共同设计过程如何导致乌干达东部新兴城市环境中更具背景相关的计划生育干预措施
Jacquellyn Nambi Ssanyu1,2,3, Rornald Muhumuza Kananura1,2,4, Catherine Birabwa1
1Department of Health Policy Planning and Management, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
乌干达的共同设计研讨会通过社区成员和服务提供商的参与开发了十项自愿计划生育干预措施. 解决权力动态和语言障碍提高了参与和干预效率.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 基于社区的干预措施
背景情况:
- 自愿计划生育对于妇女的生殖权利至关重要,但在像乌干达这样的低资源环境中仍然存在未得到满足的需求.
- 城市内部的计划生育利用差异突显出需要超越一般城市接入范围的特定环境解决方案.
- 了解特定社区的挑战对于设计有效的干预措施来促进避孕使用至关重要.
研究的目的:
- 描述共同设计的过程,以开发特定背景的干预措施,促进自愿计划生育在乌干达东部城市.
- 通过以社区为中心的设计,识别和解决避孕措施普及的障碍.
主要方法:
- 采用了以人为中心的五阶段共同设计方法 (同情,定义,构想,原型,测试).
- 这次为期三天的研讨会有56名参与者:社区成员,计划生育提供者和领导人.
- 开发了干预措施,以解决需求侧,供应侧以及领导/治理障碍.
主要成果:
- 成功开发了一套十项干预措施,针对计划生育的各种障碍.
- 多元参与者的参与丰富了干预设计的各种经验和专业知识.
- 诸如分离群体和简化语言等策略缓解了权力不平衡和语言障碍,改善了参与.
结论:
- 共设计是一种有效的以人为中心的工具,用于开发定制的,社区特定的计划生育干预措施.
- 解决参与者特征和潜在障碍对于成功与多元化群体接触至关重要.
- 开发的干预措施为改善城市低资源环境中自愿计划生育的普及提供了一个框架.
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