妇女的自愿和基于权利的计划生育:印度南部社区研究的观察结果
S G Shruthee1, Senthil Arasi2, P Seenivasan3
1Department of Community Medicine, Government Stanley Medical College, and Technical Officer, Resource Group for Education and Advocacy for Community Health (REACH), Chennai, Tamil Nadu, INDIA.
Indian journal of medical ethics
|March 4, 2025
概括
许多妇女缺乏自愿的计划生育选择,提供者偏见和胁迫影响了现代避孕药的使用. 扩大避孕选择和知情决策对于基于权利的护理至关重要.
科学领域:
- 生殖健康 生殖健康
- 公共卫生政策 公共卫生政策
- 卫生社会学 卫生社会学
背景情况:
- 全球计划生育计划优先考虑自愿和权利,可能会掩盖生育监管.
- 在提供基于权利的自愿计划生育服务方面存在政策与实践的差距.
研究的目的:
- 评估生育年龄妇女获得自愿,基于权利的计划生育服务的机会.
- 识别导致避孕胁迫的因素.
主要方法:
- 在印度泰米尔纳德州对390名已婚女性 (18至44岁) 进行调查.
- 评估计划和实际家庭大小/间隔之间的协议,感知知情的选择和避孕胁迫.
- 使用单变量和多变量逻辑回归来分析与胁迫相关的因素.
主要成果:
- 29%的怀孕是意外的.
- 只有36%的女性可以选择两种或更多种现代避孕药.
- 46%的人自愿采用现代方法,但8.5%的人表示被迫,2%的人被强迫.
- 避孕胁迫与妇女的就业,公共卫生保健设施和特殊的长效可逆避孕药 (LARC) (如宫内节育器) 有关.
结论:
- 提供者偏见和有限的避孕选择有助于胁迫.
- 需要扩大可用的避孕选择范围.
- 整合指标以提供知情决策和基于权利的护理至关重要.
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