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Access to Reproductive Health Services and Maternal Perceptions on Family Planning in an Indigenous Guatemalan Valley

机译:在危地马拉土著山谷获得生殖健康服务和产妇对计划生育的看法

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Objective. To identify reproductive health barriers and perceptions regarding family planning among mothers in ten rural communities of Guatemala. Methods. Data were collected from 85 women in a Nutrition Recuperation Project (NRP) conducted by a freestanding nonprofit clinic in Palajunoj Valley, Guatemala. All nonpregnant women participating in the NRP were eligible for enrollment in this study, and NRP staff members aided in their enrollment. Participants were interviewed and data were entered into a structured questionnaire. Data analysis was conducted using R version 1.1.456. Results. After asking participants if they believed fertility is higher on certain days, only 5 women (5.9%) correctly identified these days as occurring in the middle of the menstrual cycle. 35 women (41.2%) practiced some form of family planning, and 27 (31.8%) reported that they do not know of a place where they could obtain a contraceptive method. Conclusion. There is a lack of education regarding family planning methods in this valley, and the levels of contraception use are below average for rural Guatemala. These findings may implicate substantial health risks for women and children in the valley, and they support the pertinence of education-based interventions in the area of reproductive health behaviors.
机译:目的。在危地马拉的十个农村社区中确定生殖健康障碍和对计划生育的观念。方法。在危地马拉帕拉朱诺伊谷的一家独立非营利性诊所开展的营养恢复项目(NRP)中,从85名妇女中收集了数据。所有参加NRP的非孕妇都有资格参加本研究,并且NRP工作人员协助了他们的入选。对参与者进行了采访,并将数据输入到结构化问卷中。使用R版本1.1.456进行数据分析。结果。在询问参与者是否认为某些天的生育力较高后,只有5名妇女(5.9%)正确地将这些天确定为发生在月经周期的中间。 35名妇女(41.2%)实行了某种形式的计划生育,而27名妇女(31.8%)报告说,他们不知道可以使用避孕方法的地方。结论。该山谷缺乏计划生育方法方面的教育,危地马拉农村地区的避孕使用水平低于平均水平。这些发现可能暗示着该谷地区妇女和儿童的重大健康风险,并且它们支持在生殖健康行为方面以教育为基础的干预措施的相关性。

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