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卢旺达社区药店中用于性健康和生殖健康服务的自我保健干预措施的用户体验:一项定性研究。

User experiences of selfcare interventions for sexual and reproductive health services in community pharmacies in Rwanda: A qualitative study.

机构信息

Reproductive Health Programme, Pan African University Life and Earth Sciences Institute (Including Health and Agriculture), Ibadan, Nigeria.

Department of Obstetrics and Gynaecology, University College Hospital, University of Ibadan, Ibadan, Nigeria.

出版信息

Glob Public Health. 2024 Jan;19(1):2397691. doi: 10.1080/17441692.2024.2397691. Epub 2024 Sep 16.

Abstract

Self-care interventions for sexual and reproductive health (SRH) empower individuals to autonomously access services, reducing their reliance on traditional healthcare settings. However, there is limited knowledge about community pharmacy-based SRH services in Rwanda. Therefore, this study aims to explore the experiences of community pharmacy-based SRH users and inform strategies to enhance service delivery effectiveness. This study employed a qualitative research approach employing a phenomenological design. Semi-structured in-depth interviews were conducted with 22 participants from 1st June 2023 to 20th March 2024, in 5 Districts of Rwanda. Participants were recruited using purposive sampling methods. The interviews were recorded, transcribed, and imported into NVivo 11 software for further analysis. Users of pharmacy-based SRH products intended for self-care interventions reported positive experiences. Three main themes emerged from the interviews: community pharmacies ensured the utmost confidentiality, provided fast service delivery with minimal procedures, and expressed user satisfaction with friendly communication. Users of community pharmacy-based SRH services intended for self-care use reported positive experiences with community pharmacies. They received the needed confidentiality, faster service delivery, and friendly communication with community pharmacists. There is a pressing need for close collaboration among the public, private, and stakeholders to empower citizens over their SRH.

摘要

自我保健干预措施可增强个人获取性与生殖健康(SRH)服务的自主权,减少对传统医疗保健环境的依赖。然而,卢旺达社区药房提供的 SRH 服务相关知识有限。因此,本研究旨在探讨社区药房 SRH 用户的体验,并为提高服务提供效果提供策略。本研究采用定性研究方法,采用现象学设计。2023 年 6 月 1 日至 2024 年 3 月 20 日,在卢旺达的 5 个地区,对 22 名参与者进行了半结构式深入访谈。采用目的性抽样方法招募参与者。访谈进行了录音、转录,并导入到 NVivo 11 软件中进行进一步分析。报告称,自行使用基于药房的 SRH 产品进行自我保健干预的用户体验积极。访谈中出现了三个主要主题:社区药房确保了最大程度的保密性,提供了最少手续的快速服务交付,并对友好的药剂师沟通表示满意。自行使用社区药房提供的基于 SRH 的自我保健服务的用户对社区药房的体验表示积极。他们获得了所需的保密性、更快的服务交付以及与社区药剂师的友好沟通。迫切需要公共、私营和利益相关者之间密切合作,赋予公民对其性与生殖健康的自主权。

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