{"id":47307,"date":"2026-03-16T14:52:13","date_gmt":"2026-03-16T14:52:13","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=47307"},"modified":"2026-03-16T14:52:13","modified_gmt":"2026-03-16T14:52:13","slug":"including-fertility-awareness-methods-in-routine-nhs-contraceptive-consultations","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/including-fertility-awareness-methods-in-routine-nhs-contraceptive-consultations\/","title":{"rendered":"Do\u011furganl\u0131k bilincini art\u0131rmaya y\u00f6nelik y\u00f6ntemlerin rutin NHS do\u011fum kontrol dan\u0131\u015fmanl\u0131klar\u0131na dahil edilmesi"},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Do\u011furganl\u0131k bilincini art\u0131rmaya y\u00f6nelik y\u00f6ntemlerin rutin NHS do\u011fum kontrol dan\u0131\u015fmanl\u0131klar\u0131na dahil edilmesi<\/h1>\n

Finansman<\/strong><\/h2>\n

NHS Bristol, North Somerset ve South Gloucestershire ICB Ara\u015ft\u0131rma Kapasitesi Fonu.<\/p>\n

Sorun nedir?<\/strong><\/h2>\n

Planlanmam\u0131\u015f gebelik, Birle\u015fik Krall\u0131k'ta \u00f6nemli bir halk sa\u011fl\u0131\u011f\u0131 sorunu olmaya devam ediyor; son y\u0131llarda do\u011fum kontrol y\u00f6ntemlerinin kullan\u0131m\u0131 azal\u0131rken, k\u00fcrtaj oranlar\u0131 art\u0131yor. Bu sonu\u00e7lar, daha dezavantajl\u0131 b\u00f6lgelerde ya\u015fayanlar\u0131, etnik az\u0131nl\u0131k topluluklar\u0131n\u0131 ve \u00f6\u011frenme g\u00fc\u00e7l\u00fc\u011f\u00fc \u00e7ekenleri orant\u0131s\u0131z bir \u015fekilde etkiliyor ve daha geni\u015f sa\u011fl\u0131k e\u015fitsizliklerini yans\u0131t\u0131yor.<\/p>\n

Do\u011fum kontrol y\u00f6ntemlerine y\u00f6nelik tercihler de\u011fi\u015fti. Baz\u0131 insanlar yan etkilerle ilgili endi\u015feler veya daha "do\u011fal" se\u00e7eneklere duyduklar\u0131 istek nedeniyle hormonal y\u00f6ntemlerden uzakla\u015f\u0131yor. Genellikle ak\u0131ll\u0131 telefon uygulamalar\u0131yla desteklenen do\u011furganl\u0131k fark\u0131ndal\u0131\u011f\u0131 y\u00f6ntemleri (FAM'ler) giderek daha pop\u00fcler hale geliyor. Bu y\u00f6ntemler, adet d\u00f6ng\u00fclerini ve v\u00fccut s\u0131cakl\u0131\u011f\u0131 ve servikal mukus gibi biyolojik belirtileri takip ederek do\u011furgan g\u00fcnleri belirlemeyi ve bu zamanlarda korunmas\u0131z cinsel ili\u015fkiden ka\u00e7\u0131nmay\u0131 i\u00e7erir.<\/p>\n

Baz\u0131 aile planlamas\u0131 y\u00f6ntemleri kan\u0131ta dayal\u0131 ve e\u011fitim ve klinik destekle etkili olsa da, bir\u00e7ok uygulaman\u0131n ge\u00e7erlili\u011fi bulunmamaktad\u0131r ve \u00f6zellikle do\u011fum, k\u00fcrtaj veya d\u00fczensiz adet d\u00f6ng\u00fclerinden sonra yanl\u0131\u015f tahminler verebilir. NHS'nin rehberli\u011fi ve deste\u011fi olmadan, bu ara\u00e7lara g\u00fcvenmek, \u00f6zellikle zaten e\u015fitsizlik ya\u015fayan gruplar aras\u0131nda istenmeyen gebelikleri ve sonras\u0131nda k\u00fcrtajlar\u0131 art\u0131rabilir.<\/p>\n

