评估华盛顿州社区杜拉计划的实施和结果:混合方法分析
Taylor Riley1,2, Zeruiah V Buchanan1, Dila Perera3
1Department of Epidemiology, University of Washington, Seattle, Washington, USA.
Perspectives on sexual and reproductive health
|June 13, 2025
概括
基于社区的杜拉计划支持家庭,并解决种族化的围产期健康差异. 成功实施需要文化相匹配的服务和组织支持杜拉,尽管存在系统性障碍.
科学领域:
- 围产期健康 围产期健康
- 健康 公平 卫生 公平
- 社区卫生计划 社区卫生计划
背景情况:
- 基于社区的杜拉提供非临床支持,旨在减少围产期健康的种族差异.
- 了解这些计划的实施和可持续性至关重要,但有限.
研究的目的:
- 检查基于社区的杜拉计划的实施和健康结果.
- 识别影响计划成功的障碍和促进因素.
主要方法:
- 解释性的顺序混合方法设计.
- 对计划和健康结果数据 (2016-2022) 的分析.
- 专题分析与直接服务提供商的倾听会议.
主要成果:
- 服务于1800多个低收入家庭,主要来自不同种族/民族背景.
- 提供大量的家庭访问,直接资金和物品.
- 积极的结果包括低的早产率 (4-9%) 和高的母乳养开始率 (>94%).
- 促进者:整体的,文化相匹配的护理和"doula-ing doula"支持.
- 障碍:系统压迫,缺乏资源,权力不平衡和供应商疲劳.
结论:
- 基于社区的杜拉计划证明了对围产期健康结果的积极影响.
- 调查结果支持增加对杜拉的补偿和结构性支持.
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