Patrick Ndavi, Mamadou Dioulde Balde, Cecilia Milford, Vernon Mochache, Anne-Marie Soumah, Tammary Esho, Alpha Oumar Sall, Aissatou Diallo, Wisal Ahmed, Karin Stein, Jacqueline Chesang, Samuel Kimani, Joyce Jebet, Joyce Omwoha, James Munyao King'oo, Muna Abdi Ahmed, Ahmed Diriye, Christina Pallitto
{"title":"在几内亚、肯尼亚和索马里的产前护理环境中实施以人为本的沟通以防止切割女性生殖器的可行性、可接受性、适当性和影响。","authors":"Patrick Ndavi, Mamadou Dioulde Balde, Cecilia Milford, Vernon Mochache, Anne-Marie Soumah, Tammary Esho, Alpha Oumar Sall, Aissatou Diallo, Wisal Ahmed, Karin Stein, Jacqueline Chesang, Samuel Kimani, Joyce Jebet, Joyce Omwoha, James Munyao King'oo, Muna Abdi Ahmed, Ahmed Diriye, Christina Pallitto","doi":"10.1080/17441692.2024.2369100","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>There is limited evidence on how to engage health workers as advocates in preventing female genital mutilation (FGM). This study assesses the feasibility, acceptability, appropriateness and impact of a person-centered communication (PCC) approach for FGM prevention among antenatal care (ANC) providers in Guinea, Kenya and Somalia.</p><p><strong>Methods: </strong>Between August 2020 and September 2021, a cluster randomised trial was conducted in 180 ANC clinics in three countries testing an intervention on PCC for FGM prevention. A process evaluation was embedded, comprising in-depth interviews (IDIs) with 18 ANC providers and 18 ANC clients. A qualitative thematic analysis was conducted, guided by themes identified a priori and/or that emerged from the data.</p><p><strong>Results: </strong>ANC providers and clients agreed that the ANC context was a feasible, acceptable and appropriate entry point for FGM prevention counselling. ANC clients were satisfied with how FGM-related information was communicated by providers and viewed them as trusted and effective communicators. Respondents suggested training reinforcement, targeting other cadres of health workers and applying this approach at different service delivery points in health facilities and in the community to increase sustainability and impact.</p><p><strong>Conclusion: </strong>These findings can inform the scale up this FGM prevention approach in high prevalence countries.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2369100"},"PeriodicalIF":2.3000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The feasibility, acceptability, appropriateness and impact of implementing person-centered communication for prevention of female genital mutilation in antenatal care settings in Guinea, Kenya and Somalia.\",\"authors\":\"Patrick Ndavi, Mamadou Dioulde Balde, Cecilia Milford, Vernon Mochache, Anne-Marie Soumah, Tammary Esho, Alpha Oumar Sall, Aissatou Diallo, Wisal Ahmed, Karin Stein, Jacqueline Chesang, Samuel Kimani, Joyce Jebet, Joyce Omwoha, James Munyao King'oo, Muna Abdi Ahmed, Ahmed Diriye, Christina Pallitto\",\"doi\":\"10.1080/17441692.2024.2369100\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>There is limited evidence on how to engage health workers as advocates in preventing female genital mutilation (FGM). This study assesses the feasibility, acceptability, appropriateness and impact of a person-centered communication (PCC) approach for FGM prevention among antenatal care (ANC) providers in Guinea, Kenya and Somalia.</p><p><strong>Methods: </strong>Between August 2020 and September 2021, a cluster randomised trial was conducted in 180 ANC clinics in three countries testing an intervention on PCC for FGM prevention. A process evaluation was embedded, comprising in-depth interviews (IDIs) with 18 ANC providers and 18 ANC clients. A qualitative thematic analysis was conducted, guided by themes identified a priori and/or that emerged from the data.</p><p><strong>Results: </strong>ANC providers and clients agreed that the ANC context was a feasible, acceptable and appropriate entry point for FGM prevention counselling. ANC clients were satisfied with how FGM-related information was communicated by providers and viewed them as trusted and effective communicators. Respondents suggested training reinforcement, targeting other cadres of health workers and applying this approach at different service delivery points in health facilities and in the community to increase sustainability and impact.</p><p><strong>Conclusion: </strong>These findings can inform the scale up this FGM prevention approach in high prevalence countries.</p>\",\"PeriodicalId\":12735,\"journal\":{\"name\":\"Global Public Health\",\"volume\":\"19 1\",\"pages\":\"2369100\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2024-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Global Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/17441692.2024.2369100\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/7/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Global Public Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17441692.2024.2369100","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/10 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
The feasibility, acceptability, appropriateness and impact of implementing person-centered communication for prevention of female genital mutilation in antenatal care settings in Guinea, Kenya and Somalia.
Background: There is limited evidence on how to engage health workers as advocates in preventing female genital mutilation (FGM). This study assesses the feasibility, acceptability, appropriateness and impact of a person-centered communication (PCC) approach for FGM prevention among antenatal care (ANC) providers in Guinea, Kenya and Somalia.
Methods: Between August 2020 and September 2021, a cluster randomised trial was conducted in 180 ANC clinics in three countries testing an intervention on PCC for FGM prevention. A process evaluation was embedded, comprising in-depth interviews (IDIs) with 18 ANC providers and 18 ANC clients. A qualitative thematic analysis was conducted, guided by themes identified a priori and/or that emerged from the data.
Results: ANC providers and clients agreed that the ANC context was a feasible, acceptable and appropriate entry point for FGM prevention counselling. ANC clients were satisfied with how FGM-related information was communicated by providers and viewed them as trusted and effective communicators. Respondents suggested training reinforcement, targeting other cadres of health workers and applying this approach at different service delivery points in health facilities and in the community to increase sustainability and impact.
Conclusion: These findings can inform the scale up this FGM prevention approach in high prevalence countries.
期刊介绍：
Global Public Health is an essential peer-reviewed journal that energetically engages with key public health issues that have come to the fore in the global environment — mounting inequalities between rich and poor; the globalization of trade; new patterns of travel and migration; epidemics of newly-emerging and re-emerging infectious diseases; the HIV/AIDS pandemic; the increase in chronic illnesses; escalating pressure on public health infrastructures around the world; and the growing range and scale of conflict situations, terrorist threats, environmental pressures, natural and human-made disasters.
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