了解联邦和省级决策者对堕胎的知识,态度,做法和意图
Madhabi Bajracharya1, Nisha Gyawali2, Tejaswee Bhattarai2
1Freelance Consultant.
Journal of Nepal Health Research Council
|November 22, 2024
概括
尼泊尔的政策制定者表现出对安全堕胎服务的积极意图,但实施差距阻碍了获取. 解决社会文化和法律障碍对于改善孕产妇健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康政策 生殖健康政策
- 人权 人权 人权 人权 人权.
背景情况:
- 尼泊尔在20多年前将堕胎合法化,承认不安全的堕胎是孕产妇发病和死亡的主要原因.
- 政策和培训旨在保护安全堕胎作为妇女的权利,但获得仍然是一个挑战.
研究的目的:
- 探索尼泊尔政策制定者关于堕胎的知识,态度,做法和意图.
- 为了识别障碍阻碍获得安全堕胎服务的障碍,尽管法律规定.
主要方法:
- 一种混合方法的方法,结合了自主管理的问卷和与20位当地领导人的半结构面试.
- 使用SPSS分析定量数据,使用Dedoose软件主题分析定性数据.
主要成果:
- 70%的政策制定者理解国际对堕胎的支持;85%的人认为限制性政策会培养消极的态度.
- 参与者报告了对安全堕胎服务的良好知识,积极态度和意图.
- 确定的主要挑战包括社会文化障碍,缺乏意识,法律问题和隐私问题.
结论:
- 政策实施缺陷和缺乏问责制阻碍了对堕胎服务的认识,获取和接受.
- 建议包括增加预算拨款,优先级,宣传,课程整合和社区参与.
- 这些措施旨在确保平等获得高质量的安全堕胎服务,特别是对于边缘化群体和青少年.
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