Afet Koşullarında Cinsel Sağlık ve Üreme Sağlığı: Kontrasepsiyonun Önemi ve Hemşirelik Yaklaşımları

Yazarlar

DOI:

https://doi.org/10.5281/zenodo.13354514

Anahtar Kelimeler:

Cinsel Sağlık, Üreme Sağlığı, Kontrasepsiyon, Minimum Başlangıç Hizmet Paketi, Hemşirelik

Özet

Afetlerin sıklığı ve şiddeti son 20 yılda artış göstermektedir. Afetler ayrımcı değildir; yaş, cinsiyet, din veya diğer faktörlerden bağımsız olarak herkesi etkileyebilmektedir. Ancak kadınlar ve kız çocukları afet sonuçlarının en büyük yükünü yaşamaya eğilimli olan savunmasız gruplardandır. Çünkü kadınlar ve kız çocukları yalnızca biyolojik ve fizyolojik farklılıklar nedeniyle değil, aynı zamanda sosyoekonomik farklılıklar ve adaletsiz güç ilişkileri nedeniyle de afetlerin etkilerine karşı erkeklerden daha savunmasız kalabilmektedir. Kadınların ve kız çocuklarının ihtiyaçlarını karşılamaya yönelik koordineli, sistematik ve kanıta dayalı acil durum hazırlık ve müdahale faaliyetleri gerekmektedir. Bu kapsamda sağlık hizmetinin her aşamasında rol oynayan hemşirelere büyük sorumluluklar düşmektedir. Hemşireler kadınların ve kız çocuklarının başta biyolojik ve fizyolojik farklılıklarını göz önünde bulundurarak cinsel sağlık ve üreme sağlıklarının optimize edilmesinde bütüncül bir hizmet sunmalıdır. Bu hizmeti sunarken hizmet paketlerinden faydalanabilmektedir. Hemşirelerin bu hizmet paketlerini sunabilmesi için kadınların cinsel sağlık ve üreme sağlığı, kontraseptif yöntem kullanımına yönelik sorunlarının farkında olmalı ve uygun girişimler planlayıp uygulamalıdır. Bu doğrultuda yazılan bu derlemenin amacı ise; afet koşullarında cinsel ve üreme sağlığının korunmasının önemini vurgulayarak, kontrasepsiyon hizmetlerinin sürekliliğinin sağlanması konusundaki zorluklara değinerek hemşirelerin görev ve sorumluluklarına dikkat çekmektir.

Referanslar

Abuadas, M.H. & Albikawi, Z.F. (2022) Predictors of disaster preparedness among registered nurses in Saudi Arabia: a structural equation modelling analysis. Australasian Emergency Care, 25(2), 132–139. Doi: https://doi.org/10.1016/j.auec.2021.07.004

Adkoli, A., Kumar, S., Futterman, I. D., Clare, C. A., Futterman, I., & Clare, C. (2022). Access to family planning services following natural disasters and pandemics: A review of the english literature. Cureus, 14(7): e26926. DOI 10.7759/cureus.26926

Al Harthi, M., Al Thobaity, A., Al Ahmari, W., & Almalki, M. (2020). Challenges for Nurses in Disaster Management: A Scoping Review. Risk Management and Healthcare Policy, 13, 2627–2634. https://doi.org/10.2147/RMHP.S279513

Behera, B. K., Prasad, R., & Shyambhavee (2022). Primary health-care goal and principles. Healthcare Strategies and Planning for Social Inclusion and Development, 221–239. https://doi.org/10.1016/B978-0-323-90446-9.00008-3

Behrman, J. A., & Weitzman, A. (2016). Effects of the 2010 Haiti earthquake on women's reproductive health. Studies in family planning, 47(1), 3-17. Doi: https://doi.org/10.1111/j.1728-4465.2016.00045.x

Caruso, S., Rapisarda, A. M. C., & Minona, P. (2020). Sexual activity and contraceptive use during social distancing and self-isolation in the COVID-19 pandemic. The European Journal of Contraception & Reproductive Health Care, 25(6), 445–448. https://doi.org/10.1080/13625187.2020.1830965

Chaudhary, M. T., & Piracha, A. (2021). Natural disasters—origins, impacts, management. Encyclopedia, 1(4), 1101-1131. Doi: https://doi.org/10.3390/encyclopedia1040084

Davis, J. (2017). Fertility after natural disaster: Hurricane Mitch in Nicaragua. Population and environment, 38, 448-464. doi: https://doi.org/10.1007/s11111-017-0271-5

Ellington, S. R., Kourtis, A. P., Curtis, K. M., Tepper, N., Gorman, S., Jamieson, D. J., ... & Barfield, W. (2013). Contraceptive availability during an emergency response in the United States. Journal of women's health, 22(3), 189-193. Doi: https://doi.org/10.1089/jwh.2012.4178

