运用CHNRI方法确定利益相关者主导的研究重点以促进孟加拉国性与生殖健康及权利：icddr，b的一项举措。

Setting stakeholder-led research priorities for advancing Sexual and Reproductive Health and Rights in Bangladesh using CHNRI method: an icddr,b initiative.

作者信息

Sayeed Abu, Saha Nondo, Ameen Shafiqul, Akter Ema, Hossain Lubna, Hasan Md Mehedi, Rahman Fariya, Raza Sahar, Ether Saraban Tahura, Shafiq Sabit Saad, Mahmood Hassan Rushekh, Saberin Ashfia, Ashrafee Sabina, Alam Husam Md Shah, Saha Palash Kumar, Haider Sabbir, Sarkar Supriya, Mahmud Mustufa, Islam Md Jahurul, Salam Shumona Sharmin, Nahar Quamrun, El Arifeen Shams, Ahmed Anisuddin, Rahman Ahmed Ehsanur

机构信息

Maternal and Child Health Division (MCHD), International Centre for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.

National Newborn Health Program & Integrated Management of Childhood Illness (NNHP & IMCI), Directorate General of Health Services, Ministry of Health and Family Welfare, Government of Bangladesh, Dhaka, Bangladesh.

出版信息

J Glob Health. 2025 Jul 11;15:04186. doi: 10.7189/jogh.15.04186.

DOI:10.7189/jogh.15.04186

PMID:40643139

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12247414/

Abstract

BACKGROUND

Sexual and reproductive health and rights (SRHR) are essential for individuals' health, well-being, survival, and economic development. A stakeholder-led approach to research prioritisation was essential to guide SRHR-related research in Bangladesh. Accordingly, we conducted a research prioritisation exercise to identify health research priorities related to SRHR in Bangladesh.

METHODS

We adopted the Child Health and Nutrition Research Initiative (CHNRI) method for this study. Five themes - adolescent Health (AH), fertility, gynaecological issues (GI), maternal and neonatal health (MNH), and SRH of key populations (SRHKP) - were selected from the broader field of SRHR. Seventy-six experts submitted 454 research questions (RQs), which were then condensed into 197 unique RQs and distributed to all experts for scoring based on five pre-selected criteria. Weighted and unweighted research priority scores (RPS) and average expert agreement (AEA) were calculated to compile a list of top-ranked RQs.

RESULTS

The weighted RPSs for the 197 RQs ranged from 0.944 to 0.623, with a median of 0.848. Among the top 20 list, six RQs belonged to AH, one to Fertility, two to GI, six to MNH, and five to SRHKP. For AH, top ranked RQs included adolescent pregnancy, sexual health education, and mental health. Promoting proper birth spacing among newlywed and underaged married women were top RQs for fertility. GI priorities emphasised early detection of gynaecological cancers, including HPV testing for cervical cancer screening. The MNH research focused on Newborn Stabilizing Units at sub-district hospitals, PPH bundle approaches, and counselling on danger signs to prevent adverse birth outcomes. The top-ranked RQs in SRHKP addressed stigma and discrimination towards key populations (KPs) and their impact on SRH behaviours. There was significant overlap between the top 20 RQs ranked by RPS and AEA.

CONCLUSIONS

The study emphasises the need for intervention research to address barriers, assess effectiveness, and enhance the uptake of evidence-based and innovative interventions for SRHR in Bangladesh.

摘要

背景

性与生殖健康及权利（SRHR）对于个人的健康、福祉、生存及经济发展至关重要。采用利益相关者主导的研究优先排序方法对于指导孟加拉国与SRHR相关的研究至关重要。因此，我们开展了一项研究优先排序活动，以确定孟加拉国与SRHR相关的健康研究重点。

方法

本研究采用儿童健康与营养研究倡议（CHNRI）方法。从更广泛的SRHR领域中选取了五个主题——青少年健康（AH）、生育、妇科问题（GI）、孕产妇和新生儿健康（MNH）以及重点人群的性与生殖健康（SRHKP）。76位专家提交了454个研究问题（RQs），然后将其浓缩为197个独特的RQs，并根据五个预先选定的标准分发给所有专家进行评分。计算加权和未加权的研究优先得分（RPS）以及平均专家共识（AEA），以编制排名靠前的RQs列表。

结果

197个RQs的加权RPS范围为0.944至0.623，中位数为0.848。在排名前20的列表中，六个RQs属于AH，一个属于生育，两个属于GI，六个属于MNH，五个属于SRHKP。对于AH，排名靠前的RQs包括青少年怀孕、性健康教育和心理健康。促进新婚和未成年已婚妇女的适当生育间隔是生育方面排名靠前的RQs。GI的重点是妇科癌症的早期检测，包括用于宫颈癌筛查的HPV检测。MNH研究集中在分区医院的新生儿稳定单元（Newborn Stabilizing Units）、产后出血综合措施（PPH bundle approaches）以及关于危险信号的咨询以预防不良分娩结局。SRHKP中排名靠前的RQs涉及对重点人群（KPs）的耻辱感和歧视及其对SRH行为的影响。RPS和AEA排名前20的RQs之间存在显著重叠。