Medical abortion service in rural areas of Henan Province, China: A provider survey
Medical abortion service in rural areas of Henan Province, China: A provider survey
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DOI：
10.1111/j.1447-0756.2012.02004.x
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发表时间：
2013-03-01
影响因子：
1.6
通讯作者：
Cheng, Yimin
中科院分区：
文献类型：
--
作者：
Ji, Ning;Zhou, You;Cheng, Yimin
目的：本研究的目的是探讨中国农村地区人工流产服务提供者对药物流产的知识、态度和行为。材料和方法：2009年11月至2010年5月，对河南省农村地区362名计划生育服务中心和医院的人工流产服务提供者进行了自填式问卷调查。结果：大多数提供者是女性（99.4%）和妇产科医生（63.3%）。知识得分介乎9.4至78.1分，中位数及众数均为56.3分。52.2%（189/362）的服务提供者对流产方式有偏好，30.2%（57/189）的服务提供者偏好药物流产，69.8%（132/189）的服务提供者偏好手术流产。总体而言，50.7%（174/343）的提供者表示应扩大提供药物流产，进一步扩大的三大挑战是并发症/失败增加，客户知识/意识差，以及药物/设备供应问题。在所有提供者中，分别有81.7%和92.2%的人报告他们有提供药物流产和手术流产的经验。药物流产提供者主要使用米索前列醇联合口服（81.8%）/阴道（79.6%）前列腺素（米索前列醇/吉美前列素）。结论：我国农村医务人员对药物流产知识的掌握处于中等水平。提供者更喜欢手术流产而不是药物流产。提供者在提供手术流产方面比药物流产更有经验。应努力克服未来扩大药物流产所面临的挑战。
Aim: The aim of this study was to explore the knowledge, attitudes and practices on medical abortion of abortion service providers in rural areas of China. Material and Methods: A cross-sectional study via self-administered questionnaire was conducted among 362 abortion service providers from family planning service centers (FPSC) and hospitals in rural areas of Henan Province, China, between November 2009 and May 2010. Results: Most of the providers were female (99.4%) and obstetricians/gynecologists (63.3%). The knowledge score achieved ranged from 9.4 to 78.1 points, with both the median and the mode of 56.3 points. Of the 52.2% (189/362) of providers having a preference on abortion method, 30.2% (57/189) preferred medical abortion, while 69.8% (132/189) preferred surgical abortion. In total, 50.7% (174/343) of the providers indicated the provision of medical abortion should be expanded, with the three biggest challenges in its further expansion being increased complications/failures, poor client knowledge/awareness, and problems with drug/equipment supplies. Of all the providers, 81.7% and 92.2% reported they had experience in providing medical abortion and surgical abortion, respectively. Medical abortion providers were mainly experienced in misoprostol with oral (81.8%)/vaginal (79.6%) prostaglandin (misoprostol/gemeprost). Conclusion: Knowledge on medical abortion of providers working in rural China was at a moderate level. Providers preferred surgical abortion to medical abortion. Providers have more experience in providing surgical abortion than medical abortion. Efforts should be made to overcome the perceived challenges in future expansion of medical abortion.