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dc.contributor.author
Belizan, Maria
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Maradiaga, Edna
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Roberti, Javier Eugenio
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Casco Aguilar, Maricela
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Ortez, Alison F.
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Avila Flores, Juan C.
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González, Gloria
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Bustillo, Carolina
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Calderón, Alejandra
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Bock, Harry
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Cafferata, María L.
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Tavares, Adriano B.
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Alger, Jackeline
dc.contributor.author
Ali, Moazzam
dc.date.available
2021-10-27T11:22:15Z
dc.date.issued
2020-09
dc.identifier.citation
Belizan, Maria; Maradiaga, Edna; Roberti, Javier Eugenio; Casco Aguilar, Maricela; Ortez, Alison F.; et al.; Contraception and post abortion services: Qualitative analysis of users' perspectives and experiences following Zika epidemic in Honduras; BioMed Central; BMC Women's Health; 20; 1; 9-2020; 1-12
dc.identifier.issn
1472-6874
dc.identifier.uri
http://hdl.handle.net/11336/145181
dc.description.abstract
Background: Zika virus (ZIKV) infection during pregnancy has severe consequences on the new-born. The World Health Organization declared the Zika outbreak to be a Public Health Emergency of International Concern (PHEIC) in 2016. Health facilities in the regions most affected by Zika lacked the capacity to respond to the increased demand for contraception. The objectives were to explore healthcare users' perceptions regarding contraception, Zika prevention during pregnancy and post-abortion care (PAC) services in the context of a Zika outbreak in Tegucigalpa, Honduras, and to follow these services over time. Methods: This study was part of a broader implementation research study. We used qualitative research consistent with grounded theory approach. Semi-structured interviews and focus groups were performed with women and their partners who used contraceptive services or received PAC services. Data were collected in two stages from December 2017 to July 2018. Themes explored included contraception, Zika and PAC services. Results: Participants had positive attitude towards the use of contraceptive methods and demanded more information on safety, efficacy and on side effects. Health care services were inconsistent in the provision of information on Zika and contraception services. ZIKV vector transmission was known but fewer participants were aware of risk of sexual transmission of Zika. Barriers to access healthcare services included contraceptive and PAC services included distance to healthcare facilities, disorganized admission process, long waiting times and out-of-pocket expenditure to purchase medicines. Furthermore, poor quality, mistreatment and abuse of women seeking PAC was prevalent. Some positive changes were noted over time, such as improvements in infrastructure including improved privacy and cleanliness, removal of fees, requisite to bring clean water to hospital. Conclusions: Our results highlight the challenges and areas for improvement in policy and practice related to contraceptive services and PAC in the context of ZIKV infection. Public policies to prevent epidemics should focus more on providing proper sanitation; removing barriers to access and use of effective contraception as human rights priority. Zika epidemic has highlighted weaknesses in health systems that obstruct access to and use of sexual and reproductive health services. The study results call for increased efforts to improve access, especially for women of low socio-economic status and intervene at different levels to eradicate discrimination and improve equity in the provision of health care. Qualitative methods can capture the community perspectives and can provide useful information to develop interventions to improve services.
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application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
dc.rights
info:eu-repo/semantics/openAccess
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https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
CONTRACEPTIVE SERVICES
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HONDURAS
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POST ABORTION CARE
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REPRODUCTIVE HEALTH
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ZIKA
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Otras Ciencias de la Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.title
Contraception and post abortion services: Qualitative analysis of users' perspectives and experiences following Zika epidemic in Honduras
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2021-10-25T17:08:20Z
dc.journal.volume
20
dc.journal.number
1
dc.journal.pagination
1-12
dc.journal.pais
Estados Unidos
dc.description.fil
Fil: Belizan, Maria. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Maradiaga, Edna. Facultad de Ciencias Médicas; Honduras
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Fil: Roberti, Javier Eugenio. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
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Fil: Casco Aguilar, Maricela. Facultad de Ciencias Médicas; Honduras
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Fil: Ortez, Alison F.. Facultad de Ciencias Médicas; Honduras
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Fil: Avila Flores, Juan C.. Facultad de Ciencias Médicas; Honduras
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Fil: González, Gloria. Hospital Escuela; Honduras
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Fil: Bustillo, Carolina. Hospital Escuela; Honduras
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Fil: Calderón, Alejandra. Centro de Salud Alonso Suazo; Honduras
dc.description.fil
Fil: Bock, Harry. No especifíca;
dc.description.fil
Fil: Cafferata, María L.. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Tavares, Adriano B.. Organizacion Mundial de la Salud; Argentina
dc.description.fil
Fil: Alger, Jackeline. Facultad de Ciencias Médicas; Honduras
dc.description.fil
Fil: Ali, Moazzam. Organizacion Mundial de la Salud; Argentina
dc.journal.title
BMC Women's Health
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s12905-020-01066-7
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