在尼泊尔的药房寻求堕胎服务的预测因素和经验
Leila Harrison1, Mahesh Puri2, Diana Greene Foster3
1Centre for Global Child Health, The Hospital for Sick Children, Toronto, Canada.
PLOS global public health
|May 9, 2024
概括
大多数从尼泊尔药房寻求药物堕胎 (MA) 的妇女都获得了服务和信息,并发症很少. 扩大法律以允许药店分销将改善获得安全堕胎护理的机会.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 药房实践 在药房实践中
背景情况:
- 2002年尼泊尔将堕胎合法化,但药剂师在法律上被限制提供药物堕胎 (MA).
- 药房经常分发MA药丸,但对患者体验和结果的理解仍然有限.
研究的目的:
- 调查尼泊尔药房中寻求MA的女性的经验.
- 为了确定堕胎并发症和拒绝MA服务的预测因素.
- 评估以药房为基础的MA供应的安全性和可访问性.
主要方法:
- 一项纵向研究涉及153名妇女在尼泊尔两个地区的四家药房寻求MA (2021-2022).
- 在基线和6周后期收集的数据 (N=138).
- 描述性统计和多变量回归模型分析了服务接收,拒绝预测因素和不良事件.
主要成果:
- 78%的要求服用抗胰岛素药物的女性接受了药物;拒绝通常是由于怀孕年龄的感知.
- 除了教育和妊娠年龄之外,在获得或被拒绝获得MA的人之间几乎没有社会人口统计学差异.
- 大多数妇女获得了充分的信息,经历了最小的不良症状 (55%报告没有),很少有人寻求堕胎后护理 (13%).
结论:
- 在尼泊尔,以药房为基础的药物治疗在很大程度上是安全和有效的,妇女获得必要的信息,并很少遇到并发症.
- 目前的做法表明,将药店销售MA合法化可以提高可访问性,并与现有服务提供保持一致.
- 这些发现支持扩大法律框架,包括药剂师提供药物堕胎服务,改善尼泊尔的生殖保健服务.
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