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Contraception. 2021 Jun;103(6):377-379. doi: 10.1016/j.contraception.2021.03.023. Epub 2021 Mar 27.
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本文引用的文献

1
Abortion Self-Care: A Forward-Looking Solution To Inequitable Access.堕胎自我护理:解决获取不平等问题的前瞻性方案。
Int Perspect Sex Reprod Health. 2020 Dec 1;46(Suppl 1):91-95. doi: 10.1363/46e1420.
2
Estimates of the Potential Impact of the COVID-19 Pandemic on Sexual and Reproductive Health In Low- and Middle-Income Countries.估算 COVID-19 大流行对中低收入国家性健康和生殖健康的潜在影响。
Int Perspect Sex Reprod Health. 2020 Apr 16;46:73-76. doi: 10.1363/46e9020.
3
Commentary: No-test medication abortion: A sample protocol for increasing access during a pandemic and beyond.评论:非检测药物流产:大流行期间及之后增加可及性的示例方案。
Contraception. 2020 Jun;101(6):361-366. doi: 10.1016/j.contraception.2020.04.005. Epub 2020 Apr 16.
4
Contraceptive technologies for global health: ethically getting to safe, effective and acceptable options for women and men.全球健康避孕技术:为男女提供安全、有效和可接受的选择的伦理考量。
Drug Deliv Transl Res. 2020 Apr;10(2):299-303. doi: 10.1007/s13346-020-00726-3.
5
Self care interventions to advance health and wellbeing: a conceptual framework to inform normative guidance.自我保健干预措施促进健康和幸福:为规范性指导提供信息的概念框架。
BMJ. 2019 Apr 1;365:l688. doi: 10.1136/bmj.l688.
6
Segesterone acetate/ethinyl estradiol 12-month contraceptive vaginal system safety evaluation.醋酸赛普特龙/炔雌醇 12 个月避孕阴道系统的安全性评估。
Contraception. 2019 Jun;99(6):323-328. doi: 10.1016/j.contraception.2019.02.001. Epub 2019 Mar 1.
7
Evaluating the feasibility and acceptability of self-injection of subcutaneous depot medroxyprogesterone acetate (DMPA) in Senegal: a prospective cohort study.评估在塞内加尔自行注射皮下长效醋酸甲羟孕酮(DMPA)的可行性和可接受性:一项前瞻性队列研究。
Contraception. 2017 Sep;96(3):203-210. doi: 10.1016/j.contraception.2017.06.010. Epub 2017 Jun 30.
8
Progesterone vaginal ring: introducing a contraceptive to meet the needs of breastfeeding women.孕酮阴道环:一种满足哺乳期女性需求的避孕措施。
Contraception. 2013 Nov;88(5):591-8. doi: 10.1016/j.contraception.2013.05.004. Epub 2013 May 16.
9
A modified SILCS contraceptive diaphragm for long-term controlled release of the HIV microbicide dapivirine.一种改良的 SILCS 避孕隔膜,用于长期控制释放 HIV 杀微生物剂地匹福林。
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Short-term acceptability of the PATH Woman's Condom among couples at three sites.PATH女用避孕套在三个地点的夫妻中的短期可接受性。
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解决因 COVID-19 加剧的避孕需求问题:呼吁增加自我管理方法的选择和获取途径。

Addressing contraceptive needs exacerbated by COVID-19: A call for increasing choice and access to self-managed methods.

机构信息

Population Council, New York, NY, USA.

Population Council, New York, NY, USA.

出版信息

Contraception. 2021 Jun;103(6):377-379. doi: 10.1016/j.contraception.2021.03.023. Epub 2021 Mar 27.

DOI:10.1016/j.contraception.2021.03.023
PMID:33781763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7997847/
Abstract

The COVID-19 pandemic has exposed the vulnerability of global contraception provision, exacerbating the barriers to access reproductive health services, leading to suspension of clinical services and disruption of supply chains. Critical to combatting this crisis is the expansion of healthcare to include self-care approaches to de-medicalize contraception and increase an individual's agency in determining what method they use, when they use it, and where they obtain it. Expanding the mix of self-administered contraceptives is essential for ensuring choice, access, and availability. We highlight advances in the self-care movement and actions needed to strengthen self-management approaches to maximize our chances of preventing a reproductive health crisis.

摘要

新冠疫情暴露出全球避孕措施的脆弱性,加剧了获取生殖健康服务的障碍,导致临床服务暂停和供应链中断。解决这一危机的关键是扩大医疗保健范围,包括自我保健方法,使避孕措施非医疗化,并增强个人在确定使用何种方法、何时使用以及从何处获得方法方面的自主权。扩大自我管理避孕措施的组合对于确保选择、获得和提供至关重要。我们强调了自我保健运动的进展以及需要采取的行动,以加强自我管理方法,最大程度地预防生殖健康危机。