Understanding how women's groups improve maternal and newborn health in Makwanpur, Nepal: a qualitative study
Understanding how women's groups improve maternal and newborn health in Makwanpur, Nepal: a qualitative study
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DOI：
10.1016/j.inhe.2009.11.004
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发表时间：
2010-03-01
影响因子：
2.5
通讯作者：
Costello, A.
中科院分区：
文献类型：
--
作者：
Morrison, J.;Thapa, R.;Costello, A.
妇女团体通过参与性学习和行动，可以改善孕产妇和新生儿的存活率。我们描述了他们如何刺激尼泊尔农村的变化和影响其有效性的因素。我们收集了19名妇女小组成员，2组主持人，16名健康志愿者，2个社区领导人，21名当地男子和23名妇女不参加妇女的团体，通过半结构化访谈，小组访谈，焦点小组讨论和非结构化观察组的数据。参与者拍摄了他们所在地的照片，以供焦点小组使用光激发方法进行讨论。使用了框架分析程序，并将数据反馈给答卷人。当小组成员与11184名最近分娩的妇女进行比较时，我们发现他们具有相似的社会经济地位，尽管贫困和种姓不平等。有四种机制可以解释妇女团体对保健成果的影响：这些团体了解保健，建立信心，在社区传播信息，并建立社区采取行动的能力。妇女团体使人们能够更广泛地了解健康问题，建立社区能力，带来健康和发展利益。(c)2009年皇家热带医学和卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Women's groups, working through participatory learning and action, can improve maternal and newborn survival. We describe how they stimulated change in rural Nepal and the factors influencing their effectiveness. We collected data from 19 women's group members, 2 group facilitators, 16 health volunteers, 2 community leaders, 21 local men, and 23 women not attending the women's groups, through semi-structured interviews, group interviews, focus group discussions and unstructured observation of groups. Participants took photographs of their locality for discussion in focus groups using photoelicitation methods. Framework analysis procedures were used, and data fed back to respondents. When group members were compared with 11 184 women who had recently delivered, we found that they were of similar socioeconomic status, despite the context of poverty, and caste inequalities. Four mechanisms explain the women's group impact on health outcomes: the groups learned about health, developed confidence, disseminated information in their communities, and built community capacity to take action. Women's groups enable the development of a broader understanding of health problems, and build community capacity to bring health and development benefit. (c) 2009 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.