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首页> 美国卫生研究院文献>Taylor Francis Open Select >Availability of long-acting and permanent family-planning methods leads to increase in use in conflict-affected northern Uganda: Evidence from cross-sectional baseline and endline cluster surveys
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Availability of long-acting and permanent family-planning methods leads to increase in use in conflict-affected northern Uganda: Evidence from cross-sectional baseline and endline cluster surveys

机译：长效和永久性计划生育方法的可获得性导致在受冲突影响的乌干达北部增加使用：来自横断面基线和最终调查的证据

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Humanitarian assistance standards require specific attention to address the reproductive health (RH) needs of conflict-affected populations. Despite these internationally recognised standards, access to RH services is still often compromised in war. We assessed the effectiveness of our programme in northern Uganda to provide family planning (FP) services through mobile outreach and public health centre strengthening. Baseline (n = 905) and endline (n = 873) cross-sectional surveys using a multistage cluster sampling design were conducted in the catchment areas of four public health centres in 2007 and 2010. Current use of any modern FP method increased from 7.1% to 22.6% (adjusted odds ratio [OR] 3.34 [95% confidence interval (CI) 2.27–4.92]); current use of long-acting and permanent methods increased from 1.2% to 9.8% (adjusted OR 9.45 [95%CI 3.99–22.39]). The proportion of women with unmet need for FP decreased from 52.1% to 35.7%. This study demonstrates that when comprehensive FP services are provided among conflict-affected populations, women will choose to use them. The combination of mobile teams and health systems strengthening can make a full range of methods quickly available while supporting the health system to continue to provide those services in challenging and resource-constrained settings.
机译：人道主义援助标准需要特别关注，以解决受冲突影响人口的生殖健康（RH）需求。尽管有这些国际公认的标准，但在战争中，仍然经常无法获得生殖健康服务。我们评估了该计划在乌干达北部通过移动外展和加强公共卫生中心提供计划生育（FP）服务的有效性。在2007年和2010年，在四个公共卫生中心的集水区进行了采用多阶段整群抽样设计的基线（n = 905）和终点（n = 873）横断面调查。当前使用的任何现代FP方法均从7.1％增加至22.6％（调整后的优势比[OR] 3.34 [95％置信区间（CI）2.27-4.92]）；目前，长效和永久性方法的使用率从1.2％增加到9.8％（调整后的OR为9.45 [95％CI 3.99-22.39]）。 FP需求未得到满足的女性比例从52.1％降至35.7％。这项研究表明，当在受冲突影响的人群中提供全面的计划生育服务时，妇女将选择使用它们。流动团队与卫生系统加强相结合，可以快速提供各种方法，同时支持卫生系统继续在充满挑战和资源有限的环境中提供这些服务。

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