globally, there are calls for more human rights-based approaches in mental health services to reduce coercion, improve collaborative decision making and enhance community care. Treating individuals with longstanding, Severe and Enduring Eating Disorders (SEED) or Severe and Enduring Anorexia Nervosa (SE-AN) can be particularly problematic when it involves highly controversial issues such as treatment withdrawal and end-of-life decisions and, where legally permissible, medically assisted dying. In this article, we argue that the socio-political context in which clinical decision making occurs must be accounted for in these ethical considerations. This encompasses considerations of how power and resources are distributed, who controls these decisions, who benefits and who is harmed by these decisions, who is excluded from services, and who is marginalised in decision making processes. The article also presents tools for critically reflective practice and collaborative decision-making that can support clinicians in considering power factors in their practice and assisting individuals with longstanding eating disorders, SEED and SE-AN to attain their rights in mental health services. Plain English Summary: Navigating the ethical issues involved in the treatment of longstanding eating disorders, Severe and Enduring Eating Disorders (SEED), and Severe and Enduring Anorexia Nervosa (SE-AN) can be difficult for many clinicians. These include highly controversial issues such as treatment withdrawal, end of life issues, and medically assisted dying. In this article, we argue that the socio-political context in which clinical decision making occurs must be accounted for in these ethical considerations. This encompasses considerations of how power and resources are distributed, who controls these decisions, who benefits and who is harmed by these decisions, who is excluded from services, and who is marginalised in decision making processes. The article also presents tools for critically reflective practice and collaborative decision-making that can support clinicians in considering power factors in their practice and assisting individuals with longstanding eating disorders, SEED and SE-AN to attain their rights in health services. [ABSTRACT FROM AUTHOR]

This article investigates the meaning that refugee solidarity activists supporting people on the move across the Western Balkans migratory route and at the Italian–French border attribute to the notion of 'care', which they use to define their solidarity practices, particularly in the aftermath of the global pandemic. By means of a content analysis of in-depth interviews with representatives of grassroots solidarity groups, the article demonstrates that 'care' is conceived of as having a political character, as it responds to both the crisis of health care and the restrictions on freedom of movement; a non-hierarchical connotation, which informs in- and out-group relationships; and a transformative orientation, as acts of care prefigure a society in which freedom of movement and health rights are granted to all, in contrast to the existing model of migration governance. [ABSTRACT FROM AUTHOR]

Based on the results of research in Majalengka Regency, it is very clear that the community wants a clean and healthy environment without exposure to cigarette smoke. Therefore, the Regional Government of Majalengka Regency needs to do to create a healthy and clean environment, so this needs to be a step to secure cigarettes for the health of both active and passive smokers through the establishment of a Smoke-Free Zone (KTR). Based on the above background, the purpose of this writing is as follows: a) To be able to find out what is the cause of the lack of a Regional Regulation on Non- Smoking Areas (KTR) in Majalengka Regency. b) To be able to find out what are the implications of the establishment of the Regional Regulation of Non-Smoking Areas (KTR) on the protection of the right to health in Majalengka Regency. The research method used is sociological juridical, which is legal research by looking at law as human behavior in society and then studied and reviewed based on relevant laws and regulations as a reference to solve problems. From a health perspective, cigarettes are the cause of death and pain that cause human misery and a decrease in quality of life and are contrary to Indonesia's human development. From a social and economic point of view, bad behavior of cigarette consumption violates human rights and is a means of impoverishing people. Based on the legal aspect, cigarettes are addictive substances which need to be regulated for the security of both production, distribution and use. [ABSTRACT FROM AUTHOR]

Background: On June 24th, 2022, the United States (US) Supreme Court's ruling in Dobbs v. Jackson, et al. (hereafter, the Dobbs decision) removed federal‐level protections for induced abortion, sparking concerns about reproductive rights and health privacy. Although other pregnancy outcomes (e.g. spontaneous abortion, ectopic pregnancy) are not explicit targets of post‐Dobbs abortion bans, study participants may be worried about how their reproductive health data are used by researchers in the post‐Dobbs era. Objective: To evaluate the extent to which the Dobbs decision influenced participant's engagement in a preconception cohort study. Methods: We leveraged data spanning 20 weeks before and after the Dobbs decision (4 February 2022, to 11 November 2022) from US participants in Pregnancy Study Online (PRESTO), an internet‐based prospective preconception cohort study of couples attempting conception. We categorised participants' state‐level abortion access by residential location: banned or restricted rights; limited access; and protected rights. We evaluated three participant engagement outcomes: follow‐up questionnaire completion; report of a pregnancy; and clicking on the invitation link for a fertility‐tracking app. We fit separate linear regression models and restricted cubic splines to compare outcome prevalence before and after the Dobbs decision by state‐level abortion category. Results: A total of 585 newly enrolled participants and 1247 already‐enrolled participants received 2802 invitations to complete a follow‐up questionnaire. In states with limited or protected abortion rights, we observed little change in participant engagement. In states with banned or restricted abortion rights, however, we observed a 27.12 percentage point reduction (95% confidence interval −43.68, −10.51) in the prevalence of clicking on the invitation link for the fertility‐tracking app comparing the post‐ versus pre‐Dobbs periods. Conclusions: There was some evidence of reduced participant engagement after the Dobbs decision in states with banned or restricted abortion rights, indicating potentially deleterious effects on the conduct of reproductive health studies. [ABSTRACT FROM AUTHOR]