\u015eu anda, NHS'nin do\u011fum kontrol dan\u0131\u015fmanl\u0131klar\u0131, ailesel alternatif t\u0131p y\u00f6ntemleri (FAM'ler) hakk\u0131nda tutarl\u0131, kan\u0131ta dayal\u0131 ve net bilgiler sa\u011flamamaktad\u0131r. Bu eksikli\u011fin giderilmesi, Bristol, Kuzey Somerset ve G\u00fcney Gloucestershire (BNSSG) Entegre Bak\u0131m Kurulu'nun (ICB) \u00fcreme sa\u011fl\u0131\u011f\u0131, \u00f6nleme, bilin\u00e7li se\u00e7im ve sa\u011fl\u0131k e\u015fitsizliklerinin azalt\u0131lmas\u0131na ili\u015fkin \u00f6ncelikleriyle uyumludur.<\/p>\n

Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/strong><\/h2>\n

RCF fonu, do\u011furganl\u0131k fark\u0131ndal\u0131\u011f\u0131 m\u00fcdahalesini iyile\u015ftirmek ve gelecekteki g\u00fc\u00e7l\u00fc bir NIHR ara\u015ft\u0131rma ba\u015fvurusu haz\u0131rlamak i\u00e7in hizmet odakl\u0131 geli\u015ftirme \u00e7al\u0131\u015fmalar\u0131n\u0131 destekleyecektir. Faaliyetler aras\u0131nda Hasta ve Kamu Kat\u0131l\u0131m\u0131 (PPI), payda\u015f kat\u0131l\u0131m\u0131 ve h\u0131zl\u0131 bir literat\u00fcr taramas\u0131 yer alacakt\u0131r.<\/p>\n

Bu h\u0131zl\u0131 inceleme, rutin NHS do\u011fum kontrol dan\u0131\u015fmanl\u0131klar\u0131 kapsam\u0131nda aile planlama ara\u00e7lar\u0131n\u0131n (FAM) sunulmas\u0131na ili\u015fkin engelleri ve kolayla\u015ft\u0131r\u0131c\u0131 fakt\u00f6rleri belirleyecektir. Hasta kat\u0131l\u0131m\u0131 ve payda\u015f etkile\u015fimi, kullan\u0131labilirlik, uygulanabilirlik ve kabul edilebilirlik alg\u0131lar\u0131n\u0131 ara\u015ft\u0131racak ve uygulama i\u00e7in tercih edilen durumlar\u0131 (\u00f6rne\u011fin, do\u011fum sonras\u0131, k\u00fcrtaj, rutin \u00fcreme sa\u011fl\u0131\u011f\u0131 dan\u0131\u015fmanl\u0131klar\u0131 s\u0131ras\u0131nda) ve ortamlar\u0131 (\u00f6rne\u011fin, aile hekimli\u011fi uygulamalar\u0131, cinsel sa\u011fl\u0131k hizmetleri, eczaneler) belirleyecektir.<\/p>\n

Kapsay\u0131c\u0131 kat\u0131l\u0131m\u0131 desteklemek i\u00e7in, k\u00fc\u00e7\u00fck tart\u0131\u015fma gruplar\u0131 (en fazla be\u015f kat\u0131l\u0131mc\u0131), bire bir g\u00f6r\u00fc\u015fmeler ve \u00e7evrimi\u00e7i veya y\u00fcz y\u00fcze se\u00e7enekler de dahil olmak \u00fczere \u00e7e\u015fitli kat\u0131l\u0131m yakla\u015f\u0131mlar\u0131 kullan\u0131lacakt\u0131r. BNSSG genelinde \u00e7e\u015fitli sosyo-demografik ge\u00e7mi\u015flerden en fazla 20 \u00fcye, topluluk kurulu\u015flar\u0131n\u0131n (\u00f6rne\u011fin, Caafi Health, Bristol Health Partners) deste\u011fiyle i\u015fe al\u0131nacakt\u0131r. Kat\u0131l\u0131mc\u0131lar aras\u0131nda, sa\u011fl\u0131k hizmetlerine eri\u015fim konusunda \u00e7e\u015fitli deneyimlere sahip ve do\u011fum kontrol\u00fcne uygun ki\u015filer yer alacakt\u0131r.<\/p>\n

Ayr\u0131ca, hizmet d\u00fczeyindeki ve yap\u0131sal engelleri belirlemek amac\u0131yla bire bir g\u00f6r\u00fc\u015fmelere kat\u0131lmak \u00fczere en fazla 10 payda\u015f (\u00f6rne\u011fin, klinisyenler, yetkililer) g\u00f6revlendirilecektir. RCF fonu, NIHR ba\u015fvurusunun geli\u015ftirilmesi i\u00e7in \u00f6zel bir zaman da sa\u011flayacak ve teklifin ya\u015fanm\u0131\u015f deneyimleri ve hizmet \u00f6nceliklerini yans\u0131tmas\u0131n\u0131 sa\u011flayacakt\u0131r.<\/p>\n

