在肯尼亚西部,提供者对避孕药的使用施加了限制
Stephanie Chung1, Brooke Bullington2, Emilia Goland3
1Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 135 Dauer Dr, Chapel Hill, NC 27599 USA; Product Development and Introduction, Global Health and Population, 359 Blackwell St #200, Durham, NC 2770, USA.
Contraception
|May 9, 2025
概括
提供者偏见和医疗资格标准的不正确应用限制了肯尼亚的避孕措施. 许多医疗服务提供者对女性实施基于体重的不适当限制,限制了她们的选择.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 医学教育 医学教育
背景情况:
- 避孕提供者经常对避孕方法的使用施加不必要的限制.
- 这些限制源于知识差距,偏见或对后果的恐惧.
- 这种供应商施加的限制的普遍性在很大程度上是未知的.
研究的目的:
- 记录肯尼亚西部公共设施中提供者对避孕方法的限制.
- 评估适用于避孕药的医疗资格标准的应用.
- 识别社会人口统计学和医疗限制的模式.
主要方法:
- 在2022年,对肯尼亚基苏穆县137个公共医疗机构的345家计划生育提供商进行了调查.
- 该调查收集了关于六种避孕方法的非临床指示的提供者限制的数据.
- 用描述性统计和奇二次测试来分析数据.
主要成果:
- 提供者通常对女性永久避孕和子宫内器械施加社会人口统计限制.
- 许多医疗服务提供者不适当地限制了激素疗法,原因是错误地应用了医疗资格标准,特别是体重.
- 50%的提供者对口服避孕药使用不适当的基于体重的限制,60%用于注射剂,40%用于植入物.
结论:
- 提供者偏见和不适当的医疗限制显著限制了肯尼亚的避孕选择.
- 需要进一步的研究来解决与患者年龄,体重和伴侣同意有关的提供者限制.
- 了解医疗资格标准不正确应用背后的原因对于改善避孕措施的获取至关重要.
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