在印度,将一个戒烟计划整合到一个以农村社区为基础的母婴健康计划中:利益相关者对任务转移的观点
Himanshu A Gupte1, Marina D'Costa1, Shilpi Gupta2
1Narotam Sekhsaria Foundation.
概括
发现印度农村社区卫生工作者 (CHW) 转移任务的戒烟支持是可以接受和可行的. 这种方法旨在通过解决孕妇吸烟问题来改善孕妇健康.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 控制烟草的控制方式
背景情况:
- 在印度的孕妇中,烟草的使用率很高,特别是在农村地区的无烟烟草.
- 医疗保健工作者往往缺乏有效的戒烟支持的知识,导致错过的机会.
- 社区卫生工作者 (CHWs) 是母亲和儿童健康 (MCH) 计划的组成部分.
研究的目的:
- 探索利益相关者的看法和态度,在农村MCH计划中将任务转移到CHW的戒烟支持.
- 评估将戒烟干预措施整合到产前护理环境中的可接受性,可采用性和可行性.
主要方法:
- 在印度四个州进行的实施前的定性研究.
- 利用实施研究框架来开发和分析工具.
- 员工与利益相关者进行了深入采访 (n=28) 和专注小组与医疗保健工作者 (n=24).
主要成果:
- 利益相关者支持这项干预,将戒烟目标与MCH计划目标协调一致.
- 医疗保健工作者了解他们在任务转移和MCH计划背景中的作用.
- 孕妇愿意接受CHW的戒烟支持.
- 预期的障碍包括CHW的工作量增加和时间承诺增加.
结论:
- 在MCH计划中,将任务转移到女性CHW的戒烟支持被认为是可以接受,可以采用和可行的.
- 这项研究为将戒烟纳入农村产前护理提供了洞察力.
- 该模型可以在类似的发展中国家与相似的环境中复制.
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