肯尼亚女性寻求堕胎后护理延迟的相关因素。
Factors associated with delays in seeking post abortion care among women in Kenya.
作者信息
Mutua Michael M, Maina Beatrice W, Achia Thomas O, Izugbara Chimaraoke O
机构信息
African Population and Health Research Center, 2nd Floor APHRC Campus, Manga Close Off Kirawa Road, P.O. Box 10787-00100, Nairobi, Kenya.
School of Public Health, University of Witwatersrand, Johannesburg, South Africa.
出版信息
BMC Pregnancy Childbirth. 2015 Oct 7;15:241. doi: 10.1186/s12884-015-0660-7.
BACKGROUND
Delays in seeking quality post abortion care services remain a major contributor to high levels of mortality and morbidity among women who experience unsafe abortion. However, little is known about the causes of and factors associated with delays in seeking care among women who suffer complications of unsafe abortion. This study looks at factors that are associated with delays in seeking post-abortion care among women in Kenya.
METHODS
Data for this study were from a nationally representative sample of 350 healthcare facilities that participated in the 2012 Incidence and Magnitude of Unsafe Abortion study in Kenya. Data included socio-demographic characteristics, reproductive health and clinical histories from all women treated with PAC during a one-month data collection period.
RESULTS
Delay in seeking care was associated with women's age, education level, contraceptive history, fertility intentions and referral status.
CONCLUSIONS
There is need to improve women's access to quality sexual and reproductive health information and services, contraception and abortion care. Improving current PAC services at lower level facilities will also minimize delays resulting from long referral processes.
背景
寻求优质堕胎后护理服务的延误仍然是不安全堕胎女性高死亡率和高发病率的主要原因。然而，对于不安全堕胎并发症女性寻求护理延误的原因及相关因素知之甚少。本研究探讨了肯尼亚女性寻求堕胎后护理延误的相关因素。
方法
本研究的数据来自参与2012年肯尼亚不安全堕胎发生率和严重程度研究的350家具有全国代表性的医疗机构。数据包括在为期一个月的数据收集期内接受堕胎后护理的所有女性的社会人口学特征、生殖健康和临床病史。
结果
寻求护理的延误与女性的年龄、教育水平、避孕史、生育意愿和转诊状况有关。
结论
有必要改善女性获得优质性健康和生殖健康信息及服务、避孕和堕胎护理的机会。改善基层医疗机构目前的堕胎后护理服务也将减少因长期转诊过程导致的延误。
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