埃塞俄比亚南部沃莱塔地区贝德萨镇接受长效计划生育方法早期取出的女性的生活经历：一项现象学研究
Lived Experience of Women Who Underwent Early Removal of Long-Acting Family Planning Methods in Bedesa Town, Wolaita Zone, Southern Ethiopia: A Phenomenological Study.
作者信息
Obsa Mohammed Suleiman, Takiso Kassahun Tekle, Ayele Tamiru Tilahun, Chare Koyra Hailu, Tafesse Hidoto Kassahun, Getahun Molla Shanka Getahun, Kelbiso Hanfore Lolemo, Arba Mihiretu Alemayehu, Anjulo Antehun Alemayehu, Worku Kercho Melkamu, Zema Zewde
机构信息
Department of Anesthesia, Wolaita Soddo University, Wolaita Soddo, Ethiopia.
School of Medicine, Wolaita Soddo University, Wolaita Soddo, Ethiopia.
出版信息
Int J Womens Health. 2021 Jul 2;13:645-652. doi: 10.2147/IJWH.S307142. eCollection 2021.
BACKGROUND
Long-acting family planning method (LAFP) is a low-cost yet effective method of reducing maternal mortality, limiting and spacing childbirth. In Ethiopia, the family planning prevalence rate rises from 15% in 2005 to 36% in 2016. However, the discontinuation rate of LAFP is still high in the region. Therefore, the aim of this study was to explore the lived experiences of women who underwent early removal of long-acting family planning methods in Bedesa town, Southern Ethiopia.
METHODS
An interpretative phenomenological study design was employed. Women aged 15-49 years who removed LAFP therapy in the past 12 months were our sampled population. Data were collected through in-depth interviews (IDIs) by using open-ended structured interview guide. Purposive sampling technique was used to select 10 participants from the family planning logbook registration of Bedesa health center. The interview continued until information saturation was reached. Open code version 4.03 was used to code and facilitate analysis. Transcripts were read and re-read separately to identify emerging themes. A thematic analysis technique was used.
RESULTS
This study revealed that the side effects, seeking more children and the husband's opposition were the main reason for early removal of LAFP. Amongst side effects, heavy and irregular menses were occurred most frequently. Besides, there were various myths and misconceptions about family planning methods. It also noted that the counseling services provided by health professionals were not adequate.
CONCLUSION
Side effects, desired to have more children, and the husband's opposition are the most important reason of early removal of LAFP methods. Furthermore, there were misunderstanding, fear and rumors raised by women about each method. Hence, greater public awareness on family planning should be delivered to change community perception on LAFP methods.
背景
长效计划生育方法（LAFP）是一种低成本且有效的降低孕产妇死亡率、控制生育间隔的方法。在埃塞俄比亚，计划生育普及率从2005年的15%上升至2016年的36%。然而，该地区长效计划生育方法的停用率仍然很高。因此，本研究旨在探索埃塞俄比亚南部贝德萨镇过早停用长效计划生育方法的女性的生活经历。
方法
采用解释性现象学研究设计。过去12个月内停用长效计划生育治疗的15至49岁女性为抽样人群。通过使用开放式结构化访谈指南进行深入访谈（IDI）收集数据。采用目的抽样技术从贝德萨健康中心的计划生育日志登记中选取10名参与者。访谈持续进行直至达到信息饱和。使用开放式编码版本4.03进行编码并促进分析。对转录本进行单独阅读和反复阅读以识别新出现的主题。采用主题分析技术。
结果
本研究表明，副作用、想要更多孩子以及丈夫的反对是过早停用长效计划生育方法的主要原因。在副作用中，月经过多和月经不规律最为常见。此外，对计划生育方法存在各种误解和错误观念。研究还指出，卫生专业人员提供的咨询服务不足。
结论
副作用、想要更多孩子以及丈夫的反对是过早停用长效计划生育方法的最重要原因。此外，女性对每种方法都存在误解、恐惧和谣言。因此，应提高公众对计划生育的认识，以改变社区对长效计划生育方法的看法。
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