Abortion Clients of a Public-sector Clinic and a Non-governmental Organization Clinic in Nepal.

This paper investigates similarities and differences between abortion clients of a public-sector clinic and a non-governmental organization (NGO) clinic in Nepal. In 2010, a survey of 1,172 women was conducted in two highly-attended abortion clinics in Kathmandu—one public-sector clinic and another operated by an NGO. Data on the sociodemographic characteristics of clients, their fertility preferences, and use of contraceptives were analyzed. Similarities and differences between the two groups of clients were examined by either chi-square or t-test. The clients of the two clinics were similar with respect to age (27.3±5.7 years), education (26.5% had no education), and number of living children (1.88±1.08). They differed with regard to contraceptive practice, the circumstances resulting in unintended pregnancy, and future fertility preferences. Just over 50% clients of the public and 35% clients of the NGO clinic reported use of contraceptives surrounding the time of unintended pregnancy. The groups also differed in the contraceptive methods used and in reasons for not using any method. The NGO clinic contributed principally to expanding the availability of and access to abortion services.

Análise do desamparo de uma menina de cinco anos / Analysis of the helplessness of a five-year old girl / Analyse de la détresse d'une fille de cinq ans / Análisis del desamparo de una niña de cinco años

Neste artigo apresentamos o método de trabalho desenvolvido em um ambulatório público especializado no atendimento psicanalítico de crianças, relatando o caso clínico de uma menina de cinco anos. Este estudo mostra a importância de uma metodologia específica para o tratamento psicanalítico da criança, onde a criança e os seus pais são atendidos pelo mesmo psicólogo, em horários diferentes. As conclusões apontam a relevância desta modalidade de atendimento para a saúde mental da criança.

Based in the case of a five-year-old girl, we present here a working method developed at a public clinic specialized in the psychoanalysis of children. We discuss the importance of a specific methodology for psychoanalytic treatment of children, whereby both children and parents are treated separately by the same psychologist. The conclusions indicate the usefulness of this approach for the children’s mental health.

En este artículo presentamos el método de trabajo desarrollado en un ambulatorio público especializado en la atención psicoanalítica de niños, relatando el caso clínico de una metodología específica, donde el niño y sus padres son atendidos por la misma psicóloga, en horarios diferentes. Los resultados muestran la relevancia de esta modalidad de tratamiento para la salud mental de los niños.

Dans cet article, nous présentons la méthode de travail développé dans une clinique publique specialisée dans le soin psychanalytique des enfants à travers le rapport du cas clinique d’une fille de cinq ans. Cette étude montre l’importance d’une méthodologie spécifique au traitement psychanalytique de l’enfant, où elle et ses parents sont accueillis par même psychologue à des moments différents. Les résultats montrent la pertinence de cette modalitpe de traitement pour la santé mentale de l’enfant.