Purpose This study aims to examine the polarised discourse surrounding selective serotonin reuptake inhibitor (SSRI) use during pregnancy and to propose a human rights-based and autonomy-focused approach grounded in reproductive justice and shared decision-making. Design/methodology/approach This viewpoint presents a rights-based ethical reflection informed by a narrative synthesis of current evidence, including the US Food and Drug Administration’s 2025 expert panel on SSRIs during pregnancy, and the literature from perinatal psychiatry, medical ethics, human rights and public health communication. The paper explores how scientific uncertainty, risk communication and social context influence treatment decisions during pregnancy. Findings The debate surrounding SSRI use during pregnancy is frequently framed as a binary choice between protecting foetal well-being and treating maternal mental health conditions. Such polarised narratives risk oversimplifying a complex evidence base and may undermine informed decision-making. Current evidence suggests that both untreated perinatal mental health conditions and pharmacological treatment involve potential risks and uncertainties. A rights-based approach requires balanced communication, recognition of relational autonomy, attention to structural inequalities and meaningful participation of pregnant women in decisions affecting their health and well-being. Originality/value Existing discussions have largely focused on pharmacological safety, maternal mental health outcomes and foetal risks. Comparatively less attention has been paid to how human rights principles, including autonomy, participation, informed consent and reproductive justice, should guide decision-making under conditions of scientific uncertainty. This paper addresses that gap by reframing SSRI decision-making during pregnancy through the lenses of autonomy, participation, informed consent, reproductive justice and rights-based mental healthcare. It advocates a shift from paternalistic and polarised approaches towards more collaborative, person-centred and ethically grounded care.
PurposeThis paper examines the perception of people involved in the management of patients' data towards the security and privacy framework in Indian hospitals. The paper aims to identify the major weaknesses in the data management system and their implications for data administrators, government agencies and regulators.Design/methodology/approachThe authors use a survey method to examine the perceived data security and privacy by assessing Vulnerabilities, Mitigation Strategies, Incident Response and Compliance in the data management systems of 132 hospitals in India with 496 respondents deploying an SEM Model.FindingsResults indicate that trust among patients and other healthcare partners is disintegrating. The authors also find a dire need for training data management staff, replacing technological infrastructure, properly implementing regulations and synchronising knowledge of data breaches between government agencies and data administrators.Originality/valueThis paper is probably the first attempt at researching this area in the Indian context. This research has important managerial implications for Indian hospitals that need to transform their operational models and invest in digital infrastructure upgrades. This research also has significant policy implications for the Health Ministry and other regulators. Government authorities can evolve a portal for continuous patient feedback and grievances in a data security context. In addition, public awareness programs on data security aspects may be conducted regularly for society's benefit.
PurposeThe purpose of this paper is to see whether empowered women have a greater likelihood of choosing contraceptives compared to "not empowered women." It is also interesting to see whether multiple dimensions of women's empowerment have a greater association with the "modern method" or "traditional method" of contraception.Design/methodology/approachThis paper uses data from the fifth round of the National Family Health Survey (NFHS-5) to test this association. This paper has used a subsample of 81,779 married women aged 15-49. The outcome variable is "current use of contraceptives by method type." This variable is categorical. There are three categories: modern method of contraception, traditional method of contraception and no use of contraception. The treatment variables are four indicators of women's empowerment. This paper has included some demographic and socioeconomic factors as control variables. This paper has used the "multinomial logit model" to find the association among multiple dimensions of women's empowerment and current use of contraceptives by method type.FindingsAfter controlling for demographic and socioeconomic factors, the author observes that women's empowerment has a positive association with the use of contraceptives. However, women's empowerment has a more notable impact on traditional methods of contraception than on modern methods of contraception. This differential impact of women's empowerment might be due to a husband's perception that contraceptive use makes women promiscuous. Female employment, living children and husband's education have a significant positive association with modern contraceptive use.Research limitations/implicationsA key limitation of this paper is that it is a cross-sectional study. This paper can say whether there is any association between empowerment indicators and the choice of the method of contraception. If the study is longitudinal, then one can say whether women's empowerment is the reason behind the use of contraceptives.Originality/valueAmong several studies regarding the impact of women's empowerment on the use of contraceptives, to the best of the author's knowledge, this paper is unique because it has studied the impact of both attitudinal and behavioral scales of empowerment on the current use of contraceptives by method type.
