乌干达Kaabong区Ik社区在获得性健康和生殖健康服务方面的需求和障碍

Mukasa Samuel, Omona Kizito
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引用次数: 1

摘要

背景:伊克族是乌干达Kaabong地区的少数民族。他们是最被边缘化的群体。此外,人们对他们认为的性健康和生殖健康需求以及获得性健康和生殖健康服务的障碍知之甚少。目的:确定Ik社区获得性健康和生殖健康服务的感知需求和障碍。材料和方法:采用横断面分析设计,定量和定性(混合方法)。数据的收集采用关键信息者访谈、焦点小组讨论和半结构化问卷。随机选择的345名参与者的样本。定性分析是专题分析,而社会科学家统计软件包(SPSS)是定量分析。结果:Ik感知的SRH需求为;获得性健康和生殖健康信息的渠道有限,缺乏对性别暴力的保护,以及缺乏全面的安全孕产方案。获得性健康和生殖健康服务的限制主要是由于贫困、可获得的性健康和生殖健康服务范围有限、距离卫生设施很远、卫生工作者态度差、文化、道路网络差和语言障碍。个人因素;婚姻年限(p=0.047)、性伴侣数量(p=0.041)、住房结构类型(p=0.039)、经济活动(p=0.009)与获得性健康和生殖健康服务显著相关。结论:Ik社区的SRH需求仍然不足
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Perceived Needs and Barriers to Accessing Sexual Reproductive Health (SRH) Services Among the Ik Community, Kaabong District, Uganda
Background: The Ik are minority group of people in Kaabong district, Uganda. They are the most marginalized. In addition, little is known about their perceived SRH needs and barriers to accessing SRH services.Objective: To determine perceived needs and barriers to accessing SRH services by the Ik community.Material and Methods: A cross-sectional analytical design with analytical was used, both quantitative and qualitative (mixed methods). Data was collected using key informant interviews, focus group discussions and semi-structured questionnaires. Sample of 345 participants selected randomly and purposively. Qualitative analysis was thematic whereas Statistical Package for Social Scientists (SPSS) was for quantitative analysis.Results: Perceived SRH needs of the Ik were; limited access to SRH information, lack of protection from gender-based violence and lack of access to comprehensive safe motherhood programs. Access to SRH services was limited mainly by poverty, limited range of available RH services, long distances to health facilities, poor attitudes of health workers, culture, poor road networks and language barriers. Individual factors; period in marriage (p=0.047), number of sex partners (p=0.041), type of house structure one lived in (p=0.039), economic activity (p=0.009) were significantly associated with access of SRH services.Conclusion: SRH needs of the Ik community is still wanting
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