在扩大以证据为基础的综合卫生部门应对解决女性生殖器切割在高度普遍的环境中所吸取的教训
Wisal Ahmed1, Eyob Gebretsadik2, Dina Gbenou3
1Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland wahmed@who.int.
BMJ global health
|June 12, 2023
概括
切割女性生殖器官 (FGM) 造成严重的健康问题和高成本. 一个多国方法成功地使卫生部门参与制定行动计划并调整资源以预防和照顾女性生殖器切割.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 妇女健康 妇女健康
背景情况:
- 切割女性生殖器官 (FGM) 影响全球超过2亿人,导致严重的泌尿器官,生殖,身体和心理健康并发症.
- 对于FGM并发症的年度医疗费用估计为14亿美元.
- 观察到FGM医疗化的令人担忧的趋势,卫生工作者几乎在五分之一的案件中执行FGM.
研究的目的:
- 解决FGM预防和护理在普遍环境中的综合健康方法的有限采用问题.
- 让FGM普遍存在的国家的卫生部门参与参与制定和实施行动计划.
- 调整和扩大以证据为基础的世卫组织资源,以预防女性割礼和护理服务.
主要方法:
- 一个涉及卫生部门利益关方的三步,多国参与过程.
- 制定针对女性生殖器切割的预防和护理的综合国家行动计划.
- 适应八个世卫组织基于证据的资源,用于基础活动和扩大规模.
主要成果:
- 在2018年至2022年期间,有15个国家参与了该方法.
- 十个国家成功制定了全面的国家行动计划.
- 八个世卫组织资源被调整为基础活动.
结论:
- 多国参与式方法有效地使卫生部门参与女性生殖器切割的预防和护理.
- 加强这种方法需要更多的经验分享,国内冠军和稳定的资金.
- 记录国家经验作为案例研究对于改善针对FGM的健康干预至关重要.
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