Turned Away and at Risk: Denial of Family Planning Services to Women in Malawi

IF 1.9 3区医学 Q2 DEMOGRAPHY

Studies in Family Planning Pub Date : 2022-04-05 DOI:10.1111/sifp.12192

Jill M Peterson, Jaden Bendabenda, Alexander Mboma, Mario Chen, J. Stanback, G. Gunnlaugsson

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引用次数: 3

Abstract

Abstract Family planning (FP) has been a development priority since the mid‐1990s, yet barriers to access persist globally, including women being turned away from facilities without a method. This study aimed to assess the extent of, and reasons for, FP turnaway in three districts of Malawi. In 2019, data collectors screened women exiting 30 health facilities and surveyed those who had been denied a method. Follow‐up surveys were conducted via telephone with turned away clients at six and 12 weeks postvisit. Of the 2,246 women who were screened, 562 were new or restarting users. Of these, 15% (83/562) reported having been turned away from the health facility without an FP method. Women cited 14 different reasons for turnaway; the top three were unavailability of method (34%), unavailability of a provider (17%), or a requirement to return on the scheduled FP day (15%). The multiple reasons cited for leaving the health facility without an FP method indicate that reducing turnaway will not be achieved easily. The top reasons for turnaway are related to health systems or management issues within health facilities. Facilities need additional support for staffing, training on long‐acting and permanent methods, and a consistent supply of methods.

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被拒之门外和处于危险之中:马拉维妇女拒绝接受计划生育服务

自20世纪90年代中期以来，计划生育(FP)一直是一项发展重点，但在全球范围内，获得计划生育的障碍仍然存在，包括妇女在没有方法的情况下被拒之门外。本研究旨在评估马拉维三个地区的计划生育拒绝的程度和原因。2019年，数据收集人员对30家卫生机构的妇女进行了筛查，并对那些被拒绝使用避孕方法的妇女进行了调查。随访调查在访问后6周和12周通过电话对被拒绝的客户进行。在接受筛查的2246名女性中，有562名是新用户或重新开始使用手机。其中，15%(83/562)报告在没有计划生育方法的情况下被卫生机构拒之门外。女性列举了14种不同的拒绝原因;前三名分别是方法不可用(34%)，提供者不可用(17%)，或者要求在计划生育日返回(15%)。在没有计划生育方法的情况下离开卫生机构的多种原因表明，减少转病率并不容易实现。转诊的主要原因与卫生系统或卫生设施内的管理问题有关。设施需要在人员配备、长效和永久性方法培训以及方法的持续供应方面提供额外支持。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Studies in Family Planning Multiple-

CiteScore

4.00

自引率

9.50%

发文量

期刊介绍： Studies in Family Planning publishes public health, social science, and biomedical research concerning sexual and reproductive health, fertility, and family planning, with a primary focus on developing countries. Each issue contains original research articles, reports, a commentary, book reviews, and a data section with findings for individual countries from the Demographic and Health Surveys.