卫生工作者在埃塞俄比亚提供第二季度堕胎护理的经验:一种定性研究
Emily McLean1, Astrid Blystad2, Alemnesh H Mirkuzie3,4
1Bergen Center for Ethics and Priority Setting, Department of Global Public Health and Primary Care, University of Bergen, Årstadveien 21, 5020, Bergen, Norway. Emily.mclean@uib.no.
在埃塞俄比亚,提供第二季度堕胎的卫生工作者面临着重大障碍和道德困境. 改善卫生系统的支持和指导方针对于增加获得安全堕胎服务至关重要.
科学领域:
- 医学和健康科学医学和健康科学
- 公共卫生 公共卫生
- 生殖健康 生殖健康
背景情况:
- 与第一季度手术相比,第二季度的堕胎在全球范围内存在更高的死亡和发病风险.
- 卫生工作者提供第二个三个月堕胎的经验被研究不足,尽管他们在服务获取方面发挥了关键作用.
- 埃塞俄比亚在确保获得第二个三个月堕胎服务方面面临挑战,即使不安全的堕胎死亡率降低了.
研究的目的:
- 探索卫生工作者在埃塞俄比亚的亚的斯亚贝巴提供第二季度堕胎的经验.
- 了解这些提供商面临的挑战和道德困境.
- 确定影响到第二个三个月堕胎护理的获得和质量的障碍.
主要方法:
- 使用13个深度半结构面试进行的定性研究.
- 参与者包括16名卫生工作者 (专家,住院医生,全科医生,护士,助产士) 参与了第二季度的堕胎.
- 从亚的斯亚贝巴的四家公立医院和一家非政府诊所收集的数据,使用文字凝结方法进行分析.
主要成果:
- 提供者承认需要服务,其动机是同情寻求晚期堕胎的边缘化妇女.
- 关键的挑战包括缺乏必要的药物/设备,提供者对晚期堕胎的不情愿以及不清楚的指导方针.
- 提供者遇到了关于胎儿生存能力的伦理困境,并要求法定限制后,导致要求苛刻的条件.
结论:
- 第二季度堕胎提供者遇到重大障碍和道德挑战,影响他们的实践.
- 改善卫生系统的支持,指导方针和资源对于提高第二个三个月堕胎的准入和质量至关重要.
- 解决导致妇女在怀孕后期寻求堕胎的潜在障碍也至关重要.
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