Guijarro Susana, Torres Ana Lucia, Montero Gonzalo, Garcia Mónica, Sabay Hernán, Iribarren Sarah, Ocaña José Andrés, Yánez Paula, Murgueytio Patricio
Public Health Institute School of Medicine Pontifical Catholic University of Ecuador Quito Ecuador Public Health Institute, School of Medicine, Pontifical Catholic University of Ecuador, Quito, Ecuador.
Graduate Program in Gynecology and Obstetrics School of Medicine Pontifical Catholic University of Ecuador Quito Ecuador Graduate Program in Gynecology and Obstetrics, School of Medicine, Pontifical Catholic University of Ecuador, Quito, Ecuador.
Rev Panam Salud Publica. 2023 Mar 31;47:e58. doi: 10.26633/RPSP.2023.58. eCollection 2023.
To describe the perspectives of health practitioners on the barriers, gaps, and opportunities that Venezuelan migrant women experienced to accessing sexual and reproductive health (SRH) services during the COVID-19 pandemic and how SRH services were affected in Quito, Ecuador.
Health practitioners involved in SRH services at nine public health care facilities in three zones of Quito were surveyed. The Minimum Initial Service Package readiness assessment tool survey, available from the Inter-Agency Working Group on Reproductive Health in Crisis, was adapted for use and data collection in Ecuador.
Of 297 respondents, 227 were included in the analysis. Only 16% of the health practitioners agreed that discrimination against migrant Venezuelans women occurred in the health care system. Of those, only 2.3% described specific conditions associated with discrimination, including requiring identification documents (7.5%) and lack of empathy or responsiveness (6.6%). Most (65.2%) respondents reported that the COVID-19 pandemic affected the use of SRH services by women in the general population and by Venezuelan migrant women more so (56.3%) because of more limited access to SRH services, poverty, and vulnerability. There were no differences between perceptions by levels of health care facility, except with regard to the lack of supplies, awareness of discrimination, and the belief that Venezuelan migrant women were affected more negatively than the local population.
The perception among health practitioners in Quito was that discrimination occurred infrequently during the COVID-19 pandemic despite affecting the health care system. However, some level of discrimination toward migrant Venezuelan migrant women seeking SRH services was acknowledged and may be underrepresented.
描述医疗从业者对于委内瑞拉移民妇女在新冠疫情期间获得性与生殖健康（SRH）服务时所面临的障碍、差距和机遇的看法，以及厄瓜多尔基多的SRH服务受到了怎样的影响。
对基多三个区域九家公共卫生保健机构中参与SRH服务的医疗从业者进行了调查。危机中生殖健康问题机构间工作组提供的最低初始服务包准备情况评估工具调查经改编后用于在厄瓜多尔的数据收集。
在297名受访者中，227名被纳入分析。只有16%的医疗从业者认为医疗保健系统中存在针对委内瑞拉移民妇女的歧视。其中，只有2.3%描述了与歧视相关的具体情况，包括要求提供身份证件（7.5%）以及缺乏同理心或响应能力（6.6%）。大多数（65.2%）受访者报告称，新冠疫情影响了普通人群中妇女以及委内瑞拉移民妇女对SRH服务的使用，后者受影响更大（56.3%），原因是获得SRH服务的机会更有限、贫困和脆弱性。除了在物资短缺、对歧视的认知以及认为委内瑞拉移民妇女比当地人口受到更负面的影响方面，不同级别的医疗保健机构的看法没有差异。
基多的医疗从业者认为，尽管新冠疫情影响了医疗保健系统，但歧视在疫情期间并不常见。然而，对寻求SRH服务的委内瑞拉移民妇女存在一定程度的歧视是得到承认的，而且可能未得到充分反映。
