Women In Program Research Articles

Unmet need for family planning among married women in urban areas of Jember Regency, East Java, Indonesia: Does gender equality matter?

Unmet need for family planning is important to assess as an indicator for achieving universal access to sexual and reproductive health services. The objective of this study was to analyze the effect of gender relations on unmet need for family planning. We conducted a cross-sectional study with a randomly selected sample of 92 married women in Sumbersari District, Jember Regency, Indonesia. We collected data through structured interviews conducted between January and March 2023, and the data was analysed with univariate, bivariate and multiple logistic regression. The unmet need for family planning among the married women was 33.7%. Married women who had 3-4 children and low education were at greater risk of unmet need for family planning (OR 9.2; 95% CI 3.22-26.28 and OR 11.7; 95% CI 2.3-60, respectively). Married women who experience unequal gender relations with their husband were more at risk of unmet needs for family planning (OR 10.3; 95% CI 2.97-35.55) as well as women who agree with the husband's beating of his wife (OR 8; 95% CI 2.53-25.80). Gender inequality was a determinant of the unmet need for family planning among married women living in urban areas. Therefore, it is necessary to improve women's empowerment programs to reduce unmet need family planning among married women.

Challenges to Empowerment of Women through Value Chains: The Need to Move from Individual to Relational Empowerment

ABSTRACTThis article examines the prevailing assumption by donors that connecting smallholder women to value chains will close the gender gap and empower women. Based on a case study of a programme that seeks to empower women through their integration into value chains in Vietnam, the article assesses women's empowerment across four dimensions: economic, psychological, social and political. The authors argue that women's engagement in value chains does not always financially benefit and empower women because patriarchal power structures within families, communities and businesses make it challenging for women to gain authority over production decisions in higher‐value crops. Women in the study gained more autonomy over ‘women's crops’ which yielded small incomes, while men had control over production that was seen as ‘men's work’, and in large‐scale and more lucrative production. Gendered power relations affect women's access to economic opportunities: in this context, development agencies should reconsider their approaches to women's economic empowerment by focusing on relational rather than individual empowerment. This means that women's economic empowerment programmes should involve both men and women, with targeted interventions ensuring women are empowered within the household and in their connections with the community, local authorities and businesses.

Optimalisasi Program Rukun Warga Responsif Gender untuk Mewujudkan Kelurahan Dr.Soetomo Ramah Perempuan dan Peduli Anak

KRPPA (Kelurahan Ramah Perempuan dan Peduli Anak) is an urban village initiative that combines women's protection and empowerment programs with child rights protection and fulfillment programs. The incorporation of gender and child perspectives into the management of governance at the urban village level, urban village development, and community development and empowerment must be carried out in a planned, comprehensive, and sustainable manner in the long term. The purpose of the KRPPA program optimization research is to strengthen community empowerment with a focus on gender and children's rights. The KRPPA program initiated by the ministry aims to support the developmental needs of children in Kelurahan Dr. Soetomo, tailored to their specific needs. Kelurahan Dr. Soetomo collaborates in the implementation of KRPPA, one of which is through the socialization of Gender Responsive RW. By involving various parties such as parents and local government, this program has succeeded in creating a safe and supportive environment for children's development. The KRPPA assessment has 10 indicator scores that must be met. This comprehensive approach has shown the extent to which Kelurahan Dr.Soetomo has achieved a women- and child-friendly village. The method applied in the community service program in Dr. Soetomo Village, Tegalsari District, Surabaya City is Community Based Research (CBR). The stages carried out include the initial stage and the mentoring stage with the community. Optimization to realize a Women-Friendly and Child-Caring Village maintains RW that have indicated gender responsive RW with a score of 10.

