Khalaf Inaam A, Abu-Moghli Fathieh, Callister Lynn Clark, Rasheed Rowida
University of Jordan Faculty of Nursing, Amman, Jordan.
Health Care Women Int. 2008 May;29(5):527-38. doi: 10.1080/07399330801949632.
The United Nations Population Fund (UNFPA) and the Hashemite Kingdom of Jordan Ministry of Health (MOH) have identified the importance of strengthening national capacity through the integration of reproductive health (RH) services into the primary health care system. It is reported that a high percentage of Jordanian women use traditional family planning (TFP) methods, frequently using them incorrectly. Our purpose in this qualitative descriptive study was to explore the issues and challenges related to the use of TFP among Jordanian women. Six focus groups with women of childbearing age (18-44 years of age; n = 51) were held in the northern, central, and southern regions of Jordan. Study participants used traditional methods such as withdrawal, periodic abstinence, and breastfeeding. Often TFP methods were used incorrectly, resulting in a high failure rate with unplanned pregnancies occurring within short inter pregnancy intervals. Women preferred using TFP because of side effects experienced while using modern family planning (MFP) methods, misconceptions, and lack of correct information about MFP methods. Husbands often declined to use condoms but supported the use of TFP methods. Women indicated that they have unmet needs for family planning and that they would consider using MFP methods if accurate information was available at health centers. They emphasized the importance of competent and knowledgeable health care providers (HCPs) who contribute to decision making regarding use of family planning.
联合国人口基金（UNFPA）与约旦哈希姆王国卫生部（MOH）已认识到通过将生殖健康（RH）服务纳入初级卫生保健系统来加强国家能力的重要性。据报道，很大比例的约旦妇女使用传统计划生育（TFP）方法，但经常使用不当。我们开展这项定性描述性研究的目的是探讨约旦妇女使用TFP相关的问题和挑战。在约旦的北部、中部和南部地区与育龄妇女（18至44岁；n = 51）举行了6次焦点小组讨论。研究参与者使用如体外射精、定期禁欲和母乳喂养等传统方法。TFP方法经常使用不当，导致高失败率，在短的妊娠间隔内意外怀孕频发。由于使用现代计划生育（MFP）方法时出现的副作用、误解以及缺乏关于MFP方法的正确信息，妇女更倾向于使用TFP。丈夫们通常拒绝使用避孕套，但支持使用TFP方法。妇女表示她们的计划生育需求未得到满足，并且如果在健康中心能获得准确信息，她们会考虑使用MFP方法。她们强调了有能力且知识渊博的医疗保健提供者（HCPs）对于计划生育使用决策的重要性。
