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服务准备为安全堕胎服务提供服务.
Deeb Shrestha Dangol1, Nisha Gyawali1, Bibek Kumar Lal2
1Ipas Nepal.
Journal of Nepal Health Research Council
|July 31, 2024
概括
大多数尼泊尔的卫生机构还没有准备好提供安全堕胎服务,缺乏训练有素的工作人员和法律合规性. 迫切需要改进,以达到标准,并确保获得全面的堕胎护理.
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 医疗保健服务
背景情况:
- 医疗服务的准备对于获得优质护理至关重要.
- 这项研究评估了尼泊尔卫生机构对全面堕胎服务的准备程度.
- 重点是堕胎服务的可用性和护理质量.
研究的目的:
- 分析尼泊尔卫生设施对全面堕胎服务的准备情况.
- 发现堕胎护理的可用性和质量的差距.
- 为改善安全堕胎服务的政策和实践提供信息.
主要方法:
- 横截面研究设计. 截面研究设计.
- 选择卫生设施的多阶段采样方法.
- 对尼泊尔30个市镇的767个卫生设施进行了调查.
主要成果:
- 只有29%的受访机构 (在767个中只有223个) 提供堕胎服务.
- 服务提供有所不同:92%提供医疗堕胎,48%提供手动真空吸收,18%扩张和疏散,18%提供医疗诱导.
- 发现了显著的差距:7%缺乏经过培训的提供者,29%不符合法律要求,13%缺乏短期避孕药.
结论:
- 尼泊尔的大多数卫生机构尚未准备好提供安全堕胎服务 (SAS),未能满足最低法律和质量标准.
- 政策制定者,管理者和提供者之间需要紧急,协作努力,以改善SAS.
- 建议包括政策更新,加强公私伙伴关系 (PPP),并确保全面的SAS融资和实施.
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