This new program will build upon the existing programs currently provided by the IRC of Phoenix, including support in areas of resettlement, finance, community integration, and health. The objectives of this new prenatal-focused program are to serve the needs of pregnant refugee women by providing the physical and emotional support they need through partnerships with hospitals (such as Saint Joseph’s Hospital) and organizations (such as the Refugee Women’s Health Clinic of Phoenix).
The target audience includes women who seek refuge in the Phoenix area in the midst of a pregnancy, or with the intention to become pregnant and who are receiving other services from the IRC of Phoenix. This grant will fund a prenatal care caseworker position for as long as there are incoming funds and pregnant refugee women in Phoenix. The prenatal care caseworker’s duties include:
● Monitoring the overall health of pregnant refugee women assisted by the IRC of Phoenix
● Expanding access to prenatal care for pregnant refugee women
● Connecting pregnant refugee women with necessary information on healthy pregnancies and introducing them to childcare programs that the IRC of Phoenix currently provides
● Creating and maintaining strong relationships with hospitals and health care facilities
● Accompanying pregnant refugee women to medical appointments as needed
● Participating in all other duties necessary to ensure the safe pregnancy of refugee women under the care of the IRC of Phoenix
To evaluate the success of the program, the IRC of Phoenix will monitor the number of pregnant refugee women seeking help and monitor health to see how the women are being served and the number of these women who are fully served based on the above objectives. The required grant money needed each year amounts to $40,000. A multi-year commitment of at least five years is expected. This funding represents the annual salary of the newly hired caseworker, and the IRC of Phoenix will be covering administration costs, supplies, and equipment.
The aim of the study is to examine the impact of international male labor migration on the sexual and reproductive health of women who stay back home in Tajikistan. The data for this study was gathered as a result of ethnographic field works conducted on several occasions from 2011 to 2013.
The results of the study suggest that male migration does not have an impact on fertility levels of the left-behind women. Although similarly to previous studies this study shows that wives of migrants are less likely to use contraception, it nevertheless demonstrates changes in contraceptive behaviors of wives of migrants such as seasonal removal and insertion of an intrauterine device (IUD) and shift from long-term to short-term contraception use. However, despite the availability of numerous forms of contraception in the country, the pattern of contraceptive use such as the reliance on IUDs dominant during the Soviet period continues to exist among wives of non-migrants. One of the most important findings of this study is women’s ability to use condoms for a short term with husbands after their return and asking spouses to have an HIV test. This finding challenges the dominant discourses in HIV and migration literature focusing on the inability, impossibility and failure on the part of the wives to negotiate HIV prevention due to various factors impeding the promotion of HIV prevention skills and measures among women.
Moreover, the study demonstrates that, on the one hand, male migration worsens reproductive health of the left-behind women, but, on the other hand, it improves/increases their access to reproductive health institutions thanks to remittances. Although self-reported symptoms of women show a slight difference in reproductive morbidity, including STIs of wives of migrants and non-migrants, health care providers believe that this difference is significant and wives of migrants are more likely to have complications during pregnancy, delivery and post-delivery periods.
The study also shows that the majority of HIV prevention and family planning programs target only wives of migrants and non-migrants, however it is crucial that migrant men should also be targets of these programs.
In the 2014 case Burwell v. Hobby Lobby, the US Supreme Court ruled that the contraceptive mandate promulgated under the Patient Protection and Affordable Care Act violated privately held, for-profit corporations’ right to religious freedom. The contraception mandate, issued in 2012 by the US Department of Health and Human Services, required that employer-provided health insurance plans offer their beneficiaries certain contraceptive methods free of charge. In a five to four decision, the US Supreme Court maintained that the mandate, in cases of privately held, for-profit organizations like Hobby Lobby Inc., violated the Religious Freedom Restoration Act of 1993. Although the Court did not decide on the constitutionality of the mandate, their ruling enabled privately held, for-profit corporations that objected to the contraceptive mandate on religious grounds to be exempt from it.