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针对瓦努阿图人道主义应对行动中智障妇女和女童及其照料者的月经健康行为改变干预措施的可行性研究。

Feasibility study of a menstrual health behaviour change intervention for women and girls with intellectual disabilities and their caregivers for Vanuatu's humanitarian responses.

作者信息

Wilbur Jane, Crow Casey-Lynn, Poilapa Relvie, Morrison Chloe

机构信息

International Centre for Evidence in Disability (ICED), London School of Hygiene & Tropical Medicine, London, United Kingdom.

World Vision Vanuatu, Port Vila, Vanuatu.

出版信息

PLOS Glob Public Health. 2024 Jan 19;4(1):e0002244. doi: 10.1371/journal.pgph.0002244. eCollection 2024.


DOI:10.1371/journal.pgph.0002244
PMID:38241243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10798467/
Abstract

The Veivanua campaign is a menstrual health intervention for people with intellectual disabilities and their caregivers in Vanuatu's humanitarian setting. The campaign was adapted from the Bishesta campaign delivered in Nepal's development setting. This feasibility study is designed to assess the feasibility and acceptability of the Veivanua campaign to understand if efficacy testing is warranted. The Veivanua campaign was delivered to a preselected group of 30 young people (individuals with intellectual disabilities) and 35 caregivers (males and females). Data were collected through several qualitative tools to allow for methods triangulation: process monitoring, post-intervention in-depth interviews with caregivers and nine young people, observation of young persons, photovoice and ranking with two young people, campaign resource ranking, and key informant interviews with staff involved in the intervention. Data were analysed thematically using Nvivo 12. Results show that the Veivanua campaign is feasible. Male and female caregivers reported an increased ability to support young people's menstrual health and greater preparedness for the next emergency. Young people understood the training and applied their learning. Key informants want to scale up the intervention in their humanitarian responses. Several changes were made to the adapted campaign, but similar outcomes were recorded in Nepal and Vanuatu. All target behaviours improved, and campaign resources were used, but many caregivers found the menstrual calendar confusing. The intervention was not delivered with fidelity but responded to the context. The campaign cost more than the Bishesta campaign because procurement was more expensive in Vanuatu. In conclusion, this is the first intervention globally, so it begins to fill a substantial gap, but more must be done. As the Veivanua campaign is feasible, it requires efficacy testing in Vanuatu. It should also be adapted to humanitarian crises in other countries to support the menstrual health of this previously excluded population.

摘要

“Veivanua运动”是一项针对瓦努阿图人道主义环境中智障人士及其照料者的月经健康干预活动。该运动改编自尼泊尔发展环境下开展的“Bishesta运动”。这项可行性研究旨在评估“Veivanua运动”的可行性和可接受性,以确定是否有必要进行效果测试。“Veivanua运动”面向预先选定的30名年轻人(智障人士)和35名照料者(男性和女性)开展。通过多种定性工具收集数据,以便进行方法三角验证:过程监测、干预后对照料者和9名年轻人进行深入访谈、观察年轻人、摄影发声法以及与两名年轻人进行排序、运动资源排序,以及对参与干预的工作人员进行关键 informant访谈。使用Nvivo 12对数据进行主题分析。结果表明,“Veivanua运动”是可行的。男性和女性照料者报告称,他们支持年轻人月经健康的能力有所提高,并且对下一次紧急情况的准备更加充分。年轻人理解了培训内容并应用了所学知识。关键 informant希望在他们的人道主义应对措施中扩大该干预活动的规模。对改编后的运动进行了一些修改,但在尼泊尔和瓦努阿图记录到了类似的结果。所有目标行为都有所改善,运动资源得到了利用,但许多照料者觉得月经日历令人困惑。干预活动没有完全按照原样实施,但根据实际情况进行了调整。由于在瓦努阿图采购成本更高,该运动的花费比“Bishesta运动”更多。总之,这是全球首次开展此类干预活动,因此开始填补了一个很大的空白,但仍有更多工作要做。由于“Veivanua运动”是可行的,因此需要在瓦努阿图进行效果测试。它还应根据其他国家的人道主义危机进行调整,以支持这一以前被排除在外的人群的月经健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/676806cc7666/pgph.0002244.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/609ffb379b16/pgph.0002244.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/45468e735cfd/pgph.0002244.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/fdc489c387fa/pgph.0002244.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/676806cc7666/pgph.0002244.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/609ffb379b16/pgph.0002244.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/45468e735cfd/pgph.0002244.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/fdc489c387fa/pgph.0002244.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffe8/10798467/676806cc7666/pgph.0002244.g004.jpg

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本文引用的文献

[1]
Menstrual Health Experiences of People with Intellectual Disabilities and Their Caregivers during Vanuatu's Humanitarian Responses: A Qualitative Study.

Int J Environ Res Public Health. 2022-11-5

[2]
Measuring Disability among Migrants with Washington Group Tools: Reflections for Field Use.

Healthcare (Basel). 2022-9-24

[3]
Exploring the Use of Washington Group Questions to Identify People with Clinical Impairments Who Need Services including Assistive Products: Results from Five Population-Based Surveys.

Int J Environ Res Public Health. 2022-4-3

[4]
The use of the Washington Group on Disability Statistics questionnaires to identify hearing disability: a systematic review.

Codas. 2022

[5]
"The weather is not good": exploring the menstrual health experiences of menstruators with and without disabilities in Vanuatu.

Lancet Reg Health West Pac. 2021-11-23

[6]
Water, women and disability: Using mixed-methods to support inclusive WASH programme design in Vanuatu.

Lancet Reg Health West Pac. 2021-3-2

[7]
Are Nepal's water, sanitation and hygiene and menstrual hygiene policies and supporting documents inclusive of disability? A policy analysis.

Int J Equity Health. 2021-7-8

[8]
How addressing menstrual health and hygiene may enable progress across the Sustainable Development Goals.

Glob Health Action. 2021-1-1

[9]
Menstrual health: a definition for policy, practice, and research.

Sex Reprod Health Matters. 2021-12

[10]
Qualitative study exploring the barriers to menstrual hygiene management faced by adolescents and young people with a disability, and their carers in the Kavrepalanchok district, Nepal.

BMC Public Health. 2021-3-10

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