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“我们束手束脚”:安全受孕服务的现状表明需要一种综合护理模式。

"Our hands are tied up": current state of safer conception services suggests the need for an integrated care model.

作者信息

Goggin Kathy, Mindry Deborah, Beyeza-Kashesya Jolly, Finocchario-Kessler Sarah, Wanyenze Rhoda, Nabiryo Christine, Wagner Glenn

机构信息

a Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics , Kansas City , Missouri , USA.

出版信息

Health Care Women Int. 2014;35(7-9):990-1009. doi: 10.1080/07399332.2014.920023. Epub 2014 Aug 8.

DOI:10.1080/07399332.2014.920023
PMID:24901882
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4150838/
Abstract

We conducted in-depth interviews with a variety of health care providers (n = 33) in Uganda to identify current services that could support and act as barriers to the provision of safer conception counseling (SCC). Consistent with their training and expertise, providers of all types reported provision of services for people living with a diagnosis of HIV or AIDS who desire a child. Important barriers, including a lack of service integration, poor communication between stakeholders, and the absence of policy guidelines, were identified. Drawing on these data, we propose a model of integrated care that includes both SCC services and prevention of unplanned pregnancies.

摘要

我们对乌干达的各类医疗服务提供者(n = 33)进行了深入访谈,以确定当前能够支持提供更安全受孕咨询(SCC)以及可能成为其障碍的服务。各类提供者均根据其培训和专业知识,报告了为希望生育孩子的艾滋病毒/艾滋病感染者提供服务的情况。我们还确定了一些重要障碍,包括服务缺乏整合、利益相关者之间沟通不畅以及缺乏政策指导方针。基于这些数据,我们提出了一个综合护理模式,其中包括SCC服务和预防意外怀孕。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05f1/4150838/7941f760e055/nihms614498f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05f1/4150838/7941f760e055/nihms614498f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05f1/4150838/7941f760e055/nihms614498f1.jpg

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Preconception care for people living with HIV: recommendations for advancing implementation.艾滋病毒感染者的孕前保健:推进实施的建议。
AIDS. 2013 Oct;27 Suppl 1:S113-9. doi: 10.1097/QAD.0000000000000059.
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Engaging HIV care providers in conversations with their reproductive-age patients about fertility desires and intentions: a historical review of the HIV epidemic in the United States.
Stressors and Maladaptive Coping Mechanisms Associated with Elevated Perinatal Depressive Symptoms and Suicidality Among Women Living with HIV in Uganda.乌干达 HIV 感染者围生期抑郁症状和自杀意念相关的应激源和适应不良应对机制
Int J Behav Med. 2023 Oct;30(5):743-752. doi: 10.1007/s12529-022-10124-3. Epub 2022 Sep 20.
4
Relationship, partner factors and stigma are associated with safer conception information, motivation, and behavioral skills among women living with HIV in Botswana.在博茨瓦纳,与女性艾滋病病毒感染者的关系、伴侣因素和耻辱感与更安全的受孕信息、动机和行为技能相关。
BMC Public Health. 2021 Dec 8;21(1):2231. doi: 10.1186/s12889-021-12268-5.
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