Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Department of Healthcare Management, Technical University Berlin, Berlin, Germany.
Ethn Health. 2020 Feb;25(2):255-272. doi: 10.1080/13557858.2017.1418299. Epub 2017 Dec 28.
In recent years, there has been a mass migration of Eritreans (many seeking political asylum) into Israel after precarious irregular movement across international borders. This study qualitatively explores the structural barriers to family planning (i.e. contraceptive services) for Eritrean women in Israel that are rooted in their temporary legal status and the patchwork of family planning services. From December 2012 to September 2013, we interviewed 25 key informants (NGO workers, researchers, Eritrean community activists, International NGO representatives and Ministry of Health officials) and 12 Eritrean asylum seekers. We also conducted 8 focus groups with Eritrean asylum seekers. Data were analyzed using both inductive and deductive coding. We identified 7 main barriers to accessing family planning services: (1) distance to health facilities; (2) limited healthcare resources; (3) fragmentation of the healthcare system; (4) cost of contraceptive services; (5) low standard of care in private clinics; (6) discrimination; and (7) language barriers. The political, economic and social marginalization of Eritrean asylum-seeking women in Israel creates structural barriers to family planning services. Their marginalization complicates providers' efforts (NGO and governmental) to provide them with comprehensive healthcare, and hinders their ability to control their sexual and reproductive health. Failure to act on this evidence may perpetuate the pattern of unwanted pregnancies and social and economic disparities in this population.
近年来，由于越境进入以色列的路线不稳定，大量厄立特里亚人（许多人寻求政治庇护）涌入以色列。本研究定性探讨了影响厄立特里亚妇女在以色列获得计划生育（即避孕服务）的结构性障碍，这些障碍源于她们临时的法律地位和计划生育服务的拼凑。2012 年 12 月至 2013 年 9 月，我们采访了 25 名关键知情者（非政府组织工作者、研究人员、厄立特里亚社区活动家、国际非政府组织代表和卫生部官员）和 12 名厄立特里亚寻求庇护者。我们还与 12 名厄立特里亚寻求庇护者进行了 8 次焦点小组讨论。使用归纳和演绎编码分析数据。我们确定了获得计划生育服务的 7 个主要障碍：（1）距离保健设施远；（2）医疗保健资源有限；（3）医疗保健系统分散；（4）避孕服务费用；（5）私人诊所的护理标准低；（6）歧视；和（7）语言障碍。在以色列，厄立特里亚寻求庇护妇女的政治、经济和社会边缘化，对计划生育服务造成了结构性障碍。她们的边缘化使提供者（非政府组织和政府）努力为她们提供全面医疗保健的工作变得复杂，并阻碍了她们控制自己的性健康和生殖健康的能力。如果对此证据不采取行动，可能会使该人群中意外怀孕和社会经济差距的模式继续存在。
