Достапност до контрацепција и достапност и задоволство од здравствените услуги поврзани со репродуктивното здравје на жените во Република Македонија
Accessibility of contraception as well as accessibility and satisfaction from the health services related to the reproductive health of women in Republic of Macedonia

Summary/Abstract: Association for emancipation, solidarity and equality of women in R. of Macedonia in year 2009 conducted survey among the population in Macedonia, regarding the sexual and reproductive health and rights. The survey was conducted on representative random sample consisted from 2500 interviewees, both male and female, from the eight statistical regions in Macedonia. From the total number of interviewees 1346 were women. This article shows the findings from the research regarding: 1) knowledge, usage and availability of the contraception means and methods among women in Macedonia, and 2) availability and access to the health care services for the women, regarding the sexual and reproductive health. The findings from the survey revealed that the contraception usage rate is on a unsatisfactory level among the women, and that is even lower among women which are married or wedlock in comparison with single women. There are differences in the contraception usage rate between the women living in rural and urban areas, and the rate is lower among the women in the rural areas. There is difference in contraception usage rate among women from different ethnic groups living in Macedonia; it is higher among Macedonian women and lowest among Roma women. The main factor that is influencing the lower contraception usage rate is the lack of information for the methods and means of contraception among women. The coverage of the women with primary gynecological health care, and with preventive gynecological check-ups with Pap smear is on an unsatisfactory level. There are differences in the coverage between women living in rural and urban areas, and the coverage is lower among women from the rural areas. The factors that are influencing on the low coverage of the women are the following: unequal territorial coverage with gynecologists from the primary health care, insufficient number of gynecologists in the primary health care, and lack of information among women for the necessity of performing the regular preventive gynecological check-ups. The health care coverage for the women in pregnancy and during the delivery is universal and it covers the women from the entire territory of R. of Macedonia. Yet, a significant percentage of women report partial dissatisfaction from the received health care services during pregnancy and delivery. The coverage with the primary health care service for polyvalent patronage is on a low level for the women during pregnancy and delivery.

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