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刚果民主共和国东部妇女采用计划生育措施的障碍。

Barriers to adoption of family planning among women in Eastern Democratic Republic of Congo.

作者信息

Mathe Jeff K, Kasonia Kennedy K, Maliro Andre K

机构信息

Catholic University of Graben (UCG), Department of Obstetrics and Gynaecology, Butembo, Democratic Republic of Congo.

出版信息

Afr J Reprod Health. 2011 Mar;15(1):69-77.

PMID:21987940
Abstract

The objectives of this survey were to identify women's level of KAP toward FP; identify possible barriers to using FP; determine pregnancy spacing pattern; and ascertain the level of FP promotion by health workers. This was a 2-weeks cross-sectional survey at all maternity units in Butembo of post-partum women. 572 women were interviewed. FP knowledge was high (76%), perception good (80%). Majority used traditional methods (65%), mostly Calendar method (72%). Barriers to using modern FP included lack of knowledge, fear of side effects, religious considerations and husband opposition. Unmet need for spacing and limiting was high (21 & 31%). For majority (56%), pregnancy spacing met WHO's Healthy Timing and Spacing of Pregnancy recommendations. Promotion of FP was poor (42%). Training of health workers, advocating modern contraception, improving FP services in all public health facilities and promoting FP on each contact of women is highly recommended in this city.

摘要

本次调查的目的是确定女性对计划生育的知识、态度和行为水平;找出使用计划生育方法可能存在的障碍;确定生育间隔模式;并查明卫生工作者对计划生育的推广程度。这是一项在布滕博所有产科单位针对产后妇女进行的为期两周的横断面调查。共采访了572名妇女。计划生育知识知晓率较高(76%),认知良好(80%)。大多数人使用传统方法(65%),主要是日历法(72%)。使用现代计划生育方法的障碍包括知识缺乏、对副作用的恐惧、宗教因素和丈夫反对。未满足的生育间隔和生育限制需求较高(分别为21%和31%)。对于大多数人(56%)来说,生育间隔符合世界卫生组织关于健康怀孕时机和间隔的建议。计划生育推广情况较差(42%)。强烈建议在该市对卫生工作者进行培训,倡导现代避孕方法,改善所有公共卫生设施中的计划生育服务,并在每次与妇女接触时推广计划生育。

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