PurposeThis paper aims to address an urgent and politically charged issue: the quantification of women sterilized without informed consent during Peru's Fujimori regime. While prior narratives and public reports have drawn attention to this issue, this research contributes a novel empirical analysis that solidifies the extent of these human rights abuses.Design/methodology/approachThis study uses data from the 2000 Demographic and Health Surveys (ENDES/DHS) and Ministry of Health records to document the extent of the lack of information provided to sterilized women. It consists first of a descriptive approach that links the variable on lack of information and the adopted contraceptive method. Then the study performs a comprehensive estimate of the impact of denied information on the probability that a woman be sterilized. This research also estimates the causal effects of lack of information on the probability of regret about the sterilization. To ensure unbiasedness and robustness of results, several empirical strategies are implemented, all of which deliver very stable coefficients.FindingsThis study not only corroborates testimonies of coerced sterilizations but also challenges prevailing denials that seek to minimize the severity of these violations. The findings reveal a profound intersection of health policy, human rights and gender-based discrimination, with implications for policymakers and scholars who examine the intersections of public health, law and political accountability. This study finds that of the 336,000 sterilizations performed between 1993 and 2000, approximately 220,000 women were deprived of essential information regarding alternative contraceptive methods, the risks of sterilization and its permanent consequences. In this revised version, it is also found that lack of informed consent causally accounts for 130,000 cases. Moreover, 26,000 women were not informed that the procedure would permanently prevent future pregnancies.Research limitations/implicationsA limitation of this research, shared with any quantitative research that uses survey data, is that the exactness of results diminishes substantially for a more granular analysis. Future research may be able to remedy this limitation.Practical implicationsThese findings offer a stark rebuttal to revisionist narratives that frame coerced sterilizations as isolated incidents, underscoring the widespread nature of these human rights violations. A quantitative well-documented account of the massiveness of sterilization performed without informing properly to women would create awareness of this issue that will increase the probability of justice being made, reparations being acknowledged and that cases like this do not happen anymore.Social implicationsThese underscore the widespread nature of these human rights violations. This study also shows how the poorer women of Peru, mostly Indigenous women, were subject to being sterilized without proper information.Originality/valueSo far, nobody has attempted to perform an estimation of sterilizations performed without informed consent in Peru. This study proposes a rigorous method based on data to overcome the difficulties for such estimation. It also complements the descriptive documentation of the massiveness of sterilizations with an estimation of causal effects from denying information about the consequences of sterilization on the probability of being sterilized. The main contribution is to complement the existing qualitative and case-studies documentation with a quantitative account of the magnitude of sterilizations without informed consent.
Purpose The misuse of restrictive interventions including restraint, seclusion and pharmacological restraint is an increasing source of concern. This has led to calls to address the issue based on the principles of human rights. The purpose of this paper is to reflect on previously unaddressed aspects of adopting such an approach. Design/methodology/approach This paper uses frame analysis to critique what it suggests is a dominant uni dimensional frame of human rights i.e. one that excludes consideration of the human rights of the health and social care workforce. Findings It finds that the uni-dimensional frame is potentially flawed and should be rejected in favor of a binary perspective that recognises that preventing the misuse of restrictive interventions requires the authors to promote the human dignity of those in receipt and those involved in the provision of services. Research limitations/implications Such binary approaches have however not yet been empirically evaluated and further research is needed. Practical implications Reducing the misuse of restrictive interventions invariably though requires “whole organisation” strategies. In designing these initiatives services should include an explicit focus on the human dignity of staff. Social implications This focus should be reflected in policy initiatives whether at a local, regional or national level. Originality/value To date it appears that advocacy of uni dimensional human rights based approaches to restrictive intervention reduction has been uncritically accepted. This paper addresses that omission and proposes an alternative binary approach which may offer a greater likelihood of successfully addressing the root causes of restrictive intervention misuse.
