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利用证据和数据设计项目社区模式中的干预措施,以促进青少年母亲及其子女的健康和福祉。

Using Evidence and Data to Design an Intervention in the Project Community Model for Fostering Health and Wellbeing Among Adolescent Mothers and Their Children.

机构信息

Young Women's Christian Association, Blantyre, Malawi.

Pharmacy Department, College of Medicine, University of Malawi, Blantyre, Malawi.

出版信息

Front Public Health. 2021 Feb 26;9:584575. doi: 10.3389/fpubh.2021.584575. eCollection 2021.

DOI:10.3389/fpubh.2021.584575
PMID:33732673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7959758/
Abstract

In this paper, quantitative and qualitative measurements of maternal psychosocial wellbeing were utilized in three districts in Malawi that guided decision-making to increase the wellbeing of adolescent mothers and promote the healthy upbringing of their children. The 1-year design stage of the study relied on several sources of information: literature search, prior project implementation of similar projects, discussions with officials at the Malawi Department of Social Welfare, and observation visits in the targeted districts. The approaches for collecting data mentioned were triangulated for the development of a baseline survey. The baseline survey generated systematically collected data of the experiences and recalls as well as the missing data from the preliminary evaluation of the existing data. The baseline data gave the Young Women's Christian Association (YWCA) insight on the type of intervention required in order to give a greater and more holistic effect on the beneficiaries. We also discuss the lessons we learned as to whether the assumptions we had made at the onset were correct. If they were not correct, we explained the measures we took to correct the design or implementation of the project. Finally, the data provided benchmarks for project monitoring and evaluation.

摘要

本文在马拉维的三个地区利用孕产妇心理健康的定量和定性测量数据,指导决策以提高青少年母亲的幸福感,并促进其子女的健康成长。该研究的 1 年设计阶段依赖于多种信息来源:文献检索、类似项目的先前项目实施、与马拉维社会福利部官员的讨论以及目标地区的观察访问。提到的收集数据方法进行了三角剖分,以制定基线调查。基线调查生成了系统收集的经验和回忆数据,以及初步评估现有数据时丢失的数据。基线数据使基督教女青年会(YWCA)深入了解所需的干预类型,以便对受益者产生更大和更全面的影响。我们还讨论了我们从中吸取的经验教训,即我们在开始时所做的假设是否正确。如果不正确,我们将解释我们采取的措施来纠正项目的设计或实施。最后,数据为项目监测和评估提供了基准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f9/7959758/4940f435e43c/fpubh-09-584575-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f9/7959758/4940f435e43c/fpubh-09-584575-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34f9/7959758/4940f435e43c/fpubh-09-584575-g0001.jpg

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本文引用的文献

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Assessing the Impact of an Intervention Project by the Young women's Christian Association of Malawi on Psychosocial Well-Being of Adolescent Mothers and Their Children in Malawi.评估马拉维基督教女青年会干预项目对马拉维青少年母亲及其子女的心理社会健康的影响。
Front Public Health. 2021 Mar 24;9:585517. doi: 10.3389/fpubh.2021.585517. eCollection 2021.
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Parenting, the other oldest profession in the world - a cross-sectional study of parenting and child outcomes in South Africa and Malawi.育儿,世界上另一项最古老的职业——南非和马拉维育儿与儿童成长结果的横断面研究。
Health Psychol Behav Med. 2017;5(1):145-165. doi: 10.1080/21642850.2016.1276459. Epub 2017 Jan 30.
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创新者对儿童发展早期监测、评价和学习系统的反思。
Front Public Health. 2023 Mar 16;11:1021790. doi: 10.3389/fpubh.2023.1021790. eCollection 2023.
Maternal depression: A major risk factor for psychosocial wellbeing among preschoolers.
母亲抑郁:学龄前儿童心理社会健康的主要危险因素。
Asian J Psychiatr. 2018 Oct;37:85-89. doi: 10.1016/j.ajp.2018.08.018. Epub 2018 Aug 19.
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Early school failure predicts teenage pregnancy and marriage: A large population-based cohort study in northern Malawi.早期学业失败预示着青少年怀孕和早婚:来自马拉维北部的一项大型基于人群的队列研究。
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Child Care Health Dev. 2018 Jul;44(4):531-538. doi: 10.1111/cch.12567. Epub 2018 Apr 17.
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