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西北省社区健康护士在促进学校学习者生殖健康方面的作用。

The role of community health nurses in promoting school learners' reproductive health in North West province.

作者信息

Ramalepa Tshiamo N

机构信息

Department of Nursing Science, School of Healthcare Sciences, Sefako Makgatho Health Sciences University, Tshwane, South Africa.

出版信息

Health SA. 2023 Mar 7;28:2109. doi: 10.4102/hsag.v28i0.2109. eCollection 2023.

DOI:10.4102/hsag.v28i0.2109
PMID:37064646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10091070/
Abstract

BACKGROUND

Reproductive health education is a major component in schools, which is delivered through Life Orientation and Life Science subjects. Providing sexual and reproductive health education and services remains a challenge in schools of many countries, as well as South Africa. Community health nurses have the responsibility to initiate and participate in reproductive health promotion initiatives in schools.

AIM

To explore the roles of community health nurses in the promotion of school learners' reproductive health in schools.

SETTING

This study was conducted in the clinics of Madibeng municipality in North West province, South Africa.

METHODS

An exploratory qualitative research study was conducted using in-depth interviews for data collection. The population included community health nurses who were sampled purposively.

RESULTS

Community health nurses revealed that their primary role was to provide health education to learners, particularly in clinics. Furthermore, they revealed that they did not visit schools and had no communication with teachers regarding learners' reproductive health issues.

CONCLUSION

The Department of Education has opened a platform for the provision of reproductive health education in schools through various teacher-led initiatives. However, this has posed a significant challenge to teachers as they may not be willing to deliver sensitive and sexually themed information to learners. To ensure effective delivery of reproductive health education in schools, community health nurses, teachers and other relevant stakeholders must collaborate in schools.

CONTRIBUTION

This article highlights the importance of community health nurses visiting schools to promote the reproductive health of school learners.

摘要

背景

生殖健康教育是学校教育的重要组成部分,通过《生活指导》和《生命科学》等课程开展。在包括南非在内的许多国家的学校中,提供性健康和生殖健康教育及服务仍然是一项挑战。社区健康护士有责任发起并参与学校的生殖健康促进活动。

目的

探讨社区健康护士在促进学校学生生殖健康方面的作用。

地点

本研究在南非西北省马迪本市的诊所进行。

方法

采用深入访谈收集数据,开展探索性定性研究。研究对象包括通过目的抽样选取的社区健康护士。

结果

社区健康护士表示,他们的主要职责是为学生提供健康教育,尤其是在诊所。此外,他们还表示没有走访学校,也未就学生的生殖健康问题与教师进行沟通。

结论

教育部通过各种由教师主导的活动,为在学校开展生殖健康教育搭建了平台。然而,这给教师带来了巨大挑战,因为他们可能不愿意向学生传递敏感的、与性相关的信息。为确保在学校有效开展生殖健康教育,社区健康护士、教师及其他相关利益攸关方必须在学校开展合作。

贡献

本文强调了社区健康护士走访学校以促进学生生殖健康的重要性。

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Teenage births and pregnancies in South Africa, 2017 - 2021 - a reflection of a troubled country: Analysis of public sector data.2017-2021 年南非青少年生育和怀孕情况——一个陷入困境国家的反映:对公共部门数据的分析。
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Views of learners on prevention and management of pregnancies in schools of Madibeng municipality, North West province of South Africa.南非西北省马迪邦市各学校学生对妊娠预防和管理的看法。
Afr J Reprod Health. 2020 Dec;24(4):27-40. doi: 10.29063/ajrh2020/v24i4.4.
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