在乌干达阿杜马尼地区的难民和东道主群体中使用避孕药的决策途径;一项探索性研究
Roselline Achola1, Christopher Garimoi Orach2, Elizabeth Nabiwemba2
1Department of Community Health and Behavioural Sciences, School of Public Health, College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda. rosellineac@gmail.com.
BMC women's health
|July 26, 2024
概括
了解人道主义环境中的避孕决策是改善孕产妇健康的关键. 这项研究揭示了影响难民使用避孕药的复杂,动态途径,突出了针对性干预的必要性.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 人道主义研究 人道主义研究
背景情况:
- 使用避孕药可以显著改善母亲和儿童的健康状况.
- 在低收入国家,避孕药的使用率仍然很低,特别是在人道主义背景下.
- 了解决策过程对于提高计划设计和避孕药的采用至关重要.
研究的目的:
- 探索影响个人在人道主义情况下使用避孕药的决策过程.
- 为开发有效干预措施提供见解,以增加难民人口中避孕药的使用.
主要方法:
- 在乌干达阿杜马尼区的难民定居点和东道社区进行了一项定性探索性研究.
- 通过49次深入访谈 (IDIs),11次关键信息人访谈 (KIIs) 和20次焦点小组讨论 (FGDs) 收集数据.
- 使用Atlas.ti版本14进行了感应主题分析.
主要成果:
- 决策涉及线性和非线性认知和上下文过程,有四条动态路径.
- 线性路径包括创意开始,认知处理,咨询和决策.
- 非线性途径涉及重复的认知处理和重新考虑,导致开始和停止使用避孕药.
结论:
- 避孕决策是一个动态的过程,受到内部和外部因素的影响.
- 干预措施应针对避孕药使用者和难民社区内有影响力的社会人物.
- 针对关键影响者可以加强弱势群体的避孕使用.
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