Improving Menstrual Health Among Women and Girls Using Community Engaged Intervention Development in Nepal

尼泊尔利用社区参与的干预措施改善妇女和女孩的月经健康

• 批准号: 10802924
• 负责人: Sara Elizabeth Baumann
• 金额: $ 14.98万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-16 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10802924
• 关键词: Active Learning; Address; Area; Attitude; Attitude to Health; Awareness; Behavior Therapy; Behavioral Model; Cessation of life; Clinical Trials; Clinical Trials Design; Collaborations; Communities; Community Health; Data; Development; Development Plans; Discrimination; Educational Curriculum; Educational Models; Educational workshop; Ensure; Environment; Evaluation; Exclusion; Failure; Family; Feedback; Focus Groups; Future; Goals; Grant; Health; Health Sciences; Health behavior; Human Rights; Individual; Infection; International; Intervention; Intervention Studies; Interview; Leadership; Life; Literature; Loneliness; Menstruation; Mental Health; Mentors; Mentorship; Methodology; Modeling; Morbidity - disease rate; Mothers; Nepal; Outcome; Participant; Personal Satisfaction; Physiological Processes; Process; Public Health; Public Health Schools; Randomized; Randomized, Controlled Trials; Religion; Reporting; Reproductive Health; Research; Research Personnel; Resource-limited setting; Risk; Safety; Schools; Self Efficacy; Sleep; Snake Bites; Statistical Data Interpretation; Stigmatization; Surveys; Testing; Theoretical model; Training; United States National Institutes of Health; Universities; Update; Validation; Woman; Women' s Health; Work; Writing; Youth; acceptability and feasibility; behavioral health; career; career development; community engaged research; community engagement; comparison control; design; gender-based violence; girls; global health; health knowledge; human centered design; implementation science; improved; informant; innovation; low and middle-income countries; meetings; member; mortality; multidisciplinary; physical abuse; physical conditioning; pilot test; postnatal period; professor; psychosocial; research and development; role model; self esteem; skill acquisition; skills; sleep difficulty; social; social situation; social stigma; standardize measure; success; therapy design; therapy development; uptake

PROJECT SUMMARY/ABSTRACT Despite being a natural physiological process, menstruation is often associated with health and safety challenges, especially in low-resource settings. In Nepal, 90% of women and girls follow at least one menstrual restriction. The most extreme is chhaupadi, a social-religious tradition in which women live in isolation during menstruation, exposing them to harmful health consequences. There is a dearth of evidence regarding effective approaches to address chhaupadi, which remains widespread. Research: This community-engaged study aims to rigorously review extant intervention evidence, as well as co-design and pilot a culturally relevant chhaupadi intervention to ultimately improve women’s health in Nepal. The study aims are as follows: Aim 1 - Conduct a Realist Synthesis to elucidate the mechanisms of success or failure of chhaupadi interventions to date, including key-informant interviews (KIIs) (n=35). Aim 2 - Co-design a chhaupadi intervention with women (n=30) in three districts using participatory, human-centered design activities. The intervention will be refined via community meetings (n=6) and KIIs (n=25). Aim 3 - Pilot test the intervention in two matched communities (intervention and control, n=45). Surveys with standardized measures and focus group discussions (n=6) will be conducted to assess feasibility, acceptability, and changes in health attitudes and behaviors expected to be impacted by the intervention. Candidate: Dr. Sara Baumann is an Assistant Professor at the University of Pittsburgh School of Public Health, Department of Behavioral and Community Health Sciences with extensive previous training in community-engaged research and women’s reproductive health in Nepal. Training: Four training goals will support Dr. Baumann’s trajectory toward becoming an independent investigator: 1) Acquire skills in Realist Synthesis to identify underlying causal mechanisms and reasons for intervention success or failure; 2) develop expertise in intervention development and assessment, as well as implementation science; 3) attain new skills in clinical trial design applicable to low- and middle-income countries (LMICs); and 4) gain essential skills in leadership, mentorship, grant writing, and study management. Mentors/Environment: Dr. Baumann will be supported by an exceptional team of international and multidisciplinary experts including a diverse mentorship team, advisory board, consultants, and collaborating organizations in Nepal. Her mentorship team has expertise in essential content and methodological areas such as intervention development, evaluation, clinical trials, and statistical analyses. Her comprehensive career development plan includes substantial mentorship, didactic training, and experiential learning at the University of Pittsburgh (US) and Tribhuvan University (Nepal). By successfully completing these rigorous career development and research plans, Dr. Baumann will be fully prepared to transition into a successful independent global health researcher and interventionist who harnesses community-engaged approaches to improve women’s reproductive health in LMICs.

项目概要/摘要 尽管月经是一种自然的生理过程，但它通常与健康和安全相关 挑战，特别是在资源匮乏的环境中。在尼泊尔，90% 的妇女和女孩至少经历过一次月经 限制。最极端的是chhaupadi，这是一种社会宗教传统，妇女在节日期间过着孤立的生活。 月经，使她们面临有害的健康后果。缺乏关于有效的证据 解决乔帕迪问题的方法仍然很普遍。研究：这项社区参与的研究旨在 严格审查现有的干预证据，并共同设计和试点与文化相关的 chhaupadi 最终改善尼泊尔妇女健康的干预措施。研究目标如下： 目标 1 - 开展 现实主义综合阐明迄今为止乔帕迪干预措施成功或失败的机制，包括 关键知情人访谈 (KII) (n=35)。目标 2 - 与女性 (n=30) 共同设计 chhaupadi 干预措施，分为三个阶段 使用参与性、以人为本的设计活动的地区。干预措施将通过社区进行完善 会议 (n=6) 和 KII (n=25)。目标 3 - 在两个匹配的社区（干预和 对照，n=45)。将采用标准化措施和焦点小组讨论（n = 6）进行调查，以 评估预期受到影响的健康态度和行为的可行性、可接受性以及变化 干涉。候选人：Sara Baumann 博士是匹兹堡大学医学院的助理教授 公共卫生，行为和社区健康科学系，之前接受过广泛的培训 尼泊尔的社区参与研究和妇女生殖健康。培训：四个培训目标 支持鲍曼博士成为一名独立研究者的轨迹：1）获得现实主义技能 综合以确定干预成功或失败的潜在因果机制和原因； 2）开发 干预措施制定和评估以及实施科学方面的专业知识； 3）获得新技能 适用于低收入和中等收入国家（LMIC）的临床试验设计； 4）获得以下方面的基本技能 领导力、指导、资助写作和研究管理。导师/环境：鲍曼博士将 由国际和多学科专家组成的杰出团队提供支持，包括多元化的指导 尼泊尔的团队、顾问委员会、顾问和合作组织。她的导师团队拥有专业知识 干预措施开发、评估、临床试验等基本内容和方法论领域 统计分析。她全面的职业发展计划包括大量的指导、说教 在匹兹堡大学（美国）和特里布万大学（尼泊尔）进行培训和体验式学习。经过 成功完成这些严格的职业发展和研究计划后，鲍曼博士将充分 准备转变为一名成功的独立全球健康研究员和干预专家 社区参与的方法来改善中低收入国家妇女的生殖健康。