Development of an Intervention to Support Reproductive Health of Women after Seeking Medical Abortion in Cambodia: Research Protocol
Development of an Intervention to Support Reproductive Health of Women after Seeking Medical Abortion in Cambodia: Research Protocol
复制标题
制定干预措施以支持柬埔寨寻求药物流产后妇女的生殖健康：研究方案
DOI：
--
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Christopher D. Smith
中科院分区：
文献类型：
--
作者：
Elisa Oreglia;Sokhey Ly;Camille Tijamo;Amra Ou;C. Free;Christopher D. Smith
背景
在柬埔寨，自1997年以来，在怀孕的头三个月内，堕胎是合法的，但虽然人工流产和药物流产的妇女比例有所增加，但说她们在堕胎时得到保健工作者帮助的妇女比例也有所下降。这些数据指向堕胎的“非医疗化”，尽管MA已被证明是安全的，但鉴于提供的各种产品和咨询，人们对安全性感到担忧。这些问题与工厂女工特别相关，她们通常来自农村地区，在那里获得良好的保健和生殖保健信息的机会有限。
目的
该项目旨在从多学科和混合方法的角度了解柬埔寨服装厂女工在接受生殖健康护理后的生殖健康需求，重点是她们如何寻求和分享生殖健康护理和健康相关信息，她们如何为此目的和其他目的使用移动的电话，生殖健康方面存在哪些文化挑战，以及移动的电话如何扩大或减轻这些挑战，围绕医疗保健和移动的电话使用的语言挑战。该研究的主要目的是联合收割机多学科的方法，理论和专业知识，以获得新的，基于文化的见解计划生育和MA在柬埔寨，但调查结果可以帮助通知相关干预措施的发展，以支持全面的堕胎后护理。
方法
建议的方法是对工厂工人、保健提供者和移动的电话提供者进行访谈和参与观察;对相关数据（访谈记录、在线来源和其他实地工作材料）进行语言分析;采用数字方法了解柬埔寨在线存在哪些关于千年评估的信息，以及目标人群如何获得/获取这些信息。
结果
该项目的数据收集部分于2020年12月31日结束。该团队对工厂女工、寻求药物流产的妇女、医疗服务提供者、移动的电话提供者进行了67次半结构化访谈;对工厂工人和医疗服务提供者进行了参与观察;分析了Youtube和Facebook，以了解哪些信息可用，谁创建了这些信息，以及如何使用这些信息。该团队目前正在进行数据分析，结果集中在1。使用移动的电话和数字资源获取健康相关和MA相关信息，2.护理经验和3。通过寓教于乐的视频进行干预。
结论
该项目强调了利用数字平台（特别是Youtube和Facebook）传播千年生态系统评估准确信息的广泛未开发潜力，以及通过移动的电话提供个人信息同时尊重个人隐私的挑战。
Background
In Cambodia, abortion has been legally available on request during the first trimester of pregnancy since 1997, but while there has been an increase in the percentage of women having induced abortion and medical abortion (MA), there has also been a decrease in the percentage of women who say they received help from a health worker with their abortion. These data point towards the ‘demedicalisation’ of abortion, and although MA has been shown to be safe, there are concerns around safety, given the variety of available products and counseling provided. These concerns are particularly relevant for female factory workers, who typically come from rural areas where access to good healthcare and information to reproductive healthcare is limited.
Objective
This project aims at understanding Cambodian female garment factory workers reproductive health needs after MA from a multi-disciplinary and mixed methods perspective, focusing on how they seek and share MA and health-related information, how they use their mobile phones for this and other purposes, what cultural challenges exist around reproductive health and how they might be magnified or mitigated by mobile phones, linguistic challenges around healthcare and mobile phone use. The main purpose of the research is to combine multi-disciplinary methods, theories, and expertise to gain new, culturally-grounded insights into family planning and MA in Cambodia, but the findings could help inform the development of a relevant intervention to support comprehensive post-abortion care.
Methods
The methods proposed are interviews and participant observation among factory workers, health providers and mobile phone providers; linguistic analysis of relevant data (interview transcripts, online sources and other fieldwork material); digital methods to understand what kind of information about MA exists online in Cambodia, and how accessible/accessed it is by the targeted population.
Results
The data collection part of the project ended on 31/12/2020. The team conducted 67 semi-structured interviews with female factory workers, women who sought medical abortion, health providers, mobile phone providers; participant observation with factory workers and health providers; analysis of Youtube and Facebook to understand what kind of information is available, who creates it, and how it is used. The team is currently doing data analysis, and findings are clustered around 1. Use of mobile phones and digital resources for health-related and MA related information, 2. Experience of MA care and 3. Development of an intervention through edutainment videos.
Conclusions
The project highlighted both the widely untapped potential of using digital platforms (especially Youtube and Facebook) to distribute accurate information on MA, and the challenges in providing individual information via mobile phones while respecting individuals’ privacy.