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J Health Popul Nutr ; 2002 Jun; 20(2): 156-65
Artigo em Inglês | IMSEAR | ID: sea-938

RESUMO

The purpose of the study was to enhance contraceptive acceptance among currently-married women of reproductive age (CMWRA) through empowerment training of female community health volunteers (FCHVs). Seventeen FCHVs, who were working in Kakani Village Development Committee in the hills of central Nepal, attended an empowerment training that used participatory action research and reinforcement mechanisms. Following the training, the FCHVs were expected to empower the CMWRA to increase their contraceptive use. The impact of the intervention was assessed in a sample of 241 CMWRA, who were neither pregnant nor using contraceptives at the time of selection, by interviewing them before and six months after the intervention. The implementation of the intervention significantly increased the proportion of CMWRA knowing at least one contraceptive method (chi2(ldr)=71 .7, p=0.001). The use of modern contraceptives among the CMWRA from none before the intervention increased to 52.3% six months following the intervention. Satisfaction of the CMWRA with services provided by the FCHVs also significantly increased. The study concludes that empowerment training of FCHVs using participatory action research and peer reinforcement help increase the acceptance of contraceptives among CMWRA.


Assuntos
Adulto , Agentes Comunitários de Saúde/educação , Anticoncepção/estatística & dados numéricos , Comportamento Contraceptivo , Anticoncepcionais , Feminino , Educação em Saúde , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Pessoa de Meia-Idade , Nepal , Aceitação pelo Paciente de Cuidados de Saúde , Educação de Pacientes como Assunto , Grupo Associado , Gravidez , População Rural , Comportamento Social , Voluntários/educação , Mulheres/educação
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