OPERATIONALIZE REPRODUCTIVE JUSTICE: MODELING COMMUNITY-DRIVEN HEALTHCARE

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-10-13 DOI:10.1016/j.contraception.2025.111134

CL Irwin, Z Julian, A Robinson, D Rivers, C Drayton, R Archer, N Desta-Bell, S Reyes, S Porter, J Caicedo, L Dary Restrepo

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引用次数: 0

Abstract

Objectives

Among the pillars of reproductive justice are the rights to determine the optimal conditions under which one will give birth with dignity in safe, affordable, and sustainable environments. This project aims to utilize community accountable, reproductive justice approaches to ascertain intervention points to address gaps in care and inform our postpartum clinical services, thereby establishing the method our reproductive health organization will use for ongoing community feedback and service evolution.

Methods

Focus group interview guides were created by the organization’s team members in collaboration with the Black Mamas Matter Alliance. Cohorts of self-identified 1) transgender individuals, 2) Spanish-speaking Latinx people, 3) persons of color with pregnancy and birth experiences, and 4) birth workers were recruited and provided video links to participate in virtual group discussions with open-ended interview questions. Recorded sessions were qualitatively analyzed for common themes and frequent responses.

Results

Four cohorts of 20 people with birth experiences and two cohorts of eight birth workers participated. Focus group participants described their ideal prenatal and postpartum experiences, including high quality, comprehensive, respectful and affordable care that addresses equity and underserved populations. Service needs included extending prenatal visits to discuss other topics like nutrition, creating financial stability for birth workers, and increasing education around postpartum mental health support.

Conclusions

Focus group data directly informed the development and implementation of a post-natal services program that will include in-home post-natal visits by advanced practice nurses and referrals for mental health providers and other resources, initiating the community-led model that will be used by the organization moving forward.

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实施生殖正义：模拟社区驱动的医疗保健

生殖正义的支柱之一是确定在安全、负担得起和可持续的环境中有尊严地分娩的最佳条件的权利。该项目旨在利用社区负责任的生殖正义方法，确定干预点，以解决护理方面的差距，并为我们的产后临床服务提供信息，从而确定我们的生殖健康组织将用于持续社区反馈和服务改进的方法。方法由该组织团队成员与黑人母亲问题联盟合作制定焦点小组访谈指南。研究人员招募了自认为是1)跨性别者、2)说西班牙语的拉丁人、3)有怀孕和生育经历的有色人种以及4)生育工作者，并提供视频链接，让他们参与虚拟小组讨论，并提出开放式面试问题。对记录的会议进行了定性分析，以确定共同主题和经常的答复。结果共分为4个队列（20人）和2个队列（8人）。焦点小组参与者描述了他们理想的产前和产后经历，包括高质量、全面、尊重和负担得起的护理，以解决公平和服务不足的人群。服务需求包括延长产前检查，以讨论营养等其他话题，为助产士创造经济稳定，以及加强有关产后心理健康支持的教育。焦点小组的数据直接为产后服务计划的制定和实施提供了信息，该计划将包括高级执业护士的产后上门访问和心理健康提供者的转介以及其他资源，启动了社区主导的模式，该模式将被该组织继续使用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.