...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>AIDS care. >Sexual and reproductive health needs of HIV-positive women in Botswana - A study of health care worker's views
【24h】

Sexual and reproductive health needs of HIV-positive women in Botswana - A study of health care worker's views

机译：博茨瓦纳艾滋病毒呈阳性妇女的性健康和生殖健康需求-卫生保健工作者观点研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Botswana's HIV prevalence is one of the highest in the world at 31.8% in the 15-49 years antenatal population. Being HIV-positive for a woman presents unique challenges with regard to sexuality, child bearing, and partner relations. To ensure optimal sexual and reproductive health (SRH) of HIV-positive women, it is important to understand how health care workers (HCWs) are prepared to address SRH issues such as contraception, fertility desires, and partner violence. This study reports on a knowledge, attitudes, and practices (KAP) questionnaire completed by 98 HCWs from clinics located in and nearby Gaborone and analyzed using descriptive and nonparametric statistics. The majority of participants were nurses (43%), health educators (27%), and lay counselors (19%), 82% female, median age of 35 (Interquartile Range (IQR): 29.25-43.75). General HIV/AIDS knowledge was high with a median score of 8.0/9 (89%) (IQR: 8-9). However, the median SRH knowledge score was much lower at 6.0/10 (60%) (IQR: 4-7). Of the three groups, the SRH knowledge scores of lay counselors were significantly lower than nurses (p=0.024). The attitude scores pertaining to issues such as family planning, sexual violence, the health system's ability to offer SRH services, and personal ability to offer SRH services were moderately positive with a median score of 75% (IQR: 69-81%); although nearly 25% of respondents felt that it is irresponsible for an HIV-positive woman to want to have a child. When presented with a case study of an abused, HIV-positive pregnant woman, most respondents indicated they would offer supportive care without judgment; however 28% of respondents indicated they would express disapproval or disappointment for becoming pregnant when she knows she is HIV-positive. The low SRH knowledge scores together with discriminatory attitudes and practices emphasize the need for increased and ongoing training in SRH issues for all HCWs who provide care for HIV-positive women.
机译：博茨瓦纳的艾滋病毒感染率是全球最高的之一，在15-49岁的产前人口中为31.8％。对一名妇女来说，艾滋病毒呈阳性，在性，生育和伴侣关系方面面临着独特的挑战。为了确保HIV阳性妇女的最佳性健康和生殖健康（SRH），重要的是要了解医护人员（HCW）如何准备解决诸如生殖健康，避孕，生育欲和伴侣暴力之类的SRH问题。这项研究报告了由位于哈博罗内及附近的诊所的98名医护人员填写的知识，态度和实践（KAP）问卷，并使用描述性和非参数统计进行了分析。大多数参与者为护士（43％），健康教育者（27％）和非专业顾问（19％），女性82％，年龄中位数为35岁（四分位数间距（IQR）：29.25-43.75）。一般的艾滋病毒/艾滋病知识很高，平均得分为8.0 / 9（89％）（IQR：8-9）。但是，中位数SRH知识得分要低得多，为6.0 / 10（60％）（IQR：4-7）。在三组中，非专业顾问的SRH知识得分显着低于护士（p = 0.024）。与计划生育，性暴力，卫生系统提供性健康和生殖健康服务的能力以及个人提供性健康和生殖健康服务的能力等问题有关的态度得分为中度积极，平均得分为75％（IQR：69-81％）;尽管将近25％的受访者认为，艾滋病毒呈阳性的妇女想要生育是不负责任的。当接受针对受虐待的艾滋病毒阳性孕妇的案例研究时，大多数受访者表示，他们将提供支持性护理，而不会做出判断;但是，有28％的受访者表示，如果知道自己是HIV阳性，他们会对怀孕表示不赞成或失望。 SRH知识得分低，加上歧视性态度和做法，强调需要为所有为HIV阳性妇女提供护理的HCW不断增加SHR问题的培训。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号