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Les Freins A Lutilisation De La Contraception Durgence Chez Les Adolescentes
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Book Synopsis Les freins à l'utilisation de la contraception d'urgence chez les adolescentes by : Audrey Dumont
Download or read book Les freins à l'utilisation de la contraception d'urgence chez les adolescentes written by Audrey Dumont and published by . This book was released on 2015 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: En France, malgré une bonne couverture contraceptive, on constate une augmentation du nombre d'IVG chez les jeunes femmes. Parmi les 10% d'adolescentes sexuellement actives, 6% ont été enceintes et 4 grossesses sur 5 sont interrompues. La contraception d'urgence permet de diminuer le nombre de grossesses non prévues ; ses moyens d'accès sont divers, gratuits et confidentiels pour les mineures. Pourquoi, malgré cette disponibilité, les IVG ne diminuent pas ? Explorer les freins à l'utilisation de la contraception d'urgence des adolescentes par méthode qualitative. 16 entretiens individuels semi-dirigés d'adolescentes, de 15 ans à la veille des 18 ans, ont été effectués. Pour les adolescentes, la contraception d'urgence, c'est la « pilule du lendemain ». Il n'y a pas de freins conscients à la prise de la contraception d'urgence mais des méconnaissances et des fausses croyances : idée de risque de stérilité, de « dérèglements » hormonaux, peur du jugement des tiers et de l'entourage, méconnaissance des situations à risque de grossesse surtout les oublis de pilule, des lieux où se procurer la contraception d'urgence, de l'assurance de la gratuité et confidentialité, des délais de prise : de 24h, dû au nom « pilule du lendemain », à quatre jours. Les interlocuteurs privilégiés des adolescentes pour la contraception d'urgence, sont les pharmaciens et les médecins. Importance de leurs rôles dans l'information des situations à risque de grossesse, des modalités d'obtention de la contraception d'urgence et de la lutte contre les croyances erronées. Certains peuvent être mis en défaut ; importance de les former afin d'optimiser l'accès à la contraception d'urgence et à la contraception de chaque femme. Paradoxe français : Contraception d'urgence et avortement sont gratuits et confidentiels pour les mineures mais pas la contraception habituelle.
Book Synopsis Quels sont les freins et les leviers exprimés par les adolescentes de 15 à 18 ans à l'utilisation du dispositif intra utérin (DIU) comme moyen de contraception ? by : Margaux Panier 1991-.....
Download or read book Quels sont les freins et les leviers exprimés par les adolescentes de 15 à 18 ans à l'utilisation du dispositif intra utérin (DIU) comme moyen de contraception ? written by Margaux Panier 1991-..... and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: La France se place parmi les pays où le niveau de couverture contraceptive est le plus élevé. Or il existe un paradoxe puisque le taux de recours à l'interruption volontaire de grossesse (IVG) reste stable et élevé. Le schéma contraceptif reste le même depuis plus de dix années à savoir le recours au préservatif masculin au début de la vie sexuelle puis l'utilisation de la pilule et enfin le DIU lorsque le nombre d'enfants souhaité est atteint. L'âge moyen du premier rapport sexuel en France est de 17 ans et l'âge moyen du premier enfant désiré est de 29 ans ce qui laisse près de douze années de nulliparité à couvrir par une méthode contraceptive efficace, dont l'utilisation des méthodes LARC (contraceptif de longue durée d'action) telle que le DIU semble adapté pour réduire au mieux le risque de survenue de grossesses non désirées. En effet, les adolescentes appartiennent à un groupe à haut risque de survenue de grossesse non désirée ce qui pose un réel problème de Santé Publique à l'échelle mondiale. L'amélioration de l'éducation et de l'accès des adolescentes aux méthodes contraceptives efficaces est un enjeu de Santé Publique comme l'ont démontré les études CHOICE menée aux Etats Unis et FECOND en France. Effectivement malgré l'utilisation large d'une contraception lors des premiers rapports sexuels (préservatif masculin dans 90% des cas chez les 15 à 24 ans), aucun impact sur le nombre d'IVG chez les adolescentes n'a été réellement observé. Les raisons sont multi- factorielles mais la cause principale viendrait d'un défaut d'observance et d'une