Developing shared understanding of pre-eclampsia in Haiti and Zimbabwe using Theory of Change.
Developing shared understanding of pre-eclampsia in Haiti and Zimbabwe using Theory of Change.
复制标题
DOI：
10.1371/journal.pgph.0001352
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
中科院分区：
文献类型：
--
作者：
先兆子痫是妊娠期特有的一种复杂的多系统疾病，是低资源环境中可预防的孕产妇和围产期死亡的主要原因。早期发现和适当干预，管理高血压，预防子痫和及时分娩，可有效降低死亡率和发病率。通过提供和接受高质量的护理，可以大大改善结果。产妇护理的文化背景，社会习俗和对怀孕和分娩的期望深刻地塑造了在寻求护理时的理解和优先顺序。很少有研究专门针对低资源环境中的先兆子痫进行健康教育。现有的文献有限的上下文障碍，以照顾或所采用的干预开发过程的描述。需要为妇女和家庭提供更具吸引力的整体子痫前期教育方法，认识到他们面临的挑战，并支持对这种疾病的共同理解。我们描述了我们的经验，发展变化的理论（ToC）的一部分，在海地和津巴布韦的先兆子痫的教育资源的合作生产。
Pre-eclampsia, a complex and multi-system disorder specific to pregnancy, is a leading cause of preventable maternal and perinatal deaths in low-resource settings. Early detection and appropriate intervention with management of hypertension, prevention of eclampsia and timely delivery are effective at reducing mortality and morbidity. Outcomes can be greatly improved with the provision and uptake of good quality care. Cultural contexts of maternal care, social practices and expectations around pregnancy and childbirth profoundly shape understanding and prioritisation when it comes to seeking out care. Few studies have addressed health education specifically targeting pre-eclampsia in low resource settings. The existing literature has limited descriptions of contextual barriers to care or of the intervention development processes employed. More engaging, holistic approaches to pre-eclampsia education for women and families that recognise the challenges they face and that support a shared understanding of the disorder, are needed. We describe our experience of developing a Theory of Change (ToC) as part of the co-production of educational resources for pre-eclampsia in Haiti and Zimbabwe.