Restrictions on contraceptive services for unmarried youth: a qualitative study of providers' beliefs and attitudes in India.

Sexual and reproductive health (SRH) of unmarried youth is an important issue, particularly in Indian society, where premarital sex is socially restricted. It is an uncomfortable subject for most people, including healthcare providers, who are responsible for catering to the reproductive health needs of youth. This is because of the prevailing social norms, where sex outside marriage is discouraged and stigmatised. These social norms give importance to virginity, and children outside marriage are not welcome. The present qualitative study was conducted in public health facilities (primary and secondary) to explore the attitudes of healthcare providers in providing contraceptive services to unmarried youth. In-depth interviews were conducted with family planning (FP) service providers (frontline healthcare workers [ASHAs] nurses and FP counsellors) between October 2017 and September 2018. Almost a quarter of the providers were either hesitant or against providing contraceptives to unmarried youth. Providers stated that they preferred emergency contraceptive pills for unmarried girls if they had already engaged in unprotected sex. Providers expressed strong personal views against premarital sex because they believed it was against existing social norms. Some providers were concerned about the possible negative reactions of the community if they recommended any contraceptive to unmarried youth. A few providers even considered it illegal to provide contraceptives to unmarried youth, though there is no such law in the country. Findings further indicated that though the country had launched programmes for improving adolescents and youth SRH, service providers were still conflicted between medical eligibility and social beliefs.

Knowledge, attitude and practice of parents on maternal care in a mountainous district of Vietnam: A qualitative study.

Barriers preventing parents from accessing healthcare services affect the effectiveness of maternal care in mountainous areas of Vietnam. AIM: This study aimed to examine the current knowledge, attitudes, and practice of parents about maternal care in a mountainous region of Cao Bang province. METHOD: With the participation of 18 individuals (mothers, fathers, and pregnant women), six semi-structured interviews and three group discussions were conducted at different commune health centers. RESULT: This study emerged three themes, including knowledge, attitude, and practice of parents. Overall, parental knowledge about maternal care was at a basic level. While they showed positive attitudes towards the importance of maternal healthcare, unexpected behaviors such as homebirth or poor attendance at maternal health visits were still evident. These behavior patterns reflect incorrect cultural beliefs about health along with geographical and economic barriers.

Association of religion and cultural tradition with alcohol use among some tribal communities of Arunachal Pradesh, India.

Arunachal Pradesh, a land of high mountains and dense forest, is home to many tribal communities, which comprise two thirds of the state's population. Alcohol is one of the common addictive substances used traditionally among them despite much awareness about its harmful effect on health. The present study is focused on finding the association of religion, ethnicity, and demographic characteristics with alcohol use among some tribal communities in Changlang district of Arunachal Pradesh. A cross-sectional household survey was conducted on substance use in Changlang district of Arunachal Pradesh, India. A sample of 3,421 tribal respondents (1,795 males and 1,626 females) aged 15 years and older was extracted and analyzed. Sociodemographic differences in the prevalence of alcohol use among the tribes were analyzed and compared using the chi-square and t test. Multivariate logistic regression analysis was applied to identify the predictor variables of alcohol use. Data analysis indicates high prevalence of alcohol use (39.1%) among the tribes; and it was higher among males (49.3%) than among females (27.9%). Alcohol use was higher among Indigenous (65%) and Hindu (55.1%) religions compared with Buddhist (24.7%) and Christian (10%). It was also recorded high among Tangsa (42.0%) and Tutsa (76%) tribes compared with Singpho (13.6%) and Khamti (11.4%). High association of alcohol use among the tribal community with age, occupation, ethnicity, and religion was also recorded. Association of alcohol use with demographic characteristics, religion, and ethnic group shows the traditional and cultural belief in alcohol use persists among the tribes.

Controversial cuisine: A global account of the demand, supply and acceptance of "unconventional" and "exotic" meats.

In most societies, meat is more highly prized, yet more frequently tabooed, than any other food. The reasons for these taboos are complex and their origins have been the focus of considerable research. In this paper, we illustrate this complexity by deliberating on several "unconventional" or "exotic" animals that are eaten around the world, but whose consumption evokes strong emotions, controversy and even national discourse: dogs, equids, kangaroos, marine mammals, primates, rodents and reptiles. We take a systematic approach, reflecting on the historical and current demand for the meat, the manner in which this demand is met, and how individual and societal attitudes towards these species shape their approval as food. What emerges from this synthesis is that conflicting views on the aforementioned species exist not only between Western societies and elsewhere, but also in nations where these animals are readily consumed. Moreover, such taboos are seldom based on functionalist explanations alone, but rather have overwhelming symbolic and psychological groundings.

Neonatal care practices in a tribal community of Odisha, India: a cultural perspective.

Neonatal care practices have been shown to vary across tribal communities. This cross-sectional study was conducted in tribal block in Nabarangpur district of Odisha, India, to measure perinatal and antenatal practices by qualitative inquiries of 55 mothers who had babies aged <60 days and from 11 traditional birth attendants. Reasons for home deliveries were cited as easy availability of traditional birth attendants and family preferences. Application of indigenously made substances on umbilical stump and skin of the baby, bathing baby immediately after birth, late initiation of breast-feeding and 'Budu practices' were common. Cultural issues, decision of family members and traditional beliefs still play a crucial role in shaping neonatal care practice in tribal communities. Awareness on child care, ethnographic understanding of health-seeking behavior of tribal community and mobilization of community by health workers can be useful in improving health status of mothers and newborn babies in tribal population.