提供信心和愿意插入和删除长效可逆避孕方法在肯尼亚的公共设施
Katherine Tumlinson1, Stephanie Chung2, Brooke W Bullington3
1Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Contraception
|May 23, 2025
概括
许多肯尼亚医疗保健提供者缺乏在长效可逆避孕 (LARC) 插入和移除方面的培训. 这种差距影响了供应商的信心和意愿,可能威胁到生殖自主权.
科学领域:
- 生殖健康 生殖健康
- 计划生育 计划生育方式
- 医学培训 医学培训 医学培训
背景情况:
- 在肯尼亚,长效可逆避孕 (LARC) 的使用正在增加.
- 有证据表明,LARC删除程序存在挑战.
- 提供者培训和信心对于有效的LARC服务至关重要.
研究的目的:
- 记录肯尼亚LARC插入和移除的提供者培训.
- 评估提供商的经验,信心和愿意提供LARC服务.
- 了解信心和愿意提供LARC之间的关联.
主要方法:
- 来自计划生育提供者的自我报告数据的描述性分析.
- 在肯尼亚基苏穆县的137个公共部门医疗保健机构进行的研究.
- 评估培训频率,经验,信心和对LARC插入/删除的意愿.
主要成果:
- 很大一部分提供者缺乏在植入物和子宫内装置 (IUD) 插入/移除方面的培训.
- 提供者报告说,他们有更多的经验,信心和愿意插入而不是删除LARC.
- 供应商的信心与愿意提供LARC服务有显著的关联.
结论:
- 在LARC培训和提供者信心方面的差距引发了对生殖自主性的担忧.
- 公共部门提供商需要加强对LARC服务的支持和供应.
- 确保对LARC插入和删除的平等意愿至关重要.
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