Engaging community voices to assess Kenya's strengths and limitations to support a child maltreatment prevention program.
Engaging community voices to assess Kenya's strengths and limitations to support a child maltreatment prevention program.
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吸引社区声音评估肯尼亚的优势和局限性，以支持预防儿童虐待计划。
DOI：
10.1016/j.chiabu.2020.104772
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发表时间：
2021-01
影响因子：
4.8
通讯作者：
Ndetei D
中科院分区：
文献类型：
--
作者：
Shanley JR;Armistead LP;Musyimi C;Nyamai D;Ishiekwene M;Mutiso V;Ndetei D
防止虐待儿童是众多国际组织的全球使命，其中家长支持计划是关键的预防策略。在肯尼亚，70% 的儿童面临遭受虐待和忽视的风险，其中最常见的是父母的虐待和忽视。然而，缺乏基于证据的家长支持计划，并且对肯尼亚支持和维持此类计划的能力和基础设施（例如政策、资金、服务机构）了解有限。本研究的目的是使用混合方法研究设计系统评估肯尼亚实施家长支持计划的优势和局限性。来自肯尼亚的 21 个社区利益相关者完成了世界卫生组织 (WHO) 的预防儿童虐待准备情况评估，以了解肯尼亚实施预防计划的准备情况。此外，91 名参与者（例如家长、社区卫生工作者、社区领导）参加了焦点小组讨论或个人访谈，以了解围绕育儿计划的现有支持网络。肯尼亚的总体“准备就绪”得分与完成世卫组织调查的其他国家相当。调查结果揭示了肯尼亚在十个准备维度上的优势和局限性。焦点小组和访谈中出现了几个主题，包括为家长提供支持的多种来源、为家长提供的具体计划以及所提供服务的差距。结果记录了如何利用肯尼亚现有的优势来促进基于证据的预防计划的实施。这些结果还凸显了在调整低/中等收入国家 (LMIC) 的育儿计划时了解当地情况的迫切需要。
Preventing child maltreatment is a global mission of numerous international organizations, with parent support programs as the critical prevention strategy. In Kenya, 70% of children are at risk of experiencing abuse and neglect, most often by their parents. Yet, there is a lack of evidence-based parent support programs, and a limited understanding of Kenya’s capacity and infrastructures (e.g., policies, funding, service agencies) to support and sustain such programs. The purpose of this study was to assess systematically Kenya’s strengths and limitations to implement a parent support program using a mixed-methods study design. Twenty-one community stakeholders from Kenya completed the World Health Organization’s (WHO) Readiness Assessment for the Prevention of Child Maltreatment to understand Kenya’s preparedness to undertake a prevention program. In addition, 91 participants (e.g., parents, community health workers, community leaders) took part in focus group discussions or individual interviews to understand existing support networks around parenting programs. Kenya’s overall ‘readiness’ score was comparable to the other countries that completed the WHO survey. The survey results revealed Kenya’s strengths and limitations across the ten readiness dimensions. Several themes emerged from the focus groups and interviews, including the diverse sources of support for parents, specific programs available for parents, and gaps in services offered. The results document ways to build upon Kenyan’s existing strengths to facilitate implementation of an evidence-based prevention program. These results also highlight the significant need to understand local context when adapting parenting programs for low/middle income countries (LMICs).
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