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Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning
Sierra Leone was highly impacted by the 2014–2016 West Africa Ebola outbreak, with 3,955 recorded deaths. Already stressed maternal health services were deeply affected by the outbreak due to fears of viral transmission, reallocation of maternity staff, and broader policies to stop transmission incl...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10086979/ https://www.ncbi.nlm.nih.gov/pubmed/35994516 http://dx.doi.org/10.1111/sifp.12210 |
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author | McKay, Gillian Enria, Luisa Nam, Sara L. Fofanah, Maseray Conteh, Suliaman Gbonnie Lees, Shelley |
author_facet | McKay, Gillian Enria, Luisa Nam, Sara L. Fofanah, Maseray Conteh, Suliaman Gbonnie Lees, Shelley |
author_sort | McKay, Gillian |
collection | PubMed |
description | Sierra Leone was highly impacted by the 2014–2016 West Africa Ebola outbreak, with 3,955 recorded deaths. Already stressed maternal health services were deeply affected by the outbreak due to fears of viral transmission, reallocation of maternity staff, and broader policies to stop transmission including travel restrictions. This research sought to explore women's perspectives on delaying pregnancy during the Ebola outbreak using family planning methods. Qualitative data collection took place in Kambia District in 2018 and included 35 women participants, with women who were either family planning users or nonusers at the time of the outbreak. Women reported a variety of reasons for choosing to take or not to take family planning during the outbreak, which we categorized as proximal (directly related to the outbreak) or distal (not directly outbreak related). Proximal reasons to take family planning included to avoid interacting with health care spaces where Ebola could be transmitted, to avoid the economic burden of additional children in a time when economic activities were curtailed and to return to school when education resumed postoutbreak. Distal reasoning included gender roles affecting women's decision making to seek family planning, concerns related to the physiological side effects of family planning, and the economic burden of paying for family planning. Women's perspectives for choosing to take or not take family planning during the Sierra Leone Ebola crisis had not been explored prior to this paper. Using the lens of family planning to consider how women choose to access health care in an outbreak gives us a unique perspective into how all health care interactions are impacted by a generalized outbreak of Ebola, and how outbreak responses struggle to ensure such services remain a priority. |
format | Online Article Text |
id | pubmed-10086979 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100869792023-04-12 Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning McKay, Gillian Enria, Luisa Nam, Sara L. Fofanah, Maseray Conteh, Suliaman Gbonnie Lees, Shelley Stud Fam Plann Articles Sierra Leone was highly impacted by the 2014–2016 West Africa Ebola outbreak, with 3,955 recorded deaths. Already stressed maternal health services were deeply affected by the outbreak due to fears of viral transmission, reallocation of maternity staff, and broader policies to stop transmission including travel restrictions. This research sought to explore women's perspectives on delaying pregnancy during the Ebola outbreak using family planning methods. Qualitative data collection took place in Kambia District in 2018 and included 35 women participants, with women who were either family planning users or nonusers at the time of the outbreak. Women reported a variety of reasons for choosing to take or not to take family planning during the outbreak, which we categorized as proximal (directly related to the outbreak) or distal (not directly outbreak related). Proximal reasons to take family planning included to avoid interacting with health care spaces where Ebola could be transmitted, to avoid the economic burden of additional children in a time when economic activities were curtailed and to return to school when education resumed postoutbreak. Distal reasoning included gender roles affecting women's decision making to seek family planning, concerns related to the physiological side effects of family planning, and the economic burden of paying for family planning. Women's perspectives for choosing to take or not take family planning during the Sierra Leone Ebola crisis had not been explored prior to this paper. Using the lens of family planning to consider how women choose to access health care in an outbreak gives us a unique perspective into how all health care interactions are impacted by a generalized outbreak of Ebola, and how outbreak responses struggle to ensure such services remain a priority. John Wiley and Sons Inc. 2022-08-22 2022-12 /pmc/articles/PMC10086979/ /pubmed/35994516 http://dx.doi.org/10.1111/sifp.12210 Text en © 2022 The Authors. Studies in Family Planning published by Wiley Periodicals LLC on behalf of Population Council. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Articles McKay, Gillian Enria, Luisa Nam, Sara L. Fofanah, Maseray Conteh, Suliaman Gbonnie Lees, Shelley Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning |
title | Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning |
title_full | Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning |
title_fullStr | Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning |
title_full_unstemmed | Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning |
title_short | Family Planning in the Sierra Leone Ebola Outbreak: Women's Proximal and Distal Reasoning |
title_sort | family planning in the sierra leone ebola outbreak: women's proximal and distal reasoning |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10086979/ https://www.ncbi.nlm.nih.gov/pubmed/35994516 http://dx.doi.org/10.1111/sifp.12210 |
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