在尼泊尔五家三级医院实施宫癌预防和查及其政策影响:一项混合方法研究
Ganesh Dangal1,2, Rolina Dhital3, Yam Prasad Dwa1,4
1Nepal Society of Obstetricians and Gynaecologists, Kathmandu, Nepal.
PLOS global public health
|January 18, 2024
概括
尼泊尔的宫癌查和HPV疫苗接种率较低,在实施方面存在重大差距. 调查结果强调需要有针对性的干预措施,以改善妇女的服务利用率,并应对政策挑战.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 妇科 妇科 妇科 妇科
背景情况:
- 宫癌仍然是尼泊尔妇女癌症相关死亡的主要原因,尽管存在预防政策.
- 评估宫癌预防和查服务的实施对于了解服务利用率和识别差距至关重要.
研究的目的:
- 评估尼泊尔宫癌预防和查的实施情况.
- 评估妇女使用服务,卫生专业人员的知识和态度以及利益相关者的看法.
主要方法:
- 这是一项混合方法研究,该研究于2022年在尼泊尔加德满都的五家三级医院进行.
- 从657名妇女和254名卫生专业人员收集的定量数据;从23个利益相关方收集的定性数据.
主要成果:
- 帕普查的利用率为22.2%,HPV疫苗接种率为1.5%. 查利用与年龄较大,婚姻,高等教育,口服避孕药的使用以及事先的意识有关.
- 卫生专业知识与培训和推广活动有关;对查的更好态度与女性性别和指导方针的可用性有关.
- 定性调查结果揭示了政策,供应,服务提供,提供商和社区参与方面的实施挑战.
结论:
- 在尼泊尔,妇女对宫癌预防和查服务的利用率很低.
- 在宫癌预防和查服务中存在重大实施差距,这表明需要改进战略和干预措施.
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