グアテマラ農村における青少年性および生殖健康介入の実施における障壁と機会:探索的記述的研究
Diana Carolina Chaparro Buitrago1, Andrea Baumann1, Olive Wahoush2
1Faculty of Health Sciences Global Health Office McMaster University Hamilton, Ontario Canada Faculty of Health Sciences, Global Health Office, McMaster University, Hamilton, Ontario, Canada.
まとめ
グアテマラ地方の青少年性および生殖保健プログラムの実施は,限られた資源と文化的障壁などの課題に直面しています. コミュニティの関与と若者のリーダーシップは,持続可能な,文化的に関連した介入のための重要な機会です.
科学分野:
- グローバル・ヘルス グローバル・ヘルス
- 公衆衛生は公衆衛生である.
- 原住民の健康について
背景:
- 青少年性および生殖健康 (ASRH) は,世界的な健康問題である.
- 田舎の先住民コミュニティは,ASRHサービスへのアクセスにおいて,しばしばユニークな課題に直面しています.
研究 の 目的:
- グアテマラの田舎の先住民コミュニティでのASRH介入の障壁と機会を特定する.
主な方法:
- 探索的,記述的,定性的な研究.
- ステークホルダーマッピングと反射的なテーマ分析.
- 主要なステークホルダーとの20回の半構造面接.
主要な成果:
- 障壁は,制度的な能力の限界,包括的な性教育や若者向けの保健サービスへのアクセス不足,文化・宗教的な抵抗などです.
- 機会:コミュニティ参加,若者リーダーシップ,テクノロジー,メンタルヘルスの統合.
- 資金不足や調整不良などの構造的な問題により,持続可能性が妨げられます.
結論:
- 統治の強化と多部門間の連携が不可欠である.
- 青少年とコミュニティの関与を活用することは,持続可能で,文化的に根付いたASRHの介入に不可欠です.
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