Digital self-care for improved access to family planning and reproductive health services among adolescents in Rwanda: preliminary findings from a pilot study of CyberRwanda.
Digital self-care for improved access to family planning and reproductive health services among adolescents in Rwanda: preliminary findings from a pilot study of CyberRwanda.
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数字自我保健可改善卢旺达青少年获得计划生育和生殖健康服务的机会：网络卢旺达试点研究的初步结果。
DOI：
10.1080/26410397.2022.2110671
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发表时间：
2022
影响因子：
6
通讯作者：
Hope, Rebecca
中科院分区：
文献类型：
--
作者：
Hemono, Rebecca;Packel, Laura;Gatare, Emmyson;Baringer, Laura;Ippoliti, Nicole;McCoy, Sandra I.;Hope, Rebecca
在卢旺达，青少年在获得自愿计划生育和生殖健康服务方面遇到了严重障碍，包括耻辱和歧视。自我护理干预措施已被证明可以减少计划生育/生殖健康护理的社会障碍，但人们对青少年数字自我护理的有效性知之甚少，特别是在资源不足的环境中。本文介绍了对网络卢旺达进行的一项试点研究的结果，这是一种数字自我护理干预措施，通过基于权利的方法为卢旺达学龄青年提供全面的性教育和在线秘密订购避孕药具。2019年11月至2020年2月进行了一项混合方法试点研究，以评估可行性、可接受性和参与度，并为未来的影响评估提供信息。调查对象是三所中学的158名年龄在12-19岁的学生。对学生、家长、教师、药剂师、地区行政人员和青年中心工作人员进行了深入访谈。计算了描述性统计数据，并使用主题编码方法分析了定性数据。共进行了158项调查和28次访谈。结果显示，学校对网络卢旺达的需求很高。学生对参与该计划很感兴趣，并发现FP/RH内容与他们的需求相关。然而，通过在线订购系统购买避孕产品的人很少。有初步迹象表明，网络卢旺达可能会改善对FP/RH信息的获取。需要更长的实施期和进一步的研究来衡量该计划的长期影响，并评估这种数字自我护理干预是否可以增加学龄青年对避孕方法的接受并减少青春期怀孕。
Adolescents experience significant barriers, including stigma and discrimination, to accessing voluntary family planning and reproductive health (FP/RH) services in Rwanda. Self-care interventions have been shown to reduce social barriers to FP/RH care, but little is known about the effectiveness of digital self-care for adolescents, particularly in low-resource settings. This paper presents findings from a pilot study of CyberRwanda, a digital self-care intervention providing comprehensive sexuality education and confidential online ordering of contraceptives for school-aged youth in Rwanda through a rights-based approach. A mixed-methods pilot study was conducted from November 2019 to February 2020 to assess feasibility, acceptability, and engagement and to inform a future impact evaluation. Surveys were administered to a random sample of 158 students aged 12–19 years in three secondary schools. In-depth interviews were conducted with students, parents, teachers, pharmacists, district-level administrators, and youth centre staff. Descriptive statistics were calculated and qualitative data were analyzed using a thematic coding approach. One hundred and fifty-eight surveys and 28 interviews were conducted. Results revealed high demand for CyberRwanda in schools. Students were interested in engaging with the program and found the FP/RH content relevant to their needs. However, few purchased contraceptive products through the online ordering system. There are preliminary indications that CyberRwanda may improve access to FP/RH information. An extended implementation period and further research are needed to measure the long-term impacts of the program and evaluate whether this digital self-care intervention can increase uptake of contraceptive methods and reduce adolescent pregnancy among school-aged youth.
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影响因子：
4.5
作者：
Nolan C;Packel L;Hope R;Levine J;Baringer L;Gatare E;Umubyeyi A;Sayinzoga F;Mugisha M;Turatsinze J;Naganza A;Idelson L;Bertozzi S;McCoy S
通讯作者：
McCoy S
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
2.9
作者：
Cover, Jane;Namagembe, Allen;Mbonye, Anthony K.
通讯作者：
Mbonye, Anthony K.
影响因子：
2.8
作者：
Ndayishimiye, Pacifique;Uwase, Rosine;Ntokamunda Kadima, Justin
通讯作者：
Ntokamunda Kadima, Justin
影响因子：
2.9
作者：
Schwandt HM;Feinberg S;Akotiah A;Douville TY;Gardner EV;Imbabazi C;McQuin E;Mohamed M;Rugoyera A;Musemakweli D;Nichols CW;Nyangezi NU;Arizmendi JS;Welikala D;Yamuragiye B;Zigo L
通讯作者：
Zigo L