Bu nas\u0131l ba\u015far\u0131lacak?<\/strong><\/h2>\n

NIHR taraf\u0131ndan finanse edilmesi planlanan proje, mevcut hizmet sunumundan, hasta geri bildirimlerinden ve RCF a\u015famas\u0131ndan elde edilen bulgulardan yararlanacakt\u0131r. RCF taraf\u0131ndan finanse edilen \u00e7al\u0131\u015fma s\u0131ras\u0131nda uygun olarak belirlenen NHS do\u011fum kontrol dan\u0131\u015fmanl\u0131klar\u0131 kapsam\u0131nda do\u011furganl\u0131k fark\u0131ndal\u0131\u011f\u0131 y\u00f6ntemlerinin uygulanmas\u0131n\u0131 ve de\u011ferlendirilmesini i\u00e7erecektir.<\/p>\n

Ara\u015ft\u0131rma, rutin NHS (Ulusal Sa\u011fl\u0131k Sistemi) bak\u0131m\u0131n\u0131n bir par\u00e7as\u0131 olarak aile temelli t\u0131bbi de\u011ferlendirmelerin (FAM'ler) sunulmas\u0131n\u0131n etkisini, kabul edilebilirli\u011fini, uygulanabilirli\u011fini ve maliyetlerini de\u011ferlendirecektir. Kan\u0131ta dayal\u0131 FAM'lerin ve deste\u011fin sa\u011flanmas\u0131n\u0131n, g\u00fcvenlik ve e\u015fitli\u011fi korurken, bilin\u00e7li se\u00e7im ve \u00fcreme \u00f6zerkli\u011fini geli\u015ftirip geli\u015ftirmedi\u011fini inceleyecektir.<\/p>\n

Nicel veriler, BNSSG kapsam\u0131ndaki plans\u0131z gebelik ve k\u00fcrtaj oranlar\u0131 gibi sonu\u00e7lar\u0131 i\u00e7erecektir. Nitel veriler ise hizmet kullan\u0131c\u0131lar\u0131 ve sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131n\u0131n m\u00fcdahaleye ili\u015fkin deneyimlerini inceleyecektir. Ekonomik de\u011ferlendirme, maliyetleri ve NHS i\u00e7in potansiyel fayday\u0131 de\u011ferlendirecektir.<\/p>\n

Bu m\u00fcdahale, \u00f6zellikle CORE20PLUS pop\u00fclasyonlar\u0131 i\u00e7in k\u00fclt\u00fcrel uygunluk ve eri\u015filebilirli\u011fi sa\u011flamak amac\u0131yla hastalar ve klinisyenlerle birlikte geli\u015ftirilecektir. Genel ama\u00e7, bilin\u00e7li se\u00e7imi desteklerken ve sa\u011fl\u0131k e\u015fitsizliklerini azalt\u0131rken, NHS do\u011fum kontrol dan\u0131\u015fmanl\u0131\u011f\u0131n\u0131n kalitesini, tutarl\u0131l\u0131\u011f\u0131n\u0131 ve e\u015fitli\u011fini g\u00fc\u00e7lendirmektir.<\/p>\n

Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/strong><\/h2>\n

Bu ara\u015ft\u0131rma, Bristol \u00dcniversitesi'nde Ara\u015ft\u0131rma G\u00f6revlisi olan Dr. China Harrison taraf\u0131ndan y\u00fcr\u00fct\u00fclmektedir.<\/p>\n

Daha fazla bilgi<\/strong><\/h2>\n

Daha fazla bilgi almak veya bu projeye dahil olmak i\u00e7in l\u00fctfen e-posta g\u00f6nderin.\u00a0bnssg.research@nhs.net<\/strong><\/a><\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

The intended NIHR-funded project will build on learning from current service provision, patient feedback, and findings from the RCF phase.<\/p>","protected":false},"author":16,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-47307","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/47307","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=47307"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/47307\/revisions"}],"predecessor-version":[{"id":47309,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/47307\/revisions\/47309"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=47307"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=47307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}