Aya Contigo: evaluation of a digital intervention to support self-managed medication abortion in Venezuela.

IF 2.3 Q2 OBSTETRICS & GYNECOLOGY Frontiers in global women's health Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI:10.3389/fgwh.2024.1401779
Kathryn Cleverley, Anjali Sergeant, Nina Zamberlin, Susana Medina, Genevieve Tam, Roopan Gill
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Abstract

Background: Venezuela continues to face a humanitarian crisis, where healthcare is difficult to access and abortion is legally restricted. In response to a growing need for life-saving abortion and sexual and reproductive health (SRH) services, a digital application called Aya Contigo was co-developed with local partners to support self-managed medication abortion. We sought to evaluate this digital health tool among pregnant people seeking abortion in Venezuela.

Methods: This is a mixed-methods pilot evaluation of Aya Contigo, a digital tool for pregnant people seeking abortion in Venezuela. From April to June of 2021, people in the first trimester of pregnancy were recruited via passive sampling. Once enrolled, participants accessed information and resources on the application and were supported by study team members over an encrypted chat. Following medication abortion, participants completed an online survey and a semi-structured interview. Descriptive statistics were used to evaluate the survey responses. Interviews were coded thematically and analyzed qualitatively with NVivo.

Results: Forty participants seeking medication abortion in Venezuela were recruited to the study and given access to Aya Contigo. Seventeen completed the online survey (42.5%), with all participants identifying as women and a mean age of 28 (range 19-38; SD 5.55). Participants expressed confidence in Aya Contigo; 53% (9/17) felt "very supported" and the remaining 47% (8/17) felt "somewhat supported" by the app throughout the self-managed abortion process. The app was rated as highly usable, with an overall System Usability Scale score of 83.4/100. Thirteen respondents participated in a semi-structured phone interview, and qualitative analysis identified key themes relating to the experience of seeking abortion in Venezuela, the user experience with Aya Contigo, and the app's role in the existing ecosystem of abortion and contraceptive care in Venezuela.

Discussion: This mixed-methods pilot study demonstrates that the Aya Contigo mobile application may support pregnant people seeking medication abortion and post-abortion contraceptive services in Venezuela. Participants valued the provision of evidence-based information, virtual accompaniment services, and locally-available sexual and reproductive health resources via the digital tool. Further research and interventions are needed to ensure that all pregnant people in Venezuela can access safe abortion and contraceptive resources.

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Aya Contigo:对委内瑞拉支持自我管理药物流产的数字化干预措施进行评估。
背景:委内瑞拉仍然面临着人道主义危机,很难获得医疗保健服务,堕胎也受到法律限制。为了满足人们对挽救生命的人工流产及性健康和生殖健康(SRH)服务日益增长的需求,我们与当地合作伙伴共同开发了一款名为 Aya Contigo 的数字应用程序,以支持自我管理的药物流产。我们试图在委内瑞拉寻求人工流产的孕妇中对这一数字健康工具进行评估:这是一项针对委内瑞拉寻求流产的孕妇的数字化工具 Aya Contigo 的混合方法试点评估。2021 年 4 月至 6 月,通过被动抽样的方式招募了怀孕前三个月的孕妇。注册成功后,参与者可访问应用程序上的信息和资源,并通过加密聊天获得研究小组成员的支持。药物流产后,参与者完成了在线调查和半结构化访谈。描述性统计用于评估调查回复。采用 NVivo 对访谈进行主题编码和定性分析:研究招募了 40 名在委内瑞拉寻求药物流产的参与者,并为其提供了 Aya Contigo。17 人完成了在线调查(42.5%),所有参与者均为女性,平均年龄为 28 岁(19-38 岁不等;SD 5.55)。参与者表达了对 Aya Contigo 的信心;53%(9/17)的参与者认为该应用程序在整个自我管理流产过程中 "非常支持",其余 47%(8/17)的参与者认为该应用程序 "有点支持"。该应用程序被评为高度可用,系统可用性量表总分为 83.4/100。13 名受访者参加了半结构化电话访谈,定性分析确定了与在委内瑞拉寻求人工流产的经历、Aya Contigo 的用户体验以及该应用程序在委内瑞拉现有人工流产和避孕护理生态系统中的作用有关的关键主题:这项混合方法试点研究表明,Aya Contigo 移动应用程序可为委内瑞拉寻求药物流产和流产后避孕服务的孕妇提供支持。参与者对该数字工具提供的循证信息、虚拟陪伴服务以及当地可用的性健康和生殖健康资源给予了高度评价。为确保委内瑞拉的所有孕妇都能获得安全的人工流产和避孕资源,还需要进一步的研究和干预。
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审稿时长
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