Youth sexuality is a great concern for many. Sexual health issues facing our youths are: premarital sexual intercourse, sexually transmitted diseases, unwanted and unsafe pregnancies and abortions, sexual diversity, HIV/AIDS, and cybersex. Various factors lead to risky sexual and reproductive health behavior, particularly among those unmarried youths: lack of sexual and reproductive health information and skills in negotiating sexual relationships and the inaccessibility of youth-friendly sexual and reproductive health services. Growing peer pressure of pre-marital sex plays a major role in sexual and reproductive health related decision-making among youths. Another factor is the issue of sexuality education which is still considered a sensitive topic and thus impinging on its implementation, due to cultural and religious constraints. Misunderstanding and a lack of information on sexual diversity have caused a concern for many, as there is a tendency for judgments, stereotypes, discriminations and prejudices towards homosexuality in the society. Online sexual activities or cybersex have become the next sexual revolution. Negative consequences are shown for those hooked on cybersex. Healthy youths are fundamental to the prevention initiatives. Promoting the sexual and reproductive needs and rights of our youths is warranted
Reproductive Health

Background: Maternal and child healthcare is a leading priority in the health care strategy of Viet Nam. Motherhood safety is amongst contents of reproductive healthcare strategy to ensure safe delivery, reduce maternal and neonatal morbidity as well as mortality. Aims: To discover the utilization of delivery care and related factors to women in selecting location for delivery. Subjects and method: The study was carried out in Chillilab \u2013 Demographic and Epidemiological Surveillance was set up in Chi Linh district, Hai Duong province by the School of Public Health. A combination of quantitative and qualitative methods was used in collecting the data. Results: 97% of pregnant women chose public health facilities as their delivery place and 2.5% of pregnant women had homebirths. The main reasons for delivery in hospitals were trust on care quality and sufficient equipment for emergency care. The complicated delivery rate was 14% and Cesarean section delivery was 12%. Hospitalized deliveries were more common in the women with higher education and/or better economic status. Conclusion: There should be improved healthcare communications to encourage all women to give birth at health facilities. Improving the quality of delivery care in community health stations is important to give opportunities for deprived women to receive safer deliveries.
Delivery ; Reproductive health

Evaluating the role of the health staffs and collaborators of the population and family planning program in the local level in the approach to women. Capacity of expansion of services and efficacy of these activities was carried out in urban commune of Tr¶ng Dµi, §ång Nai province and rural commune of Phôc LÔ, H¶i Phßng city. The results have shown that the collaborators of the population and family planning have successfully approached to women who were married, at reproductive ages. The collaborators self realized that it should strengthen their task and quality of services and knowledge, skill and practice
Reproductive Health Services ; Population

Introduction: Adolescence being a transition phase from a child to an adult, commonly associated with high-risk sexual behaviours, which put them at risks of sexually transmitted diseases (STD), HIV and unwanted pregnancy. All these risks can be prevented by having adequate knowledge on sexual and reproductive health (SRH). Hence, this study aimed to determine the sociodemographic determinants of good SRH knowledge among secondary school children in Kuala Kuantan, Pahang Malaysia. Methods: A cross-sectional study was conducted among 687 secondary school children in Kuala Kuantan, Kuantan, Pahang, using self-administered questionnaire. A multistage cluster sampling was employed to recruit the respondents. Three levels of analysis were conducted to describe the characteristics of the respondents and determining the determinants of good SRH knowledge. Data was analysed using Statistical Package of IBM SPSS Statistics Version 24 and the p value was set to be less than 0.05. Results: The proportion with good SRH knowledge was 58.4%. Upper secondary school age group (AOR 7.142, 95% CI: 4.830, 10.560) and smokers (AOR 2.597, 95% CI: 1.348, 5.004) were found to be significant determinants of good SRH knowledge. Conclusions: The percentage of respondents with good SRH knowledge was just slightly above average. As expected, older school children has the strongest likelihood of having good SRH knowledge. Whether the good SRH knowledge is contributed by the existing SRH curriculum is unclear and requires further exploration. In view of the alarming SRH issues involving younger school children, strategic plan are needed to instil the knowledge at earlier age.
Sexual and reproductive health

Pregnancy, Unplanned ; Reproductive Health

Objective: Despite the provision of local health policies promoting the utilization of sexual and reproductive health (SRH) services of adolescents, SRH services utilization remains very low and little information is known concerning the factors which may influence adolescents' use of these SRH services. This study aimed to determine the prevalence and determinants of school-based SRH services utilization among secondary school students.

Materials and Methods: This is a cross-sectional study that used a self-administered questionnaire to gather data among students in one public secondary school in the City of Dasmariñas. A total of 24 sections from Grades 8 to 12 were randomly selected using stratified cluster sampling. Both descriptive and inferential statistics were used to analyze the data using Epi Info version 7.3.2.1.

