Translating global recommendations on HIV and infant feeding to the local context: the development of culturally sensitive counselling tools in the Kilimanjaro Region, Tanzania.
Translating global recommendations on HIV and infant feeding to the local context: the development of culturally sensitive counselling tools in the Kilimanjaro Region, Tanzania.
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DOI：
10.1186/1748-5908-1-22
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发表时间：
2006-10-03
期刊：
影响因子：
--
通讯作者：
Moland KM
中科院分区：
文献类型：
--
作者：
Leshabari SC;Koniz-Booher P;Astrøm AN;de Paoli MM;Moland KM
本文描述了使用定性参与性研究开发一套文化敏感的、基于证据的综合咨询工具（工作辅助）的过程。干预措施的目的是促进改善坦桑尼亚乞力马扎罗州艾滋病毒阳性妇女的婴儿喂养咨询服务。在制定干预措施之前，使用了定性方法相结合的形成性研究，并绘制了母亲、咨询师和社区成员对艾滋病毒和婴儿喂养（HIV/IF）的现有做法、观念和态度。干预映射（IM）协议指导了整体干预策略的制定。行为改变理论、对国际艾滋病毒/艾滋病准则的审查和形成性研究结果有助于确定业绩和学习目标。然后根据现有的通用材料编写和/或改编了与艾滋病毒背景下婴儿喂养有关的关键传播信息和彩色图形插图。材料草案在目标受众中进行了实地测试，并接受了利益相关者的技术审查。开发了一套被称为“工作辅助工具”的综合婴儿喂养咨询工具，其中包括社会和文化上可接受的喂养方法小册子、供辅导员使用的问答指南、关于艾滋病毒传播风险的咨询卡以及用于示范的婴儿喂养工具箱。每本小册子都以当地的想法和资源为基础，用简单的语言和图像描述确保婴儿喂养更安全的步骤。这些小册子旨在作为正在进行的预防艾滋病毒母婴传播（pMTCT）方案中婴儿喂养咨询的参考材料，并作为母亲带回家的材料。这项研究强调了形成性研究和基于系统理论的方法的重要性，以制定旨在改善咨询和改变习惯喂养做法的干预措施。确定可感知的障碍和促进变革的因素有助于编制关键的咨询信息和图表，反映母亲及其重要他人的社会经济现实、文化信仰和规范。
This paper describes the process used to develop an integrated set of culturally sensitive, evidence-based counselling tools (job aids) by using qualitative participatory research. The aim of the intervention was to contribute to improving infant feeding counselling services for HIV positive women in the Kilimanjaro Region of Tanzania. Formative research using a combination of qualitative methods preceded the development of the intervention and mapped existing practices, perceptions and attitudes towards HIV and infant feeding (HIV/IF) among mothers, counsellors and community members. Intervention Mapping (IM) protocol guided the development of the overall intervention strategy. Theories of behaviour change, a review of the international HIV/IF guidelines and formative research findings contributed to the definition of performance and learning objectives. Key communication messages and colourful graphic illustrations related to infant feeding in the context of HIV were then developed and/or adapted from existing generic materials. Draft materials were field tested with intended audiences and subjected to stakeholder technical review. An integrated set of infant feeding counselling tools, referred to as 'job aids', was developed and included brochures on feeding methods that were found to be socially and culturally acceptable, a Question and Answer Guide for counsellors, a counselling card on the risk of transmission of HIV, and an infant feeding toolbox for demonstration. Each brochure describes the steps to ensure safer infant feeding using simple language and images based on local ideas and resources. The brochures are meant to serve as both a reference material during infant feeding counselling in the ongoing prevention of mother to child transmission (pMTCT) of HIV programme and as take home material for the mother. The study underscores the importance of formative research and a systematic theory based approach to developing an intervention aimed at improving counselling and changing customary feeding practices. The identification of perceived barriers and facilitators for change contributed to developing the key counselling messages and graphics, reflecting the socio-economic reality, cultural beliefs and norms of mothers and their significant others.
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影响因子：
168.9
作者：
Coutsoudis, A;Pillay, K;Coovadia, HM
通讯作者：
Coovadia, HM
影响因子：
2.6
作者：
Israel-Ballard, KA;Maternowska, MC;Chantry, CJ
通讯作者：
Chantry, CJ
影响因子：
2.8
作者：
Kuhn, L;Stein, Z;Susser, M
通讯作者：
Susser, M
影响因子：
3.9
作者：
Burnard, P
通讯作者：
Burnard, P
DOI：
10.1097/00126334-200008010-00005
发表时间：
2000-08-01
期刊：
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
影响因子：
--
作者：
Chantry, CJ;Morrison, P;Diaz, C
通讯作者：
Diaz, C