Yalahow Abdiasis, Hassan Mariam, Foster Angel M
a Former Graduate Student, Faculty of Health Sciences , University of Ottawa , Ottawa , ON , Canada.
b Independent Consultant , Mogadishu , Somalia.
Reprod Health Matters. 2017 Nov;25(51):114-123. doi: 10.1080/09688080.2017.1405676. Epub 2017 Dec 6.
Following two decades of civil war, Somalia recently entered the post-conflict rebuilding phase that has resulted in the rapid proliferation of higher education institutions. Given the high maternal mortality ratio, the federal government has identified the reproductive health education of health service professionals as a priority. Yet little is known about the coverage of contraception, abortion, pregnancy, childbirth, and sexual and gender-based violence (SGBV) in medicine, nursing, or midwifery. In 2016, we conducted a multi-methods study to understand the reproductive health education and training landscape and identify avenues by which development of the next generation of health service professionals could be improved. Our study comprised two components: interviews with 20 key informants and 7 focus group discussions (FGDs) with 48 physicians, nurses, midwives, and medical students. Using the transcripts, memos, and field notes, we employed a multi-phased approach to analyse our data for content and themes. Our findings show that reproductive health education for medical and nursing students is inconsistent and significant content gaps, particularly in abortion and SGBV, exist. Students have few clinical training opportunities and the overarching challenges plaguing higher education in Somalia also impact health professions programmes in Mogadishu. There is currently a window of opportunity to develop creative strategies to improve the breadth and depth of evidence-based education and training, and multi-stakeholder engagement and the promotion of South-South exchanges appear warranted.
经过二十年的内战，索马里最近进入了冲突后重建阶段，这导致了高等教育机构的迅速增加。鉴于孕产妇死亡率很高，联邦政府已将卫生服务专业人员的生殖健康教育确定为优先事项。然而，对于医学、护理或助产专业中避孕、堕胎、怀孕、分娩以及性暴力和基于性别的暴力（SGBV）的覆盖情况，人们知之甚少。2016年，我们开展了一项多方法研究，以了解生殖健康教育与培训的现状，并确定可以改进下一代卫生服务专业人员培养的途径。我们的研究包括两个部分：对20名关键信息提供者进行访谈，以及与48名医生、护士、助产士和医学生进行7次焦点小组讨论（FGD）。我们利用访谈记录、备忘录和实地笔记，采用多阶段方法分析数据的内容和主题。我们的研究结果表明，针对医学和护理专业学生的生殖健康教育并不一致，在堕胎和性暴力及基于性别的暴力方面存在重大内容空白。学生几乎没有临床培训机会，困扰索马里高等教育的总体挑战也影响着摩加迪沙的卫生专业项目。目前存在一个机会窗口，可以制定创新战略，以提高循证教育与培训的广度和深度，多利益相关方的参与以及促进南南交流似乎是必要的。
