Stats Miriam A, Hill David R, Ndirias Josephine
Frank H. Netter School of Medicine, Quinnipiac University, North Haven, CT, USA.
Mukogodo Girls Empowerment Program (MGEP), Laikipia County, Kenya.
Glob Public Health. 2020 Dec;15(12):1847-1856. doi: 10.1080/17441692.2020.1788112. Epub 2020 Jul 4.
Adolescent fertility rates are high in Kenya and increase the likelihood of maternal and infant morbidity and mortality. Our objective was to explore the knowledge, perceptions, and barriers surrounding the use of family planning services among young Maasai women in Laikipia County, Central Kenya. Individual interviews with 50 participants were conducted in Laikipia County, Kenya during June and July of 2019. Qualitative data was visualised using JMP software and coded using the framework method for content analysis. Several overarching themes were identified. First, we identified a high rate of unintended pregnancy and a low rate of family planning use. Second, we found that many young Maasai women believe that only women that are married and have finished childbearing should utilise family planning services. Finally, we document highly prevalent myths among young women in the Maasai community that the use of family planning will lead to negative health consequences, such as infertility and cancer. We conclude that the Maasai community of Laikipia County, Kenya needs comprehensive family planning education that will improve knowledge and dispel myths in order to empower young Maasai women to make informed decisions surrounding family planning.
肯尼亚青少年生育率较高,这增加了孕产妇和婴儿发病及死亡的可能性。我们的目标是探讨肯尼亚中部莱基皮亚县年轻马赛族妇女在使用计划生育服务方面的知识、认知和障碍。2019年6月和7月期间,在肯尼亚莱基皮亚县对50名参与者进行了个人访谈。定性数据使用JMP软件进行可视化处理,并采用框架法进行编码以进行内容分析。确定了几个总体主题。首先,我们发现意外怀孕率高,计划生育使用率低。其次,我们发现许多年轻的马赛族妇女认为只有已婚且已完成生育的妇女才应使用计划生育服务。最后,我们记录了马赛族社区年轻女性中普遍存在的误解,即使用计划生育会导致负面健康后果,如不孕和癌症。我们得出结论,肯尼亚莱基皮亚县的马赛族社区需要全面的计划生育教育,以提高知识水平并消除误解,从而使年轻的马赛族妇女能够在计划生育方面做出明智的决定。