在计划生育中改变供应商行为的六个建议
Heather Hancock1, Olivia Carlson2, Hope Hempstone3
1Johns Hopkins Center for Communication Programs, Baltimore, MD, USA.
Global health, science and practice
|November 30, 2023
概括
提供者行为改变 (PBC) 倡议对于计划生育和生殖健康至关重要. 一项审查强调需要采取更广泛的干预措施,解决系统因素和多样化的提供者干部,以改善结果.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 行为科学 行为科学
背景情况:
- 医疗保健提供者的行为显著影响到计划生育和生殖健康的结果.
- 当前的提供者行为改变 (PBC) 计划往往缺乏对影响因素的全面了解.
- 现有的PBC干预措施往往只关注个人和工作场所的因素,忽视了更广泛的系统和情境影响.
研究的目的:
- 为促进对计划生育和生殖健康中PBC干预措施的共同理解做出贡献.
- 确定提供者行为的决定因素,并提出推进PBC努力的行动.
- 为设计更有效和更全面的PBC策略提供信息.
主要方法:
- 一个叙事审查超过70篇文章和项目材料在计划生育和生殖健康的PBC干预.
- 分析经过审查的材料,以确定常见的提供者干部,目标行为决定因素和实施的策略.
- 综合发现,为未来PBC干预提供建议.
主要成果:
- 在当前的PBC干预中,通常只针对一系列有限的提供者干部和行为决定因素.
- 只有培训的干预措施是常见的,不太重视系统因素或客户端方法.
- 需要对PBC倡议进行更严格的测量和证据收集.
结论:
- 未来的PBC干预应针对不同的提供者干部和背景,考虑行为决定因素的全谱.
- 整合提供者和客户端干预措施,并从惩罚性转向支持性叙述是必不可少的.
- 超越仅仅是培训的方法,提高测量严格度将推动该领域的发展,并改善生殖健康结果.
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