2023 年埃塞俄比亚西南部吉马镇公共卫生机构中妇女对注射避孕药具偏好的体验。现象学研究设计

IF 1.8 Q3 OBSTETRICS & GYNECOLOGY Open access journal of contraception Pub Date : 2024-02-01 DOI:10.2147/OAJC.S443453
Yohannes Lemu, Y. Terfa, Lensa Inkosa, Ahmed Mohammed, Geremu Yadeta, Yidnekachew Tulu, Desalegn Negari, Yiftusira Mamo, A. Mamo
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摘要

背景 避孕是使个人能够决定是否以及何时生育的信息、设备和药物。它是一种具有成本效益的限制生育和间隔生育的方法。在埃塞俄比亚,现代避孕药具的普及率正在上升,其中注射避孕药具的普及率较高。然而,目前尚不清楚妇女为何选择注射避孕。目的 探讨 2023 年埃塞俄比亚西南部吉马镇公共卫生机构中妇女对避孕药具偏好的经验。方法 采用解释性现象学研究设计。研究对象为年龄在 18 至 49 岁之间、使用注射式避孕药具超过一年的女性。我们使用开放式结构化访谈指南,通过深度访谈收集数据。我们采用了目的性抽样技术,从吉马镇随机抽取的三家公共卫生机构中选出了 12 名参与者。音频数据被逐字转录为 word 文件,最后使用 Atlas.ti 7.0 软件进行编码和分类。结果 12 名在过去一年中一直使用注射避孕药的妇女参与了本研究。宗教信仰、担心副作用、访问阿拉伯国家和以前的避孕经历是受访者选择注射避孕方法的主要原因。这项研究表明,妇女在使用注射避孕药具时既有积极影响,也有消极影响。大多数受访者在开始使用注射避孕药具后感到舒适和愉悦,没有遇到任何与健康有关的问题。结论 影响受访者选择注射避孕方法的主要因素包括对副作用的恐惧、宗教信仰、前往阿拉伯国家和以前的避孕经历。尽管有少数妇女报告了轻微的不良反应,但大多数受访者对注射避孕法感到放心和满意,并表示在健康方面没有遇到实质性困难。因此,要改用长效避孕方法,就必须增加妇女对避孕药具的了解。
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Women’s Experiences on Injectable Contraceptive Preference Among Jimma Town Public Health Facilities, Southwest Ethiopia 2023. A Phenomenological Study Design
Background Contraception is the information, devices, and medications that enable individuals to decide whether and when to have children. It is a cost-effective method of limiting and spacing childbirth. In Ethiopia, the prevalence of modern contraceptives is increasing, and injection contraceptives represent a high prevalence. However, it is unclear why the women preferred injection contraception. Objective To explore Women’s experiences on contraceptive preference among Jimma town public health facilities, southwest Ethiopia, 2023. Methods An interpretative phenomenological study design was employed. Women aged between 18 and 49 who have been using injectable contraceptives for more than one year were our study population. Data were collected through in-depth interviews using an open-ended, structured interview guide. The purposive sampling technique was used to select 12 participants from three randomly selected public health facilities in Jimma town. Audio data were transcribed verbatim into word files, and finally, Atlas.ti 7.0 software was used to facilitate coding and categorizing. Results Twelve women who have been using injectable contraceptives for the last year were involved in this study. Religious beliefs, fear of side effects, visiting Arab countries, and previous contraceptive experiences were the main reasons for respondents to prefer injectable contraceptive methods. This study revealed that women were experiencing positive and negative effects while using injection contraceptives. The majority of the respondents felt comfortable and pleased and had not encountered any health-related issues since beginning to use injection contraceptives. Conclusion The key factors influencing respondents’ preference for injection methods of contraception included fear of side effects, religious convictions, travel to Arab nations, and prior contraceptive experiences. The majority of respondents felt at ease and pleased and reported no substantial health difficulties associated with injection contraception, despite a few women reporting minor adverse effects. Therefore, switching to long-acting methods of contraception necessitates increased women’s understanding of contraceptives.
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