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乌干达坎帕拉卫生保健提供者对青少年计划生育和避孕教育的看法-一项定性研究。

Health care providers' perceptions of family planning and contraception education for adolescents in Kampala, Uganda - A qualitative study.

机构信息

Department of Nursing, Makerere University College of Health Sciences, Kampala, Uganda.

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

出版信息

Sex Reprod Healthc. 2019 Oct;21:15-20. doi: 10.1016/j.srhc.2019.05.001. Epub 2019 May 10.

Abstract

OBJECTIVES

Unsafe abortions are a reproductive health problem in low-income countries, but can be prevented by decreasing unintended pregnancies. The objective was to describe health care providers' (HCPs) perceptions of family planning and contraception education for adolescents in Kampala, Uganda.

STUDY DESIGN

A qualitative study with a semi-structured interview guide was used for individual face-to-face interviews. Eight participants from two different Non-governmental organisations were interviewed. Qualitative content analysis was used to analyse the data.

RESULTS

Data analysis resulted in three main categories of HCP perceptions: counseling, education and availability; peer-educators and community leaders; and stigma, inequality and myths. The providers emphasized the importance to discuss and eradicate the myths and misconceptions among adolescents regarding family planning methods by giving information, preferably at early ages. Peer-educators and community leaders were the most successful methods for accessing and involving the community. Approaches mentioned for reaching out to adolescents included involving parents, using social media, and offering education in schools. Furthermore, the providers highlighted to involve the males in family planning.

CONCLUSIONS

Health care providers emphasized the importance to discuss and eradicate the myths and misconceptions among adolescents regarding different family planning methods by education in school and information in sexual and reproductive health.

摘要

目的

不安全堕胎是低收入国家的一个生殖健康问题,但可以通过减少意外怀孕来预防。本研究旨在描述乌干达坎帕拉的卫生保健提供者(HCPs)对青少年计划生育和避孕教育的看法。

研究设计

采用半结构式访谈指南的定性研究进行面对面的个人访谈。从两个不同的非政府组织中采访了 8 名参与者。使用定性内容分析法分析数据。

结果

数据分析产生了 HCP 看法的三个主要类别:咨询、教育和可用性;同伴教育者和社区领袖;耻辱、不平等和神话。提供者强调通过提供信息,最好是在早期,讨论和消除青少年对计划生育方法的神话和误解的重要性。同伴教育者和社区领袖是接触和参与社区最成功的方法。提到的接触青少年的方法包括让父母参与、利用社交媒体以及在学校提供教育。此外,提供者强调要让男性参与计划生育。

结论

卫生保健提供者强调通过学校教育和性与生殖健康信息,讨论和消除青少年对不同计划生育方法的神话和误解的重要性。

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