上埃及的提供者偏见和计划生育:模拟的客户方法
Mirette M Aziz1, Amira F El-Gazzar2,3
1Department of Public Health and Community Medicine, Assiut University, Assiut, Egypt.
The Journal of the Egyptian Public Health Association
|September 30, 2023
概括
提供者偏见显著影响埃及的计划生育选择,医疗保健提供者倾向于IUD而不是其他方法. 解决提供者偏见需要全面培训生殖权利和更新的医疗资格标准.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 提供者偏见是自由选择计划生育方法的重要障碍,特别是在埃及,导致高的未满足需求和停产率.
- 文化信仰和社会趋势可能会影响提供者偏见,经常被忽视为扭曲避孕方法混合的原因.
- 农村上埃及,保守的文化信仰和低避孕药的流行率,为研究提供者偏见提供了一个关键的背景.
研究的目的:
- 探索上埃及农村的计划生育服务提供者偏见的存在和原因.
- 了解提供者偏见如何影响保守社区的避孕方法建议和客户选择.
主要方法:
- 在埃及阿苏特和索哈格省的16个村庄中,采用模拟客户方法进行了一项定性研究.
- 数据收集涉及模拟客户访问30个诊所 (初级医疗保健和私人),使用三个不同的场景.
- 基于理论的方法被用于数据分析.
主要成果:
- 避孕方法建议并非基于知情选择;提供者表现出显著的方法和客户偏见.
- 铜IUD是最经常推的方法,对荷尔蒙避孕药有负面的态度.
- 年轻和未婚妇女被劝阻使用某些方法,并面临关于不孕症并发症的误解.
结论:
- 提供者表现出对推IUDs的明显偏见,有时受到插入技能的限制.
- 干预措施必须超越技术培训,包括生殖权利教育和更新的医疗资格标准.
- 解决提供者的社会文化信仰对于减少偏见和改善避孕咨询和采用至关重要.
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