Women's reproductive health needs in Russia: what can we learn from an intervention to improve post-abortion care?
Women's reproductive health needs in Russia: what can we learn from an intervention to improve post-abortion care?
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DOI：
10.1093/heapol/czm003
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发表时间：
2007-03-01
影响因子：
3.2
通讯作者：
Potemkina, R.
中科院分区：
文献类型：
--
作者：
David, P. H.;Reichenbach, L.;Potemkina, R.
在俄罗斯，堕胎是控制生育率的一种常见手段，这一点已经得到了充分的证明。妇女在整个生育过程中反复堕胎，但最近对俄罗斯联邦堕胎趋势的研究表明，堕胎率正在下降，现代避孕药具的使用率正在增加，妇女不喜欢堕胎作为控制生育的一种方法。本文利用1999年至2003年在俄罗斯三个城市的妇女保健机构收集的数据，报告了改善堕胎后护理的干预措施的评估结果，结果表明，堕胎后避孕咨询显著增加，但再次堕胎的妇女就诊率没有下降。调查结果表明，女性声称的现代医学避孕方法的偏好与她们寻求堕胎的行为之间存在差异。对这些数据的进一步研究表明，某些妇女比其他妇女更频繁地诉诸堕胎，并指出需要对这些妇女进行更有针对性的调查。这些结果表明了改变这一相对普遍和长期的做法的复杂性，并对改善生殖健康服务产生了影响。满足俄罗斯妇女的生殖健康需求不仅需要改善提供者和服务对象的知识，而且可能还需要比在其他情况下更有重点地提供以服务对象为中心的护理。
It has been well documented that abortion is a common means of controlling fertility in Russia. Women undergo repeat abortions throughout their reproductive lives, but recent studies of abortion trends in the Russian Federation suggest that abortion rates are on the decline, use of modern contraceptives is increasing, and women dislike abortion as a method of fertility control. Using data collected during 1999-2003 in women's health facilities in three Russian cities, this paper reports the results of an evaluation of interventions to improve post-abortion care, which show an impressive increase in post-abortion contraceptive counselling but no reduction in the rate at which women present at clinics for repeat abortions. The findings indicate a discrepancy between women's stated preferences for modern medical contraceptive methods and their abortion-seeking behaviour. Further exploration of these data suggests that certain women resort to abortion with greater frequency than others, and points to the need for a more focused investigation of these women. These results indicate the complexities associated with changing what has been a relatively common and long-standing practice, and have implications for improving reproductive health services. Meeting the reproductive health needs of Russian women requires not only improved provider and client knowledge but may also demand a more focused delivery of client-centred care than may be the case in other settings.