作为伴奏的女伶:伴奏的典范

IF 2.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Meredith Casella Jean-Baptiste , Milenka Jean-Baptiste , Pierre Ricard Pognon , Alison Lutz , Joia Mukherjee , Christophe Millien
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引用次数: 0

摘要

陪伴是一种与历史上被边缘化或弱势群体合作、支持和提供所需服务的方法。它涉及多个利益攸关方团结一致,共同经历一段经历,以实现共同目标,确保弱势群体不会独自承担负担。尽管如此,描述伴奏的研究仍然有限。根据现有的文献,没有研究探讨过传统的助产士(在海地被称为matone)作为伴侣。本文探讨了陪伴作为一种方法,利用智慧,联系和爱的主妇为孕妇服务,因为他们分娩。在这样做的过程中,这项工作通过描述伴奏的各种组成部分的概念模型进一步实现了伴奏的可操作性。在海地的Mirebalais公社,有目的和方便地抽取为孕妇服务的主妇参加焦点小组讨论。通过主题分析,出现了多个主题。四个主题代表了伴奏模式的核心组成部分:身体支持、经济支持、情感支持和倡导。四个主题代表了支撑伴奏的价值观:灵性、同情、承诺和信念。最后一个主题是伴奏的实用性方面:务实的团结。伴奏模型的层次,将伴奏定位为程序设计(核心组件),哲学立场(基础价值观)和实践(务实团结)的主题。我们认为,这些发现证明了一种实用的、道德的、价值驱动的伴奏模式,可以适用于各种方案设置。这一模式可以传授,并将支持历史上、社会上或经济上处于弱势群体的孕妇获得更好的健康结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Matrones as accompagnateurs: A model for accompaniment
Accompaniment is an approach for working with, supporting, and providing needed services to historically marginalized or vulnerable groups. It involves multiple stakeholders going through an experience together in solidarity to achieve a shared goal, ensuring that the vulnerable do not bear the load alone. Despite this, there has been limited research describing accompaniment. Per the existing literature, no study has explored the traditional birth attendant (known as a matrone in Haiti) as an accompagnateur. This paper explores accompaniment as an approach, harnessing the wisdom, connections, and love of matrones serving pregnant women as they labor and give birth. In doing so, this work further operationalizes accompaniment through a conceptual model that describes its various components. Matrones serving pregnant women in the Mirebalais commune of Haiti were purposively and conveniently sampled to participate in focus group discussions. Using thematic analysis, multiple themes emerged. Four themes represent the core components of the accompaniment model: physical support, economic support, emotional support, and advocacy. Four themes represent values that undergird accompaniment: spirituality, compassion, commitment, and conviction. The final theme is the applied, practical aspect of accompaniment: pragmatic solidarity. The layers of the accompaniment model, positions accompaniment as a rubric for programmatic design (core components), philosophical stance (undergirding values), and practice (pragmatic solidarity).
We believe these findings demonstrate an accompaniment model that is practical, moral, value-driven, and can be adapted for use in various programmatic settings. This model can be taught and would support better health outcomes for pregnant women from historically, socially or economically vulnerable groups.
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来源期刊
CiteScore
1.60
自引率
0.00%
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审稿时长
163 days
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