从污名化到解决方案:利用当地智慧解决与尼泊尔月经闭锁(chhaupadi)有关的危害。

IF 1.8 3区 医学 Q2 FAMILY STUDIES Culture, Health & Sexuality Pub Date : 2024-07-06 DOI:10.1080/13691058.2024.2373793
Sara E Baumann, Megan A Rabin, Mary Hawk, Bhimsen Devkota, Kajol Upadhaya, Guna Raj Shrestha, Brigit Joseph, Jessica G Burke
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引用次数: 0

摘要

在尼泊尔,月经习俗,尤其是 Chhaupadi,强加了影响妇女日常生活的限制性规范。Chhaupadi 是一种传统,包括在月经期间和产后隔离妇女和女孩,以及遵循其他限制,这对身心健康都有影响。迄今为止,干预措施尚未在全国范围内全面、持续地解决与 Chhaupadi 相关的危害问题。这项在尼泊尔戴莱克(Dailekh)分两个阶段进行的研究促进了社区解决方案的发展,以减轻chhaupadi对妇女健康的不利影响。利用以人为本的设计和社区参与的方法,在发现阶段确定了主要利益相关者,并对chhaupadi进行了背景分析,而随后的设计阶段则促进了五项社区干预措施的开发。这些干预措施包括利用女性社区保健志愿者(FCHVs)进行咨询和宣传、针对母亲推动行为改变、让更广泛的社区参与到行为改变的努力中来、增强父亲在家中推动改变的能力以及培训青年进行宣传。家庭保健和志愿服务干预概念被妇女共同设计小组选为最有前途的干预措施,值得进行更广泛的探索和测试。此外,虽然干预措施必须优先解决 chhaupadi 的有害方面,但干预措施也必须承认其根深蒂固的文化意义和历史,并认识到一些妇女可能希望保留的积极方面。
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From stigma to solutions: harnessing local wisdom to tackle harms associated with menstrual seclusion (chhaupadi) in Nepal.

In Nepal, menstrual practices, and particularly chhaupadi, impose restrictive norms affecting women's daily lives. Chhaupadi is a tradition that involves isolating women and girls during menstruation and after childbirth, along with following other restrictions, which have physical and mental health implications. To date, interventions have yet to fully and sustainably address harms associated with chhaupadi across the country. This two-phase study conducted in Dailekh, Nepal facilitated the development of community-created solutions to mitigate chhaupadi's adverse impacts on women's health. Using Human Centred Design and a community-engaged approach, the discovery phase identified key stakeholders and contextualised chhaupadi, while the subsequent design phase facilitated the development of five community-created interventions. These included leveraging female community health volunteers (FCHVs) for counselling and awareness, targeting mothers to drive behavioural change, engaging the wider community in behaviour change efforts, empowering fathers to catalyse change at home, and training youth for advocacy. The FCHV intervention concept was selected as the most promising intervention by the women co-design team, warranting broader exploration and testing. Additionally, while it is imperative for interventions to prioritise tackling deleterious aspects of chhaupadi, interventions must also acknowledge its deep-rooted cultural significance and history and recognise the positive aspects that some women may wish to preserve.

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CiteScore
4.60
自引率
4.50%
发文量
80
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