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首页> 外文期刊>Reproductive Health >What do we know about assessing healthcare students and professionals’ knowledge, attitude and practice regarding female genital mutilation? A systematic review
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What do we know about assessing healthcare students and professionals’ knowledge, attitude and practice regarding female genital mutilation? A systematic review

机译：我们对评估医疗专业学生和专业人员关于女性生殖器残割的知识，态度和做法有什么了解？系统评价

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Introduction Improving healthcare providers’ capacities of prevention and treatment of female genital mutilation (FGM) is important given the fact that 200 million women and girls globally are living with FGM. However, training programs are lacking and often not evaluated. Validated and standardized tools to assess providers’ knowledge, attitude and practice (KAP) regarding FGM are lacking. Therefore, little evidence exists on the impact of training efforts on healthcare providers’ KAP on FGM. The aim of our paper is to systematically review the available published and grey literature on the existing quantitative tools (e.g. scales, questionnaires) measuring healthcare students’ and providers’ KAP on FGM. Main body We systematically reviewed the published and grey literature on any quantitative assessment/measurement/evaluation of KAP of healthcare students and providers about FGM from January 1st, 1995 to July 12th, 2016. Twenty-nine papers met our inclusion criteria. We reviewed 18 full text questionnaires implemented and administered to healthcare professionals (students, nurses, midwives and physicians) in high and low income countries. The questionnaires assessed basic KAP on FGM. Some included personal and cultural beliefs, past clinical experiences, personal awareness of available clinical guidelines and laws, previous training on FGM, training needs, caregiver’s confidence in management of women with FGM, communication and personal perceptions. Identified gaps included the medical, psychological or surgical treatments indicated to improve girls and women’s health; correct diagnosis, recording ad reporting capacities; clitoral reconstruction and psychosexual care of circumcised women. Cultural and personal beliefs on FGM were investigated only in high prevalence countries. Few questionnaires addressed care of children, child protection strategies, treatment of short-term complications, and prevention. Conclusion There is a need for implementation and testing of interventions aimed at improving healthcare professionals’ and students’ capacities of diagnosis, care and prevention of FGM. Designing tools for measuring the outcomes of such interventions is a critical aspect. A unique, reproducible and standardized questionnaire could be created to measure the effect of a particular training program. Such a tool would also allow comparisons between settings, countries and interventions. An ideal tool would test the clinical capacities of providers in managing complications and communicating with clients with FGM as well as changes in KAP.
机译：简介鉴于全球有2亿妇女和女孩患有女性外阴残割，因此提高医疗保健提供者预防和治疗女性生殖器残割（FGM）的能力非常重要。但是，缺乏培训计划，而且常常没有对其进行评估。缺乏用于评估提供商关于女性生殖器切割的知识，态度和实践（KAP）的经过验证的标准化工具。因此，很少有证据表明培训工作对卫生保健提供者的女性生殖器切割的KAP产生影响。本文的目的是系统地审查有关现有定量工具（例如量表，问卷）的公开发表的灰色文献，这些文献用于测量医疗保健学生和提供者在FGM上的KAP。主体我们系统地回顾了1995年1月1日至7月12日有关医护学生和提供者关于FGM的KAP的定量评估/测量/评估的已发表的灰色文献。 >，2016年。29篇论文符合我们的纳入标准。我们审查了在高收入和低收入国家/地区针对医疗保健专业人员（学生，护士，助产士和医师）实施和管理的18份全文调查表。问卷评估了关于女性外阴残割的基本KAP。其中包括个人和文化信仰，过去的临床经验，对可用的临床指南和法律的个人意识，先前对女性生殖器切割的培训，培训需求，护理人员对女性接受女性生殖器切割的信心，沟通和个人观念。指出的差距包括表明可以改善女孩和妇女健康的医学，心理或外科治疗;正确诊断，记录广告报告功能;割礼妇女的阴蒂重建和心理性保健。仅在高流行国家中调查了关于女性外阴残割的文化和个人信仰。很少有问卷涉及儿童照料，儿童保护策略，短期并发症的治疗和预防。结论有必要实施和测试旨在提高医护人员和学生对女性生殖器切割的诊断，护理和预防能力的干预措施。设计用于测量此类干预结果的工具是至关重要的方面。可以创建一个独特的，可重复的和标准化的调查表来衡量特定培训计划的效果。这种工具还可以在环境，国家和干预措施之间进行比较。理想的工具将测试提供者在管理并发症以及通过女性生殖器切割与客户沟通以及KAP变更方面的临床能力。

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