Freed, B., Hillman, S., Shantikumar, S., Bick, D., Dale, J., & Gauly, J. (2021). The impact of disasters on contraception in OECD member countries: a scoping review. The European Journal of Contraception & Reproductive Health Care, 26(5), 429–438. https://doi.org/10.1080/13625187.2021.1934440

Goodman, M., Onwumere, O., Milam, L., & Peipert, J. F. (2017). Reducing health disparities by removing cost, access, and knowledge barriers. American Journal of Obstetrics and Gynecology, 216(4), 382-e1. Doi: https://doi.org/10.1016/j.ajog.2016.12.015

Grochtdreis, T., de Jong, N., Harenberg, N., Görres, S. and Schröder-Bäck, P. (2016) “Nurses’ roles, knowledge and experience in national disaster pre-paredness and emergency response: A literature review”, South Eastern European Journal of Public Health (SEEJPH), 7(1). doi: 10.4119/seejph-1847.

Hammond, A. (2019). "Disparities in Access to Contraception in the United States: an Intersectional Analysis". Scripps Senior Theses. 1356.

https://scholarship.claremont.edu/scripps_theses/1356

Interagency Working Group (IAWG) (2018). Inter-agency field manual on reproductive health in humanitarian settings. Available from: https://iawgfieldmanual.com/manual.

International Council of Nurses. (2019). Core competencies in disaster nursing. Version 2.0. Available from: https://www.icn.ch/sites/default/files/inline-files/ICN_Disaster-Comp-Report_WEB_final.pdf

Islam, M. R., Ingham, V., Hicks, J., & Manock, I. (2017). The changing role of women in resilience, recovery and economic development at the intersection of recurrent disaster: A case study from Sirajgang, Bangladesh. Journal of Asian and African Studies, 52(1), 50-67. Doi: https://doi.org/10.1177/0021909614560244

Jarvis K, Richter S, Adjorlolo S, Swab M, Tenkorang E, Mao Y, et al. (2023) Interventions impacting the accessibility of sexual reproductive health services for head porters in sub-Saharan Africa- A scoping review protocol. PLoS ONE 18(8): e0289564. Doi: https://doi.org/10.1371/journal.pone.0289564

Karnjuš, I., Prosen, M. & Ličen, S. (2021) Nurses’ core disaster-response competencies for combating COVID-19—a cross-sectional study. PLoS ONE, 16(6), 1–12. Doi: https://doi.org/10.1371/journal.pone.0252934

Liu, S., Han, J., Xiao, D., Ma, C., & Chen, B. (2010). A report on the reproductive health of women after the massive 2008 Wenchuan earthquake. International Journal of Gynecology & Obstetrics, 108(2), 161-164. Doi: https://doi.org/10.1016/j.ijgo.2009.08.030

Loewen, S., Pinchoff, J., Ngo, T. D., & Hindin, M. J. (2022). The impact of natural disasters and epidemics on sexual and reproductive health in low‐and middle‐income countries: a narrative synthesis. International Journal of Gynecology & Obstetrics, 157(1), 11-18. Doi: https://doi.org/10.1002/ijgo.13768

Low, A. J., Frederix, K., McCracken, S., Manyau, S., Gummerson, E., Radin, E., ... & Schwitters, A. (2019). Association between severe drought and HIV prevention and care behaviors in Lesotho: A population-based survey 2016–2017. PLoS medicine, 16(1), e1002727. Doi: https://doi.org/10.1371/journal.pmed.1002727

Maher, M. J. (2019). Emergency preparedness in obstetrics: meeting unexpected key challenges. The Journal of perinatal & neonatal nursing, 33(3), 238-245. Doi: 10.1097/JPN.0000000000000421

Makwana, N. (2019). Disaster and its impact on mental health: A narrative review. Journal of family medicine and primary care, 8(10), 3090-3095. Doi: 10.4103/jfmpc.jfmpc_893_19

McDonald, J. A., Selchau, K., & Acquah-Baidoo, B. (2018). Scope of knowledge about Zika among women in US–Mexico border communities. Journal of Community Health, 43, 705-716. Doi: https://doi.org/10.1007/s10900-018-0474-4

Moeini, M., Mokhtari, N., & Vafaei, Z. (2019). Unwanted pregnancy after earthquake in bam city, Iran. Pharmacophore, 10(6-2019), 57-61.

