DELIVERING POST-ABORTION CARE THROUGH A COMMUNITY-BASED REPRODUCTIVE HEALTH VOLUNTEER PROGRAMME IN PAKISTAN
DELIVERING POST-ABORTION CARE THROUGH A COMMUNITY-BASED REPRODUCTIVE HEALTH VOLUNTEER PROGRAMME IN PAKISTAN
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DOI：
10.1017/s0021932012000296
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发表时间：
2012-11-01
影响因子：
1.5
通讯作者：
Bilgrami, Mohsina
中科院分区：
文献类型：
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作者：
Azmat, Syed Khurram;Shaikh, Babar T.;Bilgrami, Mohsina
这项定性研究于2010年5月至6月对在研究前6个月期间使用巴基斯坦玛丽·斯托普斯协会提供的堕胎后护理服务的妇女进行，其中70%以上的妇女是由生殖健康志愿者（rhv）转介到诊所的。该研究的目的是建立客户的社会人口统计资料，确定他们首选的治疗方法，探讨他们对获得堕胎后服务障碍的看法，并了解堕胎后服务面临的挑战。样本妇女是从信德省和旁遮普省六个随机选择的地区选出的。与PAC客户进行了8次焦点小组讨论，并与rhv进行了15次深度访谈。此外，还对76名客户进行了定量离职访谈问卷。对于不完全流产和不安全流产，人们更倾向于采用药物治疗而不是手术治疗，因为人们认为这种方法“造成的痛苦较小”、“易于使用”和“并发症较少”。家庭经济影响妇女寻求流产后护理的决策。其他限制因素包括丈夫和姻亲的反对、对女性流动的限制、宗教神职人员的观点和缺乏交通工具。所有利益攸关方的参与可以确保社会认可和接受巴基斯坦提供的安全堕胎后护理服务，并提高向希望间隔怀孕的妇女提供的计划生育服务的质量。
This qualitative study was conducted in May-June 2010 with women using post-abortion care (PAC) services provided by the Marie Stopes Society in Pakistan during the six month period preceding the study, more than 70% of whom had been referred to the clinics by reproductive health volunteers (RHVs). The aim of the study was to establish the socio-demographic profile of clients, determine their preferred method of treatment, explore their perceptions of the barriers to accessing post-abortion services and to understand the challenges faced by RHVs. The sample women were selected from six randomly selected districts of Sindh and Punjab. Eight focus group discussions were conducted with PAC clients and fifteen in-depth interviews with RHVs. In addition, a quantitative exit interview questionnaire was administered to 76 clients. Medical, rather than surgical, treatment for incomplete and unsafe abortions was preferred because it was perceived to 'cause less pain', was 'easy to employ' and 'having fewer complications'. Household economics influence women's decision-making on seeking post-abortion care. Other restraining factors include objection by husbands and in-laws, restrictions on female mobility, the views of religious clerics and a lack of transport. The involvement of all stakeholders could secure social approval and acceptance of the provision of safe post-abortion care services in Pakistan, and improve the quality of family planning services to the women who want to space their pregnancies.