International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London, WC1E 7HT, UK.
WaterAid, 47-49 Durham Street, London, SE11 5JD, UK.
Int J Environ Res Public Health. 2019 Oct 4;16(19):3750. doi: 10.3390/ijerph16193750.
The Bishesta campaign is a menstrual hygiene management (MHM) intervention developed to meet the specific needs of people with intellectual impairments and their carers. It was designed and delivered in the Kavre district, Nepal. This paper explores the campaign's feasibility and acceptability. The Bishesta campaign was delivered to ten people with an intellectual impairment and their eight carers. Data on the feasibility and acceptability of the intervention was collected through: Structured questionnaire to participants before and after the intervention, process monitoring data, post-intervention in-depth interviews with all carers, observation of people with intellectual impairments, key informant interviews with all facilitators and staff involved in the campaign, as well as ranking of the perceived appropriateness and acceptability of campaign components by carers and facilitators. The Bishesta campaign was acceptable for the target groups, facilitators, and implementers. It was largely delivered with fidelity. Participants used most of the campaign components; these made the target behaviours attractive and enabled participants to carry them out with ease. There were improvements across all target behaviours. The focus of this study was feasibility, not limited-efficancy; however, indicative positive outcomes from this small sample were observed, such as an increase in young people's levels of confidence, comfort, and autonomy during menstruation. Within the sample, the Bishesta campaign appears to be a feasible intervention to ensure that one of the groups most vulnerable to exclusion from MHM interventions is not left behind.
比舍斯塔运动是一项月经卫生管理(MHM)干预措施,旨在满足智力障碍者及其照顾者的特殊需求。它是在尼泊尔卡弗里区设计和实施的。本文探讨了该运动的可行性和可接受性。比舍斯塔运动针对 10 名智力障碍者及其 8 名照顾者进行了干预。通过以下方式收集了干预措施的可行性和可接受性的数据:在干预前后对参与者进行的结构化问卷、过程监测数据、所有照顾者的干预后深入访谈、对智力障碍者的观察、所有参与运动的促进者和工作人员的关键信息访谈,以及照顾者和促进者对运动组件的适当性和可接受性的排名。比舍斯塔运动对于目标群体、促进者和实施者来说是可接受的。它在很大程度上得到了忠实的执行。参与者使用了大部分运动组件;这些使目标行为具有吸引力,并使参与者能够轻松地进行这些行为。所有目标行为都有所改善。本研究的重点是可行性,而不是有限的效率;然而,从这个小样本中观察到了一些指示性的积极结果,例如年轻人在月经期间的信心、舒适度和自主性有所提高。在样本中,比舍斯塔运动似乎是一种可行的干预措施,可以确保最容易被排除在 MHM 干预之外的群体之一不会被落下。
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