弥合知识差距:改善西非和中东青少年性健康和生殖健康及卫生信息系统。

IF 3.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Chaitali Sinha, Marie-Gloriose Ingabire, Anne-Marie Schryer-Roy
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引用次数: 0

摘要

背景:随着世界接近实现可持续发展目标的最后五年,全球多重危机威胁着健康和福祉方面的进展。遭受脆弱性的人群,特别是低收入和中等收入国家的妇女、女孩和青少年,承担着不成比例的负担。普及性健康和生殖健康服务取得了喜忧参半的进展。特别是,青少年面临着更大的风险,如早婚、意外怀孕和获得性健康和生殖健康服务的机会有限,再加上性别规范和脆弱的环境。迫切需要综合的、社区驱动的和改变性别的方法,以及健全的卫生数据和信息系统。然而,支离破碎的系统存在数据质量差和边缘化群体代表性不足的问题。数字创新有望解决这些差距,但必须适应当地情况。弥合知识差距:本增刊介绍了雪松队列的研究结果,雪松队列是西非和中东国际发展研究中心(2017-2023)支持的一项倡议。该队列的16个实施研究项目探讨了青少年性健康和生殖健康服务和卫生信息系统,强调性别平等、人权和知识翻译。这些文章围绕三个主题进行组织:(1)采用植根于当地社区及其特定环境需求的情境方法,(2)推进性别平等和包容,(3)利用数据和信息系统的变革潜力。该增刊由中低收入国家的研究人员撰写,提供了具体的发现和本地化的见解,说明当高质量的研究与对个人、组织、结构和系统层面的社会、经济、政治和文化因素的理解相结合时,可能发生的变革性变化。结论:本增刊中收录的研究项目丰富了我们对设计和实施有效举措以改善妇女、儿童和青少年健康状况的理解。研究结果强调,对于不断演变的多方面的SRH挑战,不存在单一的解决方案。Cedar队列中的项目为设计和扩展与当地相关、包容和有影响力的SRH干预措施提供了关键见解。当前的多重危机需要对全球战略进行重新评估,本增刊中研究项目的结果提供了前进方向的指示。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bridging the know-do gap: improved adolescent sexual and reproductive health and health information systems in West Africa and the Middle East.

Background: As the world approaches the final five years to achieve the Sustainable Development Goals (SDGs), a global polycrisis threatens progress on health and well-being. Populations experiencing vulnerabilities, particularly women, girls, and adolescents in low- and middle-income countries, shoulder a disproportionate burden. Universal access to sexual and reproductive health (SRH) services has seen mixed progress. In particular, adolescents are facing heightened risks such as early marriage, unintended pregnancies, and limited access to SRH services, compounded by gender norms and fragile contexts. Integrated, community-driven, and gender-transformative approaches are urgently needed, as are robust health data and information systems. However, fragmented systems suffer from poor data quality and underrepresentation of marginalized groups. Digital innovations hold promise for addressing these gaps but must be adapted to local contexts.

Bridging the know-do gap: This supplement presents findings from the Cedar Cohort, an initiative supported by the International Development Research Centre across West Africa and the Middle East (2017-2023). The cohort's 16 implementation research projects explored SRH services for adolescents and health information systems, emphasizing gender equality, human rights, and knowledge translation. The articles are organized around three themes: (1) adopting contextual approaches rooted in local communities and their context-specific needs, (2) advancing gender equality and inclusion and (3) harnessing the transformational potential of data and information systems. Authored by LMIC-based researchers, the supplement provides concrete findings and localized insights into the transformative change possible when high-quality research is combined with an understanding of social, economic, political, and cultural factors at the individual, organizational, structural and systems levels.

Conclusion: The collection of research projects featured in this supplement enriches our understanding of designing and implementing effective initiatives to improve health outcomes for women, children and adolescents. The findings emphasize that no singular solution exists for the multifaceted SRH challenges that continue to evolve. The projects in the Cedar Cohort offer critical insights into designing and scaling SRH interventions that are locally relevant, inclusive, and impactful. The current polycrisis necessitates a re-evaluation of global strategies, and the findings from the research projects in this supplement provide indications of ways forward.

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来源期刊
Reproductive Health
Reproductive Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.00
自引率
5.90%
发文量
220
审稿时长
>12 weeks
期刊介绍: Reproductive Health focuses on all aspects of human reproduction. The journal includes sections dedicated to adolescent health, female fertility and midwifery and all content is open access. Reproductive health is defined as a state of physical, mental, and social well-being in all matters relating to the reproductive system, at all stages of life. Good reproductive health implies that people are able to have a satisfying and safe sex life, the capability to reproduce and the freedom to decide if, when, and how often to do so. Men and women should be informed about and have access to safe, effective, affordable, and acceptable methods of family planning of their choice, and the right to appropriate health-care services that enable women to safely go through pregnancy and childbirth.
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