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乌干达农村地区的妇女健康:问题、应对策略及变革建议。

Women's health in rural Uganda: problems, coping strategies, and recommendations for change.

作者信息

Rutakumwa William, Krogman Naomi

机构信息

Department of Rural Economy, University of Alberta, Edmonton, Canada.

出版信息

Can J Nurs Res. 2007 Sep;39(3):105-25.

Abstract

This study draws upon 63 semi-structured interviews with rural women in central Uganda to elicit women's health problems, coping mechanisms, and recommendations for improved health services. The health problems most commonly reported by the women were sexually transmitted diseases, especially syphilis, abdominal pain, genital sores, and mental stress. Women indicated several barriers to obtaining health care, such as inaccessibility to health-care facilities, lack of time and money, and dependence on men for permission to leave the home. In response, they had devised several coping strategies for addressing their health problems, including ignoring the problem, self-care/medication, use of herbal/traditional medicine, and secret use of family planning services. The women indicated a need for medical laboratory services; family planning services; antenatal, maternity, and gynaecological services; and health counselling. They recommended health education for both genders, particularly for men regarding family planning.

摘要

本研究通过对乌干达中部农村妇女进行63次半结构化访谈,以了解妇女的健康问题、应对机制以及对改善医疗服务的建议。妇女最常报告的健康问题是性传播疾病,尤其是梅毒、腹痛、生殖器溃疡和精神压力。妇女指出了获得医疗保健的几个障碍,如难以到达医疗保健设施、缺乏时间和金钱以及需要得到男性允许才能离家。作为回应,她们制定了几种应对健康问题的策略,包括忽视问题、自我护理/用药、使用草药/传统药物以及秘密使用计划生育服务。妇女表示需要医学实验室服务、计划生育服务、产前、产妇和妇科服务以及健康咨询。她们建议对男女两性进行健康教育,特别是针对男性的计划生育教育。

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