Department of Clinical Sciences, Social Medicine and Global Health, Lund University, Malmö, Sweden.
Obstetrics and Gynecology Department, St. Francis Hospital Nsambya, Kampala, Uganda.
Glob Health Action. 2023 Dec 31;16(1):2230814. doi: 10.1080/16549716.2023.2230814.
In low-income countries the utilisation of sexual and reproductive health and rights (SRHR) services is influenced by healthcare practitioners' knowledge, attitudes and practices. Despite awareness of the potential problems due to ingrained biases and prejudices, few approaches have been effective in changing practitioners' knowledge, attitudes and practices concerning SRHR in low-income countries.
A pre- and post-intervention study, involving 107 trainees from ten low-income countries, was conducted between 2017 and 2018. Paired samples t-test and independent samples t-test were used to assess differences between trainees' pre- and post-training scores in self-rated SRHR knowledge, attitudes, knowledge seeking behaviour and practices. Linear regression models were used to examine association between trainees' baseline characteristics and post-training attitudes and practices.
Trainees' self-rated scores for SRHR knowledge, attitudes and practices showed statistically significant improvement. Baseline high SRHR knowledge was positively associated with improvements in attitudes but not practices. High increases in scores on knowledge seeking behaviour were associated with higher practice scores. No statistically significant associations were found between scores that measured changes in SRHR knowledge, attitudes and practices.
The findings indicate that the ITP was effective in improving trainees' self-rated scores for SRHR knowledge, attitudes and behaviours (practices). The strongest association was found between improvement in SRHR knowledge seeking behaviour and the improvement in SRHR practices. This suggests that behaviour intention may have a central role in promoting fair open-minded SRHR practices among healthcare practitioners in low-income countries.
在低收入国家，医疗保健从业者的知识、态度和实践影响了他们对性与生殖健康和权利（SRHR）服务的利用。尽管人们已经意识到由于根深蒂固的偏见和偏见可能会产生潜在问题，但很少有方法能够有效地改变低收入国家医疗保健从业者在 SRHR 方面的知识、态度和实践。
1）评估参加性与生殖健康和权利国际培训计划（ITP）是否改变了医疗保健从业者的 SRHR 知识、SRHR 态度和 SRHR 实践；2）考察学员的特点、他们的 SRHR 工作环境与......之间的关系。
这是一项在 2017 年至 2018 年期间进行的涉及来自 10 个低收入国家的 107 名学员的干预前和干预后研究。采用配对样本 t 检验和独立样本 t 检验评估学员在自我评估的 SRHR 知识、态度、知识寻求行为和实践方面的培训前后得分的差异。线性回归模型用于检验学员的基线特征与培训后的态度和实践之间的关联。
学员的自我评估 SRHR 知识、态度和实践得分均显示出统计学上的显著提高。基线时 SRHR 知识高与态度的改善有关，但与实践无关。知识寻求行为得分的大幅提高与实践得分的提高有关。未发现测量 SRHR 知识、态度和实践变化的得分之间存在统计学上的显著关联。
这些发现表明，ITP 有效提高了学员对 SRHR 知识、态度和行为（实践）的自我评估得分。与 SRHR 知识寻求行为的改善相关的最强关联与 SRHR 实践的改善有关。这表明行为意图可能在促进低收入国家医疗保健从业者公平开放的 SRHR 实践方面发挥核心作用。
