Female sterilization in Nepal: A comparison of two types of service delivery
Female sterilization in Nepal: A comparison of two types of service delivery
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DOI：
10.2307/2991930
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发表时间：
1998-06-01
期刊：
影响因子：
--
通讯作者：
Friedman, M
中科院分区：
文献类型：
--
作者：
Thapa, S;Friedman, M
背景：在过去的 30 年里，外展营在尼泊尔的计划生育计划中发挥了越来越重要的作用，为大多数农村地区提供了绝育服务，否则这些服务将无法提供。然而，人们对永久性和季节性或流动服务提供地点之间的社会和人口特征以及护理质量方面的差异提出了一些担忧。 方法：从参加 1996 年尼泊尔家庭健康调查的 8,429 名 15-49 岁已婚妇女的全国代表性样本中，对 445 名在医院接受过避孕绝育的妇女和 372 名在难民营接受过避孕的妇女进行了比较，首先比较了她们的社会和人口特征、对替代避孕方法的认识。结果：尽管两组在绝育时的年龄和胎次相似，但在营地接受绝育的妇女和在医院绝育的妇女的居住地点和地区不同。大约 92% 的医院客户和 95% 的营地客户知道至少一种临时避孕方法。五分之四的医院和营地客户表示，女性绝育是他们使用过的第一种方法（分别为 80% 和 82%）。近12%在医院接受绝育手术的女性和10%在营地接受绝育手术的女性表示遗憾。结论：营地并不意味着对绝育客户的筛选不够仔细或提供的服务质量较差，而是在全年无法提供医院或诊所服务的地区，它是满足夫妇对绝育服务需求的重要手段。
Context: During the last 30 years, outreach camps have played an increasingly important role in Nepal's family planning program, by bringing sterilization services to mostly rural areas where they otherwise would not have been available. However, some concerns have been raised about differences in the social and demographic characteristics and quality of care between permanent and seasonal or mobile service delivery sites.Methods: From a nationally representative sample of 8,429 ever-married women aged 15-49 who participated in the 1996 Nepal Family Health Survey samples of 445 women who had been contraceptively sterilized in hospitals and 372 in camps were compared for their social and demographic characteristics, awareness of alternative contraceptive methods, first contraceptive method used and regret over having undergone the procedure.Results: Women who were sterilized in camp settings and those sterilized in hospitals differed in their place and region of residence, although both groups were similar in age and parity at the time of sterilization. Roughly 92% of hospital clients and 95% of camp clients knew about at least one temporary contraceptive method. Four out of five hospital and camp clients reported that female sterilization was the first method they had ever used (80% and 82%, respectively). Nearly 12% of women who were sterilized in hospitals and 10% of women who underwent the procedure in camps expressed regret.Conclusions: Camps do not imply less careful screening of sterilization clients or the provision of inferior qualify services and they represent an important means of meeting couples' demand for sterilization services in areas where hospital-or clinic-based services are not available throughout the year.