The ever-increasing development, discovery, production and application of chemicals have brought convenience and prosperity to humans, and chemicals are used in many industries for various tasks. On the other hand, the exposure of workers to harmful chemical agents in the industrial sector has caused increasing attention to the occupational health of workers. Considering that exposure to chemicals in the workplace has harmful effects on people's health, it is clear that the safety and health of child and adolescent workers are at greater risk and damage from harmful factors compared to adults. Therefore, the main question facing this article is what mechanisms exist to ensure the health of workers, especially children and teenagers in the workplace? In response to the aforementioned question, the authors concluded that policymakers and legislators by adopting an active approach to international capacities Such as taking advantage of the experience of other countries and international organizations in this field, they have developed policies and enacted related laws at the domestic level. In addition, they should provide the context for the accession and implementation of all relevant international conventions, especially the International Labor Organization conventions. And most importantly, follow their implementation through various mechanisms, especially continuous inspection of workshops to finally provide a suitable guarantee for working children and teenagers against injuries caused by harmful factors, especially pollutants and chemicals. [ABSTRACT FROM AUTHOR]

Abortion is significantly restricted by law in most Pacific Island countries, impacting the rights, health and autonomy of people who experience pregnancy. We undertook qualitative research between February and August 2022 on Rarotonga, Cook Islands, where abortion is illegal under most circumstances. We conducted interviews with women who had accessed or tried to access abortion services; people who had supported women to access abortion services; health workers; and advocates to understand their experiences regarding abortion. We conducted focus groups to explore broader social perceptions and experiences of sexual and reproductive health and rights, including abortion. Participants described their abortion decisions and methods, and their negotiation of the personal context of their sexual behaviours, pregnancies, and abortions relative to their socio-cultural context and values. As defined by the World Health Organization, safe abortion relates to the methods and equipment used and the skills of the abortion provider. We argue for an expansion of this definition to consider inclusion of reference to individuals' 'abortion safety nets' as the sum of their access to financial, political, health care and socio-cultural resources. These safety nets are shaped by discourses related to abortion and socio-cultural support and values, impacting physical, emotional, psychological, social and spiritual health. [ABSTRACT FROM AUTHOR]

Current challenges in approaches to understand and shift social norms relate to the absence of a methodology guided by an ethical framework that recognises the power dynamics inherent in social norms research and intervention design. This is particularly the case for social and gender norms related to sexual reproductive health rights, child marriage, harassment in public places, gender-based violence, unpaid care work, and gendered work roles. This article draws on the experiences of social norms research undertaken by Oxfam and partners in Sri Lanka, the Philippines, Bangladesh, and Pakistan that sought to embed a feminist and participatory approach throughout the research cycle. In particular, it draws on lessons learned from a key component of a wider feminist participatory methodology, Oxfam's Social Norms Diagnostic Tool, developed in 2017, adapted and implemented in four different countries. [ABSTRACT FROM AUTHOR]

The 2022 U.S. Supreme Court decision in Dobbs v. Jackson Women's Health Organization overturned reproductive, health, and abortion rights for women. Using the NASW Code of Ethics, a course assignment is offered for students to examine the professional, ethical commitment and responsibility of social workers to advocate for these rights and reproductive justice for women. Practical ideas for incorporating content examining ethics into coursework in higher education are examined. An advocacy practice and policy model is provided and examined for consideration and use for advocacy when promoting reproductive rights and justice for women. The course assignment centers on the work of Freire (1970), as students work in small groups to identify generative themes in relationship to the NASW Code of Ethics and reproductive and health rights and justice for women. Practical and useful follow-up considerations, assignments, and takeaways are offered for assessing student learning in relationship to the course assignment. [ABSTRACT FROM AUTHOR]