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尼日利亚克罗斯河州种植园农业社区对避孕药具的认知和接受障碍:一项定性研究。

Perceptions of and barriers to uptake of contraceptives in plantation farming communities of Cross River State, Nigeria: A qualitative inquiry.

机构信息

Department of Sociology, University of Calabar, Calabar, Nigeria.

Department of Social Work, University of Calabar, Calabar, Nigeria.

出版信息

Afr J Reprod Health. 2024 Feb 28;28(2):83-95. doi: 10.29063/ajrh2024/v28i2.8.

DOI:10.29063/ajrh2024/v28i2.8
PMID:38425218
Abstract

The contraceptive use in Nigeria is relatively low, indicative of the non-adoption of contraceptives by people of reproductive age to curtail the increasing fertility rate with its attendant consequences on the family. The non-use is attributed to numerous factors, including perceptions of and attendant barriers to the uptake of contraceptives. This study was aimed at assessing the perception of and barriers to the uptake of contraceptives among residents of plantation farming communities in Cross River State, Nigeria. It was a multi-sited qualitative descriptive study conducted in three Local Government Areas (Ikom, Yakurr, and Akamkpa) in Cross River State, Nigeria between March and April 2022. Nine Focus Group Discussions (FGDs) and twelve key informant interviews (KIIs) were conducted with respondents from three plantation farming communities. The FGDs were conducted on sexually active unmarried girls, married women within the reproductive age, and married men with spouses of reproductive age. The KIIs were conducted on health care providers, village heads, youth leaders, and women leaders. The generated data were thematically analyzed using both deductive and inductive analytical approaches. Married women were deemed eligible to use contraceptives, which are viewed as a method for preventing pregnancy. The information supplied by healthcare professionals was deemed insufficient for women to make informed decisions. Fear of side effects, dysfunctional health facilities, frequent stock outs, and spousal opposition were the most significant barriers to contraceptive use. Family planning programs should be targeted more at residents of rural areas to increase awareness, dispel misconceptions, and promote contraceptive use.

摘要

尼日利亚的避孕使用率相对较低,这表明育龄人群没有采用避孕措施来降低不断增长的生育率及其对家庭带来的各种后果。避孕措施的使用率低可归因于诸多因素,包括对避孕措施的认知和接受方面存在障碍。本研究旨在评估尼日利亚克罗斯河州种植园社区居民对避孕措施的认知和接受障碍。这是一项在尼日利亚克罗斯河州三个地方政府区域(伊科姆、雅库、阿坎卡帕)进行的多地点定性描述性研究,于 2022 年 3 月至 4 月期间进行。研究对三个种植园社区的受访者进行了 9 次焦点小组讨论(FGD)和 12 次关键知情人访谈(KII)。FGD 分别在性活跃的未婚少女、育龄已婚妇女和有生育年龄配偶的已婚男子中进行。KII 在卫生保健提供者、村长、青年领袖和妇女领袖中进行。使用演绎和归纳分析方法对生成的数据进行了主题分析。已婚妇女被认为有资格使用避孕药具,因为它们被视为一种避孕方法。卫生保健专业人员提供的信息被认为不足以让妇女做出知情决策。对副作用的恐惧、功能失调的卫生设施、经常缺货以及配偶的反对是使用避孕药具的最大障碍。应该有针对性地向农村地区的居民提供计划生育方案,以提高认识、消除误解并促进避孕药具的使用。

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