什么是避孕措施的准入? 一个全面的,多层次的框架,为研究,政策和实践提供信息
Riley J Steiner1, Sarah M Axelson1, Claudia Nuñez-Eddy1
1Power to Decide, Washington, DC, USA.
Contraception
|November 18, 2025
概括
一个新的框架定义了跨多个层面和维度的避孕准入. 这种多层次,多维的模式旨在改善平等的性和生殖健康服务的研究,政策和实践.
科学领域:
- 性和生殖健康 性和生殖健康
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 获得避孕对性和生殖健康至关重要.
- 现有的关于避孕准入的定义缺乏共识.
- 需要一个明确的框架来指导研究,政策和实践.
研究的目的:
- 提出一个多层次和多维的框架来概念化避孕的准入.
- 提供对影响避孕措施获取的因素的共同理解.
- 为改善获得避孕措施的研究,政策和实践提供信息.
主要方法:
- 利用社会生态模型和医疗保健准入框架.
- 进行了相关文献的环境扫描.
- 与专家工作组一起开发和完善框架.
主要成果:
- 该框架包括多层次可修改因素和修改策略.
- 接入的六个维度被确定为:意识,可用性,可访问性,适应性,可接受性和可负担性.
- 修改策略影响决定因素,影响获得避孕的途径.
结论:
- 该框架提供了一个共同的理解,以评估和改善避孕措施的获取.
- 它可以指导措施制定,监督,政策宣传和质量改进倡议.
- 该框架的应用可以促进所有人获得公平,以人为中心和可实现的避孕措施.
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