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拯救100名婴儿计划:通过照片之声和肯定性探究让社区参与,以实现公正和平等的分娩结果。

Save 100 Babies©: engaging communities for just and equitable birth outcomes through Photovoice and Appreciative Inquiry.

作者信息

Jackson Fleda Mask, Saran Ama R, Ricks Sharon, Essien Joyce, Klein Kevin, Roberts Darryl, Worthy Natasha

机构信息

Psychology Department, Spelman College, Atlanta, GA, USA,

出版信息

Matern Child Health J. 2014 Oct;18(8):1786-94. doi: 10.1007/s10995-014-1436-9.

DOI:10.1007/s10995-014-1436-9
PMID:24474593
Abstract

This paper presents a community engagement model designed to advance social justice and equity for African American birth outcomes through the combined techniques of Photovoice and Appreciative Inquiry. In response to the persistent racial disparities in birth outcomes, Save 100 Babies© was constructed as a 2-day summit where the emphasis was placed on individual and community assets rather than deficits. The engagement was designed to create a level of readiness among individuals working within and outside the field of Maternal and Child Health to envision strategies to attain equitable birth outcomes. The goal of the conference was to facilitate higher level consciousness by guiding the participants though a process aimed at articulating assets, possibilities and the potential for co-creating the desired futures where racial disparities in birth outcome are eliminated [corrected]. As the result of the guided discourse that began with photographs of the lives of African American women, participants articulated the strengths they detected from the pictures, their recommendations for multifaceted changes in policies and practices, and their individual and organizational commitments for a changed future. Since the summit, participants have indicated ways they have fulfilled their vows that include informing families and communities about pregnancy risks, working with youth programs, supporting fatherhood involvement in pregnancy and birth, and advancing case management that is more attuned to women's strengths. Save 100 Babies© is evolving into a network and clearinghouse for sharing and disseminating information and resources for collaboration.

摘要

本文介绍了一种社区参与模式,该模式旨在通过摄影见证和肯定性探究相结合的技术,促进非裔美国人出生结局方面的社会正义和平等。针对出生结局方面持续存在的种族差异问题,“拯救100名婴儿”©峰会被打造为一场为期两天的会议,其重点在于个人和社区资产而非缺陷。此次参与活动旨在让母婴健康领域内外的工作人员做好准备,设想实现公平出生结局的策略。会议的目标是通过引导参与者经历一个旨在阐明资产、可能性以及共同创造消除出生结局种族差异的理想未来的潜力的过程,来促进更高层次的意识提升[已修正]。由于从非裔美国女性生活照片开始的引导性讨论,参与者阐述了他们从照片中发现的优势、对政策和实践多方面变革的建议,以及他们对改变未来的个人和组织承诺。自峰会以来,参与者们表明了他们履行誓言的方式,包括向家庭和社区宣传怀孕风险、与青年项目合作、支持父亲参与怀孕和分娩,以及推进更符合女性优势的病例管理。“拯救100名婴儿”©正在演变成一个网络和信息交换中心,用于分享和传播合作信息及资源。

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What is health equity: and how does a life-course approach take us further toward it?健康公平是什么:而生命周期方法如何能让我们更进一步实现它?
Matern Child Health J. 2014 Feb;18(2):366-72. doi: 10.1007/s10995-013-1226-9.
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