PurposeEstablishing patient-centered care necessitates proficient communication between medical practitioners and patients. Individuals experiencing tinnitus symptoms encounter significant challenges in effectively communicating their tinnitus related cognitions with physicians. The purpose of this study is to adopt a scale that caters to the indigenous needs for public health challenge being faced by the patients in Pakistan as well as ethnically minoritized Urdu-speaking populations living in the UK, USA and Europe.Design/methodology/approachThis study was divided into two parts: Translation and Adaptation of Tinnitus Cognitions Questionnaire/ Preliminary Study and Main Study. The outcome of preliminary study indicated that the scale had an acceptable internal consistency of Tinnitus Cognitions Questionnaire Urdu version a = 0.75 for the evaluation of tinnitus-related cognitions. Main study was performed by adopting purposive sampling technique based on cross-sectional design; 403 patients having chief complaints of tinnitus and in the age range of 18-87 years (M = 48.27, SD = 16.95) were included in the study. The Cronbach's alpha reliability and factorial validity of the Tinnitus Cognitions Questionnaire was assessed through confirmatory factor analysis. Statistical analyses were performed by using Statistical Package for Social Sciences (version23) software.FindingsSignificant correlations were noted between tinnitus-related cognitions on the translated scale. Confirmatory factor analysis was used to determine the structure of the scales; an orthogonal rotation (Varimax) was conducted on the data collected from patients. A two-factor solution was obtained for tinnitus cognitions questionnaire; the factors obtained were associated to the subscales of negative and positive cognitions, demonstrating a strong factorial validity in the Pakistani cultural and Urdu-speaking populations.Originality/valueFindings from this study highlight the implications that psychologists along with audiologists and health-care practitioners should consider psychosocial interventions based on the Urdu-translated Tinnitus Cognitions Questionnaire that provides facilitation to the patients experiencing tinnitus symptoms, as currently there is no specific line of treatment to follow both internationally and in Pakistan. Furthermore, this translated scale can be used as a measure to predict suicidal intents among patients suffering from tinnitus and to reduce the cognitive diagnosis time among indigenous and ethnically minoritized Urdu-speaking population.
PurposeThe purpose of this research is to examine and evaluate the obstacles that hinder the sexual reproductive rights of women and teenage girls in the small-scale fishing communities of Ghana, with Akosua village serving as a case study.Design/methodology/approachThe case study design of the qualitative method approach was used for this research. All study participants were selected, using the convenience sampling method. Four distinct focus group discussions were conducted, two with women (n = 16) and another with adolescent girls (n = 12). In addition, 13 in-depth interviews were conducted with women (n = 10) and adolescent girls (n = 8). The in-depth interviews and focus group discussions were recorded, translated, transcribed and thematically analysed using NVivo version 11.FindingsThis study reveals that all identified obstacles hindering the sexual and reproductive health rights of women and teenage girls in the Akosua village fishing community adversely impact the international human rights treaties ratified by Ghana. This study demonstrates that insufficient information and awareness of contraceptive methods, lack of availability and accessibility of contraceptives, and the marginalisation of women and adolescents in decision-making regarding contraceptive use are significant barriers impeding the sexual reproductive health of women and adolescent girls in the Akosua village fishing community.Originality/valueAlthough extensive data exists regarding the social and biophysical aspects of coastal small-scale fishing communities globally, there remains a paucity of information concerning the sexual and reproductive health rights of women and adolescent girls at both the community and household levels, particularly within Ghana's coastal small-scale fishing communities.
