Building a sustainable model to promote menstrual, sexual and reproductive health (MSRH) amongst secondary school girls in Tanzania

建立可持续模型以促进坦桑尼亚中学生的月经、性和生殖健康（MSRH）

• 批准号: MR/T040297/1
• 负责人: Elialilia Okello
• 金额: $ 86.17万
• 依托单位: Mwanza Intervention Trials Unit
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2020
• 资助国家: 英国
• 起止时间: 2020 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FT040297%2F1
• 关键词: Building; sustainable; model; promote; menstrual

A girl's education impacts her health, the health of her future family, and her future economic potential. The growing evidence of this positive association has strengthened international resolve to improve educational opportunities for adolescent girls. Evidence from East and Southern Africa has shown that girls' participation in schools is severely hampered by menstrual, sexual, and reproductive health (MSRH) issues. In particular, young girls lack the knowledge, menstrual management products, water and sanitation facilities in schools, and social support to manage their menses. Pervasive bullying by male students and staff adds to the high levels of shame and anxiety surrounding menstruation, and encourages girls to exclude themselves from school activities. Furthermore a 2017 Human Rights watch report stated that more than 8,000 girls in Tanzania are expelled from school each year due to pregnancy. The long-term aim of this research project is to improve health and development outcomes among girls in Tanzania and beyond by developing a sustainable and scaleable intervention to improve girls' health and wellbeing. The aims of this project directly relate to the majority of Sustainable Development Goals including: number 1 (end poverty), 3 (good health and wellbeing), 4 (quality education), 5 (gender equality), 6 (clean water and sanitation), 10 (reduced inequalities) 11 (sustainable cities and communities), 13 (climate action), 16 (peace, justice, and strong institutions) and 17 (partnerships for the goals). The project is a partnership between two leading research institutes (one in the UK and one in Tanzania), a Tanzanian-based international NGO, and the local government authorities within two northern regions of Tanzania. The overall aim is to develop a scaleable comprehensive MSRH intervention within Tanzanian government structures to improve MSRH practices and perceptions and the overall school climate to ensure the psychosocial wellbeing and optimal school participation and performance of secondary school girls.This will be achieved through 3 specific objectives:1) To refine an existing NGO-led MSRH programme to better engage local governments, and enhance the school component through the engagement of boys, refinement of the pain management activities, and inclusion of water and sanitation facility improvement activities. 2) To work with government and schools to develop mechanisms to integrate the MSRH intervention within government schools. 3) To pilot the refined MSRH intervention to assess (a) feasibility (including cost per student, school and district), sustainability and acceptability and (b) effect on MSRH practice and perceptions and the overall school climate. Our research project will directly benefit (i) Tanzanian adolescent girls and boys and their communities; (ii) teachers and school officials and (iii) local and national government. Our project will advance empirical knowledge and further develop theoretical dispositions on how holistic and embedded menstrual, sexual and reproductive health projects can impact on a girl's development. These findings will be beneficial to (iv) policy makers, (v) researchers and (vi) international/implementing organisations.

一个女孩的教育影响到她的健康，她未来家庭的健康，以及她未来的经济潜力。越来越多的证据表明这种积极的联系，加强了国际社会改善少女教育机会的决心。来自东非和南部非洲的证据表明，女孩上学受到月经、性和生殖健康（MSRH）问题的严重阻碍。特别是，年轻女孩缺乏知识、月经管理产品、学校的水和卫生设施以及管理月经的社会支持。男学生和工作人员普遍欺凌，加剧了对月经的高度羞耻和焦虑，并鼓励女孩将自己排除在学校活动之外。人权观察2017年的一份报告指出，坦桑尼亚每年有8,000多名女孩因怀孕而被学校开除。该研究项目的长期目标是通过制定可持续和可扩展的干预措施，改善坦桑尼亚及其他地区女孩的健康和发展成果，以改善女孩的健康和福祉。该项目的目标与大多数可持续发展目标直接相关，包括：数字1（消除贫穷），3（健康和幸福），4（素质教育），5（性别平等），6（清洁水和卫生），10 11（可持续城市和社区）、13（气候行动）、16（和平、正义和强有力的机构）和17（实现千年发展目标的伙伴关系）。该项目是两个主要研究机构（一个在联合王国，一个在坦桑尼亚）、一个设在坦桑尼亚的国际非政府组织和坦桑尼亚两个北方地区的地方政府当局之间的伙伴关系。总体目标是在坦桑尼亚政府机构内制定一项可扩展的综合性的社会健康和生殖健康干预措施，以改善社会健康和生殖健康的做法和观念，改善学校的整体氛围，确保中学女生的心理健康和最佳的入学率和成绩，这将通过三个具体目标实现：1）完善现有的由非政府组织领导的MSRH方案，以更好地吸引地方政府参与，并通过男孩的参与加强学校部分，完善疼痛管理活动，并纳入水和卫生设施改善活动。2)与政府和学校合作，制定机制，将MSRH干预措施纳入公立学校。3)试行经改良的MSRH干预措施，以评估（a）可行性（包括每名学生、学校和地区的成本）、可持续性和可接受性，以及（B）对MSRH实践和观念以及整体学校氛围的影响。我们的研究项目将直接受益于（一）坦桑尼亚的青春期女孩和男孩及其社区;（二）教师和学校官员;（三）地方和国家政府。我们的项目将推进经验知识，并进一步发展关于整体和嵌入式月经，性和生殖健康项目如何影响女孩发展的理论处置。这些研究结果将有益于（iv）政策制定者、（v）研究人员和（vi）国际/执行组织。

项目成果

Acceptability and Applicability of Biometric Iris Scanning for the Identification and Follow Up of Highly Mobile Research Participants Living in Fishing Communities Along the Shores of Lake Victoria in Kenya, Tanzania, and Uganda

生物识别虹膜扫描用于识别和跟踪生活在肯尼亚、坦桑尼亚和乌干达维多利亚湖沿岸渔业社区的高流动性研究参与者的可接受性和适用性

• DOI: 10.2139/ssrn.4264033
• 发表时间: 2022
• 期刊: SSRN Electronic Journal
• 作者: Okello E

Menstrual sexual and reproductive health needs among students in Mwanza: preliminary findings from PASS-MHW formative study

姆万扎学生的经期性健康和生殖健康需求：PASS-MHW 形成性研究的初步结果

• 发表时间: 2022
• 作者: Luwayi, J

Perceived impact of Twaweza, a menstrual sexual and reproductive health intervention: lessons for PASS-MHW formative study in Kilimanjaro region

Twaweza（一种经期性健康和生殖健康干预措施）的感知影响：乞力马扎罗地区 PASS-MHW 形成性研究的经验教训

• 发表时间: 2022
• 作者: Mcharo, O