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构建集体力量,推进母婴健康公平:新奥尔良母婴健康联盟的经验教训。

Building Collective Power to Advance Maternal and Child Health Equity: Lessons from the New Orleans Maternal and Child Health Coalition.

机构信息

Department of Social, Behavioral, and Population Sciences, Mary Amelia Center for Women's Health Equity Research, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.

Department of Social, Behavioral, and Population Sciences, Mary Amelia Center for Women's Health Equity Research, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St. | Suite 2210, New Orleans, LA, 70112, USA.

出版信息

Matern Child Health J. 2024 Dec;28(12):2126-2136. doi: 10.1007/s10995-024-04000-7. Epub 2024 Sep 28.

Abstract

OBJECTIVES

The New Orleans Maternal Child Health Coalition convenes to support and amplify the work of New Orleans-based individuals and organizations working to reduce disparities and protect the health of birthing families in the New Orleans area. The objectives of this qualitative study were to identify successes, challenges, and areas of growth for the Coalition and develop broadly generalizable recommendations for similar groups seeking to mobilize and advance health equity in their own communities.

METHODS

Using purposive sampling, we conducted semi-structured interviews with 12 key informants from within and outside of the Coalition. Interviews were transcribed verbatim, and data was analyzed using inductive and deductive coding approaches.

RESULTS

We identified themes relating to the barriers and facilitators to the maintenance of the Coalition, as well as opportunities to advance the mission of the Coalition. Some themes included structural- and systemic-level barriers to achieving the mission, varying perspectives on the effectiveness of the Coalition, opportunities to enhance the operations of the Coalition's work, and opportunities to involve other individuals, particularly those with lived experience, and non-MCH related sectors in Coalition's work.

CONCLUSIONS FOR PRACTICE

As the maternal health crisis continues, coalitions like the New Orleans MCH Coalition provide a vehicle to amplify the mission-driven work of people and organizations. Recommendations put forth by the Coalition can also be utilized by coalitions in other jurisdictions.

摘要

目的

新奥尔良母婴健康联盟召集各方人士,旨在支持和扩大新奥尔良地区致力于减少差异和保护母婴健康的个人和组织的工作。本定性研究的目的是确定联盟的成功之处、挑战和增长领域,并为类似的团体制定广泛适用的建议,以在其所在社区动员和推进健康公平。

方法

我们采用目的性抽样,对联盟内部和外部的 12 名关键知情人进行了半结构式访谈。访谈内容逐字记录,并采用归纳和演绎编码方法进行数据分析。

结果

我们确定了与维持联盟相关的障碍和促进因素的主题,以及推进联盟使命的机会。一些主题包括实现联盟使命的结构性和系统性障碍、对联盟有效性的不同看法、增强联盟工作运作的机会,以及让其他个人,特别是那些有过亲身体验的人,以及非母婴相关部门参与联盟工作的机会。

实践结论

随着母婴健康危机的持续,像新奥尔良母婴健康联盟这样的联盟为扩大个人和组织的使命驱动工作提供了一个平台。联盟提出的建议也可以被其他司法管辖区的联盟所利用。

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