A Community-Based Reproductive Health Care Model Effectively Enhances Reproductive Health Among Lahu Women in Northern Thailand.

IF 3.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2025-04-01 Epub Date: 2024-02-29 DOI:10.1007/s40615-024-01959-5

Soontaree Suratana, Waraporn Boonchiang, Tawatchai Apidechkul, Warangkana Naksen, Thanatchaporn Mulikaburt, Pimpisa Chomsri, Mullika Matrakul

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Abstract

Background: Inadequate and delayed access to sexual and reproductive health services among the Hill Tribe population can be attributed to the intersection of socioeconomic challenges and distinct cultural practices. To address this limitation and create a tailored model capable of addressing it, this study assesses the effectiveness of the Community-Based Reproductive Health Care Model (CRHC) in enhancing reproductive health knowledge, attitudes, and practices among Lahu women, a prominent hill tribe population in Northern Thailand.

Methods: Implementing the CRHC model includes training programs for community influencers and subsequent education for Lahu women using culturally adapted courses. The effectiveness of the model is assessed through pre-test and post-test comparisons of knowledge, attitudes, and practices related to reproductive health care and analyzed using paired t-tests and repeated ANOVA.

Results: The scores for knowledge, attitudes, and practices among Lahu women changed from 8.92 ± 2.02, 52.99 ± 5.54, and 27.76 ± 6.67 to 10.47 ± 2.32 (p < 0.001), 56.61 ± 5.54 (p < 0.001), and 29.47 ± 6.76 (p = 0.030), respectively. Significant improvements are observed in these areas, particularly in maternal health practices among pregnant Lahu women (n = 11). This study additionally evaluates the model's impact on the healthcare system by analyzing changes in government performance indexes, showing increased access to high-quality antenatal care and contraceptive usage. This study highlights the challenges faced by hill tribe populations in accessing healthcare, emphasizing the need for tailored reproductive health education and the importance of addressing health insurance barriers.

Conclusion: The CRHC model's success illustrates the potential of community-based, culturally sensitive interventions in improving reproductive health outcomes, providing valuable insights for similar interventions in other indigenous or marginalized communities.

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基于社区的生殖健康护理模式有效提高了泰国北部拉祜族妇女的生殖健康水平。

背景：山区部落人口获得性健康和生殖健康服务的机会不足和延迟，可归因于社会经济挑战和独特文化习俗的交织。为了解决这一局限性，并创建一个有针对性的模式来解决这一问题，本研究评估了基于社区的生殖健康护理模式（CRHC）在提高泰国北部著名山区部落拉祜族妇女的生殖健康知识、态度和实践方面的有效性：方法：CRHC 模式的实施包括针对社区影响者的培训计划，以及随后使用文化适应课程对拉祜族妇女进行的教育。通过对与生殖保健相关的知识、态度和实践进行测试前和测试后比较，评估该模式的有效性，并使用配对 t 检验和重复方差分析进行分析：结果：拉祜族妇女在知识、态度和实践方面的得分分别从 8.92 ± 2.02、52.99 ± 5.54 和 27.76 ± 6.67 降至 10.47 ± 2.32（PCRHC 模式的成功表明，基于社区、文化敏感的干预措施在改善生殖健康结果方面具有潜力，为在其他土著或边缘化社区开展类似干预措施提供了宝贵的启示。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.