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通过以公共卫生为导向的培训项目支持基层妇幼健康领导者的发展。

Supporting the Development of Grassroots Maternal and Childhood Health Leaders through a Public-Health-Informed Training Program.

作者信息

Latham-Mintus Kenzie, Ortiz Brittney, Irby Ashley, Turman Jack

机构信息

Department of Sociology, Indiana University School of Liberal Arts, IUPUI, 425 University Blvd., Indianapolis, IN 46202, USA.

Department of Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, IUPUI, Indianapolis, IN 46202, USA.

出版信息

Int J Environ Res Public Health. 2024 Apr 9;21(4):460. doi: 10.3390/ijerph21040460.

DOI:10.3390/ijerph21040460
PMID:38673371
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11050473/
Abstract

The purpose of this research was to assess leadership growth (i.e., changes in personal capacity and social capital) among women living in high-risk infant mortality zip codes who completed a grassroots maternal and childhood health leadership (GMCHL) training program. We used semi-structured qualitative interviews and thematic analysis. Three major themes associated with the training program experience were identified: (1) building personal capacity and becoming community brokers; (2) linking and leveraging through formal organizations; and (3) how individual change becomes community change. Although many of the grassroots leaders were already brokers (i.e., connecting individuals to information/services), they were able to become community brokers by gaining new skills and knowledge about strategies to reduce adverse birth outcomes in their community. In particular, joining and participation in formal organizations aimed at improving community health led to the development of linking or vertical ties (e.g., "people in high places"). The grassroots leaders gained access to people in power, such as policymakers, which enabled leaders to access more resources and opportunities for themselves and their social networks. We outline the building blocks for supporting potential grassroots leaders by enhancing personal capacity and social capital, thus leading to increases in collective efficacy and collective action.

摘要

本研究的目的是评估居住在婴儿死亡率高的邮政编码区域的女性在完成基层母婴健康领导力(GMCHL)培训项目后的领导力成长(即个人能力和社会资本的变化)。我们采用了半结构化定性访谈和主题分析。确定了与培训项目经历相关的三个主要主题:(1)培养个人能力并成为社区中间人;(2)通过正式组织建立联系并加以利用;(3)个人改变如何成为社区改变。尽管许多基层领导者已经是中间人(即将个人与信息/服务联系起来),但他们通过获得有关减少所在社区不良出生结局策略的新技能和知识,能够成为社区中间人。特别是,加入并参与旨在改善社区健康的正式组织导致了联系或纵向关系(例如,“高层人士”)的发展。基层领导者得以接触到有权力的人,如政策制定者,这使领导者能够为自己及其社交网络获取更多资源和机会。我们概述了通过增强个人能力和社会资本来支持潜在基层领导者的基本要素,从而提高集体效能和集体行动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94f/11050473/41d0fe184712/ijerph-21-00460-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94f/11050473/41d0fe184712/ijerph-21-00460-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a94f/11050473/41d0fe184712/ijerph-21-00460-g001.jpg

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本文引用的文献

1
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Health Promot Pract. 2024 Jan;25(1):127-136. doi: 10.1177/15248399221151175. Epub 2023 Jan 23.
2
Racial/Ethnic Disparities in Pregnancy-Related Deaths - United States, 2007-2016.妊娠相关死亡的种族/民族差异 - 美国,2007-2016 年。
MMWR Morb Mortal Wkly Rep. 2019 Sep 6;68(35):762-765. doi: 10.15585/mmwr.mm6835a3.
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Separate and unequal: Structural racism and infant mortality in the US.隔离且不平等:美国的结构性种族主义与婴儿死亡率
Health Place. 2017 May;45:140-144. doi: 10.1016/j.healthplace.2017.03.012. Epub 2017 Mar 28.
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Community health workers as an integral strategy in the REACH U.S. program to eliminate health inequities.社区卫生工作者是美国“拓展”项目中消除健康不平等现象的一项不可或缺的策略。
Health Promot Pract. 2014 Nov;15(6):795-802. doi: 10.1177/1524839914541442. Epub 2014 Jul 25.
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Social determinants of health and health equity policy research: exploring the use, misuse, and nonuse of policy analysis theory.健康的社会决定因素与健康公平政策研究:探讨政策分析理论的运用、误用及未使用情况
Soc Sci Med. 2014 May;108:147-55. doi: 10.1016/j.socscimed.2014.03.004. Epub 2014 Mar 6.
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The social determinants of infant mortality and birth outcomes in Western developed nations: a cross-country systematic review.西方发达国家婴儿死亡率和出生结局的社会决定因素:跨国系统评价。
Int J Environ Res Public Health. 2013 Jun 5;10(6):2296-335. doi: 10.3390/ijerph10062296.
7
Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study.内容分析和主题分析:对开展定性描述性研究的启示。
Nurs Health Sci. 2013 Sep;15(3):398-405. doi: 10.1111/nhs.12048. Epub 2013 Mar 11.
8
Life course, social determinants, and health inequities: toward a national plan for achieving health equity for African American infants--a concept paper.生命历程、社会决定因素与健康不平等:迈向实现非裔美国婴儿健康公平的国家计划——概念文件
Matern Child Health J. 2012 Aug;16(6):1143-50. doi: 10.1007/s10995-011-0847-0.
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