Department of Epidemiology and Biostatistics, The Hanoi School of Public Health, 138 Giang Vo Street, Ba Dinh District, Ha Noi, Viet Nam.
Reprod Health. 2012 Feb 27;9:4. doi: 10.1186/1742-4755-9-4.
Rural-to-urban migration involves a high proportion of females because job opportunities for female migrants have increased in urban industrial areas. Those who migrate may be healthier than those staying in the village and they may benefit from better health care services at destination, but the 'healthy' effect can be reversed at destination due to migration-related health risk factors. The study aimed to explore the need for health care services for reproductive tract infections (RTIs) among female migrants working in the Sai Dong industrial zone as well as their services utilization.
The cross sectional study employed a mixed method approach. A cohort of 300 female migrants was interviewed to collect quantitative data. Two focus groups and 20 in-depth interviews were conducted to collect qualitative data. We have used frequency and cross-tabulation techniques to analyze the quantitative data and the qualitative data was used to triangulate and to provide more in-depth information.
The needs for health care services for RTI were high as 25% of participants had RTI syndromes. Only 21.6% of female migrants having RTI syndromes ever seek helps for health care services. Barriers preventing migrants to access services were traditional values, long working hours, lack of information, and high cost of services. Employers had limited interests in reproductive health of female migrants, and there was ineffective collaboration between the local health system and enterprises. These barriers were partly caused by lack of health promotion programs suitable for migrants. Most respondents needed more information on RTIs and preferred to receive these from their employers since they commonly work shifts--and spend most of their day time at work.
While RTIs are a common health problem among female migrant workers in industrial zones, female migrants had many obstacles in accessing RTI care services. The findings from this study will help to design intervention models for RTI among this vulnerable group such as communication for behavioural impact of RTI health care, fostered collaboration between local health care services and employer enterprises, and on-site service (e.g. local or enterprise health clinics) strengthening.
由于城市工业地区女性移民的就业机会增加，农村向城市的移民中女性占很大比例。那些移民的人可能比留在村里的人更健康，他们在目的地可能受益于更好的医疗保健服务，但由于与移民相关的健康风险因素，这种“健康”效应可能在目的地逆转。本研究旨在探讨在赛东工业区工作的女性移民对生殖系统感染（RTI）的医疗服务需求以及他们对服务的利用情况。
这项横断面研究采用了混合方法。对 300 名女性移民进行了队列访谈，以收集定量数据。进行了两个焦点小组和 20 次深入访谈，以收集定性数据。我们使用频率和交叉表技术来分析定量数据，定性数据用于三角剖分和提供更深入的信息。
对生殖系统感染医疗服务的需求很高，有 25%的参与者有生殖系统感染综合征。只有 21.6%有生殖系统感染综合征的女性移民曾经寻求过医疗服务。阻止移民获得服务的障碍是传统价值观、工作时间长、信息缺乏和服务费用高。雇主对女性移民的生殖健康兴趣有限，地方卫生系统与企业之间的合作也缺乏有效性。这些障碍部分是由于缺乏适合移民的健康促进计划造成的。大多数受访者需要更多关于 RTIs 的信息，并且更喜欢从雇主那里获得这些信息，因为他们通常轮班工作——并且大部分时间都在工作。
虽然生殖系统感染是工业区女性移民工人中常见的健康问题，但女性移民在获得生殖系统感染护理服务方面存在许多障碍。本研究的结果将有助于为这一弱势群体设计生殖系统感染干预模式，例如沟通生殖系统感染保健的行为影响、促进地方卫生保健服务和雇主企业之间的合作，以及加强现场服务（例如当地或企业健康诊所）。
