Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
McMaster Midwifery Research Centre, McMaster University, Hamilton, ON, Canada.
PLoS One. 2024 May 17;19(5):e0303168. doi: 10.1371/journal.pone.0303168. eCollection 2024.
Globally, a shift is occurring to recognize the importance of young peoples' health and well-being, their unique health challenges, and the potential they hold as key drivers of change in their communities. In Haiti, one of the four leading causes of death for those 20-24 years old is pregnancy, childbirth, and the weeks after birth or at the end of a pregnancy. Important gaps remain in existing knowledge about youth perspectives of maternal health and well-being within their communities. Youth with lived experiences of maternal near-misses are well-positioned to contribute to the understanding of maternal health in their communities and their potential role in bringing about change.
To explore and understand youth perspectives of maternal near-miss experiences that occurred in a local healthcare facility or at home in rural Haiti.
We will conduct a qualitative, community-based participatory research study regarding maternal near-miss experiences to understand current challenges and identify solutions to improve community maternal health, specifically focused on youth maternal health. We will use Photovoice to seek an understanding of the lived experiences of youth maternal near-miss survivors. Participants will be from La Pointe, a Haitian community served by their local healthcare facility. We will undertake purposeful sampling to recruit approximately 20 female youth, aged 15-24 years. Data will be generated through photos, individual interviews and small group discussions (grouped by setting of near-miss experience). Data generation and analysis are expected to occur over a three-month period.
Ethics approval will be sought from Centre Médical Béraca in La Pointe, Haiti, and from the Hamilton Integrated Research Ethics Board in Hamilton ON, Canada. We will involve community stakeholders, especially youth, in developing dissemination and knowledge mobilisation strategies. Our findings will be disseminated as an open access publication, be presented publicly, at conferences, and defended as part of a doctoral thesis.
在全球范围内，人们逐渐认识到年轻人的健康和福祉、他们独特的健康挑战，以及他们作为社区变革关键推动者的潜力的重要性。在海地，20-24 岁人群的四大死亡原因之一是妊娠、分娩和产后或孕期结束后的几周。在年轻人对社区内孕产妇健康和福祉的看法方面，仍然存在重要的知识差距。经历过孕产妇险症的青年有充分的条件为理解社区内的孕产妇健康以及他们在带来变革方面的潜在作用做出贡献。
探讨和了解在海地农村当地医疗机构或家中发生的孕产妇险症经历的青年观点。
我们将开展一项关于孕产妇险症经历的定性、基于社区的参与式研究，以了解当前的挑战，并确定改善社区孕产妇健康的解决方案，特别是侧重于青年孕产妇健康。我们将使用影像叙事来了解青年孕产妇险症幸存者的生活经历。参与者将来自海地社区 La Pointe，由当地医疗机构服务。我们将采用目的性抽样，招募大约 20 名年龄在 15-24 岁之间的女性青年。将通过照片、个人访谈和小组讨论（按险症经历的地点分组）来生成数据。预计数据生成和分析将在三个月内完成。
我们将向海地 La Pointe 的 Béraca 医疗中心和加拿大安大略省汉密尔顿综合研究伦理委员会寻求伦理批准。我们将让社区利益相关者，特别是青年，参与制定传播和知识转化策略。我们的研究结果将作为开放获取出版物发表，并在会议上公开报告，作为博士论文的一部分进行辩护。
