PDF(Pubmed)
Abstract：
While all modern contraceptive methods are available for free or at minimal cost in Nepal, contraceptive devices in Japan are mainly limited to condoms, requiring Nepalese migrant women to rely on their male partners for their use. Therefore, Nepalese migrants often seek contraceptive devices from Nepal or request friends or relatives to send them from their home country. This study aimed to identify the gaps and challenges associated with Nepalese migrants\' needs for sexual and reproductive health services (SRHSs), particularly contraceptives, before and after their migration to Japan. A mixed-methods study was adopted, an explanatory sequential design (ESD) combining quantitative and qualitative approaches, and data were collected from 186 Nepalese migrants (80 females and 106 males) through an online survey and from two focus-group discussions (FGDs) conducted among 24 participants (14 females and 10 males). This study highlighted the obstacles faced by Nepalese migrants in accessing contraceptive services, such as limited options, language barriers, and high costs. The study also revealed the importance of pre-departure training in Nepal and organizing post-arrival training in Japan to increase Nepalese migrants\' awareness of the SRHSs available in Japan, thereby helping to prevent SRH-related health problems, including unintended pregnancies and abortions, in Japan.
摘要：
虽然在尼泊尔，所有现代避孕方法都是免费或以最低成本提供的，日本的避孕装置主要限于避孕套，要求尼泊尔移民妇女依靠男性伴侣为您服务。因此,尼泊尔移民经常从尼泊尔寻求避孕装置，或要求朋友或亲戚从本国寄出。这项研究旨在确定与尼泊尔移民性健康和生殖健康服务（SRHS）需求相关的差距和挑战。尤其是避孕药,在他们移居日本之前和之后。采用混合方法研究，结合定量和定性方法的解释性顺序设计(ESD)，通过一项在线调查以及在24名参与者(14名女性和10名男性)中进行的两次焦点小组讨论(FGD),收集了186名尼泊尔移民(80名女性和106名男性)的数据.这项研究强调了尼泊尔移民在获得避孕服务方面面临的障碍，例如有限的选择，语言障碍,和高成本。该研究还揭示了在尼泊尔进行出发前培训和在日本组织抵达后培训的重要性，以提高尼泊尔移民对日本可用的SRHS的认识，从而有助于预防与SRH相关的健康问题，包括意外怀孕和堕胎，在日本。
