To your oldest teenagers (15–19) proportions rose particularly in the brand new town, where forty-five
Of the many teenagers, 19.7% (164) have observed pregnancy: 2.2% (9) ones decades ten–14 and you may 37.4% (155) of these ages fifteen–19. On town, twenty-six.7% (71) of all of tinder profil the adolescents were otherwise is pregnant, while this ratio is lower in the latest rural town: 16.4% (50) certainly one of low-native and 16.8% (43) one of indigenous female. 5% (69) got knowledgeable pregnancy, during outlying low-native teams amounts drop in order to 31.3% (46), and you can among rural local this new frequency was thirty five.1% (40). Details about contraception play with certainly one of adolescent ladies is actually revealed for the Dining table step 1.
The new adolescent classification taken into account the best ratio of desired pregnancies (44.9%) one of all ages of females interviewed. When disaggregated because of the house-ethnicity, the proportion of wanted pregnancies among urban teenage female is actually a little down (40%) than simply among all of their adult competitors (42%). Number had been the alternative among female residing in outlying groups. To possess non-indigenous: 56% away from pregnancies certainly one of teens vs. 40% having adults; getting indigenous: 50% to have teenagers vs. 28% to have grownups. Teenage female stated increased ratio off shipments attended from the skilled professionals than simply their adult equivalents (59% to own kids versus. 47% for all women). Yet the questionnaire findings reveal that even these analytics are still really less than that of the new ENDEMAIN statement away from 2004 (77.8% having kids and you will 74.2% for everybody females).
Discussion from inequities and you can disparities
Results of the newest survey showed that women in Orellana deal with poorer reproductive health symptoms (indicated because of the all the way down dimensions of wished pregnancies and you can competent delivery attendance) than simply women residing other places of the country. There had been large inequities inside the province: urban female got high size of competent beginning attendance, need pregnancies, and you can modern contraceptive explore compared with rural girls. Certainly rural ladies, indigenous ladies had the reasonable proportion out of skilled delivery worry and the highest proportion regarding undesirable pregnancies.
These provincial discrepancies, also men and women famous on the differences when considering certified study and you will locally gathered advice, merit then attract; exact and you will relevant analysis are essential so you can screen implementation of your National Rules with the sexual and you may reproductive health insurance and legal rights
Delivery care Inside the Orellana, lower than fifty% off deliveries between 2002 and you will 2006 were went to by skilled group. It actually was promising to see an improve given that 70s, particularly one of girls surviving in cities (55.6% regarding 1977–1981 period as opposed to 81% in the most recent investigation). The openings anywhere between metropolitan and outlying ladies are nevertheless wider, as manage differences between indigenous and you will non-indigenous people staying in a comparable rural areas (55% having outlying low-indigenous and you may fifteen% to own outlying indigenous). Disparities anywhere between urban and rural proper care you’ll reflect inequity for the availability so you can features, and that continue to be focused on the premier towns and cities. Availability can also be complicated of the point, transportation problems, plus the supply of healthcare beds, gurus, or offers once lady in reality arrive at health organization. 29 The use of barriers certainly one of outlying lady, local female, people with at least competent attendance at the delivery, are associated not only to range (as low-indigenous and you may local teams are found into the equivalent geographic urban centers), plus to help you social affairs.
As the Federal Plan provides awareness of situations regarding interculturality, fitness place and you may wellness teams may well not located learning such issues, otherwise will most likely not admiration all of them with esteem and sensitivity. 32 The latest intercultural strategy that National Rules articulates depends for the communications ranging from societies, not simply non-local versus. native, in addition to health care provider versus. patient, together with hegemonic biomedical design vs. brand new someone-conventional brand of delivery. 33 Words could be you to definitely burden. As well, you’ll be able you to definitely wellness establishment might not match for other issues that girls value due to the fact “some good regarding care and attention,” including the odds of deciding on the status for having a baby, the choice not to explore enemas, together with presence out of family unit members throughout beginning. Past studies have emphasized the new patronizing attitudes out of health team, exactly who fault people to possess not likely to wellness features and reprimand him or her into the perform to evolve their decisions. 34 I suggest that rather than encouraging local lady to deliver at establishment they sense since offensive, work to help you secure reproductive legal rights will be run problematic the assistance to take part in an enthusiastic intercultural conversation adjust the product quality from worry contained in this a user-mainly based approach.