实施策略,以扩大自行管理的仓库medroxyprogesterone酸皮下注射避孕:一个范围审查
Adeniyi Kolade Aderoba1,2, Petrus Schoken Steyn3, James Njogu Kiarie3
1Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK. adeniyi.aderoba@gmail.com.
Systematic reviews
|July 4, 2023
概括
自主使用的medroxyprogesterone acetate皮下注射避孕药 (DMPA-SC) 提供了更好的避孕方法. 然而,扩大DMPA-SC计划面临挑战,尽管有各种实施策略,但对计划成果的证据有限.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 全球健康 全球健康
背景情况:
- 自主使用的medroxyprogesterone acetate皮下注射避孕药 (DMPA-SC) 是一种注册的避孕药,有可能提高获得,延续和自主性.
- 尽管有潜力,但扩大DMPA-SC实施面临着重大挑战和问题.
研究的目的:
- 识别和描述用于扩大自我管理的DMPA-SC.的策略.
- 分析与DMPA-SC扩展计划相关的障碍,促进者和结果.
主要方法:
- 根据PRISMA扩展指南进行了范围审查.
- 通过对六个电子数据库和灰色文献进行搜索,确定了在2018-2021年期间发布的34份相关文件.
- 采用EPOC卫生系统分类学框架进行的主题分析,用于数据合成.
主要成果:
- 干预措施包括任务共享,领导参与,政策支持,培训,需求产生,计划整合,资金,伙伴关系和供应链加强.
- 确定的主要障碍是资金不足,人力资源不足和DMPA-SC供应物流不良.
- 关于DMPA-SC扩展举措的结果,发现的证据很少.
结论:
- 虽然存在各种干预措施来扩大DMPA-SC的规模,但对其结果的证据显著缺乏.
- 未来的努力应优先考虑严格的实施研究,以评估扩大DMPA-SC干预措施的结果.
- 这些证据可以为旨在改善计划生育准入和实现可持续发展目标3.7.7的计划提供信息.
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