Murewanhema, G., Musuka, G., Gwanzura, C., Makurumidze, R., Chitungo, I., Chimene, M., ... & Madziyire, M. G. (2022). Maternal, sexual and reproductive health in marginalised areas: Renewing community involvement strategies beyond the worst of the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(6), 3431. Doi: https://doi.org/10.3390/ijerph19063431

Myers, A., Sami, S., Onyango, M. A., Karki, H., Anggraini, R., & Krause, S. (2018). Facilitators and barriers in implementing the Minimum Initial Services Package (MISP) for reproductive health in Nepal post-earthquake. Conflict and health, 12, 1-9. Doi:

https://doi.org/10.1186/s13031-018-0170-0

Nabulsi, D., Abou Saad, M., Ismail, H., Doumit, M. A., El-Jamil, F., Kobeissi, L., & Fouad, F. M. (2021). Minimum initial service package (MISP) for sexual and reproductive health for women in a displacement setting: a narrative review on the Syrian refugee crisis in

Lebanon. Reproductive Health, 18, 1-13. Doi: https://doi.org/10.1186/s12978-021-01108-9

Nahar, S., & Pillai, V. K. (2024). Women’s reproductive health in the aftermath of natural disasters in Bangladesh: Prospects for empowerment. Health Care for Women International, 1–16. Doi: https://doi.org/10.1080/07399332.2024.2341316

Newnham, E. A. (2021). 2.5 identifying and engaging high-risk groups in disaster research. WHO guidance on research methods for health emergency and disaster risk management, 88.

Onyango, M. A., Hixson, B. L., & McNally, S. (2013). Minimum Initial Service Package (MISP) for reproductive health during emergencies: time for a new paradigm?. Global public health, 8(3), 342–356. Doi: https://doi.org/10.1080/17441692.2013.765024

Pyone, T., Dickinson, F., Kerr, R., Boschi-Pinto, C., Mathai, M., & Broek, N. V. D. (2015). Data collection tools for maternal and child health in humanitarian emergencies: a systematic review. Bulletin of the World Health Organization, 93, 648-658. Doi: https://doi.org/10.2471/BLT.14.148429

Rafferty-Semon, P., Jarzembak, J. & Shanholtzer, J. (2017) Simulation complex community disaster preparedness: collaboration for point of distribution. The Online Journal of Issues in Nursing, 22(1), 3. Doi: https://doi.org/10.3912/OJIN.Vol22No01Man03

Ritchie, H., Rosado, P., & Roser, M. (2022). Natural disasters. Our World in Data.

Rosenberg, J. S., & Bakomeza, D. (2017). Let’s talk about sex work in humanitarian settings: piloting a rights-based approach to working with refugee women selling sex in Kampala. Reproductive Health Matters, 25(51), 95–102. Doi: https://doi.org/10.1080/09688080.2017.1405674

Safajou, F., Nahidi, F., & Ahmadi, F. (2024). Reproductive health challenges during a flood: A qualitative study. Nursing Open, 11(1), e2044. Doi: https://doi.org/10.1002/nop2.2044

Salam, A., Wireko, A. A., Jiffry, R., Ng, J. C., Patel, H., Zahid, M. J., ... & Isik, A. (2023). The impact of natural disasters on healthcare and surgical services in low-and middle-income countries. Annals of Medicine and Surgery, 85(8), 3774-3777. Doi: 10.1097/MS9.0000000000001041

Seddighi, H., Yousefzadeh, S., López López, M., Sajjadi, H., Vameghi, M., Rafiey, H., & Khankeh, H. (2022). Disaster Risk Reduction in Iranian Primary and Secondary School Textbooks: A Content Analysis. Disaster Medicine and Public Health Preparedness, 16(4), 1503–1511. doi:10.1017/dmp.2021.161

Sohrabizadeh, S., Jahangiri, K., & Khani Jazani, R. (2018). Reproductive health in the recent disasters of Iran: a management perspective. BMC public health, 18, 1-8. Doi: https://doi.org/10.1186/s12889-018-5311-2

Sohrabizadeh, S., Tourani, PhD, S., & Khankeh, H. R. (2016). Women and health consequences of natural disasters: Challenge or opportunity? Women & Health, 56(8), 977–993. https://doi.org/10.1080/03630242.2016.1176101

Songwathana, P., & Timalsina, R. (2021). Disaster preparedness among nurses of developing countries: an integrative review. International emergency nursing, 55, 100955. Doi: https://doi.org/10.1016/j.ienj.2020.100955

Starrs, A. M., Ezeh, A. C., Barker, G., Basu, A., Bertrand, J. T., Blum, R., ... & Ashford, L. S. (2018). Accelerate progress—sexual and reproductive health and rights for all: report of the Guttmacher–Lancet Commission. The lancet, 391(10140), 2642-2692. Doi: https://doi.org/10.1016/S0140-6736(18)30293-9

