ヨルダンの家族計画: 女性のサービス利用,知識,態度に関する横断的な研究
Yousef Khader1, Sara Abu Khudair2, Mohanad Nsour2
1Department of Public Health, Community Medicine and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
BMJ public health
|August 22, 2025
まとめ
ヨルダンでは,農村部でのアクセス問題と認知度の低いため,家族計画 (FP) サービスが限られています. FPの知識とスタッフの訓練の改善は,よりよいアクセスと利用に不可欠です.
科学分野:
- 公衆衛生
- 生殖 健康
- 医療へのアクセス
背景:
- ヨルダンでは,家族計画サービスが進歩しているにもかかわらず,大きな障壁に直面しています.
- 限られた利用可能性と認知度がFPサービスの利用を妨げています.
研究 の 目的:
- ヨルダンのプライマリケア施設でのFPサービスの利用可能性を評価する.
- FPに対する女性の知識と態度を調査し,個人中心の介入を行う.
主な方法:
- 2022年に6つの州で実施されたサービス可用性および準備度評価 (SARA)
- 産後または新生児の予防接種のための初等保健センター (PHC) に通う972人の女性の横断的な研究.
主要な成果:
- FPサービスの医療能力は限られており,ほとんどのプライマリケアや村のセンターでは十分な訓練を受けていません.
- FPの認知度が低い (6%はFPについて聞いたことがない) と,最後の出産前にカウンセリングを受けた割合は47.1%であった.
- 重要な障壁は,避妊薬のコスト,配偶者との議論の低さ (22.7%) および産前ケアへのアクセスにおける格差です.
結論:
- 農村部での利用が限られていること,知識不足,ネガティブな態度など,FPサービスへの主要な障壁です.
- 産前ケアへのアクセスの格差は 人口統計と地域によって見られる.
- 推奨事項には,FPサービスへのアクセスと利用を改善するための啓発プログラムとスタッフの能力の強化が含まれています.
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