在尼泊尔的年轻女性中,安全堕胎服务的可访问性和可用性的障碍:一项混合方法研究
Radhika Ghimire1, Shreesti Sharma2, Aliza Singh3
1WHO, Kathmandu, Nepal.
BMC public health
|November 25, 2025
概括
尼泊尔的年轻女性面临着安全堕胎服务的重大障碍,原因是耻辱,缺乏知识和财务限制. 解决这些障碍需要采取多方面的干预措施,以改善获得基本生殖健康护理的机会.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会学 社会学 社会学
背景情况:
- 尽管尼泊尔有合法堕胎的机会,但年轻女性面临着安全堕胎服务 (SAS) 的障碍.
- 这些障碍导致可预防的孕产妇死亡率和发病率.
- 这项研究调查了尼泊尔麦克万普尔区的年轻女性在SAS访问中的障碍.
研究的目的:
- 为了确定阻碍年轻女性获得安全堕胎服务 (SAS) 的关键障碍,在尼泊尔的麦克万普尔.
- 了解影响SAS访问的社会,金融和结构因素的相互作用.
主要方法:
- 2018年的一项融合混合方法研究,结合了定量调查 (n=447) 和定性访谈/重点小组 (n=33) 的研究.
- 量化分析评估了知识,耻辱 (SABAS尺度) 和SAS访问,使用后勤回归.
- 定性分析涉及对堕胎后妇女和提供者的深入采访,以及与年轻妇女的重点小组,随后进行主题分析.
主要成果:
- 只有54.14%的年轻女性报告了SAS的高接入率;低接入率与高堕胎耻辱相关,不使用互联网,不与卫生志愿者接触.
- 虽然70.69%的人知道堕胎是合法的,但对具体条件和免费服务的了解有限.
- 定性发现揭示了障碍,包括知识差距,财务约束,普遍的耻辱,地理难以接近,婚姻状况歧视,质量问题和提供者资源限制.
结论:
- 尼泊尔的年轻女性获得安全堕胎的机会受到复杂的信息,社会,财务和结构障碍的阻碍.
- 多方面的干预措施至关重要,包括宣传活动,减少耻辱,扩大农村服务和加强提供者培训.
- 公平获得安全堕胎服务需要全面解决这些相互关联的挑战.
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