Risks and Consequences: An Analysis of Unintended Pregnancies and Unsafe Abortions among Female Factory Workers in Sri Lanka

M. Suchira Suranga, Duminda Rajakaruna, Janaranga Dewasundara, Garima Sharma, Arpita Das
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Abstract

In Sri Lanka, the occurrence of unsafe abortions remains a significant issue although the country only allows abortions when a woman’s life is at risk. The Female Factory Workers (FFWs are among the groups particularly susceptible to unsafe abortions. The objective of this research is to investigate the knowledge and practices of FFWs regarding unintended pregnancies and unsafe abortion. A structured questionnaire was administered by a team of trained interviewers among randomly selected 608 FFWs of reproductive age using multi-stage cluster sampling after receiving writing informed consent. The knowledge among FFWs regarding managing unintended pregnancies and unsafe abortion is relatively limited. In particular, the knowledge of younger respondents is significantly lower compared to adults, placing them at higher vulnerability if they engage in sexual activity. The occurrence of unintended pregnancies and unsafe abortions is not uncommon within the group of FFWs who have experienced pregnancy, with rates of 22% and 7.4% respectively. Nearly half (47%) of the pregnancies reported among young FFWs were unintended. Among the 22 women who had undergone an abortion, 5 had never utilized any form of contraception, while 20 had never used Emergency Contraceptives. Focused interventions are needed to address the issue. Improving FFW’s knowledge and access to resources can benefit both workers and management in long-run.
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风险和后果:斯里兰卡女工意外怀孕和不安全堕胎的分析
在斯里兰卡,不安全堕胎的发生仍然是一个重大问题,尽管该国只允许在妇女生命有危险时堕胎。工厂女工是特别容易受到不安全堕胎影响的群体之一。本研究的目的是调查妇女在意外怀孕和不安全堕胎方面的知识和做法。在获得书面知情同意后,随机抽取608名育龄妇女,采用多阶段整群抽样的方法,由训练有素的采访者对其进行结构化问卷调查。妇女在管理意外怀孕和不安全堕胎方面的知识相对有限。特别是,与成年人相比,年轻受访者的知识明显较低,如果他们从事性活动,他们将处于更高的脆弱性。意外怀孕和不安全堕胎在有过怀孕经历的妇女群体中并不罕见,发生率分别为22%和7.4%。据报告,年轻ffw中近一半(47%)的怀孕是意外的。在22名堕胎妇女中,5名从未使用过任何形式的避孕措施,20名从未使用过紧急避孕药具。需要有重点的干预措施来解决这一问题。提高FFW的知识和获取资源的机会,从长远来看对工人和管理层都有好处。
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