将协商民主方法适应于LMIC环境:尼日利亚的一个案例研究
Laura M Gaydos1, Kabiru Salami2, Wasiu Yusuf2
1Department of Health Policy and Management, Emory University, Atlanta, GA, United States.
Frontiers in public health
|November 3, 2025
概括
审议民主成功地适应了一项艾滋病毒同行计划,在尼日利亚妇女中进行HPV自我查. 这种社区参与的方法确保了在低资源环境中促进健康的文化相关性和可持续性.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 促进健康 促进健康
背景情况:
- 低收入和中等收入国家 (LMICs) 的可持续健康促进受到基础设施和文化多样性的挑战.
- 在资源不足的环境中,高强度的参与策略可能是不可行的.
- 调整导师母亲 (MM) 艾滋病毒同行计划,包括尼日利亚艾滋病毒感染妇女的HPV自我查,使用审议民主 (DD) 进行了探索.
研究的目的:
- 适应导师母亲 (MM) 艾滋病毒同行计划,在尼日利亚艾滋病毒感染妇女中进行HPV自我查.
- 利用审议民主 (DD) 原则,探索可行和可持续的方案调整策略.
主要方法:
- 一个分层的DD方法涉及最初的研究小组审议和随后的社区审议与各种利益相关者.
- 社区审议是在为期两天的会议上进行的,小组和大组讨论以达成共识.
- 研究了利益相关者的观点,以确定可行的计划调整和实施模式.
主要成果:
- 在HPV样本采集 (MMs教育群体和运输样本) 和结果交付 (MMs在培训后返回结果) 上达成共识.
- 该过程表明参与者的满意度很高,并且在解释HPV查方面提高了自我有效性.
- 观察到遵守DD原则,包括包容性,合理的理由和社会视角.
结论:
- 在尼日利亚,DD过程被证明是可行的和有效的,以适应MM程序用于HPV查.
- 人们注意到了社区赋权和加强干预的发展.
- 为了应对文化规范和后勤挑战,需要进行调整,强调DD在LMICs中具有文化适当和可持续的健康促进潜力.
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