Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK; Research, Monitoring and Evaluation Team, Health System Department, Marie Stopes International, London, UK.
Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Int J Gynaecol Obstet. 2014 Mar;124(3):216-21. doi: 10.1016/j.ijgo.2013.08.015. Epub 2013 Nov 12.
To assess public service providers' knowledge of medical abortion (MA) and practices, and perspectives on expanding the use of MA to primary and secondary health facilities in Vietnam.
A cross-sectional study was conducted via an interviewer-administered questionnaire among abortion providers (n=905) from public health facilities between August 2011 and January 2012.
Overall, 31.1% of providers performed both surgical and medical abortions; 68.9% offered only surgical abortion. Providers were knowledgeable about the regimen/dosage of mifepristone plus misoprostol regimen; however, knowledge scores were low for gestational age limits for MA, adverse effects of the combined drug regimen, and safety and effectiveness of MA compared with surgical abortion. Knowledge scores were significantly lower among providers in rural areas than among those in urban settings. A large proportion of providers (82.9%) thought that MA should be expanded to primary and secondary health facilities. Perceived barriers to MA expansion included lack of knowledge and training, qualified staff, adequate drug supplies, equipment, or facilities, guidelines and protocols on MA, and patient awareness.
Provision of MA in Vietnam was found to be disproportionate to surgical abortion provision and to vary by region. Knowledge of MA was moderate, but poorer among providers in rural settings.
评估越南公共服务提供者对药物流产（MA）的知识和实践，以及对将 MA 扩大到初级和二级卫生机构的看法。
2011 年 8 月至 2012 年 1 月期间，通过访谈者管理的问卷对公共卫生机构的流产提供者（n=905）进行了横断面研究。
总体而言，31.1%的提供者同时进行手术和药物流产；68.9%仅提供手术流产。提供者对米非司酮加米索前列醇方案的疗程/剂量有一定了解；然而，对于 MA 的妊娠年龄限制、联合药物方案的不良反应以及与手术流产相比 MA 的安全性和有效性，知识得分较低。农村地区的提供者得分明显低于城市地区的提供者。大多数提供者（82.9%）认为应将 MA 扩大到初级和二级卫生机构。扩大 MA 的障碍包括缺乏知识和培训、合格的工作人员、足够的药物供应、设备或设施、关于 MA 的指南和协议以及患者意识。
在越南，MA 的提供与手术流产的提供不成比例，而且因地区而异。对 MA 的了解程度中等，但农村地区的提供者较差。
