南アフリカ の フリーダム パーク の 少女 や 若い 女性 の 性 や 生殖 保健 の 優先 課題 を 特定 する 方法
Maya Stevens-Uninsky1, Najuwa Gallant2, Tashreeq Chatting2
1Department of Global Health, McMaster University, Hamilton, Canada.
まとめ
ケープタウンの若い女性は 性別に基づく暴力と青春期妊娠を 性別や生殖に関する健康に関する重要な優先事項としました 脱植民地化された研究方法により ニーズを表現し コミュニティ主導の解決策を推進することができました
科学分野:
- コミュニティ・ヘルス
- 公衆衛生
- 社会学
背景:
- 植民地主義とアパルトヘイトは,ケープタウンの女性の性および生殖健康 (SRH) に著しく影響している.
- ティーンエイジングの女性のSRHの需要はしばしば見過ごされ,コミュニティ中心のアプローチが必要になります.
研究 の 目的:
- ケープタウンのフリードム・パークの青春期女性の性および生殖健康 (SRH) 優先事項を特定する.
- 十代の女性がSRHを定義し,健康上のニーズと優先順位を明確に述べるための権限を与えること.
主な方法:
- 脱植民地化され,参加型行動研究デザインが用いられました.
- コミュニティメンバーと共同で開発された改造されたボディマッピングは,SRHの問題の探索を容易にした.
- 7つのワークショップで16歳から25歳までの54人の少女と若い女性 (AGYW) が参加し,データ分析はテーマごとにコード化され,視覚的な解釈が行われました.
主要な成果:
- 参加者はSRHを定義し,SRHの懸念や優先順位を視覚的に表現しました.
- 主なSRHテーマは生殖健康,性的健康,虐待と暴力,精神的健康,支援,知識,社会的圧力でした.
- 性別に基づく暴力 (GBV) と10代の妊娠は,コミュニティの注意を必要とする最も重要なSRH問題として特定されました.
結論:
- 社会経済的な要因,文化的な文脈,歴史的影響は,SRHの結果を決定する重要な要因です.
- 地域社会が主導する優先順位を設定し,SRHのニーズを語ることができるようにしました.
- 文化に敏感で コミュニティ主導の介入は 持続的な変化に不可欠です
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