埃塞俄比亚东部的全面堕胎护理:设施准备,服务可用性,以及埃塞俄比亚东部的障碍
Tegenu B Wadajo1, Elias Y Debele1, Abraham N Dechasa1
1Haramaya University, College of Health and Medical Sciences, School of Midwifery, Harar, Ethiopia.
African journal of reproductive health
|October 6, 2025
概括
埃塞俄比亚的不安全堕胎护理面临着因设施准备和提供者的态度而面临的挑战. 改善医疗保健系统和专业培训对于更好地获得安全堕胎服务至关重要.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健系统 医疗保健系统
背景情况:
- 不安全的堕胎是埃塞俄比亚的一个重大公共卫生问题.
- 障碍包括基础设施不佳,服务有限以及供应商的挑战.
研究的目的:
- 评估卫生机构对堕胎护理的准备情况.
- 评估服务的可用性,并确定提供堕胎服务的挑战.
主要方法:
- 在埃塞俄比亚东部16个公共卫生设施进行了基于设施的混合方法研究.
- 使用了世卫组织服务可用性和准备性评估 (SARA) 工具和KoboToolbox.
- 从17名卫生专业人员的定性数据进行了主题分析.
主要成果:
- 82.3%的设施符合准备要求;所有医院和66.7%的卫生中心提供堕胎服务.
- 关键障碍:提供者的态度,耻辱感,文化/宗教信仰和人员短缺.
- 受设施准备,提供者的信念和社会文化因素阻碍的访问.
结论:
- 加强医疗保健系统对于改善堕胎护理至关重要.
- 确保提供者对政策的了解和愿意提供优质护理至关重要.
- 解决提供者的态度和社会文化障碍对于全面的堕胎准入至关重要.
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