{'fraction_non_alphanumeric': 0.015899581589958158, 'fraction_numerical': 0.0, 'mean_word_length': 5.644444444444445, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Culturally constructed relationships shape sexual and reproductive health in Bolivia

This paper reports on findings from five studies on the ways in which culturally specific identities and relationships shape women's and men's attitudes towards, and experiences of, sexual and reproductive health and health care in Bolivia. Quantitative and qualitative methods were used to examine knowledge, power and decision‐making in sexual relationships, and between health care providers and clients. Findings indicate that men and women hold different attitudes towards, and knowledge of, certain aspects of sexual and reproductive health. Moreover, health providers and users have dissimilar perceptions of health care encounters. In both arenas, poor communication was identified as a major constraint to improving sexual and reproductive health. Taken as a whole, these studies suggest that a deeper understanding of the relational dynamics and cultural contexts of sexual and reproductive health can contribute to the development of more successful health care programmes. They also suggest that much work needs to be done on developing ways to implement that understanding in policy and practice.