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在布基纳法索城市中识别和解决少女避孕使用率低的障碍:一项定性研究的证据。

Identifying and addressing barriers to contraception uptake among adolescent girls in urban Burkina Faso: Evidence from a qualitative study.

机构信息

International Center for Research on Women.

出版信息

Afr J Reprod Health. 2022 Dec;26(12s):119-126. doi: 10.29063/ajrh2022/v26i12s.13.

DOI:10.29063/ajrh2022/v26i12s.13
PMID:37585167
Abstract

Several barriers drive low uptake of contseraception among adolescents. This study investigates the effectiveness of (re)solve, a school-based program in Burka Faso, to overcome barriers to contraception uptake and facilitate the development of intention to use it. This paper presents qualitative endline findings from a mixed-methods longitudinal study conducted between 2019 and 2020 in two urban sites using in-depth interviews with girl participants and implementers, and key informant interviews with local stakeholders. We found that adolescent girls in the target group are likely to soon become sexually active but may be underestimating this risk. We also identified three key barriers to access to contraception in the study sites: misinformation and fear of side effects of contraception, stigma and negative attitudes, and a lack of youth-friendly sexual and reproductive health services. We conclude that the school-based (re)solve program was able to address barriers and spark contraceptive interest among participant girls.

摘要

几种障碍导致青少年对避孕措施的接受率较低。本研究调查了(再)解决这一基于学校的项目在布基纳法索的效果,以克服避孕措施接受的障碍,并促进使用它的意愿的发展。本文介绍了一项混合方法纵向研究的定性终线结果,该研究于 2019 年至 2020 年在两个城市地点进行,研究方法包括对目标群体中的女孩参与者和实施者进行深入访谈,以及对当地利益攸关方进行关键人物访谈。我们发现,目标群体中的少女很可能很快就会有性行为,但可能低估了这种风险。我们还确定了研究地点中获得避孕措施的三个主要障碍:避孕措施的信息错误和对副作用的恐惧、污名化和负面态度,以及缺乏对青年友好的性健康和生殖健康服务。我们的结论是,基于学校的(再)解决方案能够解决障碍,并激发参与者女孩对避孕的兴趣。

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