Examining intimate and reproductive fitness inside the Ecuador having fun with HeRWAI
All of our data during the Orellana gathered study into the reproductive fitness evidence (delivery care, birth control explore, and you can teenage pregnancy) away from one another a community community-based questionnaire and you may from certified and you can coverage present for usage that have medical Liberties of women Investigations Means (HeRWAI). twelve HeRWAI is actually a tool designed to obtain a measurable review between what exactly is happening and just what are going on according to a nation’s person legal rights personal debt. HeRWAI is actually explicitly developed to enhance lobbying points having raising the utilization of ladies’ health legal rights and that’s according to the consensus statements of Appointment for Eradication out of Discrimination Up against Female (CEDAW) in addition to Globally Covenant on Financial, Personal and you will Cultural Liberties (ICESCR). HeRWAI is actually structured on six tips:
- Step one means the insurance policy and rights inside it;
- 2 examines regulators commitments by the deciding on federal and you will internationally preparations, rules, and you may regulations relevant to the fresh new studied policy;
- 3 describes the capability to pertain the insurance policy (info, improving things, and barriers);
- Step assesses the newest impact of one’s plan, emphasizing women’s health rights;
- Step 5 kits state loans; and you can
- Step 6 develops recommendations and strategies considering data of one’s prior steps. thirteen
Very first, to look at “what are happening,” i did a literature report on governmental and you will internationally data files, laws and regulations, and you may software, in addition to Ecuador’s National Policy from SRHR and its own said commitment to this problem. Next, i examined “what is going on” out-of SRHR inside the Orellana, predicated on studies attained in your area on the community-established get across-sectional survey throughout the 2006, and you can compared it to the condition off SRHR regarding Craigs list basin represented by formal study on current ENDEMAIN (compared to 2004). 3rd, we showcased the latest holes ranging from national policy requirements while the insights out of regional organizations, with brand of ZnajdЕє wiД™cej focus on a number one implementation challenges for this region from Ecuador.
Investigation venue and you may inhabitants
Orellana are a province with 103,032 populace, that has 22,five-hundred square miles off jungle; the people is mainly rural (discover just as much as 450 outlying teams), in just 29% of full society out of Orellana located in towns. Brand new province try put into four counties. For it investigation, several agreements had been considered to be urban areas: the administrative centre, Coca, which have just as much as 20,100 inhabitants, and you may Sachas, with 7,one hundred thousand people. On outlying parts, anyone always live-in quick communities one to variety, an average of, regarding 3 hundred in order to five hundred someone. Properties in these communities are usually broke up from the specific point, and each society have a tiny heart where college is actually situated. Thirty percent regarding Orellana’s inhabitants are native, generally Kichwa. Nearly fifty% of populace try less than decades fifteen, and you may teenagers (ages ten–19 for this analysis) make up twenty seven% of one’s population. fourteen
Responsibility to possess societal wellness in Orellana lies to your Ministry off Health’s provincial agency. There was a small, 20-bed health inside the Coca, about three wellness facilities found in the premier cities, and you will brief health place when you look at the outlying areasmunity health specialists run a volunteer base within 100 of the most remote components. 15 Disaster transportation is difficult. When people can not be managed within provincial medical, he’s labeled the administrative centre city, Quito, 350 kilometer aside. Particular regional governments (a couple of province’s five areas, Orellana and you will Sachas) suppose transport costs for customers, however, it is not real in just about any instance. 16
All of our analysis populace consisted of females ranging from 10 and forty two age staying in the newest province out-of Orellana. The ladies have been known due to a continuing society-dependent get across-sectional questionnaire that was held throughout the province between . The selection of women used a two-stage people testing techniques. 17 The very last decide to try consisted of a total of dos,025 female from 1,631 home: 524 of indigenous teams and you can step 1,107 of low-native groups.