Results: Among 1,218 students who answered the questionnaire, 168 students (13.8%) utilized the SRH services in the Teen Health Kiosk (THK) during SY 2019-20. Students with favorable attitudes towards SRH issues (predisposing factor) were twice more likely to utilize the SRH services (Adjusted odds ratio, AOR 1.75, 95% CI 1.12-2.74) and those who have positive perceived accessibility on the SRH services (enabling factor) were 2.5 times more likely to utilize the SRH services (AOR 2.46, 95% CI 1.66 - 3.66).

Conclusion: Attitudes towards SRH issues and perceived accessibility to SRH services were found to be determinants of SRH services utilization in the THK of the selected public secondary school in the City of Dasmariñas. Even with the marked increase in the utilization of SRH services in the THK from 0.2% in SY 2018-19 to 13.8% in SY 2019-20, intensified efforts are still needed in order to target students' attitudes on SRH and accessibility of THK and the SRH services it offers to its clients. It is recommended that the existing THK Club be strengthened as this will play a significant role in changing the attitudes of students towards SRH issues, thus increasing the utilization of SRH services. Additionally, formulating an SRH policy at the school level targeting THK's accessibility will be helpful in increasing the utilization of school-based SRH services. For one, a policy mandating THK service providers to deliver services beyond school hours may be discussed such that it can also cater students who are attending the school during weekends (i.e. ALS students, Open High students). Likewise, policy makers in the City Schools Division Office including their top management and personnel from the Health and Nutrition Unit as well as school administrators must endeavor to provide a more conducive THK where privacy and confidentiality can be maintained at all times and clients can freely discuss SRH issues with the THK service provider. An initiative to provide a separately detached room for the THK is encouraged in order to provide a more suitable counselling area and to ensure privacy and confidentiality of student clients and their shared information.

A study on 3472 subjects including service provider, state officials, militants and women in border communes of An Giang and Ha Tien provinces showed that: 81.5% subjects believe that there is a combination between Army medical service and Civil medical service on Reproductive health-care, and some combinations achieved good results are Information-Education and Communication, providing services and organizing management. The combination is appreciated good in many forms: providing reproductive healthcare/family planning services (46.5%), Information-Education and Communication, (63.9%), training and retraining, … The combination between Army and Civil medical service is necessary to solve difficulties in these areas such as lack of equipment (69.7%) and public health infrastructure insufficient (51.4%)
Delivery of Health Care ; Reproductive Health Services

365 women of Cham minority (among them 200 aged 15-49 with husband) in 3 communes were enrolled in the study. Results are: 31% gave birth to child at first in the age under 19; 32% of women aged 15-49 had married having 4-9 live children, 30.5% pregnant women had received no prenatal care, 49% have received 1-2 prenatal visits; 49.4% gave birth at home and 39% were not assisted by health staff. 29% were aware only IUD and only 1 other contraceptive method. The rate of women who used contraceptive method accounts for 62% (among them 39.5% used IUD, 13% used pill and condom)
Minority Groups ; Reproductive Medicine ; Reproduction ; Reproductive Health Services ;

PURPOSE: This study aimed to identify sexuality for women with gynecological cancer. METHODS: A total of seven women with gynecological cancer agreed to participate in this study. The data were collected utilizing in-depth semi-structured interviews style. A descriptive study design was used in this study. The interviews were analyzed using inductive content analysis methodology. RESULTS: Three themes identified were: 'women with gynecological cancer who give up their sexual life due to misunderstanding and fear', 'women with gynecological cancer who control their body and mind for recovery', 'women with gynecological cancer resume their sexual life with their partner's will'. CONCLUSION: To improve sexual health and quality of life for women with gynecological cancer, we need to develop programs related to sexual health. An adjusted sexual health program will contribute to increased sexual health and quality of life for women with gynecological cancer.
Female ; Humans ; Quality of Life ; Reproductive Health ; Sexuality

Background: At commune health stations in Vietnam, there are still limitations of human resources as well as essential drug and equipment supply. However, these problems weren\u2019t assessed comprehensively. Objectives: To describe the infrastructure, equipment, drug availability and the possibility of providing reproductive health services according to National Standard Guidelines on Reproductive Health of these health facilities. Subjects and method: A cross-sectional study was carried out in 210 commune health stations, 28 district hospitals, and 14 provincial hospitals. Results:The infrastructure, equipment and essential drugs in these facilities are inefficient and of low quality that leads to limit the provision of reproductive health, especially for basic obstetric care at commune health stations and comprehensive obstetric care at district and provincial hospitals. Only 16.7% of commune health stations can provide basic obstetric care services and 39.3% of district hospitals and 50% of provincial hospitals were providing comprehensive obstetric care services according to the National Standard Guidelines on Reproductive Health. Conclusion: In order to provide good reproductive healthcare services, the health sector should have an investment strategy on infrastructure, medical equipment and essential drugs for health facilities.
reproductive care service ; commune health station