Analysis Of Family Economic Resilience Against Early Marriage Practices In Mayang Village

This research aims to measure the economic resilience of families involved in early marriage in Mayang Village, Jember Regency. Using a mixed methods approach that combines quantitative and qualitative methods, data was collected through observation, interviews, documentation, and surveys of 50 respondents who met the criteria. Data analysis using multiple linear regression shows that family income, mother's education level, and access to social assistance programs significantly affect family economic resilience. The data processing in this research uses Descriptive Statistical Analysis to describe the economic characteristics of families, such as income, expenditure, and welfare indicators. The results of this study indicate that early marriage has a significant impact on the economic resilience of families in Mayang Village, as reflected in decreased income and increased health burdens. These findings also highlight the importance of women's economic empowerment programs and improved access to education as efforts to enhance the welfare of families involved in early marriage. Interventions targeting education, health, and changes in social norms are crucial for improving the economic resilience of families in Mayang Village.

Implementasi Program Keputrian dalam Meningkatkan Pemahaman Fiqih Wanita di SMP Uluwwul Himmah

Women's activities are a forum for female students to gain insight into women's problems. This research aims to describe the implementation of the women's program at Uluwwul Himmah Middle School to increase women's understanding of jurisprudence. This research uses a qualitative approach. The data collection methods used were observation, interviews and documentation. The results of the research obtained are (1) Planning to support successful learning, which includes: a. Determining goals, b. Determining teaching materials/materials, c. Determine the method, d. Determine time allocation. (2) Implementation of the princess program is the implementation of planning for the girls program, which includes the opening and formation of student competencies. (3) Evaluation of the girls program by observing changes in students' attitudes before and after taking part in the girls program. (4) The results of the women's program include improving students' character education, increasing students' skills and knowledge, and increasing students' insight into women's jurisprudence material. (5) Supporting and inhibiting factors, supporting factors: The school provides adequate facilities and complete support. Inhibiting factors: female students are less enthusiastic about participating in women's activities. The girlhood program carried out at Uluwwul Himmah Middle School must continue to be implemented and developed so that it can produce equitable education and more benefits.

Women's empowerment and gender equality programs to support stunting elimination in South Central Timor Regency

Introduction: Stunting remains a significant public health concern in Indonesia, particularly in East Nusa Tenggara Province, where it is the most prevalent among all Indonesian provinces at about 42.6 per cent. Empowerment initiatives represent a crucial approach to addressing this issue. Women's empowerment holds profound significance as it governs and nurtures human resources within the household, especially children, who represent the nation's future generation. This community service aims to implement a women's empowerment program by establishing a group of Women Providing Health Information (Perempuan Pemberi Informasi Kesehatan) and enhancing women's access to national health services. Methods: We conducted an experimental quantitative study involving mothers with children aged 12 to 59 months. Inclusion criteria included mothers with children aged 12 to 59 months residing in Kesetnana Village. Data were analyzed using the Wilcoxon test. The mothers' classes aimed to enhance mothers' knowledge regarding the first 1000 days of life and the nutritional requirements during this period. The study included 35 participants, with the questionnaire on stunting knowledge serving as the primary instrument. Results: The findings revealed a notable increase in participant knowledge in the post-test compared to the pre-test, with a mean rank of 88.00 and a p-value of 0.000. Conclusions: The results underscore the continued need for a gender- and culture-based approach to health promotion to mitigate the incidence of stunting. Effective health education on stunting reduction requires collaborative efforts between health workers and local communities, with mutual support being essential.

Evaluation of The Effectiveness of HIV Prevention Strategies on HIV Prevalence Among Men and Women in Zoba-Ma’akel/Eritrea

Human Immunodeficiency Virus (HIV) emerged in the late 1970s and is transmitted through unprotected sex, mother-to-child transmission, drug use and contaminated medical tools. HIV have continued yet, as health and development problems through the world. This study assesses the effectiveness of HIV prevention strategies in Zoba-Ma’akel/ Eritrea, focusing on gender disparities in HIV prevalence. Using Convergent-Parallel-Mixed-Method of Research Design, the study gathered quantitative data from 150 people living with HIV, and qualitative data from experts and community leaders. The quantitative data were processed using SPSS, while qualitative data were analyzed in thematic and content-based methods. The study found a significant decline in HIV prevalence in Zoba-Ma’akel over the past decade, but noted persistent new infections and higher prevalence among women. Key findings highlighted the importance of HIV education, the impact of gender-based violence, stigma, unemployment and the effectiveness of Antiretroviral Therapy. Innovative strategies, such as establishment of Association for People Living with HIV, couple testing, and integrated HIV-TB prevention, were identified as crucial. The study recommended targeted interventions for high-risk groups and emphasized the need for women's empowerment programs. Despite challenges, the study provided valuable insights for policymakers and future research

