Donkor Ernestina S, Sandall Jane
School of Nursing, College of Health Sciences, University of Ghana, Legon, Accra, Ghana.
Afr J Reprod Health. 2009 Dec;13(4):81-93.
Infertility is a health problem faced by an estimated 15% of women of childbearing age in Ghana. This study explores the coping strategies adopted by 615 women seeking infertility treatment in southern Ghana. Both closed and open-ended questions were used through a survey conducted using face-to-face interviews in three languages at three health sites--a hospital, a health centre and a private clinic. The findings suggest that the majority of the women preferred to keep issues of their fertility problems to themselves. The reason could be due to the associated stigma of infertility. Further, the majority of the women coped through drawing on their Christian faith. Others also coped through the support they received from their husbands, their occupation by way of achieving economic independence, and some avoided situations that reminded them of their infertility problem. The findings should have implications for health personnel as some strategies infertile women use may do more harm than good.
在加纳,不孕症是一个估计有15%育龄妇女面临的健康问题。本研究探讨了加纳南部615名寻求不孕症治疗的妇女所采用的应对策略。通过在三个健康场所(一家医院、一个健康中心和一家私人诊所)使用三种语言进行面对面访谈的调查,使用了封闭式和开放式问题。研究结果表明,大多数妇女倾向于对自己的生育问题保密。原因可能是不孕症相关的耻辱感。此外,大多数妇女通过依靠她们的基督教信仰来应对。其他人也通过从丈夫那里得到的支持、通过实现经济独立的职业来应对,还有一些人避免那些让她们想起不孕症问题的情况。这些研究结果应该对卫生人员有启示意义,因为不孕妇女使用的一些策略可能弊大于利。