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“我或许不能说我们真有一套方法,这就是碰运气的事”:乌干达医疗服务提供者和感染艾滋病毒的患者对更安全受孕方法的认知与接受情况

"I may not say we really have a method, it is gambling work": knowledge and acceptability of safer conception methods among providers and HIV clients in Uganda.

作者信息

Finocchario-Kessler Sarah, Wanyenze Rhoda, Mindry Deborah, Beyeza-Kashesya Jolly, Goggin Kathy, Nabiryo Christine, Wagner Glenn

机构信息

a Department of Family Medicine , University of Kansas Medical Center , Kansas City , Kansas , USA.

出版信息

Health Care Women Int. 2014;35(7-9):896-917. doi: 10.1080/07399332.2014.924520. Epub 2014 Aug 8.

Abstract

In this qualitative study, researchers assessed knowledge, acceptability, and feasibility of safer conception methods (SCM; timed unprotected intercourse [TUI], manual self-insemination, and sperm washing) among various health care providers (n = 33) and 48 HIV clients with recent or current childbearing intentions in Uganda. While several clients and providers had heard of SCM (especially TUI), few fully understood how to use the methods. All provider types expressed a desire to incorporate SCM into their practice; however, this will require training and counseling protocols, sensitization to overcome cultural norms that pose obstacles to these methods, and partner engagement (particularly by men) in safer conception counseling.

摘要

在这项定性研究中,研究人员评估了乌干达各类医疗服务提供者(n = 33)以及48名近期或目前有生育意愿的艾滋病毒感染者对更安全受孕方法(SCM;定时无保护性交 [TUI]、手动自我授精和精子清洗)的了解程度、可接受性和可行性。虽然一些感染者和医疗服务提供者听说过更安全受孕方法(尤其是定时无保护性交),但很少有人完全了解如何使用这些方法。所有类型的医疗服务提供者都表示希望将更安全受孕方法纳入他们的业务中;然而,这将需要培训和咨询方案,提高认识以克服对这些方法构成障碍的文化规范,以及让伴侣(尤其是男性)参与更安全受孕咨询。

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