Participatory approaches to delivering clinical sexually transmitted infections services: a narrative review.
Participatory approaches to delivering clinical sexually transmitted infections services: a narrative review.
复制标题
提供临床性传播感染服务的参与式方法：叙述性回顾。
作者：
Tan RKJ
尽管性健康规划和临床性传播感染服务传统上是通过“自上而下”的方法发展起来的，但越来越多的证据表明，参与性方法有利于这类服务的发展和实施。虽然其他研究已经强调了参与临床性传播感染服务提供的研究和实施的好处，但本叙述性审查侧重于社区参与临床性传播感染服务提供的运作情况，以及在临床性传播感染服务提供中实施参与性进程的各个方面。2022年1月进行了PubMed检索，检索词反映了临床性传播感染服务提供中参与过程的主题，以确定相关论文。只对以英文发表的同行评议的论文进行审查，没有选择时间框架。在回顾了现有的研究后，我们确定了社区参与如何纳入临床STI服务提供的各个阶段，包括规划、开发、交付、评估和扩大，以及在实施这些方法时面临的差距和挑战。这次审查强调了在上述进程中如何使用以参与程度不同为特点的广泛的参与性进程。资金、社会文化障碍、技术障碍和数字鸿沟、质量保证问题以及参与度衡量的标准化等挑战依然存在，这可能阻碍参与性传播感染服务的参与性进程。
Although sexual health programming and clinical sexually transmitted infections (STIs) services have traditionally been developed through ‘top-down’ approaches, there is emerging evidence that participatory approaches benefit the development and implementation of such services. Although other studies have already highlighted the benefits of participation in research and implementation of clinical STIs services delivery, this narrative review focuses on how community participation in clinical STIs services delivery has been operationalised and on the various aspects of clinical STIs services delivery in which participatory processes have been implemented. A PubMed search was conducted in January 2022 using the search terms that reflected the topic of participatory processes in clinical STIs services delivery to identify relevant papers. Only peer-reviewed papers published in English were reviewed, and no timeframe was selected. After reviewing existing studies, we identified how community participation has been incorporated across stages of clinical STIs service delivery, including planning, developing, delivering, evaluating, and scaling up, as well as gaps and challenges faced in implementing such approaches. This review highlighted how a wide range of participatory processes characterised by varying depths of participation have been used in the above processes. Challenges such as funding, socio-cultural barriers, technical barriers and the digital divide, issues of quality assurance, and standardising the measurement of participation remain, which may impede the uptake of participatory processes in clinical STIs services.