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满足埃塞俄比亚不孕妇女的康复需求:行动时刻已至。

Addressing the Rehabilitation Needs of Women Experiencing Infertility in Ethiopia: Time for Action.

作者信息

Araya Bilen Mekonnen, Velez Maria P, Gelaye Kassahun Alemu, Dyer Silke, Aldersey Heather M

机构信息

Department of Rehabilitation Science, School of Rehabilitation Therapy, Queen's University, 31 George St., Kingston, ON K7L 3N6, Canada.

Department of Clinical Midwifery, School of Midwifery, University of Gondar, Gondar P.O. Box 196, Ethiopia.

出版信息

Int J Environ Res Public Health. 2024 Apr 13;21(4):475. doi: 10.3390/ijerph21040475.

Abstract

The psychological, social, and financial disabilities caused by infertility are significant for women, particularly those living in low- and middle-income countries such as Ethiopia. Although rehabilitation can be an important form of support for such women, infertility is frequently overlooked as a disability or potential target of rehabilitation interventions. This study aimed to determine what rehabilitation-related services and supports are available for women experiencing infertility in Ethiopia. We used an Interpretive Description design. We purposefully selected fourteen rehabilitation, medical, and policy service providers from diverse institutions across three geographical locations. We used semi-structured questions during our in-person and telephone interviews. The data were analyzed using reflexive thematic analysis with the assistance of NVivo. We identified five main themes, including (a) policies related to infertility, (b) the concept that disabilities are physically visible fails to recognize infertility, (c) the need for rehabilitation services for women with infertility, (d) the importance of wellness services for women experiencing infertility, and (e) the role of religion in rehabilitation services. In conclusion, it is essential to strengthen the policies around infertility, incorporate rehabilitation services in fertility care, and view infertility as a disabling condition for women who experience it in Ethiopia.

摘要

不孕症所导致的心理、社会和经济障碍对女性来说影响重大,尤其是对于生活在埃塞俄比亚等低收入和中等收入国家的女性。尽管康复治疗可以成为帮助这些女性的一种重要支持形式,但不孕症却常常被忽视,未被视为一种残疾或康复干预的潜在目标。本研究旨在确定埃塞俄比亚为患有不孕症的女性提供了哪些与康复相关的服务和支持。我们采用了诠释性描述设计。我们从三个地理位置的不同机构中,有目的地挑选了14家康复、医疗和政策服务提供者。在面对面访谈和电话访谈中,我们使用了半结构化问题。在NVivo的协助下,我们通过反思性主题分析对数据进行了分析。我们确定了五个主要主题,包括:(a)与不孕症相关的政策;(b)认为残疾是身体上可见的这一观念未能认识到不孕症;(c)为患有不孕症的女性提供康复服务的必要性;(d)为患有不孕症的女性提供健康服务的重要性;以及(e)宗教在康复服务中的作用。总之,在埃塞俄比亚,加强围绕不孕症的政策、将康复服务纳入生育护理,并将不孕症视为影响女性的一种致残状况至关重要。

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