Khanal V, Joshi C, Neupane D, Karkee R
School of Public Health, Curtin University, Australia.
Kathmandu Univ Med J (KUMJ). 2011 Jul-Sep;9(35):179-84. doi: 10.3126/kumj.v9i3.6301.
The Government of Nepal has implemented safe abortion policy since 2002. There are 245 approved sites providing safe abortion services to women across the country. Family planning counselling is one of the components of the safe abortion policy, which is important to reduce unwanted pregnancy, maternal morbidity and mortality due to the consequences of unsafe abortion and the service burden.
This study explains the perceptions, practices and factors affecting the use of family planning among abortion clients attending safe abortion services in Nepal.
A cross sectional study was carried out on September, 2008 enrolling 58 women who were waiting in the dressing room for safe abortion services in Paropkar Maternity Hospital, Nepal. All women attending hospital clinic for receiving safe abortion services were approached for interview till the targeted number was fulfilled. A convenience sampling was applied to reach the sample size.
Of the 58 respondents, majority of the respondents were Hindus (83%), residing in Kathmandu district (76%); of the age group 20-29 years (69%); and 98% were married. One fifth (20.68 %) of the respondents had previous history of spontaneous or induced abortion. The main reason for abortion did not want any more babies/ complete family (45%). The knowledge of modern contraception was high (98.27%). The knowledge of emergency contraception was low (25.9%). Side effects was the main reason (48%, n=31) for discontinuation of contraceptives. Intention to use some modern family planning methods after the abortion was expressed by 83% clients. The major enabling factor for continued contraceptive use was the absence of side effects. The family planning counselling was acceptable for 91% clients.
Knowledge, acceptance of counselling service and intention to use family planning measure was high in the study participants. There is need to provide skills on adapting with the adverse effect of family planning measure through continuous education and reinforcement.
尼泊尔政府自2002年起实施了安全堕胎政策。全国有245个获批的场所为女性提供安全堕胎服务。计划生育咨询是安全堕胎政策的组成部分之一，对于减少意外怀孕、不安全堕胎后果导致的孕产妇发病率和死亡率以及服务负担至关重要。
本研究阐述了尼泊尔接受安全堕胎服务的堕胎患者对计划生育的认知、做法及影响其使用计划生育的因素。
2008年9月开展了一项横断面研究，纳入了58名在尼泊尔帕罗帕克妇产医院更衣室等待安全堕胎服务的女性。所有到医院诊所接受安全堕胎服务的女性都被邀请接受访谈，直至达到目标数量。采用便利抽样法确定样本量。
在58名受访者中，大多数受访者是印度教徒（83%），居住在加德满都区（76%）；年龄在20 - 29岁之间（69%）；98%已婚。五分之一（20.68%）的受访者有过自然流产或人工流产史。堕胎的主要原因是不想再要孩子/组建完整家庭（45%）。对现代避孕方法的知晓率较高（98.27%）。紧急避孕的知晓率较低（25.9%）。副作用是停用避孕药的主要原因（48%，n = 31）。83%的患者表示堕胎后打算使用一些现代计划生育方法。持续使用避孕药的主要促成因素是没有副作用。91%的患者接受计划生育咨询。
研究参与者对计划生育的知识、对咨询服务的接受度以及使用计划生育措施的意愿较高。需要通过持续教育和强化，提供应对计划生育措施不良反应的技能。
