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坦桑尼亚针对残疾人士性与生殖健康护理方面的助产、护理及医学生培训需求评估。

Needs assessment of training midwifery, nursing, and medical students in sexual and reproductive health care for people with disabilities in Tanzania.

作者信息

Mark Kristen P, Mushy Stella E, Puchner-Hardman Marguerite, Mgopa Lucy R, Lukumay Gift G, Rosser B R Simon, Massawe Agnes F, Mwakawanga Dorkasi L, Chikwala Victor Z, Sumari Emmanuel I, Lyimo Ally A, Kilian Gudrun, Trent Maria E, Ross Michael W, Löfgren Charlotta, Connor Jennifer J, Mfinanga Rashid H, Mkoka Dickson A

机构信息

University of Minnesota, 1300 S. 2nd St. Minneapolis, MN, 55454, USA.

Muhimbili University of Health and Allied Sciences, United Nations Rd, Dar es Salaam, Tanzania.

出版信息

Disabil Health J. 2025 Jun 20:101919. doi: 10.1016/j.dhjo.2025.101919.

Abstract

BACKGROUND

Tanzania has a sexual and reproductive health (SRH) crisis, a particularly vulnerable population of people with disabilities (PWD), and a need for healthcare providers trained in PWD-focused SRH care. However, SRH services are limited, and the inclusion of PWD in SRH efforts is rare in Tanzania. The current study examined the feasibility and acceptability of addressing this critical gap by training future healthcare professionals in SRH for PWD.

OBJECTIVE

To determine the feasibility and acceptability of a PWD-focused SRH training to be delivered to healthcare students attending Muhimbili University of Health and Allied Science (MUHAS) in Dar es Salaam, Tanzania.

METHODS

A mixed methods design via a survey taken by 409 medical, nursing, and midwifery student participants was employed to determine the feasibility and acceptability of a new curriculum focused on the SRH needs of PWD. Data were assessed using descriptive statistics and reflexive content analysis.

RESULTS

Data indicate that 83.6% and 97.6% of medical, nursing, and midwifery students believe that an SRH training centered on the needs of PWD is feasible and acceptable, respectively. Moreover, findings indicated that 50.4% of medical, nursing, and midwifery students at MUHAS receive little to no training in SRH for PWD. Participants' qualitative responses indicated that the training would improve the quality of life for PWD, address their vulnerability and healthcare neglect, and benefit society.

CONCLUSION

MUHAS students find a PWD-focused SRH training to be feasible, acceptable, and needed, presenting an opportunity for great impact.

摘要

背景

坦桑尼亚存在性与生殖健康(SRH)危机,有一类特别脆弱的残疾人群体(PWD),并且需要受过以残疾人群体为重点的性与生殖健康护理培训的医疗服务提供者。然而,坦桑尼亚的性与生殖健康服务有限,将残疾人群体纳入性与生殖健康工作的情况也很罕见。当前的研究考察了通过对未来医疗专业人员进行针对残疾人群体的性与生殖健康培训来填补这一关键差距的可行性和可接受性。

目的

确定为坦桑尼亚达累斯萨拉姆市穆希比利健康与联合科学大学(MUHAS)的医学生提供以残疾人群体为重点的性与生殖健康培训的可行性和可接受性。

方法

采用混合方法设计,通过对409名医学、护理和助产专业学生参与者进行调查,以确定一门关注残疾人群体性与生殖健康需求的新课程的可行性和可接受性。使用描述性统计和反思性内容分析对数据进行评估。

结果

数据表明,83.6%的医学、护理和助产专业学生认为以残疾人群体需求为中心的性与生殖健康培训是可行的,97.6%的学生认为是可接受的。此外,研究结果表明,穆希比利健康与联合科学大学50.4%的医学、护理和助产专业学生很少或没有接受过针对残疾人群体的性与生殖健康培训。参与者的定性回答表明,该培训将改善残疾人群体的生活质量,解决他们的脆弱性和医疗忽视问题,并造福社会。

结论

穆希比利健康与联合科学大学的学生认为以残疾人群体为重点的性与生殖健康培训是可行、可接受且必要的,这带来了产生重大影响的机会。

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