Geçici Koruma Altındaki Suriyeli Mülteci Kadınların Üreme Sağlığı Hizmetlerine Erişimleri ve Aile Planlamasına Yönelik Tutumlarının İncelenmesi: İstanbul Örneği

Öz

Amaç: Bu çalışma, geçici koruma altındaki Suriyeli mülteci kadınların aile planlamasına yönelik tutumlarını ve üreme sağlığı hizmetlerine erişim durumlarını belirlemek ve bu doğrultuda verilecek sağlık hizmetlerine temel oluşturmak amacıyla yapılmıştır.

Yöntem: Tanımlayıcı desende yürütülen araştırmanın örneklemini 15-49 yaş arasında geçici koruma altındaki 123 Suriyeli mülteci kadın oluşturmuştur. Veriler; “Tanıtıcı Bilgi Formu” ve “Aile Planlaması Tutum Ölçeği (APTÖ)” ile toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler, Mann Whitney U ve Kruskal Wallis Testi kullanılmıştır.

Bulgular: Çalışmaya katılan kadınların yaş ortalaması 28,54±7,16 olarak belirlendi. Kadınların, %72,4’ünün aile planlaması yöntemi kullandığı ve %82,9’unun yöntem tercihi konusunda eşine danıştığı belirlendi. Kadınların, %68,3’ünün aile planlaması hakkında aile/yakın çevresinden bilgi aldığı saptandı. Katılımcıların APTÖ puan ortalaması 110,92+22,06 belirlendi. Kadınların kullandığı AP yöntemleri değerlendirildiğinde; yaygın olarak %20,3’ü geri çekme, %14,6’sı kondom, %12,2’si Rahim İçi Araç (RİA), %11,4’ü oral kontraseptif, %8,1’i takvim, %5,7’si laktasyonel amenore yöntemi, %4,1’i vajinal duş ve %3,3’ü ise enjektabl kullandığı belirlendi.

Sonuç: Çalışma bulguları doğrultusunda, Suriyeli Mülteci kadınların aile planlamasına yönelik olumlu tutumlarının orta düzeyin üzerinde olduğu belirlendi. Ancak, katılımcıların en yaygın olarak geleneksel yöntem olan geri çekme yöntemini kullandıkları tespit edilmiştir. Bu doğrultuda tercüman desteği sağlanarak mülteci kadınlara ve eşlerine yönelik kültürel yapılarına uygun üreme sağlığı ve aile planlaması konusunda eğitimlerin sağlanması büyük önem taşımaktadır.

Anahtar Kelimeler

• Aile planlaması
• Suriyeli mülteci
• Tutum
• Üreme sağlığı hizmetleri

An Examination of Access to Reproductive Health Services and Attitudes Towards Family Planning Among Syrian Refugee Women Under Temporary Protection: The Case of Istanbul

Öz

Objective: This study was conducted to determine the attitudes of Syrian refugee women under temporary protection towards Family Planning (FP) and their access to reproductive health services, and to form a basis for the provision of health services in this direction.,

Method: The sample of this descriptive study consisted of 123 Syrian refugee women under temporary protection, aged between 15 and 49. Data were collected using the “Introductory Information Form” and the “Family Planning Attitude Scale (FPAS).” Descriptive statistics, Mann-Whitney U, and Kruskal-Wallis tests were used for data analysis.

Results: The mean age of the women participating in the study was determined as 28.54±7.16. It was determined that 72.4% of the women used a family planning method. It was determined that 82.9% of the women consulted their husbands about the method choice. It was determined that 68.3% of the women received information about family planning from their family/close circle. FPAS score average of the women participating in the study was found to be 110.92±22.06. When the AP methods used by the women were evaluated; it was determined that 20.3% commonly used withdrawal, 14.6% condom, 12.2% Intrauterine Device (IUD), 11.4% oral contraceptive, 8.1% calendar, 5.7% lactational amenorrhea method, 4.1% vaginal douche and 3.3% injectable contraceptives.

Conclusion: According to the study findings, Syrian refugee women had a more-than-moderately positive attitude towards family planning. However, the most commonly used method among participants was the traditional withdrawal method. In this context, it is of great importance to provide culturally appropriate reproductive health and family planning education for refugee women and their husbands, supported by interpreter services. 

Anahtar Kelimeler

• Family planning
• Syrian refugees
• Attitude
• Reproductive health services

Kaynakça

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