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运用摄影法探索乌干达瓦基索区农村青年在促进孕产妇健康方面的潜在作用。

Use of photovoice to explore the potential role of youth in contributing to maternal health in rural Wakiso district, Uganda.

机构信息

Lecturer, Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.

Research Associate, Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.

出版信息

Sex Reprod Health Matters. 2020 Dec;28(1):1854152. doi: 10.1080/26410397.2020.1854152.

Abstract

Despite youth constituting a large portion of the population in Uganda, their involvement in improving maternal health in their communities has been minimal. This paper explores the potential role of youth in contributing to maternal health in rural communities in Wakiso district, Uganda using photovoice. Photovoice was used as a community-based participatory research method among 10 youth (5 males and 5 females) over a period of 5 months. The photos taken by the youth were discussed in monthly meetings, and emerging data was analysed using thematic content analysis. Four themes emerged regarding how youth can contribute to improving maternal health in their communities. These themes were: community health education; advocacy for health improvement; community voluntary work; and being exemplary. The fifth and final theme provides the avenues, including drama and sports, that the youth suggested they could use for conveying messages to the community concerning maternal and general health. Health education on topics such as the importance of delivering at health facilities was emphasised. Regarding advocacy, the youth said they can be involved in reaching out to various stakeholders to raise concerns affecting maternal health. Voluntary work such as construction of energy stoves for pregnant women emerged. The youth also highlighted that they could be exemplary for instance by males accompanying their spouses during antenatal visits. With the need to continuously engage community actors in health initiatives, youth should be considered and supported as important stakeholders so they may engage in activities to improve health within their communities.

摘要

尽管在乌干达,年轻人在人口中占很大比例,但他们在改善社区孕产妇健康方面的参与度一直很低。本文探讨了青年在乌干达瓦基索地区农村社区促进孕产妇健康方面的潜在作用,使用的方法是影像照见证。影像照见证是一种基于社区的参与式研究方法,在 5 个月的时间里,有 10 名青年(5 名男性和 5 名女性)参与其中。青年拍摄的照片在每月的会议上进行讨论,通过主题内容分析对新出现的数据进行分析。有 4 个主题出现,涉及青年如何为改善社区孕产妇健康做出贡献。这些主题包括:社区健康教育、倡导改善健康、社区志愿工作和树立榜样。第五个也是最后一个主题提供了青年建议的途径,包括戏剧和体育,用于向社区传达有关孕产妇和一般健康的信息。强调了关于在医疗机构分娩的重要性等主题的健康教育。关于倡导,青年表示他们可以参与接触各个利益攸关方,提出影响孕产妇健康的问题。志愿工作,如为孕妇建造节能炉灶,也出现了。青年还强调,他们可以以身作则,例如男性在妻子进行产前检查时陪伴她们。鉴于需要不断让社区行为体参与卫生倡议,应考虑并支持青年作为重要利益攸关方,以便他们参与改善社区健康的活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f49/7888067/635eb4cc4dc9/ZRHM_A_1854152_F0001_OC.jpg

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