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Midwives experiences of working with post abortion family planning: a Minor Field Study in Zambia
Sophiahemmet University.
Sophiahemmet University.
2019 (English)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

The prevalence of post abortion contraception in Zambia is lower than in many other African countries, with unmet family planning needs. Midwives play an important professional role in family planning. In conjunction with an abortion the midwife is provided with an opportunity to inform, discuss, prescribe and initiate family planning with the woman concerned. It is shown that women receiving information and knowledge about post abortion contraception are more likely to use it.

 

The aim of the study was to describe midwives experiences of working with post abortion family planning in Zambia.

 

A qualitative interview study with semi-structured questions was used. To conduct the study and find participants with the right inclusion criteria a strategic sampling was used. Ten midwives working with post abortion family planning in Zambia were interviewed. Qualitative content analysis was performed to analyze the collected data from the interviews.

 

During the data-analysis two categories and eight subcategories were identified. The midwives had experiences of several challenges within post abortion family planning. These included lack of knowledge, supplies and health care staff as well as problem with stigma around family planning and lack of compliance. The midwives also described other factors influencing the work with post abortion family planning. These factors included changes in attitudes, the midwife's knowledge and the importance of information provided by the midwives.

 

The midwives experienced that there were several factors influencing their work with post abortion family planning. Several challenges within post abortion family planning were identified in this study. Areas of improvement involve education, more midwives working and a better availability to post abortion family planning equipment and services.

Abstract [sv]

Användandet av preventivmedel efter abort är lägre i Zambia i jämförelse med andra afrikanska länder och behovet av familjeplanering är inte tillfredsställt i Zambia. Barnmorskeprofessionen har en viktig roll i familjeplanering. I samband med abort har barnmorskan ett utmärkt tillfälle att informera, diskutera, förskriva samt initiera familjeplanering med den berörda kvinnan. Det har visat sig att kvinnor som får information och kunskap om familjeplanering efter abort är mer benägna att använda sig av preventivmedel.

 

Syftet med denna studie var att beskriva barnmorskors erfarenheter av att arbeta med familjeplanering för kvinnor i Zambia som genomgått en abort.

 

En kvalitativ intervjustudie med semistrukturerade frågor användes. För att nå deltagare som uppfyllde studiens inklusionskriterier användes ett strategiskt urval. Tio barnmorskor i Zambia som arbetar med familjeplanering efter abort deltog i studien. En kvalitativ innehållsanalys utfördes för att analysera det insamlade materialet.

 

Under analysen identifierades två kategorier och åtta subkategorier. Barnmorskorna hade erfarenhet av flera utmaningar inom familjeplanering efter abort. Dessa bestod dels av brist på kunskap, material och vårdpersonal samt problem med stigma kring familjeplanering och brist på följsamhet rörande preventivmedelsanvändning. Barnmorskorna beskrev även andra faktorer som påverkade arbetet med familjeplanering efter abort. Dessa faktorer bestod av ändrade attityder, barnmorskans kunskap och vikten av barnmorskans information.

 

Barnmorskorna hade erfarenhet av att flera faktorer påverkade deras arbete med familjeplanering efter abort. Flera utmaningar med familjeplanering efter abort identifierades genom den här studien. Förbättringsområden involverar utbildning, fler verksamma barnmorskor och en bättre tillgänglighet till material och familjeplanering efter abort.

Place, publisher, year, edition, pages
2019. , p. 33
Keywords [en]
Abortion, Family planning, Midwife, Zambia, Experiences, Knowledge
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-3465OAI: oai:DiVA.org:shh-3465DiVA, id: diva2:1357151
External cooperation
Minor Field Studies
Educational program
Barnmorskeprogrammet
Supervisors
Examiners
Available from: 2019-10-03 Created: 2019-10-03 Last updated: 2019-10-03Bibliographically approved

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Citation style
  • apa
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