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[世界卫生组织生殖健康自我保健干预指南在选定拉丁美洲和加勒比国家的适用性 世界卫生组织关于拉丁美洲和加勒比选定国家生殖健康自我保健干预措施的指南的适用性]

[Applicability of World Health Organization guidelines on self-care interventions for reproductive health in selected Latin American and Caribbean countriesAplicabilidade das diretrizes da Organização Mundial da Saúde sobre intervenções de autocuidado em saúde reprodutiva em países selecionados da América Latina e do Caribe].

作者信息

Gómez Ponce de León Rodolfo, Perrotta Gabriela Viviana, Pirsch Sofía, Volij Camila, López Analía, Cejas Cintia, Luis Rubinstein Adolfo, Narasimhan Manjulaa, Serruya Suzanne

机构信息

Unidad de salud de las mujeres, materna reproductiva y neonatal, Organización Panamericana de la Salud Washington D.C. Estados Unidos de América Unidad de salud de las mujeres, materna reproductiva y neonatal, Organización Panamericana de la Salud, Washington D.C., Estados Unidos de América.

Universidad de Buenos Aires Ciudad Autónoma de Buenos Aires, Argentina Universidad de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

出版信息

Rev Panam Salud Publica. 2025 May 27;49:e56. doi: 10.26633/RPSP.2025.56. eCollection 2025.

Abstract

OBJECTIVE

To analyze the applicability of the World Health Organization's in selected Latin American and Caribbean countries.

METHODS

Countries prioritized by the Pan American Health Organization for technical cooperation in reproductive health were selected: Argentina, Bolivia (Plurinational State of), Chile, Colombia, Ecuador, Guyana, Honduras, Peru, and Uruguay. An exhaustive search was conducted for documents considered to be clinical practice guidelines on family planning, as well as other guidelines on related topics. Two simultaneous strategies were employed: a systematic search of published and indexed literature, and a gray literature search).

RESULTS

The applicability of each recommendation on self-care for reproductive health is described for each country in a "traffic light" table, where green means "implemented", yellow means "in the implementation process", and red means "not implemented".

CONCLUSIONS

Favorable frameworks exist for interventions that promote the implementation of self-care strategies for sexual and reproductive health. The least developed thematic areas in the selected countries are: eliminating unsafe abortion and promoting sexual health. Only three countries in the Region of the Americas (Argentina, Colombia, and Uruguay) have laws that guarantee legal abortion and facilitate access to safe abortion. Although most countries in the Region do not guarantee the rights of transgender people, all countries except Guyana and Honduras provide hormones for them.

摘要

目的

分析世界卫生组织的[具体内容未给出]在选定的拉丁美洲和加勒比国家的适用性。

方法

选择泛美卫生组织在生殖健康技术合作方面确定优先次序的国家:阿根廷、多民族玻利维亚国、智利、哥伦比亚、厄瓜多尔、圭亚那、洪都拉斯、秘鲁和乌拉圭。对被视为计划生育临床实践指南以及其他相关主题指南的文件进行了详尽搜索。采用了两种同步策略:对已发表和编入索引的文献进行系统搜索以及灰色文献搜索。

结果

在一个“交通信号灯”表格中描述了每个国家关于生殖健康自我保健的每项建议的适用性,其中绿色表示“已实施”,黄色表示“在实施过程中”,红色表示“未实施”。

结论

存在有利于促进性健康和生殖健康自我保健策略实施的干预框架。选定国家中最不发达的主题领域是:消除不安全堕胎和促进性健康。美洲区域只有三个国家(阿根廷、哥伦比亚和乌拉圭)有保障合法堕胎并便利获得安全堕胎服务的法律。虽然该区域大多数国家不保障跨性别者的权利,但除圭亚那和洪都拉斯外的所有国家都为他们提供激素。

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