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Understanding conceptualizations and structural environment for improving pre-pregnancy planning for adolescent girls and young women in Harare, Zimbabwe.

机译：了解津巴布韦哈拉雷的概念和结构环境，以改善青春期女孩和年轻妇女的怀孕前计划。

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摘要

Zimbabwe has a high maternal mortality with adolescent girls and young women facing disproportionately high risk of maternal morbidity and mortality. Current approaches to reducing maternal mortality in Zimbabwe focus on the pregnancy period with antenatal care, obstetric care, and micronutrient supplementation during pregnancy. Although important, these approaches are not reaching a large number of women and may benefit from integration with pre-pregnancy approaches. The importance of pre-pregnancy interventions to promote young women's health has been emphasized, yet many young women in developing countries like Zimbabwe do not have access to pre-pregnancy care because little is understood about the concept of pre-pregnancy planning. Furthermore, it is unknown which interventions will have the greatest impact on maternal outcomes of women in these countries. The purpose of this research was to work collaboratively with adolescent girls, young women, and key stakeholders in Harare, Zimbabwe to bridge the knowledge gap around pre-pregnancy planning and to inform the development of a pre-pregnancy planning intervention. Interview data were collected from June-August 2015 from adolescent girls and young women (14--24 years) (n=48) and key community stakeholders (n=24) from two low-income high-density communities in Harare. Sixteen focus groups were also conducted in November 2015 with females aged 14--24 years, healthcare workers, and partners of females aged 14--24 years (n=134). Qualitative analysis with Nvivo 10 software indicated that adolescent girls and young women conceptualized pregnancy across 8 themes: carrying a child, motherhood, the best time for pregnancy, pregnancy decision makers, who is responsible for the pregnancy, pregnancy burden, pregnancy dangers, and increase in social status with pregnancy. Participants expressed mixed views concerning the possibility of planning a pregnancy and described pregnancy planning across the pre-pregnancy, pregnancy and post-pregnancy phases. Key community stakeholders described a physical environment related to pregnancy and planning for pregnancy that was limited in programming targeting adolescent girls and young women and a social environment that was deeply rooted in culture and cultural practices. Focus group participants described potential pre-pregnancy efforts that included clinic programs, community outreach, edutainment, empowerment of young women, parent and partner involved or targeted programs, peer education, school programs, technology programs, and youth friendly environments. Findings suggest that considering the socio-sociocultural influences on pregnancy will be beneficial in developing pre-pregnancy efforts to improve maternal and child health in Zimbabwe.
机译：津巴布韦的孕产妇死亡率很高，青春期女孩和年轻妇女的孕产妇发病率和死亡率风险极高。津巴布韦目前降低孕产妇死亡率的方法主要集中在妊娠期，通过产前护理，产科护理和孕期补充微量营养素。尽管很重要，但这些方法并未使大量妇女受益，并且可能会受益于与孕前方法的融合。强调了孕前干预对促进年轻妇女健康的重要性，但是像津巴布韦这样的发展中国家的许多年轻妇女无法获得孕前保健，因为对孕前计划的概念了解甚少。此外，尚不清楚在这些国家中哪种干预措施将对妇女的孕产结果产生最大影响。这项研究的目的是与津巴布韦哈拉雷的少女，年轻妇女和主要利益相关者合作，以弥合孕前计划方面的知识鸿沟，并为孕前计划干预措施的发展提供信息。访谈数据收集自2015年6月至8月，分别来自哈拉雷的两个低收入高密度社区的少女和年轻妇女（14--24岁）（n = 48）和主要社区利益相关者（n = 24）。 2015年11月，还针对16--24岁的女性，医护人员以及14--24岁的女性伴侣（n = 134）进行了16个焦点小组讨论。使用Nvivo 10软件进行的定性分析表明，青春期的女孩和年轻女性通过8个主题对怀孕进行了概念化：育儿，孕产，怀孕的最佳时间，怀孕的决策者，负责怀孕的人，怀孕的负担，怀孕的危险和增加的风险在怀孕时处于社会地位。与会者对计划怀孕的可能性表达了不同意见，并描述了整个怀孕前，怀孕和怀孕后阶段的怀孕计划。社区的主要利益相关者描述了与怀孕和怀孕计划相关的自然环境，该计划在针对青春期少女和年轻妇女的计划中受到限制，而社会环境深深植根于文化和文化习俗中。焦点小组参与者描述了可能的孕前工作，包括诊所计划，社区宣传，教育，赋予年轻妇女权力，参与的父母和伴侣或有针对性的计划，同伴教育，学校计划，技术计划以及青年友善环境。研究结果表明，考虑社会文化因素对怀孕的影响将有利于开展孕前工作，以改善津巴布韦的母婴健康。

著录项

  • 作者

    Tinago, Chiwoneso Beverley.;

  • 作者单位

    University of South Carolina.;

  • 授予单位 University of South Carolina.;
  • 学科 Public health.;Obstetrics.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 219 p.
  • 总页数 219
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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