Robinson Nuriya, Moshabela Mosa, Owusu-Ansah Lydia, Kapungu Chisina, Geller Stacie
a Department of Obstetrics and Gynecology, University of Illinois at Chicago , Chicago , Illinois , USA.
b Department of Rural Health, School of Nursing and Public Health, University of KwaZulu-Natal , Durban , South Africa.
Health Care Women Int. 2016;37(2):197-215. doi: 10.1080/07399332.2014.946511. Epub 2014 Oct 14.
Long-acting reversible contraception is an underutilized method in low-resource areas. Our study aims to: (a) assess knowledge and attitudes around contraception; (b) identify barriers to intrauterine device (IUD) uptake; and (c) develop interventions to address this gap in contraceptive care. We conducted focus group discussions with pregnant, postpartum, and reproductive-aged women, males, and health care workers in rural Ghana. Lack of IUD-specific knowledge, provider discomfort with insertion, and incomplete contraceptive counseling contribute to lack of IUD use. Participant- and provider-related barriers contribute to poor uptake of IUDs within the community. Targeted interventions are necessary to improve IUD use.
长效可逆避孕法在资源匮乏地区未得到充分利用。我们的研究旨在：（a）评估围绕避孕的知识和态度；（b）确定宫内节育器（IUD）使用的障碍；以及（c）制定干预措施以弥补避孕护理方面的这一差距。我们在加纳农村地区与孕妇、产后妇女、育龄妇女、男性和医护人员进行了焦点小组讨论。缺乏特定于宫内节育器的知识、医护人员对放置操作的不适以及避孕咨询不完整，导致宫内节育器使用不足。与参与者和提供者相关的障碍导致社区内宫内节育器的使用率较低。有针对性的干预措施对于提高宫内节育器的使用是必要的。