PurposeStigma against people suffering from substance use disorders contributes to health disparities and impedes health-care and human rights efforts. There is substantive evidence to show that substance use stigma threatens the societal values of diversity, equality and inclusion, is a barrier to mental health and well-being and contributes to successful treatment and screening. It is a cultural phenomenon that varies by context, country and region. The majority of stigma instruments were developed in the west, resulting in a lack of instruments that are culturally relevant for the eastern context. This study aims to discuss the psychometric properties of cross-culturally adapted stigma measurement scales for the Urdu-speaking community.Design/methodology/approachThe Urdu version was prepared using the standard back-translation method. The sample, selected through the purposive sampling method, is comprised of 200 adults with an age range of 18-60 years. The Cronbach's alpha reliability and validity of the substance use stigma mechanism scale (SU-SMS) were assessed through exploratory factor analysis and Pearson correlation analyses.FindingsPreliminary analysis revealed that the overall instrument had good internal consistency (Urdu SU-SMS alpha = 0.92; English SU-SMS alpha = 0.92) as well as test-retest correlation coefficients for 15 days (r = 0.95). The factor loading of all items ranged from 0.61 to 0.99, which explained the significance level and indicated the model's overall goodness of fit.Originality/valueThis study investigates the effects of stigma associated with substance use disorders on human dignity, rights and language. Cross-cultural settings for health prevention, assessment and theory pay insufficient attention to stigma within the Urdu-speaking community, but this indigenous cross-cultural instrument can provide a new perspective.
Purpose The ongoing genocide in Gaza represents one of the most catastrophic humanitarian crises in recent history, causing unprecedented physical and psychological damage to two million civilians. This study aims to explore the features and aftermath of Israel’s genocidal campaign against Gazan civilians, focusing on their experiences and psychological responses. Design/methodology/approach A purposive convenience sample of 26 participants was interviewed in the field during the bombardments in the Gaza Strip. Findings The findings, derived from thematic content analysis, highlight five main themes: unprecedented violence and genocide, deliberate attempts to make Gaza unlivable, devastating impacts on families and communities, early psychological responses and daily acts of resistance for survival. This examination reveals the psycho-political features of genocidal intent perpetrated by the Israeli Defense Forces (IDF) and Gazans’ survival skills in the wake of genocide, emphasizing the necessity of acknowledging the political and colonial determinants of suffering and resistance in Palestine. Genocide, as discussed by Jean-Paul Sartre and supported by our data, combines organized violence and war aimed at ethnic cleansing by colonizing powers. The systematic use of violence by the IDF has led to severe dehumanization and degradation of Palestinian life, manifesting in both physical and psychological annihilation. The psychological reactions of the Palestinian people include defensive mechanisms to cope with imminent threats and efforts to find meaning and resist the horror they face daily. Originality/value This study provides critical insights into the psychological and social impacts of mass violence and advocates for integrating human rights-oriented models into mental health frameworks.
