Diaz M
Centro de Pesquisas e Controle Das Doencas Materno-Infantis de Campinas, CEMICAMP, Brazil.
Adv Contracept. 1997 Jun-Sep;13(2-3):303-9. doi: 10.1023/a:1006580727579.
Fertility awareness-based methods of family planning are rarely offered through reproductive health services in Latin America, despite evidence that many women use them. Providers state that clients do not want these methods, but provider-bias is evident. Providers overestimate the difficulty of learning and using fertility awareness-based methods, and they underestimate their efficacy. Both providers and clients have difficulty dealing with sexuality (which is central to fertility awareness-based methods). Many providers lack gender sensitivity, 'worsening' the unequal relationship between providers and clients. Experience has shown that when fertility awareness-based methods are well provided, they can have a positive effect on sexuality, self-understanding, and equality in the couple's relationship.
尽管有证据表明许多女性使用基于生育意识的计划生育方法，但在拉丁美洲的生殖健康服务中，这类方法很少被提供。提供者称客户不想要这些方法，但提供者的偏见很明显。提供者高估了学习和使用基于生育意识方法的难度，并且低估了它们的功效。提供者和客户在处理性方面（这是基于生育意识方法的核心）都存在困难。许多提供者缺乏性别敏感性，使提供者与客户之间不平等的关系“恶化”。经验表明，当基于生育意识的方法得到良好提供时，它们可以对性、自我认知以及夫妻关系中的平等产生积极影响。
