达卡城市贫民区移民妇女获得和利用生殖健康服务的情况:一项定性研究。

IF 1.8 3区 医学 Q2 FAMILY STUDIES
Culture, Health & Sexuality Pub Date : 2024-09-01 Epub Date: 2024-01-27 DOI:10.1080/13691058.2024.2302052
Ishrat Jahan, Myriam Vuckovic, Selima Sara Kabir, Sabina Faiz Rashid, Jennifer Bouey
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引用次数: 0

摘要

本研究探讨了移民对生活在孟加拉国达卡非正规定居点的妇女获得和利用性健康和生殖健康服务的影响。我们于 2019 年 3 月和 4 月对从农村地区迁移到达卡的妇女(18-49 岁)进行了 16 次深入访谈。她们报告称,在从国家获得极少支持的同时,经济仍无保障。所有妇女都表示在获得正规性健康和生殖健康服务方面存在经济和基础设施障碍,她们倾向于通过贫民窟内的社会网络和非正规医疗服务机构寻求资源和支持。与新移民相比,在贫民窟居住时间较长的妇女更容易利用社会网络和资源获得性健康和生殖健康服务。妇女在尝试使用避孕药具方面有更大的自主权,但在怀孕期间和寻求保健服务时,她们在做决定方面的权力较小。月经健康是公共卫生中被忽视的一个方面。研究表明,针对城市贫民的公共卫生政策需要解决非正规居住区的移民妇女所面临的独特挑战,以纠正医疗服务中的不公平现象,因为这些不公平现象使相当一部分城市贫民落在后面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reproductive health service access and utilisation among migrant women in Dhaka's urban slums: a qualitative study.

This study explores the impact of migration on the access and utilisation of sexual and reproductive health services by women living in an informal settlement in Dhaka, Bangladesh. A total of 16 in-depth interviews were conducted in March and April of 2019 with women (18-49 years old) who had migrated from rural areas to Dhaka. They reported continued economic insecurity while receiving minimal support from the state. All women reported financial and infrastructural barriers to accessing formal sexual and reproductive health services and tended to seek resources and support through social networks within the slum and from informal health services. Compared with more recent migrants, women who had migrated and resided in the slums for longer found it easier to utilise social networks and resources for sexual and reproductive health. Women had more agency in experimenting with contraceptives but had less power in making decisions during pregnancy and when seeking health care. Menstrual health was a neglected aspect of public health. The study indicates that public health policy targeting the urban poor needs to address the unique challenges faced by migrant women in informal settlements to rectify inequities in health services that leave significant portions of the urban poor population behind.

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来源期刊
CiteScore
4.60
自引率
4.50%
发文量
80
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