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首页> 外文期刊>AIDS care. >Rationale and design of the MEMA kwa Vijana adolescent sexual and reproductive health intervention in Mwanza Region, Tanzania.
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Rationale and design of the MEMA kwa Vijana adolescent sexual and reproductive health intervention in Mwanza Region, Tanzania.

机译：坦桑尼亚姆万扎地区MEMA青年青少年性健康和生殖健康干预措施的原理和设计。

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摘要

Large-scale innovative, integrated, multifaceted adolescent sexual and reproductive health (ASRH) interventions are urgently needed in sub-Saharan Africa. Implementation through schools and health facilities may maximize intervention coverage and sustainability, however the impact of the use of these structures on intervention content and delivery is not well documented. This paper describes the rationale and design of a large-scale multifaceted ASRH intervention, which was developed and evaluated over three years in rural communities in Mwanza Region, North West Tanzania. The intervention comprised community mobilization, participatory reproductive health education in primary schools, youth-friendly reproductive health services and community-based condom provision for youth. We examine the effect of socioeconomic, cultural and infrastructural factors on intervention content and implementation. This paper demonstrates the means by which such interventions can be feasibly and sustainably implemented to a high standard through existing government health and school structures. However, the use of these structures involves compromise on some key aspects of intervention design and requires the development of complementary strategies to access out-of-school youth and the wider community.
机译：在撒哈拉以南非洲，迫切需要大规模的创新，综合，多方面的青少年性健康和生殖健康（ASRH）干预措施。通过学校和卫生机构的实施可以最大程度地扩大干预范围和可持续性，但是，没有充分记录这些结构的使用对干预内容和实施的影响。本文介绍了在坦桑尼亚西北部姆旺扎地区的农村社区中进行了为期三年的开发和评估的大规模多方面ASRH干预措施的原理和设计。干预措施包括社区动员，小学参与式生殖健康教育，青年友好型生殖健康服务以及为青年提供社区安全套。我们研究了社会经济，文化和基础设施因素对干预内容和实施的影响。本文展示了可以通过现有的政府卫生和学校机构以高标准切实可行地，可持续地实施此类干预措施的方法。但是，这些结构的使用在干预设计的某些关键方面涉及折衷，并且需要制定补充性策略来接触失学青年和更广泛的社区。

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