Stephens, J. H., & Lassa, J. A. (2020). Sexual and reproductive health during disasters: A scoping review of the evidence. International Journal of Disaster Risk Reduction, 50, 101733. Doi: https://doi.org/10.1016/j.ijdrr.2020.101733

Strid, P., Snead, M. C., Galang, R. R., Bish, C. L., & Ellington, S. R. (2022). Fertility and contraception among women of reproductive age following a disaster: a scoping review. Reproductive Health, 19(1), 147. Doi: https://doi.org/10.1186/s12978-022-01436-4

Su, Y., Wu, X. V., Ogawa, N., Yuki, M., Hu, Y., & Yang, Y. (2022). Nursing skills required across natural and man‐made disasters: A scoping review. Journal of Advanced Nursing, 78(10), 3141-3158. Doi:https://doi.org/10.1111/jan.15337

Şimşek, P., ve Gündüz, A. (2021). Türkiye’de Afet Hemşireliği. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 47(3), 469-476. Doi: https://doi.org/10.32708/uutfd.981301

Taskiran, G., ve Baykal, U. (2019). Nurses’ disaster preparedness and core competencies in Turkey: a descriptive correlational design. International nursing review, 66(2), 165-175. doi: https://doi.org/10.1111/inr.12501

Taşkıran, G., ve Baykal, Ü. (2017). Afetler ve Türkiye’de hemşirelerin afetlere hazır olma durumları: literatür inceleme. Sağlık ve Hemşirelik Yönetimi Dergisi, 2(4), 79-88.

Tearne, J. E., Guragain, B., Ghimire, L., Leaning, J., & Newnham, E. A. (2021). The health and security of women and girls following disaster: A qualitative investigation in post-earthquake Nepal. International Journal of Disaster Risk Reduction, 66, 102622. Doi: https://doi.org/10.1016/j.ijdrr.2021.102622

The International Planned Parenthood Federation (IPPF) (2023). Unmet need for contraceptives quadruples in parts of earthquake-affected Türkiye. Available from: https://www.ippf.org/media-center/unmet-need-contraceptives-quadruples-parts-earthquake-affected-turkiye

Tran, N. T., Dawson, A., Meyers, J., Krause, S., Hickling, C., & Inter-Agency Working Group (IAWG) on Reproductive Health in Crisis. (2015). Developing institutional capacity for reproductive health in humanitarian settings: a descriptive study. PLoS One, 10(9), e0137412. Doi: https://doi.org/10.1371/journal.pone.0137412

United Nations (UN)[Internet]. Goal 3: ensure healthy lives and promote well-being for all at all ages; n.d [cited 2024 May 23]. https://www.un.org/sustainabledevelopment/health/

United Nations Department of Economic and Social Affairs, Population Division (2022). World Family Planning 2022: Meeting the changing needs for family planning: Contraceptive use by age and method. UN DESA/POP/2022/TR/NO. 4 (https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2023/Feb/undesa_pd_202

_world-family-planning.pdf).

United Nations Population Fund. (2020). “Minimum initial service package (MISP) for SRH in crisis situations”. https://www.unfpa.org/resources/minimum-initial-service-package-misp-srh-crisis-situations.

Wakefield, M., Williams, D. R., & Le Menestrel, S. (2021). The future of nursing 2020-2030: Charting a path to achieve health equity. National Academy of Sciences.

Warren, E., Post, N., Hossain, M., Blanchet, K., & Roberts, B. (2015). Systematic review of the evidence on the effectiveness of sexual and reproductive health interventions in humanitarian crises. BMJ open, 5(12), e008226. doi: 10.1136/bmjopen-2015-008226

WHO (2020). World Health Organization. Responding to Community Spread of COVID-19 https://www.who.int/publications/i/item/responding-to-community-spread-of-covid-19 (Erişim tarihi: 20.05.2024)

WHO, World Health Organization (2021). Reproductive Health., Erişim tarihi 13.06.2021, https://www.who.int/westernpacific/health-topics/reproductive-health

World Health Organization, I. (2009). ICN framework of disaster nursing competencies. Geneva: World Health Organization. Available

from: http://www.wpro.who.int/hrh/documents/icn_framework.pdf

World Health Organization. (2023). Trends in maternal mortality 2000 to 2020: estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division: executive summary.

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Yayınlanmış

2024-06-30

Nasıl Atıf Yapılır

İlkin Aydın, E., Dikmen , R., Şahin , S., & Kaplan , S. (2024). Afet Koşullarında Cinsel Sağlık ve Üreme Sağlığı: Kontrasepsiyonun Önemi ve Hemşirelik Yaklaşımları. Akdeniz Sağlık Bilimleri Güncel Araştırmalar Dergisi, 2(1), 28–42. https://doi.org/10.5281/zenodo.13354514