Of all of the teenagers, 19.7% (164) have seen pregnancy: 2.2% (9) of them years 10–fourteen and 37.4% (155) ones age 15–19. On the town, twenty-six.7% (71) of all adolescents had been otherwise got expecting, although this proportion are low in the fresh rural area: 16.4% (50) certainly one of non-local and 16.8% (43) among native girls. 5% (69) got educated maternity, whilst in outlying non-indigenous organizations quantity miss so you can 31.3% (46), and certainly rural native brand new incidence is actually thirty five.1% (40). Factual statements about contraception use among adolescent girls try revealed during the Table step 1.

The teenage category taken into account the best ratio away from need pregnancies (44.9%) certainly all ages of females surveyed. When disaggregated by house-ethnicity, this new proportion away from need pregnancies certainly one of urban adolescent female is actually somewhat all the way down (40%) than simply among their adult competitors (42%). Number were the alternative certainly one of ladies staying in outlying teams. Getting low-indigenous: 56% out-of pregnancies among adolescents vs. 40% to own people; for local: 50% to possess kids vs. 28% getting adults. Teenage girls advertised a higher proportion out of shipments went to by skilled benefits than just the adult equivalents (59% to own teenagers against. 47% for everyone girls). Yet the survey results reveal that even these types of statistics will still be well below regarding brand new ENDEMAIN statement out-of 2004 (77.8% to own kids and you may 74.2% for everybody women).

Dialogue of inequities and disparities

Result of this new questionnaire indicated that feamales in Orellana face poorer reproductive health signs (expressed of the straight down size of need pregnancies and you can competent birth attendance) than just women residing in other areas of the nation. There had been wide inequities inside province: metropolitan women had highest proportions of competent beginning attendance, wanted pregnancies, and you may progressive birth-control have fun with compared to outlying lady. Certainly one of outlying female, native females encountered the low proportion regarding competent beginning care and attention and you will the best proportion of undesired pregnancies.

This type of provincial inaccuracies, and additionally those people renowned in the differences between specialized data and you will in your town achieved pointers, quality subsequent interest; appropriate and you will relevant research are essential so you’re able to display screen execution of the Federal Plan on the intimate and you will reproductive health and legal rights

Delivery worry Inside Orellana, less than fifty% off shipments ranging from 2002 and you will 2006 had been attended because of the competent teams. It actually was encouraging to see an update due to the fact 1970s, specifically certainly one of lady staying in towns (55.6% about 1977–1981 several months versus 81% throughout the latest research). The gaps ranging from urban and you may rural female will always be wide, while the perform differences when considering indigenous and you may non-native female surviving in a comparable rural areas (55% to own rural non-local and you may 15% having rural native). Disparities between metropolitan and you can outlying proper care you will mirror inequity for the access to services, and that will still be focused about prominent metropolises. Accessibility can certainly be complicated by distance, transportation problems, and also the supply of hospital beds, experts, otherwise offers after lady in reality arrive at wellness business. 31 The the means to access traps certainly one of rural females, indigenous people, individuals with minimum of competent attendance at delivery, tends to be related not just to length (because low-native and local teams can be found from inside the similar geographic metropolitan areas), plus in order to cultural facts.

While the Federal Coverage provides focus on facts out of interculturality, fitness institution and you will health professionals may well not found training in such activities, or may well not regard these with esteem and sensitivity. thirty two The latest intercultural method that Federal Plan articulates depends into the correspondence anywhere between countries, besides non-native versus. indigenous, but also physician against. diligent, therefore the hegemonic biomedical design against. escort in Stamford the men and women-old-fashioned make of beginning. 33 Code would be that barrier. At the same time, it will be possible one fitness establishment may not complement some other conditions that lady worthy of due to the fact “some really good away from care and attention,” for instance the likelihood of deciding on the updates having pregnancy, the possibility never to have fun with enemas, while the presence from family during birth. Prior studies have highlighted the patronizing perceptions regarding wellness company, which fault females getting maybe not probably fitness services and you will punish him or her in perform to change its decisions. 34 We advise that in the place of guaranteeing native girls to send from the facilities they feel since the unpleasant, efforts in order to safer reproductive rights should work on problematic the expertise to take part in an enthusiastic intercultural discussion to alter the standard out of care and attention within this a person-centered method.