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约旦的计划生育干预措施:范围综述。

Family planning interventions in Jordan: A scoping review.

机构信息

Global Health Development, Eastern Mediterranean Public Health Network, Amman, Jordan.

Jordan University of Science and Technology, Irbid, Jordan.

出版信息

Womens Health (Lond). 2023 Jan-Dec;19:17455057231170977. doi: 10.1177/17455057231170977.

DOI:10.1177/17455057231170977
PMID:37119031
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10154992/
Abstract

BACKGROUND

Despite all efforts in Jordan to increase the demand and use of family planning services, many challenges have likely influenced fertility and contraceptive use outcomes. Improving accessibility and availability of family planning services and interventions to married women and their spouse is essential to improve pregnancy outcomes.

OBJECTIVES

This study reviewed the gray and peer-reviewed literature published between January 2010 and June 2022 that described family planning interventions implemented in Jordan and highlighted the gaps identified in the literature.

ELIGIBILITY CRITERIA

For inclusion, primary studies that included information regarding family planning interventions implemented in Jordan were retained.

SOURCES OF EVIDENCE

PubMed database was searched between 2010 till June 2022, as well as bibliographies of the retrieved literature were screened for the relevant literature.

CHARTING METHODS

Information extracted from the interventions included author, publication year, study design and purpose, intervention name, aim of the intervention, population descriptor and sample size of the intervention, and impact of the intervention.

RESULTS

A total of 10 studies that met the inclusion criteria were reviewed. The studies described/assessed 10 different interventions including communication interventions, child preparation programs, evidence-based educational program, counseling interventions, pharmacist booklet on effective use of oral contraceptive pills and Village Health Center project. Five family planning interventions targeted women and five targeted health care providers. Three interventions targeted men, two targeted religious leaders, and two targeted community health committees. Many of the interventions suffered from a lack of a robust methodological framework.

CONCLUSION

This scoping review showed that there is scarce information on the implementation of High Impact Practices in Family Planning in Jordan. The review identified a lack of robust evidence on the impact and effectiveness of family planning interventions on the access to and use of family planning services and methods. There is a need for developing, implementing, and evaluating family planning interventions that elicit a positive environment and encourage the use of family planning services.

摘要

背景

尽管约旦做出了种种努力来提高计划生育服务的需求和使用,但许多挑战可能影响了生育率和避孕措施的使用结果。改善计划生育服务的可及性和可获得性,以及为已婚妇女及其配偶提供服务,对于改善妊娠结局至关重要。

目的

本研究回顾了 2010 年 1 月至 2022 年 6 月期间发表的灰色文献和同行评议文献,这些文献描述了在约旦实施的计划生育干预措施,并强调了文献中发现的差距。

纳入标准

纳入的主要研究包括在约旦实施的计划生育干预措施的信息。

证据来源

在 2010 年至 2022 年 6 月期间,在 PubMed 数据库中进行了搜索,并对检索文献的参考文献进行了筛选,以获取相关文献。

图表方法

从干预措施中提取的信息包括作者、发表年份、研究设计和目的、干预名称、干预目的、人口描述和干预样本量以及干预效果。

结果

共审查了 10 项符合纳入标准的研究。这些研究描述/评估了 10 种不同的干预措施,包括沟通干预、儿童准备计划、基于证据的教育计划、咨询干预、药剂师关于有效使用口服避孕药的小册子和乡村保健中心项目。五项计划生育干预措施针对妇女,五项针对卫生保健提供者。三项干预措施针对男性,两项针对宗教领袖,两项针对社区卫生委员会。许多干预措施缺乏稳健的方法学框架。

结论

本范围综述表明,关于在约旦实施高影响力计划生育实践的信息很少。该综述发现,关于计划生育干预措施对计划生育服务和方法的获得和使用的影响和有效性的证据不足。需要制定、实施和评估能够营造积极环境并鼓励使用计划生育服务的计划生育干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54dd/10154992/45ba172ad633/10.1177_17455057231170977-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54dd/10154992/45ba172ad633/10.1177_17455057231170977-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54dd/10154992/45ba172ad633/10.1177_17455057231170977-fig1.jpg

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本文引用的文献

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2
Shifting dynamics: Changes in the relationship between total fertility rate and contraceptive prevalence rate in Jordan between 2012 and 2017.动态变化:2012年至2017年约旦总和生育率与避孕普及率之间关系的变化。
Gates Open Res. 2021 Jun 14;4:160. doi: 10.12688/gatesopenres.13188.2. eCollection 2020.
3
Landscape analysis of family planning research, programmes and policies targeting young people in Jordan: stakeholder assessment and systematic review.
约旦针对年轻人的计划生育研究、项目和政策的景观分析:利益相关者评估和系统评价。
East Mediterr Health J. 2020 Sep 24;26(9):1115-1134. doi: 10.26719/emhj.20.018.
4
Impact of the village health center project on contraceptive behaviors in rural Jordan: a quasi-experimental difference-in-differences analysis.农村约旦村卫生中心项目对避孕行为的影响:准实验差分分析。
BMC Public Health. 2019 Oct 29;19(1):1415. doi: 10.1186/s12889-019-7637-9.
5
Menstrual Bleeding Changes Are NORMAL: Proposed Counseling Tool to Address Common Reasons for Non-Use and Discontinuation of Contraception.经前期出血改变是正常的:提出咨询工具以解决常见的避孕方法不使用和停止使用的原因。
Glob Health Sci Pract. 2018 Oct 4;6(3):603-610. doi: 10.9745/GHSP-D-18-00093. Print 2018 Oct 3.
6
Are users of modern and traditional contraceptive methods in Jordan different?约旦的现代和传统避孕方法使用者是否存在差异?
East Mediterr Health J. 2018 Jun 25;24(4):377-384. doi: 10.26719/2018.24.4.377.
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There might be blood: a scoping review on women's responses to contraceptive-induced menstrual bleeding changes.可能会有出血:关于女性对避孕引起的月经出血变化反应的范围综述。
Reprod Health. 2018 Jun 26;15(1):114. doi: 10.1186/s12978-018-0561-0.
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Implementation of a childbirth preparation program in the maternal and child health centres in Jordan.在约旦的妇幼保健中心实施分娩准备计划。
Midwifery. 2018 Jun;61:1-7. doi: 10.1016/j.midw.2018.02.010. Epub 2018 Feb 15.
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