埃塞俄比亚利用计划生育服务的障碍:质量研究
Meskerem Jisso1, Netsanet Abera Assefa1, Akalewold Alemayehu1
1Hawassa University, College of Medicine and Health Sciences, Ethiopia.
Ethiopian journal of health sciences
|February 14, 2024
概括
埃塞俄比亚计划生育 (FP) 的障碍包括社区的误解,社会文化规范和卫生系统的弱点. 解决这些问题需要社区卫生教育和改善医疗保健专业培训,以增加FP服务的普及率.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 未满足的计划生育需求阻碍了可持续发展目标.
- 由于COVID-19大流行和其他因素造成了FP服务利用的障碍.
- 现有的研究主要集中在个人和社区障碍上,需要对医疗保健和上下文因素进行探索.
研究的目的:
- 探讨在埃塞俄比亚利用计划生育 (FP) 的障碍.
- 识别FP的个人,社区,卫生系统和上下文障碍.
- 为旨在改善FP服务采用率的干预提供信息.
主要方法:
- 多重探索性案例研究设计.
- 通过41次关键信息人采访,32次深入采访和13次焦点小组讨论收集的数据.
- 使用NVivo软件进行主题内容分析.
主要成果:
- 发现的关键障碍包括社区的误解,对副作用的恐惧,缺乏妇女自主权,社会文化规范,宗教因素,地形,COVID-19大流行和冲突.
- 卫生系统的障碍包括卫生专业技能不足和功能/结构问题.
- 背景障碍包括流行病和冲突.
结论:
- 解决障碍需要为社区提供有针对性的健康教育,并加强卫生专业人员的培训.
- 政府和非政府组织之间的合作对于加强指导和监督至关重要.
- 建立有弹性的医疗保健系统对于减轻未来流行病对FP服务的影响至关重要.
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