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在危地马拉农村实施以社区为中心的妊娠糖尿病查方法:一个过程报告

Victoria Rabello Kras1,2, Sasha Hernandez1,2, Concepción Damián Chicajau1

  • 1Saving Mothers, New York, NY 10022, USA.

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在危地马拉农村,以社区为中心的妊娠糖尿病 (GD) 查面临挑战,但成功适应. 记录这一过程为在资源较低的环境中类似的孕产妇健康计划提供了教训.

关键词:
孕期糖尿病 孕期糖尿病低中等收入国家.执行协议 执行协议农村健康 农村健康妇女的健康妇女的健康

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科学领域:

  • 全球健康 全球健康
  • 实施科学 实施科学
  • 孕产妇健康 孕产妇健康

背景情况:

  • 孕期糖尿病 (GD) 查在低收入和中等收入国家 (LMICs) 是有限的,由于资源限制和低意识.
  • 以社区为中心的方法可以改善农村和土著环境中的查机会,但它们的实施记录很少.

研究的目的:

  • 描述瓜地马拉农村地区GD查计划的社区实施过程.
  • 使用EPIS框架记录GD查的适应和早期实施.

主要方法:

  • 采用参与式方法,将国际GD查指南适应危地马拉的当地环境.
  • 代性协议的改进,利益相关者的参与,以及社区卫生教育工作者的反,为这一过程提供了信息.
  • 综合计划数据描述了查的采用和可行性.

主要成果:

  • 挑战包括患者没有出现,社区的怀疑以及卫生教育工作者之间的解释困难.
  • 调整简化了协议,减少了后续损失,并加强了社区参与.
  • 查扩展到全面的产前服务,与卫生部加强合作. 103名土著妇女接受了查,其中12名被诊断患有GD.

结论:

  • 系统地记录现实世界的适应和利益相关者的参与对于在LMICs中引入GD查是有价值的.
  • 学习的经验可以在类似的农村和土著环境中为类似的孕产妇健康倡议提供信息.