mauvaise utilisation des moyens de contraception dont l'efficacité théorique avoisine les 99,7%. L'étude CHOICE a montré que le recours aux méthodes LARC a un impact significatif sur la diminution du nombre de grossesses non désirées chez les adolescentes de 15 à 19 ans ainsi qu'une nette diminution du recours à l'IVG. En conséquence, de multiples lois et recommandations établies par les Sociétés Savantes françaises et internationales s'accordent sur le fait que le DIU est une contraception parfaitement indiquée aux adolescentes au même titre qu'aux femmes plus âgées (nullipares ou multipares). Or malgré cela l'évolution de l'utilisation du DIU par les adolescentes en France est faible en dix ans. 57% des femmes interrogées par l'étude FECOND pensent que le DIU n'est pas recommandé chez les nullipares. 68% des gynécologues et 85% des médecins généralistes interrogés par cette étude affirment ne pas recommander le DIU chez les nullipares voir ne pas leur en parler du tout du fait de leur propre réticence. Or il est montré aux Etats Unis que les femmes sont trois fois plus intéressées par le DIU après avoir reçu une information claire. Il est nécessaire que les professionnels de santé transmettent l'information aux adolescentes pour espérer promouvoir l'utilisation du DIU. On retrouve de nombreuses réticences à l'utilisation du DIU chez les plus jeunes dans la littérature : majoration du risque d'infection pelvienne, problème de fertilité, risque plus élevé d'expulsion, pose plus douloureuse et plus complexe... Toutes ces réticences ont été controversées. Nous avons retrouvé de nombreux freins similaires à ceux évoqués dans la littérature dont le principal est le manque d'information et de connaissances. Elles sont nombreuses à savoir citer le « stérilet » pour au final ne pas en connaître les caractéristiques, les indications ni les représentations. Elles sont bien loin de savoir qu'elles peuvent en bénéficier. L'autre principal frein exprimé est motivé par les différentes peurs que suscite le DIU d'où l'importance de divulguer une information claire et complète. Nous avons retrouvé très peu de levier certainement à cause de leurs importantes méconnaissances sur le DIU.
Book Synopsis The Impact of Population Growth on Well-being in Developing Countries by : Dennis A. Ahlburg
Download or read book The Impact of Population Growth on Well-being in Developing Countries written by Dennis A. Ahlburg and published by Springer Science & Business Media. This book was released on 2013-03-14 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the nature and significance of the impact of population growth on the weIl-being of developing countries-in particular, the effects on economic growth, education, health, food supply, housing, poverty, and the environment. In addition, because family planning programmes often significantly affect population growth, the study examines the impacts of family planning on fertility and health, and the human rights implications of family planning programmes. In considering the book's conclusions about the impact of population growth on development, four caveats should be noted. First, the effects of population growth vary from place to place and over time. Thus, blanket statements about overall effects often cannot be made. Where possible, the authors note the contexts in which population effects are strongest and weakest. Second, all of the outcomes examined in this book are influenced by factors other than population growth. Moreover, the impact of population growth may itself vary according to the presence or absence of other factors. This again makes bl anket statements about the effects of population growth difficult. Throughout the chapters, the authors try to identify other relevant factors that influence the outcomes we discuss or that influence the impact of population growth on those outcomes.
Book Synopsis 5 Language Visual Dictionary by : Dorling Kindersley Publishing, Inc
Download or read book 5 Language Visual Dictionary written by Dorling Kindersley Publishing, Inc and published by DK Publishing (Dorling Kindersley). This book was released on 2003 with total page 408 pages. Available in PDF, EPUB and Kindle. Book excerpt: A vocabulary guide that presents color photos of everyday objects and tasks with labels in English, French, German, Spanish, and Italian, grouping words and phrases in fifteen categories, including health, food, and leisure.
