Hawassa University, College of Medicine and Health Sciences, Ethiopia.
Dire Dawa University, College of Medicine and Health Sciences, Ethiopia.
Ethiop J Health Sci. 2023 Oct;33(Spec Iss 2):143-154. doi: 10.4314/ejhs.v33i2.8S.
The unmet need for family planning (FP) is a major impediment to achieving the sustainable development goal The COVID-19 pandemic and other contextual, individual, and hospital-related problems are major barriers that reduce FP service uptake. However, most of the studies are quantitative and give due focus to individual and community-level barriers. Therefore, this study tends to explore barriers to the utilization of FP in Ethiopia including health care and contextual barriers.
A multiple explorative case study design was employed from October to December 2021 and a total of 41 Key-informant interviews, 32 in-depth interviews, and 13 focus group discussions were performed by using the purposive sampling technique. The data were analyzed with a thematic content analysis approach using NVivo software.
This study explored barriers to FP in four major teams; individual, community-related, health system, and contextual barriers. It reviled that the community's misconception, fear of side effects, lack of women's decision-making autonomy, existing socio-cultural norms, religious conditions, topography, covid 19 pandemic, and conflict were the major barriers to FP service utilization.
Using the four teams mentioned above, this study identified different poor health professional skills, misconceptions, pandemics, functional, and structurally related barriers. As a result, it is recommended that health education for the community and training for health professionals are important. Collaboration between government and non-government organizations is also mandatory for strengthening mentorship and supervision systems and establishing resilient health care that can avoid future pandemics.
计划生育的未满足需求是实现可持续发展目标的主要障碍。COVID-19 大流行和其他背景、个人和医院相关问题是降低计划生育服务利用率的主要障碍。然而，大多数研究都是定量的，并且对个人和社区层面的障碍给予了应有的关注。因此，本研究倾向于探索埃塞俄比亚计划生育利用的障碍，包括医疗保健和背景障碍。
采用 2021 年 10 月至 12 月期间的多探索性案例研究设计，共进行了 41 次关键信息提供者访谈、32 次深入访谈和 13 次焦点小组讨论，采用目的抽样技术进行。使用 NVivo 软件对数据进行主题内容分析方法进行分析。
本研究从个人、社区相关、卫生系统和背景障碍四个主要方面探讨了计划生育的障碍。研究表明，社区的误解、对副作用的恐惧、妇女缺乏决策权、现有的社会文化规范、宗教状况、地形、COVID-19 大流行和冲突是计划生育服务利用的主要障碍。
本研究使用上述四个团队，确定了不同的卫生专业人员技能差、误解、大流行、功能和结构相关障碍。因此，建议对社区进行健康教育和对卫生专业人员进行培训非常重要。政府和非政府组织之间的合作也是必要的，以加强指导和监督系统，并建立有弹性的医疗保健系统，以避免未来的大流行。
