RESUMO
PIP: This article presents preliminary findings of a study conducted by the Association for Voluntary Surgical Contraception (AVSC) designed to investigate women's interest in postpartum contraception and the preferred timing for getting information. A pioneering study, AVSC's research took place in Colombia, the Dominican Republic, India, Kenya, Mali, and Turkey. In each countries, AVSC conducted 4-6 focus groups with pregnant women, interviews with 100 postpartum women, and interviews with 30 service providers. While a final report is due out in January, AVSC has established some preliminary findings. Except in Turkey, more than 1/2 the postpartum women said that they would have been interested in receiving family planning information before and during pregnancy. In nearly all the countries, the unmet need for information was great. Only in Mali and Kenya, where AVSC introduced postpartum IUD projects last year, was there less of an unmet need. While 40% of Kenyan women leaving the hospital after delivery had adopted a contraceptive method, only 3% and 2% of the women in the Dominican Republic and Turkey, respectively, were leaving the hospital with a method. The overwhelming majority women thought that family planning should be provided prior to pregnancy or during prenatal care. Focus group discussions revealed that virtually all women thought that during labor was a bad time to get information, and that information could be given during postpartum visits or before a woman leaves the hospital after delivery. Responses by service providers were similar to those of women, except that most thought it would be appropriate to discuss family planning during labor. AVSC will use the findings of this study to design informational materials for postpartum contraception programs.^ieng
Assuntos
Atitude , Anticoncepção , Grupos Focais , Pessoal de Saúde , Necessidades e Demandas de Serviços de Saúde , Entrevistas como Assunto , Pacientes , Cuidado Pós-Natal , Desenvolvimento de Programas , Fatores de Tempo , África , África Subsaariana , África Oriental , África do Norte , África Ocidental , América , Ásia , Ásia Ocidental , Comportamento , Região do Caribe , Colômbia , Coleta de Dados , Atenção à Saúde , Demografia , Países em Desenvolvimento , República Dominicana , Economia , Serviços de Planejamento Familiar , Saúde , Planejamento em Saúde , Índia , Quênia , América Latina , Mali , América do Norte , Organização e Administração , População , Dinâmica Populacional , Psicologia , Pesquisa , América do Sul , TurquiaRESUMO
Follow-up surveys were carried out in six countries (Bangladesh, Columbia, El Salvador, Guatemala, Indonesia, and Tunisia) between 1984 and 1986 to assess client decision-making regarding sterilization. The results revealed that women made well-informed, voluntary decisions to be sterilized. They were knowledgeable about other family planning methods and made the decision to be sterilized after consulting their partners, friends, relatives, or other sterilized women. Although their decisions were voluntary, other findings revealed areas for improvement such as client information and education about the risks of the procedure. These data were used to improve program services by emphasizing the need for better information, education, and counseling programs.
Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Esterilização Tubária , Adulto , Bangladesh , Serviços de Saúde Comunitária/organização & administração , El Salvador , Feminino , Seguimentos , Guatemala , Humanos , Esterilização Tubária/psicologiaRESUMO
PIP: Sexual sterilization has become an increasingly important family planning method in developing countries, and notably so in Latin America, but some controversy has surrounded the practice because of the suggestion that individuals are coerced into undergoing sterilization. With the goal of examining allegations that low-income women in El Salvador are sterilized without their full knowledge or consent in family planning programs financed by the US, researchers interviewed 648 women who had received the operation in one of 7 facilities in El Salvador. In general, women were interviewed 1 month after their operation, by 6 trained female interviewers, with the assurance that the follow-up effort was not in any way connected with the facility performing the operation. An effort to sample approximately the same number of women from each facility was not entirely successful because of access difficulties. Most interviewees had been sterilized at below 30 years of age (average age at sterilization was 28 years), had begun having children in adolescence, and had not received more than a primary education. They had an average of 3.4 children and 1/3 had experienced the death of at least 1 child. The response to the survey indicated that female sterilization in El Salvador is voluntary. Women were shown to be aware of other contraception options. They had found out about sterilization and had become further informed about the method through providers and through communications with other women who had known about the operation at least 3 years before making a decision to submit to it, and many had waited between 1 month and 1 year before/between the decision and the actual operation. Only 1 women claimed to have felt pressured to be sterilized, identifying her mother as the source of the pressure.^ieng