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在尼日利亚阿布贾,利用移动技术干预解决境内流离失所者获取计划生育服务的障碍。

Addressing barriers to accessing family planning services using mobile technology intervention among internally displaced persons in Abuja, Nigeria.

作者信息

Sampson Sidney, Oni Folake, Ayodeji Oluwafisayo, Oluwatola Toluwani, Gab-Deedam Shiva, Adenipekun Oluwatosin, Adenipekun Adebisi, Atobatele Sunday

机构信息

Sydani Group, Abuja, Nigeria.

出版信息

AJOG Glob Rep. 2023 Jul 2;3(3):100250. doi: 10.1016/j.xagr.2023.100250. eCollection 2023 Aug.

DOI:10.1016/j.xagr.2023.100250
PMID:37528838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10388839/
Abstract

BACKGROUND

Inadequate access to sexual and reproductive health services is prevalent among women of reproductive age in internally displaced people's camps. To address this, we implemented a mobile technology intervention, known as the Linking Underserved Populations to Sexual and Reproductive Health Services, in the Wassa Internally Displaced People's camp, Abuja, Nigeria.

OBJECTIVE

This study aimed to assess the impact of the Linking Underserved Populations to Sexual and Reproductive Health Services Intervention in improving sexual and reproductive health services among women of reproductive age in Wassa Internally Displaced People's camp.

STUDY DESIGN

A baseline survey was conducted among 105 women of reproductive age in the Wassa camp, followed by the deployment of the Linking Underserved Populations to Sexual and Reproductive Health Services intervention, which delivered family planning messages to camp residents between September 2020 and June 2021. This was followed by an endline survey. The FP utilization data in the camp health post were mined during the period of the intervention and were analyzed using Stata version 15 with a chi-square test performed at a significance level of 5%.

RESULTS

Awareness of family planning among women of reproductive age in Wassa camp increased from 54.2% at baseline to 98% at endline. The major reason for refusal of family planning at baseline, which was a lack of spousal consent reduced from 29.5% to 7% at endline. Contraceptive prevalence rate increased from 18.1% at baseline to 26.2% at endline. In addition, 133 new family planning users were recorded at the endline. The uptake of family planning services recorded a strong association with family planning consultations (<.05; χ2=6.41) and receipt of bulk short message service (<.05; χ2=4.90).

CONCLUSION

Mobile technology interventions are a recommended strategy that can increase family planning awareness and address barriers to family planning uptake.

摘要

背景

在境内流离失所者营地中,育龄妇女难以获得性与生殖健康服务的情况普遍存在。为解决这一问题,我们在尼日利亚阿布贾的瓦萨境内流离失所者营地实施了一项移动技术干预措施,即“将服务不足人群与性与生殖健康服务相联系”。

目的

本研究旨在评估“将服务不足人群与性与生殖健康服务相联系”干预措施对改善瓦萨境内流离失所者营地育龄妇女的性与生殖健康服务的影响。

研究设计

在瓦萨营地对105名育龄妇女进行了基线调查,随后部署了“将服务不足人群与性与生殖健康服务相联系”干预措施,该措施在2020年9月至2021年6月期间向营地居民传递了计划生育信息。之后进行了终线调查。在干预期间收集了营地卫生站的计划生育利用数据,并使用Stata 15版本进行分析,进行卡方检验,显著性水平为5%。

结果

瓦萨营地育龄妇女的计划生育知晓率从基线时的54.2%提高到终线时的98%。基线时拒绝计划生育的主要原因,即缺乏配偶同意,从29.5%降至终线时的7%。避孕普及率从基线时的18.1%提高到终线时的26.2%。此外,终线时记录了133名新的计划生育使用者。计划生育服务的接受情况与计划生育咨询(<.05;χ2 = 6.41)和接收批量短信服务(<.05;χ2 = 4.90)有很强的关联。

结论

移动技术干预是一种推荐策略,可提高计划生育知晓率并消除计划生育接受方面的障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f1/10388839/a494159b2104/gr7.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f1/10388839/842b4a7f4daf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f1/10388839/b9cf126c40b4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f1/10388839/f2067d838e86/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f1/10388839/5c6bc837f629/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f1/10388839/79e915e2b08d/gr5.jpg
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