查德瓜拉的避孕药使用和决策:一项混合方法研究
Vincent de Paul Allambademel1, Mahamat Abdelaziz1, Natalie Andrasko2
1Laboratoire de Sociologie, d'Anthropologie et des Etudes Africaines (LASA), Department of Sociology, College of Humanities and Social Sciences, University of N'Djamena, N'Djamena, Chad.
了解得的避孕使用障碍对于降低孕产妇死亡率至关重要. 干预措施应解决宗教信仰,耻辱,误解,并涉及男性和社区领导人,以改善现代避孕药的使用.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
背景情况:
- 得面临着高的孕产妇死亡率和低的现代避孕药普及率.
- 了解避孕使用障碍对于减少未满足需求和孕产妇死亡率至关重要.
研究的目的:
- 调查得关于现代避孕药使用的妇女决策的障碍和影响.
- 为减少未满足的避孕需求和改善孕产妇健康结果的策略提供信息.
主要方法:
- 一项混合方法的研究是在得的格拉省进行的.
- 包括对妇女的纵向调查,焦点小组讨论和与医疗保健提供者和社区领导人的深入采访.
主要成果:
- 参与者对现代避孕方法的知识增加,最终使用率为20.5%.
- 关键障碍包括宗教信仰,社区耻辱,误解 (特别是长效可逆避孕药),以及配偶的影响.
- 丈夫显著影响避孕决策,充当促进者或障碍者.
结论:
- 观察到意识增加和避孕药的使用,超过了省级的比例.
- 应该探索以社区为基础的自我注射避孕药 (DMPA-SC) 的分布.
- 需要量身定制的耻辱减少干预措施和提供者培训,以促进公平的避孕服务提供.
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