基于社区的多层次计划生育干预对乌干达农村夫妇理论基础的中间结果的影响:混合方法试点评估结果
Katelyn M Sileo1, Christine Muhumuza2, Rhoda K Wanyenze3
1Department of Public Health, The University of Texas at San Antonio, San Antonio, Texas, USA.
British journal of health psychology
|January 19, 2024
概括
家庭健康=家庭财富干预改善了乌干达农村的计划生育知识,态度和意图. 这种多层次的方法也促进了公平的性别动态和夫妇之间的沟通.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 计划生育 计划生育方式
背景情况:
- 乌干达农村地区仍有大量未满足的计划生育需求.
- 家庭健康=家庭财富 (FH=FW) 干预是基于社会生态模型和变革性沟通理论的多层次计划.
- 了解这种干预措施的中间结果对于应对生殖健康挑战至关重要.
研究的目的:
- 为了测试FH=FW干预的概念模型.
- 检查FH=FW对乌干达农村夫妇中间结果的影响.
- 评估干预措施在不同社会生态层面的影响.
主要方法:
- 一个试点准实验的受控试验与两个匹配的集群.
- 在基线和随访 (7个月和10个月) 通过问卷收集的定量数据.
- 从焦点小组讨论和半结构面试中获得的定性数据,以主题分析.
主要成果:
- 对个人,人际关系和社区层面的计划生育决定因素观察到显著的干预效应.
- 改善个人对计划生育的知识,态度和意图;减少不公平的性别态度.
- 加强人际沟通,共享决策,公平的关系动态,以及社区对计划生育的接受.
结论:
- 这项试点评估支持了FH=FW干预的理论基础模型.
- 该干预措施表明,它有能力影响未满足计划生育需求的多层次驱动因素.
- 混合方法方法提供了对干预有效性的全面见解.
相关概念视频
Community Based Intervention
43
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...
43
Birth Control Methods
262
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
262
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
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
Couples Therapy
44
Couples therapy is a therapeutic approach designed to help individuals in intimate relationships address conflicts, improve communication, and foster healthier dynamics. It is appropriate for couples at various stages, including those who are dating, married, or in long-term partnerships, and aims to support partners in navigating their unique relational challenges.
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
Core Principles and Techniques
Couples therapy often incorporates cognitive-behavioral principles to identify and modify negative...
44
Family Therapy
46
Family therapy conceptualizes psychological challenges as arising from dysfunctional interactions within the family unit, rather than as isolated issues within individuals. This approach seeks to address and transform the patterns of communication, roles, and relationships within families to promote healthier dynamics and emotional well-being for all members.
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
Strategic Family Therapy
Strategic family therapy emphasizes resolving communication barriers and improving problem-solving abilities...
46