Book Synopsis Ovum Implantation by : Moses Chiam Shelesnyak
Download or read book Ovum Implantation written by Moses Chiam Shelesnyak and published by . This book was released on 1969 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis World Population Policies 2013 by : United Nations Publications
Download or read book World Population Policies 2013 written by United Nations Publications and published by . This book was released on 2014-02-17 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report provides a comprehensive overview of key aspects of population policies and dynamics for 197 countries since the mid-1970s. Updated biennially, it documents changes in key aspects of Government views and policies related to population size and growth, population age structure, fertility, reproductive health and family planning, health and mortality, spatial distribution and internal migration, and international migration. The report also includes two-page country profiles, with the first page containing information on changes in the Government views and policies and the second page containing data on selected population indicators corresponding to 1985, 1995, 2005 and 2013, the most recent revision year.
Book Synopsis French English Bilingual Visual Dictionary by :
Download or read book French English Bilingual Visual Dictionary written by and published by Dorling Kindersley. This book was released on 2017-03-30 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn more than 6000 French words and phrases with this easy to use dictionary that features illustrations of objects and scenes from everyday life.
Book Synopsis Fixing the Broken Promise of Education for All by : Angela Hawke
Download or read book Fixing the Broken Promise of Education for All written by Angela Hawke and published by United Nations Education, Scientific & Cultural Organization. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fixing the Broken Promise of Education for All, published by the UNESCO Institute for Statistics and UNICEF, presents the latest statistical evidence from administrative records and household surveys to better identify children who are out of school and the reasons for their exclusion from education. It aims to inform the policies needed to reach these children and finally deliver the promise of Education for All. Based on a series of national and regional studies and policy analysis by leading experts, the report explains why better data and cross-sector collaboration are fundamental to the design of effective interventions to overcome the barriers facing out-of-school children and adolescents. While highlighting the way forward for system-wide policies to improve educational quality and affordability, the report also presents the information needed for targeted approaches to address the compounding effects of disadvantage faced by children caught up in armed conflict, girls, working children, children with disabilities, or members of ethnic or linguistic minorities. This report presents a roadmap to improve the data, research and policies needed to catalyse action for out-of-school children as the world embarks on a new development agenda for education.
Book Synopsis Altering Frontiers by : Corinne Grenier
Download or read book Altering Frontiers written by Corinne Grenier and published by John Wiley & Sons. This book was released on 2021-07-21 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.
Download or read book World Abortion Policies written by and published by Economic & Social Affairs. This book was released on 2013-06-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Iheoma My Dear by : Gloria Ernest Samuel
Download or read book Iheoma My Dear written by Gloria Ernest Samuel and published by . This book was released on 2016 with total page 98 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Italian English Bilingual Visual Dictionary by :
Download or read book Italian English Bilingual Visual Dictionary written by and published by DK. This book was released on 2024-06-25 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Previously published as part of '5-language visual dictionary'"--Title page.
Book Synopsis The Colors of Violence by : Sudhir Kakar
Download or read book The Colors of Violence written by Sudhir Kakar and published by University of Chicago Press. This book was released on 2022-06-17 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt: For decades India has been intermittently tormented by brutal outbursts of religious violence, thrusting thousands of ordinary Hindus and Muslims into bloody conflict. In this provocative work, psychoanalyst Sudhir Kakar exposes the psychological roots of Hindu-Muslim violence and examines with grace and intensity the subjective experience of religious hatred in his native land. With honesty, insight, and unsparing self-reflection, Kakar confronts the profoundly enigmatic relations that link individual egos to cultural moralities and religious violence. His innovative psychological approach offers a framework for understanding the kind of ethnic-religious conflict that has so vexed social scientists in India and throughout the world. Through riveting case studies, Kakar explores cultural stereotypes, religious antagonisms, ethnocentric histories, and episodic violence to trace the development of both Hindu and Muslim psyches. He argues that in early childhood the social identity of every Indian is grounded in traditional religious identifications and communalism. Together these bring about deep-set psychological anxieties and animosities toward the other. For Hindus and Muslims alike, violence becomes morally acceptable when communally and religiously sanctioned. As the changing pressures of modernization and secularism in a multicultural society grate at this entrenched communalism, and as each group vies for power, ethnic-religious conflicts ignite. The Colors of Violence speaks with eloquence and urgency to anyone concerned with the postmodern clash of religious and cultural identities.
