Afet Bölgelerinde Yaşayan Kadınların Akut ve Geç Dönem Üreme Sağlığı Sorunlarının ve Sağlık İhtiyaçlarının Değerlendirilmesi

Year 2025, Volume: 8 Issue: 4, 326 - 334, 29.12.2025

Pelin Tintaş , Birsen Karaca Saydam , Aysun Ekşioğlu , Esın Turfan

https://doi.org/10.62425/esbder.1675017

Abstract

Amaç Bu çalışmanın amacı, afetten etkilenen bir bölgede yaşayan kadınların akut ve uzun dönem üreme sağlığı sorunlarını ve sağlık hizmeti ihtiyaçlarını incelemektir.
Yöntemler: Tanımlayıcı tipteki bu çalışma, Hatay Arsuz Devlet Hastanesi Kadın Hastalıkları ve Doğum Polikliniğine başvuran 234 kadın ile yürütülmüştür. Örneklem büyüklüğü Epi Info programı kullanılarak 550 kadınlık bir evren üzerinden %95 güven düzeyi ve %5 hata payı ile hesaplanmıştır. Veriler, araştırmacılar tarafından geliştirilen ve üç bölümden oluşan yapılandırılmış bir anket kullanılarak yüz yüze görüşmeler yoluyla toplanmıştır. Veri analizi SPSS versiyon 26.0 kullanılarak gerçekleştirilmiştir.
Sonuçlar: Deprem öncesinde katılımcıların %47.9'u bir aile planlaması yöntemi kullandığını belirtirken, bu oran afet sonrasında %38.5'e düşmüştür. Kadınların toplam %63.2'si adet düzensizliği yaşadığını bildirmiştir. En sık bildirilen sağlık sorunları arasında vajinal enfeksiyonlar, idrar yolu enfeksiyonları ve cinsel sağlık sorunları yer almaktadır. Ayrıca, katılımcıların %42.7'si afet sonrasında üreme sağlığı hizmetlerine erişemediklerini belirtmiştir. Barınma sorunları ve aşırı kalabalık yaşam koşullarının da kadın sağlığını olumsuz etkilediği tespit edilmiştir.
Sonuç Afetler sonrasında üreme sağlığı hizmetlerine erişim önemli ölçüde kötüleşmektedir. Bu nedenle, afet yönetim planlarında kadınlara yönelik cinsel sağlık ve üreme sağlığı hizmetlerinin kesintisiz olarak sunulmasına öncelik verilmelidir.

Keywords

Afet , Üreme Sağlığı , Kadın sağlığı , Deprem , Cinsel sağlık

Assessment of Reproductive Health Problems and Health Service Needs of Women Living in Disaster Areas in Hatay Province Following the Earthquake

Abstract

Objective: This study aimed to investigate the reproductive health problems and healthcare needs of women living in Hatay Province after the 6 February earthquake.
Methods: This descriptive study was conducted with 234 women who applied to the Obstetrics and Gynecology Outpatient Clinic of Hatay Arsuz State Hospital. The sample size was calculated using the Epi Info program based on a population of 550 women, with a 95% confidence level and a 5% margin of error. Data were collected through face-to-face interviews using a structured questionnaire developed by the researchers, consisting of three sections. Data analysis was performed using SPSS version 26.0.
Results: Prior to the earthquake, 47.9% of the participants reported using a family planning method, whereas this rate decreased to 38.5% after the disaster. A total of 63.2% of the women reported experiencing menstrual irregularities. The most frequently reported health problems included vaginal infections, urinary tract infections, and sexual health issues. Moreover, 42.7% of the participants stated that they could not access reproductive health services following the disaster. Housing problems and overcrowded living conditions were also found to negatively affect women’s health.
Conclusion: The findings indicate that access to reproductive health services significantly deteriorates in the aftermath of disasters, increasing women’s vulnerability to reproductive health problems. Strengthening health infrastructure, ensuring the continuity of contraceptive services, and incorporating preventive and protective reproductive health strategies into disaster preparedness and response plans are crucial to safeguarding women’s health in post-disaster settings.

Keywords

reproductive health , Disaster , women health , earthquake , Sexual health

Ethical Statement

Ethical approval for the study was obtained from the Ethics Committee for Medical Research of Ege University (Date and number: 15.12.2023-E.1614454 Decision No: 23-12T/30).

Supporting Institution

The authors received no financial support for the research, authorship, and/or publication of this article.

Thanks

The authors would like to thanks to the participating women for their support in this research.

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