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评估沙特阿拉伯大规模实施循证儿童虐待预防项目准备情况的多维模型。

Multidimensional model to assess the readiness of Saudi Arabia to implement evidence based child maltreatment prevention programs at a large scale.

作者信息

Almuneef Maha A, Qayad Mohamed, Noor Ismail K, Al-Eissa Majid A, Albuhairan Fadia S, Inam Sarah, Mikton Christopher

机构信息

National Family Safety Program, King Abdulaziz Medical City, Saudi Arabia; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Saudi Arabia; Department of Pediatrics, King Abdulaziz Medical City, Saudi Arabia.

National Family Safety Program, King Abdulaziz Medical City, Saudi Arabia.

出版信息

Child Abuse Negl. 2014 Mar;38(3):527-32. doi: 10.1016/j.chiabu.2013.08.001. Epub 2013 Aug 31.

DOI:10.1016/j.chiabu.2013.08.001
PMID:23998922
Abstract

There has been increased awareness of child maltreatment in Saudi Arabia recently. This study assessed the readiness for implementing large-scale evidence-based child maltreatment prevention programs in Saudi Arabia. Key informants, who were key decision makers and senior managers in the field of child maltreatment, were invited to participate in the study. A multidimensional tool, developed by WHO and collaborators from several middle and low income countries, was used to assess 10 dimensions of readiness. A group of experts also gave an objective assessment of the 10 dimensions and key informants' and experts' scores were compared. On a scale of 100, the key informants gave a readiness score of 43% for Saudi Arabia to implement large-scale, evidence-based CM prevention programs, and experts gave an overall readiness score of 40%. Both the key informants and experts agreed that 4 of the dimensions (attitudes toward child maltreatment prevention, institutional links and resources, material resources, and human and technical resources) had low readiness scores (<5) each and three dimensions (knowledge of child maltreatment prevention, scientific data on child maltreatment prevention, and will to address child maltreatment problem) had high readiness scores (≥5) each. There was significant disagreement between key informants and experts on the remaining 3 dimensions. Overall, Saudi Arabia has a moderate/fair readiness to implement large-scale child maltreatment prevention programs. Capacity building; strengthening of material resources; and improving institutional links, collaborations, and attitudes toward the child maltreatment problem are required to improve the country's readiness to implement such programs.

摘要

近年来,沙特阿拉伯对儿童虐待问题的认识有所提高。本研究评估了在沙特阿拉伯实施大规模循证儿童虐待预防项目的准备情况。关键信息提供者,即儿童虐待领域的关键决策者和高级管理人员,受邀参与了该研究。使用了世界卫生组织与几个中低收入国家的合作者共同开发的多维工具来评估准备情况的10个维度。一组专家也对这10个维度进行了客观评估,并比较了关键信息提供者和专家的得分。在100分的评分标准下,关键信息提供者给出沙特阿拉伯实施大规模循证儿童虐待预防项目的准备得分是43%,专家给出的总体准备得分为40%。关键信息提供者和专家都认为,其中4个维度(对儿童虐待预防的态度、机构联系与资源、物质资源以及人力和技术资源)的准备得分较低(<5),3个维度(儿童虐待预防知识、儿童虐待预防的科学数据以及解决儿童虐待问题的意愿)的准备得分较高(≥5)。在其余3个维度上,关键信息提供者和专家之间存在显著分歧。总体而言,沙特阿拉伯在实施大规模儿童虐待预防项目方面有中等/尚可的准备程度。需要进行能力建设;加强物质资源;改善机构联系、合作以及对儿童虐待问题的态度,以提高该国实施此类项目的准备程度。

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