与瑞典的移民妇女共同设计产后避孕服务:从IMPROVE-it项目中吸取的经验教训
Sibylle Herzig van Wees1, Helena Kilander2,3, Khadija Salah4
1Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden. Sibylle.hvw@ki.se.
BMC health services research
|November 1, 2024
概括
与瑞典的移民妇女和助产士共同设计产后避孕服务,改善了获得,沟通和赋权. 这种协作式的方法增强了对经常缺乏服务的人群的生殖健康护理.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 健康 公平 卫生 公平
背景情况:
- 高收入国家的移民妇女面临着未得到满足的性和生殖健康需求,导致更差的妊娠结果和更高的意外怀孕率.
- 产后避孕服务往往无法满足移民妇女的具体需求.
- 共同设计是减少健康不平等的公认方法,但其在为移民人口开发产后避孕服务方面的应用尚未得到充分探索.
研究的目的:
- 描述用于为瑞典移民妇女开发量身定制和可接受的产后避孕服务的共同设计过程.
- 通过合作,确定改善产后避孕护理的战略.
主要方法:
- 一个共同设计的过程,涉及循环数字咨询与阿拉伯语和索马里语的移民妇女,助产士和研究人员.
- 使用"双钻"设计过程模型作为理论框架.
- 使用定性内容分析来解释数据.
主要成果:
- 共同开发干预材料和策略,以加强产后避孕服务.
- 确定了需要改进的关键领域:对服务的物理访问,沟通策略 (例如视觉辅助工具) 和通过反思性实践赋权.
- 参与者积极贡献,导致对现有咨询实践的积极反思.
结论:
- 共同设计过程成功地产生了创新的工具和活动,以改善避孕咨询.
- 涉及移民妇女和助产士的协作方法促进了服务的改进和反思性的助产士实践.
- 这种参与式方法提供了一种解决移民妇女生殖保健方面的健康不平等问题的新方法.
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