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首页> 外文期刊>Maternal and child health journal >Voces de la frontera/Voices from the Border: Using Case Studies of Pregnancy, Birth and Parenting along the US-Mexico Border to Identify Shared Measures of Success
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Voces de la frontera/Voices from the Border: Using Case Studies of Pregnancy, Birth and Parenting along the US-Mexico Border to Identify Shared Measures of Success

机译：Voces de la Frontera /来自边境的声音：使用妊娠，沿着美国墨西哥边境的妊娠，诞生和育儿的案例研究，以确定成功的共同措施

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Purpose This research analyzes the cases of five women living along the U.S.-Mexico border who overcame challenges during pregnancy or parenting with the support of a federally funded Healthy Start program, designed to eliminate disparities in perinatal health in disadvantaged communities with the poorest birth outcomes. Study objectives were to: (1) identify common factors that affect healthy maternal and child outcomes for Healthy Start participants; and (2) identify a shared definition of what success looks like for Healthy Start participants and opportunities for further study. Description Five border Healthy Start sites (CA, AZ, NM, and TX) contributed case stories from participants who had overcome access barriers to achieve positive pregnancy, birth or parenting outcomes. Case studies were collected using review of successful participant cases and non-structured interviews by Healthy Start staff, and analyzed using participatory methods and thematic analysis. Assessment Common barriers were: lack of insurance; isolation or unsupportive family relationships; timidness and lack of self-advocacy. Healthy Start programs have been successful in securing supportive relationships through the community health worker model; reducing isolation; obtaining insurance access and a medical home; building self-advocacy skills; and supporting participants to pursue their goals. Conclusion Identified barriers are in line with available literature on health care access and provide a U.S.-Mexico border-specific view. The Healthy Start model is effective at helping women to overcome barriers. Learning from this research may contribute to development of shared measures for more impactful evaluation of Healthy Start and similar programs.
机译：目的本研究分析了美国 - 墨西哥边境的五名妇女的案件，他在怀孕期间克服挑战或养育有联邦资助的健康开始计划的挑战，旨在消除弱势群体的围产期健康，缺失的诞生成果。研究目标是：（1）确定影响健康开发参与者的健康孕产妇和儿童结果的常见因素;和（2）确定成功的共享定义是健康的开始参与者和进一步研究的机会。描述五个边境健康起始网站（CA，AZ，NM和TX）从参与者克服访问障碍的参与者贡献案例故事，以实现阳性妊娠，出生或养育结果。使用成功的参与者案件和健康开始员工的非结构化访谈收集案例研究，并使用参与式方法和专题分析进行分析。评估普遍障碍是：缺乏保险;孤立或不支持的家庭关系;懦弱和缺乏自我宣传。健康的开始计划已经成功地通过社区卫生工作者模型确保支持性关系;减少孤立;获得保险机和医疗房屋;建立自我倡导技巧;并支持参与者追求他们的目标。结论确定的障碍符合医疗保健机构的可用文献，并提供美国墨西哥边境特定观点。健康的开始模式有效帮助妇女克服障碍。从这项研究中学习可能有助于开发共同措施，以便对健康开始和类似计划的更多有影响力的评估。

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