实施参与式行动研究,以评估早期人口健康服务
Katie Chadd1, Mariam Malik2, Anuj Kapilashrami3,4
1School of Health & Social Care, University of Essex, Wivenhoe Park, Colchester, Essex, CO4 3SQ, UK.
BMC public health
|March 11, 2025
概括
卫生专业人士发现,社会不平等,包括住房贫困和生活成本低落,严重阻碍了儿童早期发展计划. 解决这些系统性障碍对于有效的早期干预至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿童早期发展 儿童早期发展
- 医疗保健服务研究 医疗服务研究
背景情况:
- 早期干预对儿童健康和发展至关重要,是全球公共卫生战略的核心组成部分.
- 评估复杂的基于地方的公共卫生计划,如"更好的开始南德" (ABSS),需要了解进入障碍和促进者.
- 本研究重点关注卫生专业人员对障碍和促进者影响父母和儿童获得早期服务的看法.
研究的目的:
- 评估"一个更好的开始南德" (ABSS) 基于地点的公共卫生倡议.
- 从医疗保健提供者的角度检查早期发展服务的访问障碍和促进者.
- 在当地环境中探索影响幼儿发展的社区资源.
主要方法:
- 使用参与式行动研究 (PAR) 方法与提供ABSS服务的卫生专业人员合作.
- 采用创意方法,包括蜘蛛grams,服务映射和photovoice用于数据收集.
- PAR促进了对支持或阻碍幼儿发展的当地资源的探索.
主要成果:
- 卫生专业人员发现了计划采用和有效性的重大障碍,包括住房状况不佳,公共交通不足和生活成本危机.
- 商业营销做法被强调是对幼儿发展有害的.
- 系统性问题,如缺乏资源的卫生和社会护理服务以及缺乏文化上可访问的规定,造成了不平等的获取.
结论:
- 参与式行动研究 (PAR) 提供了一种有价值的评估工具,提供了细微的观点,超出了简单的结果识别.
- 社会不平等被认为是促进早期儿童发展的主要障碍,在干预设计中经常没有解决.
- 一个多层次,多系统和跨部门的框架对于基于地点的公共卫生计划至关重要,以有效地减少早期干预的不平等.
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