Health services for reproductive tract infections among female migrant workers in industrial zones in Ha Noi, Viet Nam: an in-depth assessment.
Health services for reproductive tract infections among female migrant workers in industrial zones in Ha Noi, Viet Nam: an in-depth assessment.
复制标题
DOI：
10.1186/1742-4755-9-4
复制
发表时间：
2012-02-27
影响因子：
3.4
通讯作者：
Schelling E
中科院分区：
文献类型：
--
作者：
Kim le AT;Pham LT;Vu LH;Schelling E
从农村向城市移徙的女性比例很高，因为女性移徙者在城市工业区的就业机会增加了。移徙者可能比留在村里的人更健康，他们可能受益于目的地更好的保健服务，但在目的地，由于与移徙有关的健康风险因素，这种“健康”效果可能会逆转。本研究旨在了解西东工业区外来务工女性生殖道感染的卫生保健服务需求及利用情况。横断面研究采用混合方法。对300名女性移民进行了访谈，以收集定量数据。通过两个焦点小组和20个深度访谈来收集定性数据。我们使用频率和交叉制表技术来分析定量数据，并使用定性数据进行三角测量，以提供更深入的信息。RTI患者对卫生保健服务的需求很高，因为25%的参与者有RTI综合征。只有21.6%患有生殖道感染综合征的女性移徙者曾向医疗服务机构寻求帮助。阻碍移徙者获得服务的障碍是传统价值观、工作时间长、缺乏信息和服务费用高。雇主对女性移徙者的生殖健康关心有限，地方卫生系统与企业之间的合作无效。造成这些障碍的部分原因是缺乏适合移民的健康促进方案。大多数受访者需要更多关于rti的信息，并且更愿意从雇主那里获得这些信息，因为他们通常轮班工作，并且大部分时间都在工作。虽然生殖道感染是工业区女性移徙工人中常见的健康问题，但女性移徙工人在获得生殖道感染护理服务方面存在许多障碍。本研究的结果将有助于设计弱势群体RTI的干预模式，如沟通RTI卫生保健的行为影响，促进地方卫生保健服务与雇主企业之间的合作，以及加强现场服务（如地方或企业卫生诊所）。
Rural-to-urban migration involves a high proportion of females because job opportunities for female migrants have increased in urban industrial areas. Those who migrate may be healthier than those staying in the village and they may benefit from better health care services at destination, but the 'healthy' effect can be reversed at destination due to migration-related health risk factors. The study aimed to explore the need for health care services for reproductive tract infections (RTIs) among female migrants working in the Sai Dong industrial zone as well as their services utilization. The cross sectional study employed a mixed method approach. A cohort of 300 female migrants was interviewed to collect quantitative data. Two focus groups and 20 in-depth interviews were conducted to collect qualitative data. We have used frequency and cross-tabulation techniques to analyze the quantitative data and the qualitative data was used to triangulate and to provide more in-depth information. The needs for health care services for RTI were high as 25% of participants had RTI syndromes. Only 21.6% of female migrants having RTI syndromes ever seek helps for health care services. Barriers preventing migrants to access services were traditional values, long working hours, lack of information, and high cost of services. Employers had limited interests in reproductive health of female migrants, and there was ineffective collaboration between the local health system and enterprises. These barriers were partly caused by lack of health promotion programs suitable for migrants. Most respondents needed more information on RTIs and preferred to receive these from their employers since they commonly work shifts - and spend most of their day time at work. While RTIs are a common health problem among female migrant workers in industrial zones, female migrants had many obstacles in accessing RTI care services. The findings from this study will help to design intervention models for RTI among this vulnerable group such as communication for behavioural impact of RTI health care, fostered collaboration between local health care services and employer enterprises, and on-site service (e.g. local or enterprise health clinics) strengthening.
登录
查看更多内容
影响因子：
3.6
作者：
Garcia, P. J.;Carcamo, C. P.;Holmes, K. K.
通讯作者：
Holmes, K. K.
影响因子：
3.3
作者：
Pham Thi Lan;Faxelid, Elisabeth;Lundborg, Cecilia Stalsby
通讯作者：
Lundborg, Cecilia Stalsby
影响因子：
6.7
作者：
Thomas, SL;Thomas, SD
通讯作者：
Thomas, SD
DOI：
10.1080/09540120601163078
发表时间：
2007-01-01
影响因子：
1.7
作者：
Ngo, A. D.;Ratliff, E. A.;Pham, H. T. B.
通讯作者：
Pham, H. T. B.
DOI：
10.1016/0160-7979(79)90005-5
发表时间：
1979-01-01
期刊：
SOCIAL SCIENCE & MEDICINE PART A-MEDICAL SOCIOLOGY
影响因子：
--
作者：
HULL, D
通讯作者：
HULL, D