University College London Centre for International Health and Development, Institute of Child Health, London WC1N 1EH, UK.
Health Educ Res. 2009 Dec;24(6):957-66. doi: 10.1093/her/cyp038. Epub 2009 Aug 3.
Community-based initiatives have become a popular approach to addressing the health needs of underserved populations, in both low- and higher-income countries. This article presents findings from a study of female peer facilitators involved in a community-based maternal and newborn health intervention in urban slum areas of Mumbai. Using qualitative methods we explore their role perceptions and experiences. Our findings focus on how the facilitators understand and enact their role in the community setting, how they negotiate relationships and health issues with peer groups, and the influence of credibility. We contextualize this within broader conceptualizations of peer-led health interventions and offer recommendations for similar community-based health initiatives.
社区倡议已成为解决服务不足人群健康需求的一种流行方法,无论是在低收入还是高收入国家都是如此。本文介绍了一项针对参与孟买市区贫民窟地区社区母婴健康干预的女性同伴促进者的研究结果。我们使用定性方法探讨了她们的角色认知和经验。我们的研究结果重点关注促进者如何理解和在社区环境中发挥作用,她们如何与同伴群体协商关系和健康问题,以及可信度的影响。我们将这一情况置于同伴主导的健康干预的更广泛概念框架内,并为类似的基于社区的健康倡议提供了建议。