在尼泊尔资源有限的环境中,确定以人权为基础的艾滋病毒感染妇女计划生育方法的关键瓶颈

IF 1.2 Q4 HEALTH POLICY & SERVICES
Govinda Prasad Dhungana, Dwij Raj Bhatta, Wei-Hong Zhang
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引用次数: 0

摘要

目的 在尼泊尔,从人权角度提供计划生育(FP)服务并不广为人知。本研究旨在评估 2020 年计划生育:本研究采用自行设计的问卷进行横断面调查。为了评估避孕药具使用情况与自变量之间的关联,本研究使用社会科学统计软件包(SPSS)V.20 计算了调整后的奇数比(AOR)和 95% 的置信区间(CI)。分别有 43.7%、23.4% 和 19.7%的参与者实行了代理/自主、透明/问责和发言权/参与。丈夫的支持(AOR = 4.263;95% CI:1.640-11.086)、当地 FP 服务的可获得性(AOR = 2.497;95% CI:1.311-4.754)、就业(AOR = 3.499;95% CI:1.186-10.328)和产后(AOR = 0.103;95% CI:0.023-0.475)与避孕有显著关系。研究局限性/影响未对保健提供者和项目管理人员的观点进行研究。实际意义本研究的结果将有助于制定基于人权的计划生育战略计划。社会影响扩大获得避孕信息和服务的途径,加强自主性、问责制和参与性,是以人权为基础的计划生育方法的关键。原创性/价值本研究发现,咨询不足、无法获得全套避孕方法、自主性低、问责制和参与性低,是实现以人权为基础的计划生育方法的关键瓶颈。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identification of key bottlenecks in human rights-based approach to family planning among HIV-infected women in a resource-restricted setting of Nepal
Purpose Family planning (FP) services through the lens of human rights are not well known in Nepal. This study aims to assess Family Planning 2020: Rights and Empowerment Principles for Family Planning and identify factors affecting contraceptive use among HIV-infected women living in rural Far Western Nepal. Design/methodology/approach This study conducted a cross-sectional survey using self-designed proforma. To assess the association between contraceptive use and independent variables, this study calculated adjusted odd ratio (AOR) with 95% confidence interval (CI) using statistical package for social sciences (SPSS) V.20. Findings Only 37.8% of participants had access to full range of contraceptive methods, and only 57.5% of participants received proper counseling. Agency/autonomy, transparency/accountability and voice/participation were practiced by 43.7%, 23.4% and 19.7% of participants, respectively. Husband’s support (AOR = 4.263; 95% CI: 1.640–11.086), availability of FP services in their locality (AOR = 2.497; 95% CI: 1.311–4.754), employment (AOR = 3.499; 95% CI: 1.186–10.328) and postpartum period (AOR = 0.103; 95% CI: 0.023–0.475) were significantly associated with contraceptive use. Research limitations/implications Health-care providers’ and program managers’ perspectives were not examined. Practical implications Findings of this study will be useful for making strategic plan on human rights-based approach to FP. Social implications Expanding access to contraceptive information and services and strengthening autonomy, accountability and participation are key to human rights-based approach to FP. Originality/value This study identified that inadequate counselling, nonavailability of full range of contraceptive methods, low level of autonomy, accountability and participation were key bottlenecks in fulfilling human rights-based approach to FP.
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来源期刊
CiteScore
2.90
自引率
7.10%
发文量
48
期刊介绍: nternational Journal of Human Rights in Healthcare (IJHRH) is an international, peer reviewed journal with a unique practical approach to promoting race equality, inclusion and human rights in health and social care. The journal publishes scholarly and double blind peer-reviewed papers of the highest standard, including case studies and book reviews. IJHRH aims include: -To explore what is currently known about discrimination and disadvantage with a particular focus on health and social care -Push the barriers of the human rights discourse by identifying new avenues for healthcare practice and policy internationally -Create bridges between policymakers, practitioners and researchers -Identify and understand the social determinants of health equity and practical interventions to overcome barriers at national and international levels. The journal welcomes papers which use varied approaches, including discussion of theory, comparative studies, systematic evaluation of interventions, analysis of qualitative data and study of health and social care institutions and the political process. Papers published in IJHRH: -Clearly demonstrate the implications of the research -Provide evidence-rich information -Provoke reflection and support critical analysis of both challenges and strengths -Share examples of best practice and ‘what works’, including user perspectives IJHRH is a hugely valuable source of information for researchers, academics, students, practitioners, managers, policy-makers, commissioning bodies, social workers, psychologists, nurses, voluntary sector workers, service users and carers internationally.
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