文化定制的妇女赋权策略,以提高免疫接种率:使用以人为本的设计方法进行形成性研究
Muyi Aina1, Uchenna Igbokwe1, Raihanah Ibrahim1
1Solina Centre for International Development and Research (SCIDaR), 8 Libreville Crescent, Wuse II, Abuja, 900288, Nigeria.
JMIR formative research
|November 4, 2025
概括
以人为中心的设计 (HCD) 通过解决护理人员的障碍,如疫苗犹和财务限制,改善了健康干预. 这导致重新设计的计划赋予妇女更好的儿童免疫和社区健康.
科学领域:
- 公共卫生 公共卫生
- 卫生干预设计 卫生干预设计
- 基于社区的参与式研究
背景情况:
- 以人为中心的设计 (HCD) 对有效的健康干预至关重要,特别是在农村环境中.
- 常规疫苗接种伙伴系统 (RIBS) 是一种HCD干预措施,支持护理人员管理儿童免疫和个人健康.
- 这项研究利用基于社区的参与性研究 (CBPR) 来了解受益者的生活方式和寻求健康的行为.
研究的目的:
- 了解潜在受益者的经济,社会和健康生活方式.
- 评估这些生活方式对健康寻求属性的影响.
- 确保干预措施对用户最大限度地有益.
主要方法:
- 采用了3个步骤的HCD过程 (发现,构想,配方).
- 与护理人员和利益相关者进行了焦点小组讨论和关键信息人采访.
- 数据收集包括记录,笔记和观察;分析包括转录,描述和主题分析.
主要成果:
- 他们发现了常规免疫接种的四个主要障碍:对疫苗的犹,基于性别的决策,财务限制和地理差异.
- 护理人员强调需要经济赋权和可信的健康教育.
- 干预措施被重新设计为一个三臂模式,结合同行支持和财务赋权.
结论:
- 基于HCD的研究确定了针对女性的赋权策略 (经济支持,宣传,同行网络) 以解决健康差异.
- 这些策略旨在改善护理人员的知情决策,提高免疫率,提高社区福祉.
- 洞察力正在指导一个集群随机对照试验,以加强妇女在免疫服务中的决策权.
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