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首页> 外文期刊>Reproductive Health >Male involvement in sexual and reproductive health in the Mendi district, Southern Highlands province of Papua New Guinea: a descriptive study
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Male involvement in sexual and reproductive health in the Mendi district, Southern Highlands province of Papua New Guinea: a descriptive study

机译：南部高地巴布亚新几内亚省门迪地区男性参与性健康和生殖健康的描述性研究

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Background Lack of male involvement and support for sexual and reproductive health services is seen by many Papua New Guinean women as a barrier to accessing services. Poor utilization of services by both men and women is reflected in high maternal mortality and high rates of HIV/AIDS and sexually transmitted infections in the Southern Highlands Province. It is therefore important to understand the type of services provided, men’s perceptions of these services and the Health Sector’s capacity to involve men in its programs. Methods Information from interviews of married men, officers in charge of health facilities, and information from a focus group discussion with village leaders was collected to assess possible constraints to reproductive and sexual health care delivery. Results Although many men had heard about antenatal care, supervised births, family planning and sexually transmitted infections including, HIV/AIDS, many were unaware of their importance and of the types of services provided to address these issues. There was a very strong association between men’s literacy and their knowledge of Sexual and Reproductive Health (SRH) issues, their discussion of these issues with their wives and their wives’ utilisation of sexual and reproductive health services. Some men considered SRH services to be important but gave priority to social obligations. Although men made most decisions for sexual and reproductive issues, pregnancy, child birth and rearing of children were regarded as women’s responsibilities. Knowledge of HIV/AIDS appeared to have changed sexual behaviour in some men. Services for men in this rural setting were inadequate and service providers lacked the capacity to involve men in reproductive health issues. Conclusion Poor knowledge, socio-cultural factors and inadequate and inappropriate services for men hampered utilization of services and impaired support for their wives’ service utilization. Programmatic and policy initiatives should focus on improving service delivery to accommodate men in sexual and reproductive health.
机译：背景许多巴布亚新几内亚妇女认为，缺乏男性参与以及对性健康和生殖健康服务的支持是获取服务的障碍。南部高地省的孕产妇死亡率高，艾滋病毒/艾滋病和性传播感染率高，反映出男女对服务的利用不佳。因此，重要的是要了解提供的服务类型，男性对这些服务的看法以及卫生部门使男性参与其计划的能力。方法收集已婚男子，负责卫生设施的官员的访谈信息以及与村领导的座谈会讨论的信息，以评估对生殖健康和性保健的可能限制。结果尽管许多男性听说过产前保健，分娩监督，计划生育和包括艾滋病毒/艾滋病在内的性传播感染，但许多人并不知道其重要性以及为解决这些问题而提供的服务类型。男性的素养与他们对性健康和生殖健康（SRH）问题的了解，他们与妻子对这些问题的讨论以及妻子对性健康和生殖健康服务的利用之间有着非常紧密的联系。一些人认为性健康和生殖健康服务很重要，但优先考虑社会义务。尽管男人在性和生殖问题上做出了大多数决定，但是怀孕，分娩和抚养孩子被视为妇女的责任。对艾滋病毒/艾滋病的了解似乎已改变了一些男人的性行为。在这个农村地区，男子的服务不足，服务提供者缺乏使男子参与生殖健康问题的能力。结论知识贫乏，社会文化因素以及为男性提供的服务不足和不适当会阻碍服务的使用，并削弱对其妻子的服务利用的支持。方案和政策举措应侧重于改善服务的提供，以适应男性的性健康和生殖健康。

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