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我们在将男性纳入性健康和生殖健康方面是否取得了进展？一项关于东非和南部非洲行动指南的多国政策分析。

Are We Getting Any Closer to Including Men and Boys in Sexual and Reproductive Health? A Multi-Country Policy Analysis on Guidance to Action in East and Southern Africa.

作者信息

Aantjes Carolien J, Govender Kaymarlin

机构信息

Health Economics and HIV/AIDS Research Division, University of KwaZulu-Natal, Durban, South Africa.

出版信息

Int J Sex Health. 2024 Jul 8;36(4):464-483. doi: 10.1080/19317611.2024.2353624. eCollection 2024.

DOI:10.1080/19317611.2024.2353624
PMID:39552622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11562913/
Abstract

There has been growing recognition of the need to address the sexual and reproductive health (SRH) needs of men and boys, including a need for more explicit guidance in domestic health policy and plans. This paper reports on a policy analysis, covering five East and Southern African countries, and discusses the extent and ways in which male clinical and non-clinical needs, and their roles in SRH are currently being reflected. It draws attention to the policy discourse, trends, and gaps in including men in the region as clients, partners and change agents to inform a way forward.

摘要

人们越来越认识到有必要满足男性和男孩的性健康和生殖健康需求，包括在国内卫生政策和计划中需要更明确的指导。本文报告了一项涵盖五个东非和南部非洲国家的政策分析，并讨论了男性临床和非临床需求及其在性健康和生殖健康中的作用目前得到体现的程度和方式。它提请注意在将该地区男性纳入作为服务对象、合作伙伴和变革推动者方面的政策讨论、趋势和差距，以为未来指明方向。

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本文引用的文献

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Trends in semen parameters of infertile men in South Africa and Nigeria.南非和尼日利亚不育男性精液参数的变化趋势。
Sci Rep. 2023 Apr 26;13(1):6819. doi: 10.1038/s41598-023-33648-4.
2
Uganda's "anti-homosexuality" bill already affecting care.乌干达的“反同性恋”法案已对医疗护理产生影响。
Lancet. 2023 Apr 22;401(10385):1327-1328. doi: 10.1016/S0140-6736(23)00814-0.
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Male engagement guidelines in antenatal care: unintended consequences for pregnant women in Tanzania.男性参与产前保健指南：坦桑尼亚孕妇的意外后果。
BMC Pregnancy Childbirth. 2021 Oct 26;21(1):720. doi: 10.1186/s12884-021-04141-5.
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Adolescents and age of consent to HIV testing: an updated review of national policies in sub-Saharan Africa.青少年和 HIV 检测同意年龄：撒哈拉以南非洲国家政策的最新综述。
BMJ Open. 2021 Sep 6;11(9):e049673. doi: 10.1136/bmjopen-2021-049673.
5
Male partner participation in maternity care and social support for childbearing women: a discussion paper.男性伴侣参与产妇护理和生育妇女的社会支持：讨论文件。
Philos Trans R Soc Lond B Biol Sci. 2021 Jun 21;376(1827):20200021. doi: 10.1098/rstb.2020.0021. Epub 2021 May 3.
6
Uptake of and factors associated with testing for sexually transmitted infections in community-based settings among youth in Zimbabwe: a mixed-methods study.津巴布韦社区环境中青少年性传播感染检测的采用情况及其影响因素：一项混合方法研究。
Lancet Child Adolesc Health. 2021 Feb;5(2):122-132. doi: 10.1016/S2352-4642(20)30335-7. Epub 2021 Jan 6.
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Men's experiences of pregnancy and childbirth in Sierra Leone: Reexamining definitions of "male partner involvement".塞拉利昂男性的怀孕及分娩经历：重新审视“男性伴侣参与”的定义
Soc Sci Med. 2020 Nov;265:113479. doi: 10.1016/j.socscimed.2020.113479. Epub 2020 Oct 29.
8
Adolescent sexual and reproductive health and universal health coverage: a comparative policy and legal analysis of Ethiopia, Malawi and Zambia.青少年性与生殖健康和全民健康覆盖：埃塞俄比亚、马拉维和赞比亚的政策和法律比较分析。
Sex Reprod Health Matters. 2020 Dec;28(2):1832291. doi: 10.1080/26410397.2020.1832291.
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Gender-transformative programming with men and boys to improve sexual and reproductive health and rights: a systematic review of intervention studies.促进男性性别转变的项目对改善性健康和生殖健康及权利的影响：干预研究的系统评价。
BMJ Glob Health. 2020 Oct;5(10). doi: 10.1136/bmjgh-2020-002997.
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