Purpose The purpose of this paper is to explore the role of psychologists working with a community mental health center in the Gaza Strip, using Freirean pedagogical and Fanonian post-colonial theories as a framework. The study aims to highlight how political injustice contributes significantly to psychological distress in the region. It emphasizes the importance of collective well-being, liberatory practices and agency in therapeutic work. This research seeks to demonstrate that psychology and science cannot remain politically neutral, as they are inherently imbued with values that can either uphold oppressive systems or promote resistance and advocacy for change. Design/methodology/approach This study uses a theoretical and qualitative approach, drawing from Freirean pedagogical and Fanonian post-colonial frameworks. It involves reflective analysis of the authors’ experiences as psychologists from Italy and South Africa working with a community mental health center in Gaza. The research includes a critical examination of political and social contexts that affect mental health in the region. Through the roles of trainers, clinical supervisors and researchers, the authors integrate liberatory psychological practices and emphasize solidarity with the people of Gaza, providing insights into the interplay between political contexts and psychological well-being. Findings The findings indicate that political injustice is a primary cause of psychological distress in Gaza. The research underscores the dual role of mental health professionals: while they might inadvertently promote adjustment to oppressive systems, they also have the potential to enhance resistance, advocacy and activism. The study reveals that liberatory psychological practices can empower individuals and communities, fostering agency and collective well-being. Furthermore, the mental health needs of the population, alongside humanitarian aid and physical safety, are critical for the current crisis and future rebuilding efforts in Gaza. Research limitations/implications This paper is limited by its qualitative nature and the specific context of the Gaza Strip, which may not be generalizable to other settings. However, it provides valuable insights into the role of psychology in politically charged environments. The implications for further research include the need to explore liberatory practices in other conflict-affected areas and to examine the impact of psychologists’ roles as advocates for change. The study highlights the importance of integrating political awareness into psychological practice and research, encouraging professionals to engage actively in addressing systemic injustices. Practical implications The practical implications of this work emphasize the need for mental health professionals to incorporate political awareness and advocacy into their practice. By doing so, they can support communities in resisting oppressive systems and promote collective well-being. The research suggests training programs for psychologists that focus on liberatory practices and agency, equipping them to work effectively in conflict zones. Additionally, the study advocates for strengthening psychological services in Gaza, both during and after crises, to address the population’s mental health needs and support rebuilding efforts. Social implications The social implications of this paper highlight the critical role of psychology in addressing the political and social determinants of mental health. By aligning psychological practice with liberatory principles, mental health professionals can contribute to social justice and empower communities to resist oppression. The study advocates for a shift in the perception of psychology as a politically neutral discipline, urging professionals to engage actively in social change. It underscores the importance of solidarity with marginalized populations and the need for mental health support that is responsive to the broader socio-political context. Originality/value This essay offers original insights into the application of Freirean and Fanonian theories in the context of mental health work in Gaza. It provides a unique perspective on the role of psychologists as agents of change and solidarity in politically oppressive environments. The research contributes to the growing body of literature on the intersection of psychology and social justice, highlighting the potential of liberatory practices to empower communities. By challenging the notion of political neutrality in psychology, this study adds value to the discourse on the ethical responsibilities of mental health professionals.
Purpose This study aims to explore the experiences of individuals in India who acted as informal crisis volunteers during the peak of the deadliest wave of the COVID-19 pandemic in the country. Design/methodology/approach An exploratory, qualitative design was used, and data gathered via a qualitative survey in three focus areas, namely, motivation, challenges and coping mechanisms. The sample (n = 112) comprised individuals (mean age = 21.89 years) whose volunteering efforts during the second wave of the COVID-19 pandemic were extended as part of volunteer groups or individually, online or offline, for minimum of 10 consecutive days to four months. Descriptive statistics and qualitative content analysis (Mayring, 2000) were used to analyze the data. Findings Most of the participants reported being inspired by social media activism to become crisis volunteers themselves. They also spoke of several human rights violations unfolding around them, namely, people denied right to health (availability and accessibility), rampant discrimination of various kinds and other systemic failures in crisis response by government bodies. Several reported undergoing extreme mental duress during the process, experiencing or witnessing harassment and dealing with corruption. A sense of collective identity and opportunities to engage in collective sense making and collective catharsis with fellow volunteers were reported as the most helpful coping mechanism. Originality/value Very little is known about the experience of informal crisis volunteers who assisted the public health system in India in various capacities during the pandemic. This paper explores those experiences, sheds light on various human rights violations that took place during the time and provides a glimpse into the potential of technology and social media in organized altruistic efforts.