Effects of a Short-Term Supervised Exercise Program in Women with Breast Cancer

Effects of a Short-Term Supervised Exercise Program in Women with Breast Cancer

Assessing the effectiveness of “BETTER Women”, a community-based, primary care-linked peer health coaching programme for chronic disease prevention: protocol for a pragmatic, wait-list controlled, type 1 hybrid effectiveness-implementation trial

IntroductionThe Building on Existing Tools to Improve Cancer and Chronic Disease Prevention and Screening in Primary Care (BETTER) programme trains allied health professionals working in primary care settings to develop...

Machine Learning for Movement Pattern Changes during Kinect-Based Mixed Reality Exercise Programs in Women with Possible Sarcopenia: Pilot Study.

Sarcopenia is a muscle wasting condition that affects elderly individuals. It can lead to changes in movement patterns, which can increase the risk of falls and other injuries. Elderly women participants aged ≥65 years who could walk independently were recruited and classified into two groups based on knee extension strength (KES). Participants with low KES scores were assigned to the possible sarcopenia group (PSG, n=7) and an 8-week exercise intervention was implemented. Healthy seniors with high KES scores were classified as the reference group (RG, n=4), and a 3-week exercise intervention was conducted. Kinematic movement data were recorded during the intervention period. All participants' exercise repetitions were used in the data analysis (number of data points =1,128). The PSG showed significantly larger movement patterns in knee rotation during wide squats compared to the RG, attributed to weakened lower limb strength. The voting classifier, trained on the movement patterns from wide squats, determined that significant differences in overall movement patterns between the two groups persisted until the end of the exercise intervention. However, after the exercise intervention, significant improvements in lower limb strength in the PSG resulted in reduced knee rotation ROM and Max, thereby stabilizing movements and eliminating significant differences with the RG. This study suggests that exercise interventions can modify the movement patterns in elderly individuals with possible sarcopenia. These findings provide fundamental data for developing an exercise management system that remotely tracks and monitors the movement patterns of older adults during exercise activities.

Academic accountability to local communities and society through Programme Science: a case study from the HPV self-sampling programme HOPE in Peru.

Health challenges in the 21st century underscore the need for adaptable and innovative approaches in public health. Academic institutions can and should contribute much more effectively to generate and translate scientific knowledge that will result in better programmes to improve societal health. Academic accountability to local communities and society requires universities to actively engage with local communities, understanding the context, their needs, and leveraging their knowledge and local experience. The Programme Science initiative provides a framework to optimize the scale, quality and impact of public health programmes, by integrating diverse approaches during the iterative cycle of research and practice within the strategic planning, programme implementation and programme management and evaluation. We illustrate how the Programme Science framework could be a useful tool for academic institutions to accomplish accountability to local communities and society through the experience of Project HOPE in Peru. Project HOPE applied the Programme Science framework to introduce HPV self-sampling into a women's health programme in Peru. Collaboration with local authorities and community members was pivotal in all phases of the project, ensuring interventions aligned with community needs and addressing social determinants of health. The HOPE Ladies-community women trained and empowered to promote and provide the HPV kits-crafted the messages used through the study and developed strategies to reach individuals and provided support to women's journey through health centres. By engaging communities in co-creating knowledge and addressing health inequities, academic institutions can generate contextually relevant and socially just scientific knowledge. The active participation of community women in Project HOPE was instrumental in improving service utilization and addressing barriers to self-sampling. The Programme Science approach offers a pathway for academic institutions to enhance their accountability to communities and society at large. By embedding researchers within public health programmes and prioritizing community engagement, academic institutions can ensure that research findings directly inform policy improvements and programmatic decisions. However, achieving this requires a realignment of research agendas and recognition of the value of community engagement. Establishing Programme Science networks involving academia, government and funding entities can further reinforce academic accountability and enhance the impact of public health programmes.

