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南非避孕植入剂的引入:成就、挑战与未来之路

Introduction of the contraceptive implant in South Africa: Successes, challenges and the way forward.

作者信息

Mullick S, Chersich Matthew, Pillay Yogan, Rees H

机构信息

Wits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

National Department of Health, Pretoria, South Africa

出版信息

S Afr Med J. 2017 Oct 1;107(10):812-814. doi: 10.7196/samj.2017.v107i10.12849.

Abstract

In 2014, the contraceptive implant was introduced into public sector facilities in South Africa (SA). Several thousand healthcare workers were trained, and demand was generated for the method, achieving high uptake. Use of the implant has since declined, but currently accounts for ~7% of all contraceptive use – a not insignificant achievement for a ‘new’ method.[1,2] In this edition of SAMJ, three articles[3-5] take stock of the early years of implant provision in SA. The articles, based on research in 2016, capture women’s motivations for using the implant and their perspectives towards the method; and healthcare providers’ competencies and experiences with service provision. Insights may be generalisable to family planning services more broadly, but are also relevant to the introduction of other new technologies, especially those related to HIV.

摘要

2014年,避孕植入剂被引入南非的公共部门设施。数千名医护人员接受了培训,该方法产生了需求,使用率很高。自那以后,植入剂的使用有所下降,但目前占所有避孕方法使用的约7%——对于一种“新”方法来说,这是一项不可忽视的成就。[1,2] 在本期《南非医学杂志》中,三篇文章[3-5] 评估了南非提供植入剂的早期情况。这些文章基于2016年的研究,探讨了女性使用植入剂的动机及其对该方法的看法;以及医护人员提供服务的能力和经验。这些见解可能更广泛地适用于计划生育服务,但也与其他新技术的引入相关,尤其是与艾滋病毒相关的技术。

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