Purpose This study aims to investigate the attitude of students toward domestic violence (DV) and children’s rights. Design/methodology/approach A quantitative cross-sectional descriptive questionnaire design method was used to collect data. The participants of the study were university levels of associate degree students in Eastern Turkey. Findings Results showed that female students were more likely to approve of DV, and this difference was statistically significant. The structural equation modeling analysis revealed a positive and significant relationship between students' attitude toward children’s rights and their overall attitude toward DV. Originality/value This research suggests that the participants had a positive view of DV and a moderate attitude toward children’s rights. Therefore, it is recommended to enhance the attitude and awareness of future health professionals about children’s rights and DV.
Purpose - This study aims to compare the physical fitness test results of Japanese children in 2008 and 2018 to narrow the gap between life expectancy and healthy life expectancy and extend healthy life expectancy. In addition, this paper sought to explore the potential of implementing health education programs as a new social context to promote race equality and human rights in health and social care. Design/methodology/approach - This study was conducted in 2008 and 2018 in Nagano Prefecture, Japan. Physical fitness tests related to growth and development were administered to participants aged 6-17 years. Findings - Physical fitness measurements in 2018, specifically those for walking ability and endurance, were significantly inferior to those in 2008. In a gender-specific analysis, boys outperformed girls in muscle strength, muscle endurance, walking ability and endurance tests, while girls outperformed boys in the balance test. Research limitations/implications - Most of the junior and senior high school students who participated in the EO test exceeded the upper limit of 120 s, suggesting that the load of the measurement method is low and improvement is necessary. In 2018, a large variation in 6M results was observed among participants, possibly due to the differences in the level of seriousness during the 6M test. Therefore, to ensure that junior and senior high school students properly perform the EO and 6M tests, it is necessary to devise an effective method of implementation, such as changing the physical fitness test load. Originality/value - Mere health education is ineffective to address health inequalities. Addressing structural factors is essential to avoid unintended consequences such as increasing the gap between groups of people. However, one way to extend healthy life expectancy is to improve overall health, including differences in the health status of groups due to differences in region and socioeconomic status.
Purpose In this study, the researchers explored the influence of service quality-related constructs on patients’ satisfaction with Egyptian health-care centers. Design/methodology/approach In this study, the researchers used a quantitative approach and concluded the study based on 316 valid cases collected from patients of Egyptian health-care centers. Findings Using path analysis with analysis of moment structures (AMOS), this study's results demonstrate that reliability and responsiveness, empathy, nursing care and medical care positively affect patients' satisfaction. On the other hand, the tangibles have a negative effect on patient satisfaction. Practical implications This study’s findings benefit policymakers by shaping evidence-based policies. Health-care managers can implement strategies that prioritize the identified factors and can foster a more patient-centric and effective health-care system. Also, this study’s findings guide health-care institutes to maintain human rights by serving poor and needy patients. More generally, this study's outcomes enrich the depth of the domain literature. Originality/value This study’s findings add to the existing knowledge and fill contextual gaps by confirming patients’ satisfaction with the service quality of Egyptian health-care centers.