Pemberdayaan Organisasi PKK dan UMKM Milik Bu Sri; Upaya Perbaikan Keterlibatan Wanita di Desa Setren

Women's empowerment is a modern concept that marks progressive changes in efforts to liberate from patriarchal culture, where women's involvement in society was previously very minimal. Efforts to align the portion of involvement of all genders are often referred to as the equal rights movement or women's liberation movement. In Setren Village, women's involvement is still low, with the achievement of SDG 5 point "Village Women's Involvement" only 26.32%. Based on this assessment, our community service work program is focused on increasing women's involvement. We initiated two main programs: empowerment of Village PKK Organizations through the creation of Village Gardens and education on Verticulture planting media, as well as rebranding of Mrs. Sri's Village MSMEs which operate in the soybean juice beverage sector. By partnering with the PKK, this women's empowerment organization is expected to be able to contribute to community development. Support for MSMEs also aims to improve the economic and environmental aspects of villages. This research aims to evaluate the results of the women's empowerment program in Setren Village. In contrast to previous research which focused on crafts, our approach uses planting media education and MSME support. The service will be carried out for three months, from March to July 2024, in accordance with the SDGs of Setren Village. The methods used include surveys, discussions and problem identification. Surveys were conducted at the Village Hall and the Village Head's house to obtain initial information. The second visit was made to Mrs. Sri's house to understand the condition of MSMEs. After identifying the problem, discussions were held to determine the work program based on the relevant Setren Village SDG point 5.

551-P: A Tailored Approach to Increase Engagement in Lifestyle-Change Programs in Women with Previous Gestational Diabetes

551-P: A Tailored Approach to Increase Engagement in Lifestyle-Change Programs in Women with Previous Gestational Diabetes

WOMEN'S EMPOWERMENT STRATEGY AS AN EFFORT INCREASING THE ROLE OF WOMEN IN NAGRAK VILLAGE SUKABUMI DISTRICT

The lack of involvement of women in the development process has impacts especially on women themselves. There are aspirations that will be more effective if championed by women who specifically understand their needs. Women need to be empowered so they can function as subjects and objects in development. The aim of the research is to find out and analyze women's empowerment strategies as an effort to increase the role of women in Nagrak Village. This research uses a qualitative approach and descriptive methods. The results of the first research, the strategy for implementing women's empowerment programs as an effort to increase the role of women implemented by the Nagrak Village Government has 4 series of strategies, including; (1) field orientation, (2) inventory of problems and abilities, (3) personal approach, and (4) cooperation program. Second, the achievements of the women's empowerment program as an effort to increase the role of women by; (1) increasing involvement of women in various fields (2) increasing women's capacity by having understanding and skills. Third, there are 2 categories of obstacles faced by the Nagrak Village Government, namely; (1) internal barriers and (2) external barriers. Fourth, efforts that can be made to resolve existing problems include; (1) carry out consultations and coordination with the Sukabumi Regency Regional Government (through related agencies). (2) formulate and establish policies with a gender justice perspective. (3) building a partnership network with external parties.

Characterizing Multisystem Barriers to Women's Residential SUD Treatment: A Multisite Qualitative Analysis in Los Angeles.

