Women who do not have access to contraception are at increased risk of unwanted pregnancies, the leading cause of abortion. Of the nearly 3 million unintended pregnancies in the United States, 42% end in abortion.41 Rates of unintended pregnancies among women, particularly adolescents,42 have declined; However, women at or below the federal poverty line are still disproportionately likely to experience an unwanted pregnancy. In fact, low-income women are five times more likely to have an unintended pregnancy;43 49% of women who had an abortion in 2014 earned less than $12,000 per year.44 In addition, studies have shown that women who do not have access to affordable abortion sometimes resort to self-induced abortion.45 If the means or methods of self-abortion are dangerous, This can lead to poorer health outcomes. Each pillar is a key element that all women need to thrive and be healthy. These pillars are valuable individually, but they also reinforce each other to anchor a policy agenda that meets the intersectional needs of working women. Violence often extends to the workplace. A 2005 survey found that 21% of female workers considered themselves victims of domestic violence.93 As a result, these women lost more than 7 days of work and 33 days of productivity at home.94 Survivors of family violence have more employment problems, such as larger employment gaps and growing health problems.95 These challenges often give perpetrators more influence over women and their empowerment. Decision.96 Paid Sick leave, or safe days, allows women to take time off work without compromising their economic security. According to Rina Jimenez David, who is pro-HR, Dinky Soliman, Aquino`s secretary for social welfare and development, said at the Women Deliver Philippines conference held in September 2010 that “choice and access” were the cornerstone of the Aquino administration`s policies, reiterating the government`s support for upcoming reproductive health laws. [72] Supporters point out that numerous polls conducted by two prominent local organizations (SWS and Pulse Asia) have shown majority support for the bill.
A 2008 poll conducted by Social Weather Stations on behalf of the Forum for Family Planning and Development (FFPD), a nongovernmental advocacy group, showed that 68 percent of Filipinos agree that there should be a law requiring the government to distribute legal contraceptives. [45] Mahar Mangahas, chairman of the SWS and supporter of the HR bill, reported that the “poll found that 71 percent were in favor [of the HR law], 21 percent were undecided, and only 8 percent were against. Among those who were originally familiar with the bill, the score is 84% for and 6% against. Among those who learned about the bill as a result of the survey, the score is 59% in favor, against 11% against. [16] [45] Pulse Asia reported that in an October 2008 poll, “most Filipinos are aware of the reproductive health bill pending in the House of Representatives (68%) and are in favor of the law (63%).” [46] In December 2010, based on the results of an October 2010 poll, Pulse Asia announced that 69% of Filipinos were in favor of the law. [47] Anemia is a common health problem among pregnant women and a factor that has a major impact on maternal mortality in Indonesia. The four-pillar approach is a new approach to treating anemia during pregnancy that combines four strategies to improve pregnancy and delivery care. The main objective of this study is to measure the effectiveness of the four-pillar approach.
Barriers, facilitators and patient and midwifery satisfaction with the four-pillar approach are also measured. The key to solving maternal mortality, according to the Senate`s guidance note on reproductive health, is the creation of birth centers. [5] The absence of paid family and sick leave or paid sick leave may force women to choose to keep their jobs or to attend to their own health needs or those of a loved one. Recent surveys have found that 43% of women who did not receive health care did not do so because they did not have the paid time or sick leave to access services.122 In addition, it has been shown that the provision of paid family and sick leave, as well as paid sick leave, has been shown to provide increases workplace performance and productivity.123 States need to expand Medicaid. Currently, 19 states have not expanded their Medicaid programs.129 As a result, 3 million women fall into the coverage gap due to eligibility criteria.130 This barrier prevents women in need from receiving comprehensive health services. Targeted group discussions are conducted to explore barriers and facilitators. Trained nurse midwives and nurse midwives-coordinators are included in the focused group discussion. Nurses and midwives` satisfaction with the implementation of the four-pillar approach is measured in terms of quality of health services, clarity of procedures and communication between nurse midwives and patients, using the Langer A questionnaire [26] with some modifications to adapt it to local conditions. A comprehensive agenda to strengthen women`s health and economic security must include measures that address the interrelated and diverse needs of women and their families. This means identifying actions that can be taken at the national and state levels to ensure that women have access to the care they need and can fully participate in the economy to move America forward.