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激素避孕与艾滋病毒/艾滋病传播:津巴布韦生殖健康服务提供者在促进明智避孕选择方面面临的挑战

Hormonal Contraception and HIV/AIDS Transmission: Challenges for Zimbabwe's Reproductive Health Service Providers in Promoting Informed Contraception Choices.

作者信息

Mafuva Christopher, Marima-Matarira Hilda T

机构信息

Department for Health, University of Bath , UK.

Department of Chemical Pathology, University of Zimbabwe College of Health , Harare, Zimbabwe.

出版信息

J Public Health Afr. 2013 Oct 18;4(2):e16. doi: 10.4081/jphia.2013.e16. eCollection 2013 Dec 3.

Abstract

None-barrier methods are the most predominant contraceptive methods of choice among Zimbabwean women, with the contraceptive pill being the most popular. The spread of HIV/AIDS is most prevalent in sub-Saharan African countries, Zimbabwe included. The prevalent mode of transmission is unprotected heterosexual sex. Although Zimbabwe boasts of a high literacy rate some women may still be vulnerable like in other parts of the world, as they may not understand the role of the Zimbabwe National Family Planning Council (ZNFPC) and other reproductive health service providers. This is because some women at risk may expose themselves to unprotected sex while they are on hormonal contraceptives. This paper seeks to infer into pros and cons of hormonal contraceptive use among Zimbabwean women. There is also need to discuss the effectiveness of providers (ZNFPC clinics and the Ministry of Health) in educating women about the risk of HIV transmission, which may be associated with some non-barrier methods of contraception. An understanding of women's attitudes towards the different forms of contraception is of paramount importance as is that of the factors that could contribute to women in different social settings resorting to uninformed contraceptive choices.

摘要

非屏障法是津巴布韦女性最主要的避孕方法选择,避孕药是最受欢迎的。艾滋病毒/艾滋病在撒哈拉以南非洲国家传播最为普遍,津巴布韦也包括在内。主要传播方式是无保护的异性性行为。尽管津巴布韦识字率很高,但一些女性可能仍像世界其他地区的女性一样脆弱,因为她们可能不了解津巴布韦国家计划生育委员会(ZNFPC)和其他生殖健康服务提供者的作用。这是因为一些有风险的女性在服用激素避孕药时可能会进行无保护性行为。本文旨在探究津巴布韦女性使用激素避孕药的利弊。还需要讨论提供者(ZNFPC诊所和卫生部)在教育女性了解与某些非屏障避孕方法相关联的艾滋病毒传播风险方面的有效性。了解女性对不同避孕方式的态度至关重要,了解在不同社会环境中可能导致女性做出不明智避孕选择的因素也同样重要。

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