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首页> 外文学位 >The public and private sector family planning supply environments and their influence on contraceptive use in urban Nigeria.
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The public and private sector family planning supply environments and their influence on contraceptive use in urban Nigeria.

机译：公共和私营部门计划生育的供应环境及其对尼日利亚城市避孕药具使用的影响。

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摘要

Background: Over 50% of the world lives in an urban area. The highest rate of urban population growth is in Sub-Saharan Africa, where fertility rates remain high. To slow population growth and improve health and well-being, family planning (FP) advocates argue for increasing the use of modern FP through improved contraceptive access and availability. However, important questions remain about the best way to promote contraceptive use in countries with high fertility.;Purpose: The overarching aim of this dissertation was to explore the influence of the urban public and private FP supply environments on modern contraceptive use.;Methods: Data from the 2010--2011 Nigeria baseline survey conducted by the Measurement, Learning & Evaluation Project were used to create and assign aggregate level FP supply index scores to nineteen local government areas (LGAs) across six selected cities of Nigeria. It explored relationships between public and private sector FP services and determined whether contraceptive access and availability in either sector was correlated with community-level wealth. Path analysis was then used to estimate the direct effects of the supply environments on modern contraceptive use. Indirect effects were also analyzed using perception of supply as a mediating variable.;Results: Data showed pronounced variability in contraceptive access and availability across LGAs in both sectors, a positive correlation between public and private sector supply environments and localized associations between the supply environments and poverty. Furthermore, after controlling for influential covariates, analyses found that a woman's perception of supply had a significant positive effect on contraceptive use, whereas her actual immediate supply environment had negligible influence.;Conclusions: The distribution of contraceptive access and availability within an urban area is not a significant indicator of contraceptive use. Contraception must be available for women once (and if) they desire to use it. However, program planners and policy makers should be aware of FP market saturation. When existing demand is met, it may be most efficacious to concentrate on means of internal influence to promote FP, such as education, media and social networking, all of which help make contraceptive use an accepted, normative behavior.
机译：背景：世界上超过50％的人居住在城市地区。城市人口增长率最高的是撒哈拉以南非洲，那里的生育率仍然很高。为了减缓人口增长并改善健康状况，计划生育（FP）倡导者主张通过改善避孕药具的可及性来增加现代FP的使用。然而，关于在高生育率国家推广避孕方法的最佳方法仍存在重要问题。目的：本论文的总体目标是探讨城市公共和私人FP供应环境对现代避孕方法的影响。由测量，学习与评估项目进行的2010--2011年尼日利亚基线调查的数据用于创建尼日利亚6个选定城市的19个地方政府区域（LGAs）的FP总体供应指数得分并将其分配。它探讨了公共和私营部门计划生育服务之间的关系，并确定了任一部门的避孕药具获取和可获得性是否与社区一级的财富相关。然后使用路径分析来估计供应环境对现代避孕药具使用的直接影响。结果：数据显示两个部门之间LGAs在避孕药具获取和可用性方面的显着变化，公共和私营部门供应环境之间的正相关以及供应环境与供应链之间的局部关联性贫穷。此外，在控制了有影响的协变量之后，分析发现，妇女对供应的感知对避孕的使用具有显着的积极影响，而其实际的直接供应环境的影响却微不足道。不是避孕药具的重要指标。妇女必须（一旦）想要使用避孕药，就必须使用避孕药。但是，计划制定者和政策制定者应该意识到计划生育市场的饱和。当满足现有需求时，最有效的方法是集中于内部影响手段来促进计划生育，例如教育，媒体和社交网络，所有这些都有助于使避孕药具成为一种公认的规范行为。

著录项

  • 作者

    Levy, Jessica K.;

  • 作者单位

    The University of North Carolina at Chapel Hill.;

  • 授予单位 The University of North Carolina at Chapel Hill.;
  • 学科 Public health.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 101 p.
  • 总页数 101
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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