新冠疫情对乌干达接受瘘管修复手术妇女的性别化社会经济影响。
The gendered socioeconomic impact of the COVID-19 pandemic on women with fistula repair in Uganda.
作者信息
Tilahun Mekaleya, Costantini Mariko, Nalubwama Hadija, Barageine Justus K, Nalubega Florence, Muleledhu Andrew, El Ayadi Alison M
机构信息
School of Medicine, University of California San Francisco, San Francisco, CA, USA.
University of California, Berkeley, Berkeley, CA, USA.
出版信息
Adv Glob Health. 2023;2(1). doi: 10.1525/agh.2023.1825767. Epub 2023 May 9.
Public health mitigation strategies for SARS-COV-2 are effective in limiting the spread of COVID-19; however, these restrictions can create gendered socioeconomic impacts and further isolate marginalized communities from essential resources. Our qualitative study aimed to understand the gendered effects of the COVID-19 lockdown on a population of women in Uganda with a history of prior obstetric fistula repair, a group experiencing greater vulnerability and less support due to intersecting stigmatized identities. We conducted in-depth interviews among 30 women with prior genital fistula and corrective fistula repair surgery at 3 hospitals in Southern Uganda. We found that COVID-19 lockdown measures caused both financial and health-related impacts in this community such as inaccessibility of healthcare and loss of income. Understanding these experiences should inform strategies to ensure equitable, future pandemic responses.
针对严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的公共卫生缓解策略在限制2019冠状病毒病（COVID-19）传播方面是有效的；然而，这些限制可能会产生性别化的社会经济影响，并使边缘化社区进一步与基本资源隔绝。我们的定性研究旨在了解COVID-19封锁对乌干达一群有既往产科瘘修补史的妇女的性别化影响，这一群体由于多重受污名化身份而面临更大的脆弱性且获得的支持较少。我们在乌干达南部的3家医院对30名有既往生殖器瘘和瘘修补矫正手术史的妇女进行了深入访谈。我们发现，COVID-19封锁措施给这个社区带来了经济和健康方面的影响，比如难以获得医疗服务和收入损失。了解这些经历应为确保未来公平应对疫情的策略提供参考。
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