Barriers to Family Planning Service Utilization in Ethiopia: A Qualitative Study.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-10-01 DOI:10.4314/ejhs.v33i2.8S
Meskerem Jisso, Netsanet Abera Assefa, Akalewold Alemayehu, Anteneh Gadisa, Rekiku Fikre, Abdurezak Umer, Hussen Mohammed, Bekele Yazie, Habtamu Sime Gizaw, Biru Abdissa Mizana, Elias Ali Yesuf, Binyamm Tilahun, Berhanu Fikadie Endehabtu, Tajebew Zayede Gonete, Kassahun Dessie Gashu, Dessie Abebew Angaw, Kassu Ketema Gurmu, Alemu Tamiso
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Abstract

Background: The unmet need for family planning (FP) is a major impediment to achieving the sustainable development goal The COVID-19 pandemic and other contextual, individual, and hospital-related problems are major barriers that reduce FP service uptake. However, most of the studies are quantitative and give due focus to individual and community-level barriers. Therefore, this study tends to explore barriers to the utilization of FP in Ethiopia including health care and contextual barriers.

Methods: A multiple explorative case study design was employed from October to December 2021 and a total of 41 Key-informant interviews, 32 in-depth interviews, and 13 focus group discussions were performed by using the purposive sampling technique. The data were analyzed with a thematic content analysis approach using NVivo software.

Result: This study explored barriers to FP in four major teams; individual, community-related, health system, and contextual barriers. It reviled that the community's misconception, fear of side effects, lack of women's decision-making autonomy, existing socio-cultural norms, religious conditions, topography, covid 19 pandemic, and conflict were the major barriers to FP service utilization.

Conclusion: Using the four teams mentioned above, this study identified different poor health professional skills, misconceptions, pandemics, functional, and structurally related barriers. As a result, it is recommended that health education for the community and training for health professionals are important. Collaboration between government and non-government organizations is also mandatory for strengthening mentorship and supervision systems and establishing resilient health care that can avoid future pandemics.

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埃塞俄比亚计划生育服务利用障碍:定性研究。
背景:未满足的计划生育(FP)需求是实现可持续发展目标的主要障碍。 COVID-19 大流行以及其他与环境、个人和医院相关的问题是降低计划生育服务吸收率的主要障碍。然而,大多数研究都是定量研究,并适当关注个人和社区层面的障碍。因此,本研究倾向于探讨埃塞俄比亚使用 FP 的障碍,包括医疗保健和环境障碍:2021 年 10 月至 12 月期间,采用多重探索性案例研究设计,通过有目的的抽样技术,共进行了 41 次关键信息提供者访谈、32 次深入访谈和 13 次焦点小组讨论。使用 NVivo 软件对数据进行了主题内容分析:本研究从四个主要方面探讨了计划生育的障碍:个人障碍、社区障碍、卫生系统障碍和环境障碍。研究结果表明,社区的误解、对副作用的恐惧、妇女缺乏决策自主权、现有的社会文化规范、宗教条件、地形、科维德 19 大流行病和冲突是利用 FP 服务的主要障碍:通过上述四个小组,本研究发现了不同的卫生专业技能差、误解、流行病、功能性和结构性障碍。因此,建议对社区进行健康教育,并对卫生专业人员进行培训。政府和非政府组织之间的合作对于加强指导和监督系统以及建立可避免未来大流行病的弹性医疗保健也很重要。
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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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