Residential substance use disorder (SUD) treatment programs are challenged by the differing values of the problem-solving court (PSC) and child welfare (CW) systems, along with communication barriers between staff. This study aimed to understand, from the viewpoints of SUD treatment providers, how divergent values and communication barriers adversely affect women's residential SUD treatment. We conducted qualitative semistructured interviews with 18 SUD treatment clinicians and six directors from four women's residential SUD treatment programs. Using a thematic analysis framework, we identified salient themes across specified codes. Analysis revealed six main themes, suggesting differing values and communication barriers across the SUD, PSC, and CW systems adversely affect the provision of SUD treatment. For differing values, three main themes emerged: (a) unaddressed trauma and fear of mental health treatment seeking; (b) perceptions of mothers with a SUD; and (c) the Adoption and Safe Families Act (ASFA) timeline as a barrier to SUD treatment provision. For communication barriers, three themes emerged: (a) inadequate communication and responsiveness with PSC and CW systems adversely affect treatment coordination, induce patient stress, and treatment disengagement; (b) lack of PSC and CW communication regarding child visitation planning adversely affects treatment motivation and retention; and (c) competing ASFA, PSC, and CW priorities and inadequate cross-system communication adversely affect treatment planning. Treatment providers face significant barriers in providing effective treatment to women simultaneously involved in the CW and PSC systems. Aligning values and addressing communication barriers, changes in policy, and enhanced cross-system training are crucial. Additionally, it is essential to reevaluate the ASFA timeline to align with the long-term treatment needs of mothers with a SUD. Further research should explore the viewpoints of patients, CW, and PSC staff to gain deeper insights into these SUD treatment barriers.

Supporting healthy lifestyles for First Nations women and communities through co-design: lessons and early findings from remote Northern Australia.

The period before, during, and after pregnancy presents an opportunity to reduce diabetes-related risks, which in Australia disproportionately impact Aboriginal and Torres Strait Islander women. Collaboration with Aboriginal and Torres Strait Islander women/communities is essential to ensure acceptability and sustainability of lifestyle modifications. Using a novel co-design approach, we aimed to identify shared priorities and potential lifestyle strategies. We also reflected on learnings from this approach. We conducted 11 workshops and 8 interviews at two sites in Australia's Northern Territory (Central Australia and Top End), using experience-based co-design (EBCD) and incorporating principles of First Nations participatory research. Workshops/interviews explored participant' experiences and understanding of diabetes in pregnancy, contextual issues, and potential lifestyle strategies. Participants included three groups: 1) Aboriginal and Torres Strait Islander women of reproductive age (defined as aged 16-45 years); 2) Aboriginal and Torres Strait Islander community members; and 3) health/community services professionals. The study methodology sought to amplify the voices of Aboriginal women. Participants included 23 women between ages 16-45 years (9 with known lived experience of diabetes in pregnancy), 5 community members and 23 health professionals. Key findings related to identified priority issues, strategies to address priorities, and reflections on use of EBCD methodology. Priorities were largely consistent across study regions: access to healthy foods and physical activity; connection to traditional practices and culture; communication regarding diabetes and related risks; and the difficulty for women of prioritising their health among competing priorities. Strategies included implementation of a holistic women's program in Central Australia, while Top End participants expressed the desire to improve nutrition, peer support and community awareness of diabetes. EBCD provided a useful structure to explore participants' experiences and collectively determine priorities, while allowing for modifications to ensure co-design methods were contextually appropriate. Challenges included the resource-intensive nature of stakeholder engagement, and collaborating effectively with services and communities when researchers were "outsiders". A hybrid methodology using EBCD and First Nations participatory research principles enabled collaboration between Aboriginal women, communities and health services to identify shared priorities and solutions to reduce diabetes-related health risks. Genuine co-design processes support self-determination and enhance acceptability and sustainability of health strategies.

Implementation of women's empowerment program in improving family welfare in Batu Bara Regency

Ladies enjoy different benefits and fluctuated jobs, remembering for instruction and vocations. The issues of ladies from low monetary gatherings, particularly connected with orientation, need regard for increment their social and financial support. Ladies' strengthening, particularly among unfortunate families, shows the requirement for substantial activities in reinforcing social and monetary viewpoints. This study means to examine the execution of the Ladies' Strengthening Project in Further developing Family Government assistance in Tanah Itam Ulu Ranch Town, Datuk Lima Puluh Locale, Batubara Rule. This sort of examination is subjective exploration utilizing Spellbinding strategy. Not entirely settled by purposive testing, information assortment methods were done by perception, interview and documentation. Information legitimacy test in this review is source triangulation. Information investigation strategies use information decrease stages, information show, and end drawing. The consequences of the review show that there is a ladies' strengthening program, yet it has not had the option to make a huge commitment in further developing family government assistance through the Deqoupage create program. There are impediments in the execution of this strengthening program, chiefly because of the low level of ladies' cooperation. This low interest can be brought about by a few things, like the absence of socialization, the absence of preparing given by the public authority, and the degree of instruction.

