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首页> 外文期刊>Reproductive Health >Facilitating community participation in family planning and contraceptive services provision and uptake: community and health provider perspectives
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Facilitating community participation in family planning and contraceptive services provision and uptake: community and health provider perspectives

机译：促进社区参与计划生育和避孕服务提供和摄取：社区和卫生提供者的观点

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Although community participation has been identified as being important for improved and sustained health outcomes, designing and successfully implementing it in large scale public health programmes, including family planning and contraceptive (FP/C) service provision, remains challenging. Zambian participants in a multi-country project (the UPTAKE project) took part in the development of an intervention involving community and healthcare provider participation in FP/C services provision and uptake. This study reports key thematic areas identified by the study participants as critical to facilitating community participation in this intervention. This was an exploratory qualitative research study, conducted in Kabwe District, Central Province, in 2017. Twelve focus group discussions were conducted with community members (n?=?114), two with healthcare providers (n?=?19), and ten in-depth interviews with key community and health sector stakeholders. Data were analyzed using a thematic analysis approach. Four thematic categories were identified by the participants as critical to facilitating community participation in FP/C services. Firstly, accountability in the recruitment of community participants and incorporation of community feedback in FP/C. programming. Secondly, engagement of existing community resources and structures in FP/C services provision. Thirdly, building trust in FP/C methods/services through credible community-based distributors and promotion of appropriate FP/C methods/services. Fourthly, promoting strategies that address structural failures, such as the feminisation of FP/C services and the lack FP/C services that are responsive to adolescent needs. Understanding and considering community members’ and healthcare providers’ views regarding contextualized and locally relevant participatory approaches, facilitators and challenges to participation, could improve the design, implementation and success of participatory public health programmes, including FP/C.
机译：虽然社区参与已被确定为改进和持续的健康成果，在大规模公共卫生计划中设计和成功实施它，包括计划生育和避孕药（FP / C）服务提供，但仍然具有挑战性。赞比亚参与者在一个多国项目（摄取项目）中参与了涉及社区和医疗保健提供者参与FP / C服务的干预的干预。本研究报告了研究参与者确定的关键主题领域，以促进社区参与本干预的关键。这是一家探索性定性研究研究，在中央省凯韦区进行了2017年。焦点小组讨论与社区成员（n？=？114）进行，两个带医疗保健提供者（n？=？19）和十深入了解关键社区和卫生部门利益攸关方。使用主题分析方法分析数据。参与者确定了四个专题类别，以促进社区参与FP / C服务至关重要。首先，在招聘社区参与者和在FP / C中纳入社区反馈的问责制。编程。其次，在FP / C服务提供的现有社区资源和结构的参与。第三，通过可靠的社区经销商和促进适当的FP / C方法/服务，建立对FP / C方法/服务的信任。第四，促进解决结构失败的策略，例如FP / C服务的女性化和缺乏对青少年需求的缺乏FP / C服务。了解和考虑社区成员和医疗保健提供者对环境和当地相关的参与方式，促进者和参与挑战的看法，可以改善参与式公共卫生计划的设计，执行和成功，包括FP / C.

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