Prog Community Health Partnersh. 2022;16(3):361-383. doi: 10.1353/cpr.2022.0053.
Health outcomes, risk factors, and policies are complexly related to the reproductive health system. Systems-level frameworks for understanding and acting within communities through community-engaged research are needed to mitigate adverse reproductive health outcomes more effectively within the community.
To describe and share lessons learned from an ongoing application of a participatory modeling approach (community-based system dynamics) that aims to eliminate racial inequities in Black-White reproductive health outcomes.
The community-based system dynamics approach involves conducting complementary activities, workshops, modeling, and dissemination. We organized workshops, co-developed a causal loop diagram of the reproductive health system with participants from the community, and created materials to disseminate workshop findings and preliminary models.
Many opportunities exist for cross-fertilization of best practices between community-based system dynamics and community-based participatory research. Shared learning environments offer benefits for modelers and domain experts alike. Additionally, identifying local champions from the community helps manage group dynamics.
Community-based system dynamics is well-suited for understanding complexity in the reproductive health system. It allows participants from diverse perspectives to identify strategies to eliminate racial inequities in reproductive health outcomes.
健康结果、风险因素和政策与生殖健康系统有着复杂的关系。需要有系统层面的框架，通过社区参与式研究来理解和作用于社区，以更有效地减轻社区内不利的生殖健康结果。
描述并分享正在应用的参与式建模方法（基于社区的系统动力学）的经验教训，该方法旨在消除黑人和白人在生殖健康结果方面的种族不平等。
基于社区的系统动力学方法包括开展补充性活动、研讨会、建模和传播。我们组织了研讨会，与来自社区的参与者共同开发了生殖健康系统的因果关系图，并制作了传播研讨会结果和初步模型的材料。
在基于社区的系统动力学和基于社区的参与性研究之间，有许多机会可以进行最佳实践的交叉应用。共享学习环境对建模者和领域专家都有好处。此外，确定社区中的本地拥护者有助于管理团队动态。
基于社区的系统动力学非常适合理解生殖健康系统中的复杂性。它允许来自不同背景的参与者确定消除生殖健康结果中种族不平等的策略。
