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[巴兰基亚移民妇女的自愿终止妊娠与性和生殖健康 巴兰基亚移民妇女的自愿终止妊娠及性与生殖健康]

[Voluntary interruption of pregnancy and sexual and reproductive health in migrant women in BarranquillaInterrupção voluntária da gravidez e saúde sexual e reprodutiva em mulheres migrantes em Barranquilla].

作者信息

Quintero Luz Dary, Osorio Osorio Habid, Bojorquez-Chapela Ietza, Isaza Laura, Acosta-Reyes Jorge, Fernández-Niño Julián Alfredo

机构信息

Departamento de Salud Pública Universidad del Norte Puerto Colombia Colombia Departamento de Salud Pública. Universidad del Norte, Puerto Colombia, Colombia.

Departamento de Estudios de Población El Colegio de la Frontera Norte México Departamento de Estudios de Población, El Colegio de la Frontera Norte, México.

出版信息

Rev Panam Salud Publica. 2023 Mar 3;47:e49. doi: 10.26633/RPSP.2023.49. eCollection 2023.

Abstract

OBJECTIVE

Identify knowledge about and barriers to effective access to voluntary interruption of pregnancy (VIP), and to sexual and reproductive health (SRH) services in general, among women from Venezuela (Venezuelan migrants and Colombian returnees).

METHODS

Qualitative study of 20 semi-structured interviews with women from Venezuela who are residents of Barranquilla and who carry out leadership activities in communities or who participate in or benefit from those activities. The interviews included opinions and experiences related to access to VIP, and to SRH in general, as well as suggestions for improving access for migrant women. The relationship between access to these services and the migration process was explored, as well as the role of social organizations.

RESULTS

A lack of information on SRH-related rights was identified as the main access barrier to VIP. Other identified barriers were: attitude towards VIP, excessive steps involved in accessing medical care, difficulties in admission to the social security system, lack of training and care in SRH, and xenophobia in hospitals. The interviewees said they did not understand the legal framework in Colombia and did not know the channels for safe abortion care.

CONCLUSIONS

Despite the efforts of institutions and international cooperation, Venezuelan migrant women in Barranquilla are in a situation of vulnerability due to their lack of access to sexual and reproductive health, including voluntary interruption of pregnancy. Implementing strategies for comprehensive care for migrants will improve current health conditions and the effective enjoyment of SRH-related rights.

摘要

目的

了解委内瑞拉女性(委内瑞拉移民和哥伦比亚归国者)对自愿终止妊娠(VIP)以及一般性健康和生殖健康(SRH)服务的知晓情况和有效获取这些服务的障碍。

方法

对20名来自委内瑞拉的女性进行定性研究,这些女性居住在巴兰基亚,在社区开展领导活动或参与这些活动并从中受益。访谈内容包括与获取VIP以及一般性SRH相关的意见和经历,以及改善移民女性获取服务的建议。探讨了获取这些服务与移民过程之间的关系,以及社会组织的作用。

结果

缺乏与SRH相关权利的信息被确定为获取VIP的主要障碍。其他已确定的障碍包括:对VIP的态度、获取医疗服务涉及的过多步骤、加入社会保障系统的困难、SRH方面缺乏培训和护理,以及医院中的仇外心理。受访者表示,她们不了解哥伦比亚的法律框架,也不知道安全堕胎护理的渠道。

结论

尽管各机构和国际合作做出了努力,但由于无法获得性健康和生殖健康服务,包括自愿终止妊娠服务,巴兰基亚的委内瑞拉移民女性仍处于脆弱境地。实施针对移民的综合护理策略将改善当前的健康状况,并有效保障与SRH相关权利的享有。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1368/9945513/d9c41dfe93e3/rpsp-47-e49_Figure1.jpg

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