低收入和中等收入国家未满足的避孕需求:系统审查
Idesi Chilinda1, Alison Cooke1, Dame Tina Lavender1
1The University of Manchester, School of Health Sciences, Division of Nursing, Midwifery and Social Work.
撒哈拉以南非洲的避孕药使用率仍然很低,未满足的需求仍然令人担忧. 提高意识和解决副作用的看法对于增加现代避孕措施的使用至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 全球健康 全球健康
背景情况:
- 撒哈拉以南非洲的避孕药使用量增长幅度很小,这凸显了对计划生育的持续未满足需求.
- 低收入和中等收入国家面临着重大的公共卫生挑战,因为无法满足避孕需求.
- 了解对计划生育服务的看法对于改善生殖健康结果至关重要.
研究的目的:
- 探索女性和男性对计划生育服务的看法.
- 调查医疗保健专业人员对提供计划生育服务的看法.
- 确定在低收入和中等收入国家使用避孕药的障碍和促进因素.
主要方法:
- 2000年至2017年以英语出版的系统文献综述.
- 包括来自多个数据库 (CINAHL,BNI,EMBASE,PsycINFO,MIDIRS,MEDLINE) 的30项研究.
- 使用叙事综合方法来综合所选研究的发现.
主要成果:
- 在女性和男性中都发现了关于避孕的严重缺乏意识.
- 经历过和感知到的避孕药的副作用对避孕药的继续和停止有很大影响.
- 围绕现代避孕药物的误解和误解导致了低吸收率和未满足的需求.
结论:
- 迫切需要提高人们对现代避孕方法的认识.
- 解决神话和误解对于改善避孕药的接受和持续使用至关重要.
- 干预措施应侧重于提高知识和管理副作用问题,以满足未满足的计划生育需求.
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