开发一种干预措施,以提高资源贫困的城市环境中托儿所的质量:肯尼亚内罗毕的一项混合方法研究
Linda Oloo1, Helen Elsey2, Mary Abboah-Offei2,3
1African Population and Health Research Centre, Nairobi, Kenya.
Frontiers in public health
|August 2, 2023
概括
数以百万计的儿童缺乏足够的儿童保育,影响了他们的发展. 由社区卫生团队共同设计的干预措施旨在改善肯尼亚的非正式儿童护理质量.
科学领域:
- 公共卫生 公共卫生
- 儿童早期发展 儿童早期发展
- 城市规划 城市规划
背景情况:
- 全球有3.5亿5岁以下的儿童缺乏足够的儿童保育,阻碍了健康,发展和经济进步.
- 快速的城市化和不断变化的工作模式增加了在非正式定居点的儿童保育需求.
- 现有的非正式托儿所往往缺乏对低收入家庭的支持,安全和培养环境.
研究的目的:
- 共同设计一项干预措施,以提高肯尼亚非正式定居点儿童保育中心的质量.
- 通过改善儿童保育服务,增强5岁以下儿童的健康和发展.
- 在现有的地方政府社区卫生团队中整合干预交付.
主要方法:
- 混合方法研究涉及129个儿童保育中心在内罗毕非正式定居点的快速绘制地图.
- 与44名父母/祖父母,44名儿童护理提供者和社区卫生团队进行了定性采访.
- 七个与利益相关者共同设计的研讨会和评估知识,态度和实践的问卷.
主要成果:
- 在维万达尼,家庭服务提供者占据了最低的早期儿童发展培训率 (20%).
- 在所有中心类型 (19%的支持) 中报告了最小的组织支持.
- 利益相关者认为,社区卫生志愿者有能力为非正式中心提供进一步培训.
结论:
- 与社区卫生系统集成的共同设计,促进了可扩展和可持续的干预.
- 非正式的儿童保育中心需要管理和培养护理的支持,超出核心领域.
- 需要对支持低收入城市地区非正式儿童保育的有效性和可持续性进行进一步的研究.
更多相关视频
05:04A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
Published on: September 22, 2023
477
08:10Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa
Published on: February 2, 2018
14.9K
相关概念视频
Community Based Intervention
65
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
65
Specialized Care Centers and Settings-I
972
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
972
Specialized Care Centers and Settings-II
756
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
756
Parental Care
11.8K
Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
11.8K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
Operant Conditioning Intervention
84
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
84