A Review of Domestic Violence Criminology and the Academy's Women's Program as a Sustainable Prevention Effort

A Review of Domestic Violence Criminology and the Academy's Women's Program as a Sustainable Prevention Effort

Pusat Pendidikan Islam di Masyarakat Berbasis Masjid

The study in this study aims to describe the programs and implementation in the mosque as a community education center. This research uses a qualitative approach using a case study that occurred at the H.M. Wijadi Dandangan Mosque, Kediri City. Mosques as the center of Islamic education for the community have many functions that can be studied more contextually. The findings of this study are that the programs at the H.M. Wijadi Dandangan Mosque, Kediri City as a center for Islamic education in the community have 3 programs. 1. Spiritual education program: tahsin for mothers, sunday morning haromain study, shubuh lecture, thematic routine study, khataman, tabligh akbar. 2. Skill education program: english massive, screen printing and graphic design courses, adhan and iqomah courses. 3. Social education program: friday blessings. The implementation is as follows: The Tahsin Women's Program runs for about 5 years. Reciting every Monday-Thursday starts at pkl. 12.30-p.m. 14.30. Teaching using the sorogan method. By participating in tahsin, they increase friendship, practice reciting in each other's homes and have Qur'anic morals. The English Massive program has been running for about 5 years. Every Thursday and Saturday. Teaching with the Teacher Center and Pairing methods. The Friday blessing program is routine every Friday. The problems of the mosque as a center of Islamic education in the community among them are the lack of interest of new students for the list of tahsin of mothers, the number of mothers who are unable to attend the prayer, the lack of socialization of the existence of the mosque which is still new, the age factor affects the ability of students to learn, the lack of consistency and motivation in learning.

Associations between hypertension with reproductive and menopausal factors: An integrated women's health programme (IWHP) study.

Women are less likely to have classic cardiovascular risk factors than men, and events during their reproductive and menopausal years may increase hypertension risk. The aim of this study is to examine woman-specific factors, including menstrual, reproductive and pregnancy complications, in relation to the prevalence of hypertension in mid-life Asian women. This is a cross-sectional study of 1146 healthy women aged 45-69 years, from a multi-ethnic Asian cohort. The women completed an extensive questionnaire that included their sociodemographic details, medical history, lifestyle and physical activity, and reproductive and menopausal history. They also underwent objectively measured physical performance tests and a dual X-ray absorptiometry scan. Hypertension was defined as a systolic BP ≥140 and/or diastolic BP ≥90mm Hg, past diagnosis by a physician, or use of antihypertensive medications. Multivariable logistic regression was used to assess the independent risk factors for hypertension. The average age of the 1146 women analysed was 56.3 (SD 6.2) years, and 55.2 percent of them were hypertensive. The prevalence of gestational diabetes and gestational hypertension was 12.6% and 9.4%, respectively. Besides age, abnormal menstrual cycle length at 25 years of age (OR:2.35, CI:1.34-4.13), preeclampsia (OR:2.46, CI:1.06-5.74), increased visceral adiposity (OR:4.21, CI:2.28-7.79) and reduced physical performance (OR:2.83, CI:1.46-5.47) were independently associated with hypertension in Asian women. Our findings highlight the necessity of including features of menstrual and reproductive history as possible indicators of hypertension risk in cardiovascular disease risk assessment and prevention among Asian women. Reducing visceral adiposity and exercise to improve physical performance may help women avoid developing hypertension.