Towards safe abortion access: an exploratory study of medical abortion in Cambodia
Towards safe abortion access: an exploratory study of medical abortion in Cambodia
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DOI：
10.1016/s0968-8080(14)43826-6
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发表时间：
2015-02-01
影响因子：
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通讯作者：
Delvaux, Therese
中科院分区：
文献类型：
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作者：
Petitet, Pascale Hancart;Ith, Leakhena;Delvaux, Therese
2010年，经卫生部批准，药物流产组合包Medabon（含有米非司酮和米索前列醇）在柬埔寨的药店和数量有限的卫生设施中提供。本文中提出的定性研究是在2012年进行的，作为2008年至2012年期间与生殖健康和生育调节相关的长期人种学研究的后续研究。在几个诊所和药房进行了观察，并对参加MSI柬埔寨两个中心的20名妇女和通过社交网络确定的10名妇女进行了有目的的抽样深入访谈; 6名男子（妇女的男性伴侣）;两个MSl中心的8名保健提供者和私人或非正规药房的4名药丸销售者（他们也在私人诊所提供保健服务）。虽然药品销售商和供应商的培训水平各不相同，但他们对药物流产方案、正确用法和常见副作用的了解都很好。总体而言，妇女对所提供的服务感到满意。在这项研究中，药物流产并不总是一个仅限女性的过程，因为一些男性伴侣也参与了护理过程。该研究表明，柬埔寨正在采取积极步骤，使堕胎安全，防止和减少不安全堕胎做法。(C)2015生殖健康问题
In 2010, following its approval by the Ministry of Health, the medical abortion combination pack Medabon (containing mifepristone and misoprostol) was made available at pharmacies and in a restricted number of health facilities in Cambodia. The qualitative study presented in this paper was conducted in 2012 as a follow-up to longer-term ethnographical research related to reproductive health and fertility regulation between 2008 and 2012. Observations were carried out at several clinic and pharmacy sites and in-depth interviews were conducted with a purposive sample of 20 women who attended two MSI Cambodia centres and 10 women identified through social networks; six men (women's male partners); eight health care providers at the two MSl centres and four pill sellers at private or informal pharmacies (who also provided health care services in private clinics). Although the level of training among the drug sellers and providers varied, their knowledge about medical abortion regimens, correct usage and common side effects was good. Overall, women were satisfied with the services provided. Medical abortion was not always a women-only process in this study as some male partners were also involved in the care process. The study illustrates positive steps forward being taken in making abortion safe and preventing and reducing unsafe abortion practices in Cambodia. (C) 2015 Reproductive Health Matters