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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.

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

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