Purpose This paper aims to advance the concept of “menstrual justice” by building on the comprehensive framework developed by Margaret E. Johnson (2019), which integrates legal rights, social justice and intersectional analysis. By applying Johnson’s insights and human rights frameworks to menstrual health management, the study advocates for state interventions to safeguard women labourers from exploitative practices that endanger their reproductive health and to uphold their menstrual rights. Design/methodology/approach A case study methodology is used to scrutinize menstrual injustices experienced by women labourers in precarious employment conditions. Specifically, it examines two cases, the mass hysterectomies in Beed, Maharashtra and the administration of unidentified pharmaceuticals to women in Tamil Nadu factories to mitigate menstrual pain and maximize productivity. Findings The findings reveal severe violations pertaining to menstrual justice, with practices deeply rooted in socioeconomic deprivation and systemic neglect. These issues subject female workers to various forms of gender-based violence that goes beyond physical abuse, raising critical concerns about menstrual justice and human rights violations. Research limitations/implications The study’s findings have limited generalizability due to the specific contexts of the case study. Furthermore, the absence of insights from managers/supervisors, and factory owners limits a comprehensive understanding of the policies and factors leading to neglect of menstrual management practices. Practical implications The findings of the study will prompt the medical industry to initiate research into medications that can effectively alleviate period pain while minimizing harmful side effects. Current treatments often come with significant drawbacks, highlighting the need for safer and more effective alternatives. Addressing this research gap is vital for achieving menstrual equity, as it ensures that individuals suffering from menstrual pain have access to relief that does not jeopardize their overall health. Advancing research in this area will not only enhance the quality of life for menstruators but also contribute to a more equitable and inclusive approach to menstrual health care. Social implications The findings support reframing menstrual friendly labour policies including comprehensive sexual and reproductive health information to everyone, regardless of gender, to reduce misinformation and stigma associated with menstruation at workplaces. Additionally, the study proposes the introduction of reusable menstrual products like menstrual cups to overcome period poverty. Thus, ensuring access to these resources is crucial for enabling informed decision-making, promoting gender equality, addressing health disparities and fostering the development of menstrual-friendly workplace policies. Originality/value This study, by using a case study-based approach, has thoroughly examined the issues and challenges faced by female labourers in fields and factories. It uniquely identifies the inadequacies in menstrual management provisions for female workers in India and advocates for a human rights-based approach to ensure that menstruators can manage their menstrual health safely. Unlike most existing studies, which primarily focus on product usage and the stigma or myths surrounding menstruation, this study advances menstrual justice by calling for labour policy reforms and medical research to lessen menstrual pain without compromising menstruators’ health. These reforms aim to provide working women with adequate rest and necessary provisions during menstruation. Addressing these gaps is essential and has been largely overlooked in global health policies.
Purpose Studies show that economic sanctions have had major negative impacts on health systems during the past years. The aim of this study is to identify the impacts of US sanctions on the performance of public hospitals in Iran. Design/methodology/approach A qualitative research study was conducted between October 2019 and September 2020 in Kermanshah Province, Iran. Semi-structured, face-to-face interviews, lasting between 25 and 90 min, were carried out with 20 participants in seven public hospitals affiliated to the authors' institution in Kermanshah Province. Inductive thematic analysis was used to identify themes in the data. Findings Five main themes emerged from the analysis: resource management challenges; financial restrictions; interruptions in planning; reductions in the quality of service delivery; and changes in organizational relationships. Originality/value The results of the present study demonstrate that US economic sanctions have considerably reduced access to necessary medical equipment and medicines for public hospitals in Iran. Policymakers should monitor the distribution of equipment and pharmaceutical products within public hospitals in Iran and take actions to ameliorate shortages during times of economic sanctions.
Purpose This research aims to discuss the key civil rights problems in mental well-being and the solutions to those challenges in standard-setting and institutional practice, as well as proposes an integrated approach to adapting the emerging principles of practice to divisive mental health concerns. Design/methodology/approach This study is based on review of literature focused on mental health and human rights with special reference to international standards and clinical practices. Recent articles related to mental health and human rights and mechanisms suggested by United nations were included to draw conclusion. Findings Review of literature suggested to switch from reactive to a constructive and pragmatic approach, which is community-based, emphasizing alliance, rather than action, when the client is still too damaged to agree. Treatment should go hand in hand with mental health and civil rights education in the neighbourhood, as well as opportunities for engagement in shared interests in the group and interaction of other individuals with living experience. Originality/value While consent to care is a vital issue for human rights, the view of individuals with psychiatric illnesses as dangerous and "out of reach" is perpetuated by a disproportionate emphasis on it. Treatment should go hand in hand with mental health and civil rights education in the neighbourhood, as well as opportunities for engagement in shared interests in the group and interaction of other individuals with living experience.
