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提升芝加哥公立学校的避孕套可及性:多部门合作的经验教训。

Advancing Condom Availability in Chicago Public Schools: Lessons From a Multi-Sector Partnership.

作者信息

Liu Julia, Parchem S, DiPaolo M, Ramirez-Mercado K, DeClemente T, Jarpe-Ratner E

机构信息

University of Illinois at Chicago, Chicago, Illinois, USA.

Chicago Department of Public Health, Chicago, Illinois, USA.

出版信息

J Sch Health. 2025 Sep;95(9):783-790. doi: 10.1111/josh.70046. Epub 2025 Jul 1.

Abstract

BACKGROUND

Condom availability programs (CAPs) in schools are a strategy intended to reduce rates of sexually transmitted infections (STIs) and unintended pregnancies among youth. Despite evidence on comprehensive sexual health education and contraceptives, these initiatives often face inconsistent implementation.

CONTRIBUTION TO PRACTICE

This retrospective case study examines the evolution of CAP in Chicago Public Schools (CPS), emphasizing on the cooperation between CPS and the Chicago Department of Public Health (CDPH). This case study details the transition of ad-hoc distribution to a universal condom distribution. Through interagency collaboration, CPS and CDPH developed a sustainable and scalable model for increasing access to sexual health resources into school settings.

IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: This initiative highlights the importance of policy-driven health intervention in school settings and how structured collaboration can ensure equitable access to condoms. This demonstrates how institutional relationships can work together to enhance adolescents' health and wellbeing.

CONCLUSION

The success of a universal CAP in school districts illuminates the value of cross-sector partnerships that strengthens health equity and can serve as a blueprint for other districts who face similar challenges in adolescent reproductive health services.

摘要

背景

学校避孕套供应项目(CAPs)是一项旨在降低青少年性传播感染(STIs)率和意外怀孕率的策略。尽管有关于全面性健康教育和避孕措施的证据,但这些举措的实施往往不一致。

对实践的贡献

这项回顾性案例研究考察了芝加哥公立学校(CPS)中CAP的演变,重点关注CPS与芝加哥公共卫生部(CDPH)之间的合作。本案例研究详细介绍了从临时分发到普遍避孕套分发的转变。通过跨部门合作,CPS和CDPH开发了一个可持续且可扩展的模式,以增加学校环境中性健康资源的可及性。

对学校健康政策、实践和公平性的影响:该举措凸显了政策驱动的健康干预在学校环境中的重要性,以及结构化合作如何确保公平获取避孕套。这展示了机构间关系如何共同努力提升青少年的健康和福祉。

结论

学区中普遍CAP的成功彰显了跨部门伙伴关系的价值,这种伙伴关系加强了健康公平性,并可为在青少年生殖健康服务方面面临类似挑战的其他学区提供蓝图。

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