为乌干达农村的夫妇开发多层次的计划生育干预措施:从社区参与的研究方法中取得的关键发现和调整
Christine Muhumuza1, Katelyn M Sileo2, Rhoda K Wanyenze3
1Department of Epidemiology and Biostatistics, School of Public Health, Makerere University, Kampala, Uganda. cmuhumuza@musph.ac.ug.
BMC women's health
|October 21, 2023
概括
社区在乌干达农村的参与开发了一个文化相关的计划生育干预. 结果确定了通过解决信仰,吸引男性和涉及领导人来增加避孕使用的策略.
科学领域:
- 全球健康 全球健康
- 生殖健康 生殖健康
- 基于社区的干预措施
背景情况:
- 乌干达面临着高生育率,避孕使用存在重大障碍.
- 多层次的因素阻碍了计划生育方法的广泛采用.
研究的目的:
- 发展一个文化和社会相关的,以社区为基础的干预措施,以增加乌干达农村的避孕措施使用.
- 利用社区参与的研究方法来告知干预内容和结构.
主要方法:
- 社区的利益相关者通过一个指导委员会为干预设计提供了信息.
- 进行性别分离的焦点小组和关键告密者采访.
- 试点测试了对夫妇进行4次干预,并以主题方式分析了定性数据.
主要成果:
- 确定社区的信仰,以解决增加计划生育的接受.
- 制定了男性参与,社区领导人参与和管理性别动态的战略.
- 有信息的干预结构,包括直接分发避孕药和加强卫生工作者的长效可逆避孕药 (LARC) 能力.
结论:
- 根据对更大的试点测试的发现进行精细的干预.
- 结果可以为类似的多层次计划生育干预提供信息,在类似的环境中.
- 方法可以提高未来干预的可行性,可接受性和文化相关性.
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