Purpose Access to good menstrual products is a human rights concern. It is essential for normalising the life during menstrual cycles by making available all the resources necessary for managing them. Sustainable menstrual products are the novel products which can improve the women menstrual lifestyles and reduce the discomfort associated with menstruation. However, these products are not readily adopted by the women due to their perception resulting from various factors. Hence, this study aims to figure out these perceptions, which can promote and hinder the adoption of these products. Design/methodology/approach A survey was conducted for the purpose of data collection. The study uses questionnaire as a research instrument to gain an insight on women health beliefs towards sustainable menstrual products. Data was collected from the women respondents through convenience sampling. Structural equation modelling was applied to analyse the data. Findings The findings suggest that women with appropriate knowledge had a positive perception towards the sustainable menstrual products, further leading to positive behaviour. It was also noted that marketing efforts through cues to action had an impact on their behavioural patterns. The policymakers and the marketers can focus on such prospects to advocate the use of sustainable menstrual products so that healthcare is improved. Originality/value To the best of the authors’ knowledge, this is the first study that provides a comprehensive framework for analysing the impact of women health beliefs towards behaviour of sustainable menstrual products. The study adds meaningful insights to the sustainable menstrual literature.
Purpose This study aims to explore if the application of the customer results criteria contained within the King Abdullah II Award for Excellence (KAIIAE) is correlated with high levels of patient satisfaction within a large hospital based in Jordan. Design/methodology/approach Using a mixed methodology, supported by a pragmatist theoretical approach, a satisfaction survey was conducted with patients accessing the hospital as an in-patient across a range of specialities gathering feedback about different aspects of their care. The results were compared with a self-assessment completed by different speciality teams about the existence and maturity of customer result arrangements implemented as a result of the (KAIIAE). Findings The findings confirmed that quality awards such as the KAIIAE can effectively be applied in a health-care setting and can help provide a framework for improving patient experience and satisfaction. A correlation was found with those specialties that self-assessed themselves more highly in terms of these arrangements and the overall levels of patient satisfaction with that specialty, suggesting that the products of working towards the KAIIAE such as establishing effective patient experience monitoring arrangements and improved learning from complaints, has a positive impact on patient satisfaction. Originality/value There are limited studies which focus specifically on customer results and on the use of the KAIIAE more generally. This study therefore makes a valuable contribution in adding to the debate about the strategic value of working towards formal quality improvement models and awards in health-care settings.
Purpose This study aims to explore the intermediate role of self-differentiation in anger management and neurotic perfectionism for a sample of high achievers at some public universities in Egypt and Saudi Arabia. This increases the chances of these students obtaining their rights. Design/methodology/approach The researcher used the microcopy of Drake, Murdock, Marszalek and [(the Differentiation of Self Inventory-Short Form (DSI-SF)] scale, differentiation of self child-adolescent perfectionism scale and Davidson and Munro (2000) scale of neurotic perfectionism in addition to the anger management scale of the current study. The researcher used the appropriate statistical methods and the descriptive design to find the results. Findings The results showed that there is no statistically significant difference among male and female students in the positive anger management while three was a statistically significant difference among them in the negative anger management favoring male students. Further, there were no statistically significant differences among the study sample according to the country (Egypt and Saudi Arabia) in anger management (positive and negative). Moreover, there was a correlation matrix between the study variables as shown in the study; The statistical analysis was conducted to identify the suggested constructive model and variables of the study, anger management (positive-negative) as an independent variable, self-differentiation as an intermediate variable and neurotic perfectionism as a dependent variable among high achievers, This explains the necessity of preparing the environment for these students to become more healthy, through which they can enjoy all their rights as a category of special education, where most of the focus is on the handicapped groups from special education more than the high achievers' students. Originality/value The study recommended that higher education courses should focus on anger management skills and the development of self-differentiation and the positive part of perfectionism. Also, the current study provided the educators of higher education with some suggestions to promote it and develop high achievers, which may lead to positive mental and physical health for high achievers and raising awareness of society and obtaining their rights in education and life.
