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南非夸祖鲁-纳塔尔省乌姆拉齐镇的医疗保健提供者对青少年女孩使用现代避孕药具的知识和看法。

Healthcare providers' knowledge and perceptions regarding the use of modern contraceptives among adolescent girls in Umlazi Township, KwaZulu-Natal province, South Africa.

机构信息

Discipline of Public Health, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.

出版信息

Pan Afr Med J. 2021 Feb 4;38:124. doi: 10.11604/pamj.2021.38.124.20771. eCollection 2021.

Abstract

INTRODUCTION

the phenomenon of unintended adolescent pregnancy continues to be a reproductive and public health concern in sub-Saharan Africa. Healthcare providers play an important role in influencing the use of contraceptives among adolescent girls. This study assessed knowledge and perceptions of healthcare providers regarding the use of modern contraceptives among adolescent girls in Umlazi township, KwaZulu-Natal province, South Africa.

METHODS

this was a descriptive study involving 35 healthcare providers covering all 10 primary healthcare clinics in Umlazi township. Data collected through a structured questionnaire were coded, entered into Epi data manager (version 4.6) and exported to STATA (version 15.0) for analysis.

RESULTS

of the thirty-five healthcare providers that participated in this study, professional nurses (54.3%) and enrolled nurses (17.1%) constituted the majority. The mean age of the participants was 42.11 years, with 88.6% being females. More than a third (37.1%) of healthcare providers did not know whether or not modern contraceptives make users promiscuous, while more than half (57%) had negative attitudes towards adolescents exploring contraceptive methods. Healthcare providers viewed health systems challenges, such as poor working conditions, long queues, and contraceptives stock-outs, as deterrents towards the provision of quality sexual behaviour counselling and modern contraceptive education to users.

CONCLUSION

poor health systems and negative behaviours by healthcare providers influences the delivery of family planning services in primary healthcare clinics and serve as barriers to quality family planning services provided to younger women.

摘要

引言

在撒哈拉以南非洲,意外怀孕的现象仍然是生殖健康和公共卫生关注的问题。医疗保健提供者在影响少女使用避孕药具方面发挥着重要作用。本研究评估了南非夸祖鲁-纳塔尔省乌姆拉齐镇的医疗保健提供者对少女使用现代避孕药具的知识和看法。

方法

这是一项描述性研究,涉及乌姆拉齐镇的 35 名医疗保健提供者,涵盖了该城镇的所有 10 个初级保健诊所。通过结构化问卷收集的数据进行编码,输入 Epi Data Manager(版本 4.6),并导出到 STATA(版本 15.0)进行分析。

结果

在参与这项研究的 35 名医疗保健提供者中,专业护士(54.3%)和注册护士(17.1%)占多数。参与者的平均年龄为 42.11 岁,其中 88.6%为女性。超过三分之一(37.1%)的医疗保健提供者不知道现代避孕药具是否会导致使用者滥交,而超过一半(57%)对青少年探索避孕方法持有消极态度。医疗保健提供者认为卫生系统的挑战,如恶劣的工作条件、长队和避孕药具缺货,是向使用者提供优质性行为咨询和现代避孕药具教育的障碍。

结论

糟糕的卫生系统和医疗保健提供者的消极行为影响了初级保健诊所提供计划生育服务的质量,并成为向年轻女性提供优质计划生育服务的障碍。

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