Book Synopsis Cancer Care for Adolescents and Young Adults by : Daniel Kelly
Download or read book Cancer Care for Adolescents and Young Adults written by Daniel Kelly and published by John Wiley & Sons. This book was released on 2008-04-30 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer in Adolescents and Young Adults is a practical guide to cancer care in adolescents and young adults. It considers the impact of diagnosis on individuals, and their families, as well as examining the impact on the health professionals responsible for their care. There are sections focussing on the adolescent’s experience of cancer and ongoing care needs during treatment, and on life after cancer, including rehabilitation and palliative care. • Builds on the forthcoming NICE guidelines on Supportive Cancer Care for Children & Young People, and recent Department of Health guidelines & policy initiatives • Adopts an integrated inter-professional approach • Contains evidence-based contributions from leading professionals in cancer care Cancer in Adolescents and Young Adults is an essential resource for all those involved with the provision of care and support for adolescents and young adults with cancer. About the Editors: Dr Daniel Kelly is Reader in Cancer & Palliative Care, Middlesex University, London. Dr Faith Gibson is Senior Lecturer in Children’s Nursing Research, Institute of Child Health, Great Ormond Street Hospital and King’s College London.
Book Synopsis Patient Engagement by : Marie-Pascale Pomey
Download or read book Patient Engagement written by Marie-Pascale Pomey and published by Springer Nature. This book was released on 2019-10-10 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-oriented approaches to healthcare management have been brought to the fore in recent years, yet this book underlines how even further change is needed in order to fully mobilise the experiential knowledge of patients, and ultimately improve our healthcare systems. With contributions from scholars and patients across the globe, this collection brings together a comprehensive overview of major achievements in patient engagement, analysing political, organizational and clinical contexts. By understanding the concept of care partnership, the authors explore how this patient revolution could transform, improve and innovate the ways in which care services are organized and delivered. Looking closely at the role of new technologies, this timely book will undoubtedly be of use to patients, managers and professionals within the healthcare industry, as well as those researching health policy and organization.
Book Synopsis "No Choice But to Deny who I Am" by : Wendy Isaack
Download or read book "No Choice But to Deny who I Am" written by Wendy Isaack and published by . This book was released on 2018 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Managing Chronic Obstructive Pulmonary Disease by : Laura Blackler
Download or read book Managing Chronic Obstructive Pulmonary Disease written by Laura Blackler and published by John Wiley & Sons. This book was released on 2007-09-27 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic Obstructive Pulmonary Disease (COPD) is increasing rapidly worldwide and it's predicted that by 2020 it will represent the third leading cause of death. Sadly, this slow-progressing debilitating disease not only affects the individual but also has consequences for the family. More positively, the urgent need to improve the care offered and to raise the public profile of the condition has now been recognised. Healthcare providers play a central role in this, through health education, early diagnosis and better management through all stages of the disease. Managing Chronic Obstructive Pulmonary Disease provides an insight into this debilitative condition. The book aims to develop nurses' and allied health professionals' knowledge and skills in caring for individuals with COPD. It takes the reader on a journey from diagnosis through to end-of-life care and examines: Initial diagnosis and symptom management Smoking cessation Pulmonary rehabilitation The management of acute episodes The role of each member of the multi-disciplinary team Quality of life, including nutrition, fatigue management and leisure activities The future for the care and management of people with the condition. Healthcare professionals from multi-disciplinary teams have contributed to this book to demonstrate that a co-ordinated approach for these patients is required across both primary and secondary care. Managing Chronic Obstructive Pulmonary Disease can be utilised by nurses and allied health professionals caring for patients at all stages of their disease.
