通过以人为中心的设计改善避孕宣传:对马拉维农村Ndingathe ("我可以") 干预的试点研究
Janelli Vallin1, Martha Kamanga2, Beth Phillips1
1University of California, San Francisco, California, United States of America.
PloS one
|September 24, 2025
概括
在马拉维农村,Ndisathe干预改善了卫生工作人员的工作流程和客户对自注射避孕措施的支持. 这种方法提高了避孕的可用性,并减少了使用者对针的恐惧.
科学领域:
- 全球健康 全球健康
- 生殖健康 生殖健康
- 加强卫生系统 加强卫生系统
背景情况:
- 社区卫生工作者,健康监测助理 (HSAs),在马拉维,促进农村避孕措施的使用.
- 自注射避孕 (SI) 提供了一种增强避孕自主性的有希望的方法.
- Ndingathe干预使用以人为中心的设计开发,以解决HSA的工作流挑战,并改善SI咨询.
研究的目的:
- 评估Ndingathe干预措施的可行性和可接受性.
- 评估Ndingathe在改善避孕准入和减少对SI的恐惧方面的潜在有效性.
- 了解利益相关者对干预组件和影响的看法.
主要方法:
- 混合方法方法包括与HSA和客户进行前后调查.
- 采访了客户,HSA,卫生系统利益相关者和经验丰富的SI用户.
- 对社区外展诊所的观察和定量/质量数据分析.
主要成果:
- 干预组件,如自行车和津贴,改善了HSA外展频率和持续时间.
- 医疗卫生局报告说,角色冲突和超负荷减少.
- 客户在SI咨询和经验丰富的用户的支持后,表现出对针的恐惧减少.
结论:
- 恩迪萨塞的干预是可行的,并且可以被马拉维农村的利益相关者所接受.
- 试点调查结果表明,有可能改善避孕措施的可访问性.
- 这种干预可以有效地减少与自我注射避孕相关的恐惧.
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