在戒毒诊所促进生殖健康

Tracy R. Nichols, H. Love
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引用次数: 2

摘要

背景和目的:产前药物使用仍然是一个重要的公共卫生问题。将促进生殖健康与成瘾治疗结合起来是解决这一问题的一个有希望的办法。本研究旨在了解试点生殖健康计划的优势和挑战,该计划包括孕前/孕间健康课程,分娩教育课程,以及为成瘾治疗人员提供免费的助产师服务。方法:研究设计为定性形成性评价。对项目的观察(n=9)与客户、咨询师和项目协调员的访谈(n=12)一起进行。结果:优势包括项目与客户需求之间的良好契合,以及进一步整合项目的承诺。挑战包括不一致的参与以及选择和培训促进者的问题。注意到与客户复杂和混乱的生活有关的障碍。通过强制出勤以及轮换和审查内容来解决不一致参与的技术取得了不同程度的成功。结论:研究发现该项目得到了利益相关者的好评,但也发现了一些结构性挑战。今后的方案应努力使治疗提供者和生殖健康促进者之间更加一体化。还需要进行研究,以评估向从事成瘾治疗的客户提供综合生殖健康教育的有效性。
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Providing Reproductive Health Promotion in Drug Treatment Clinics
Background and Purpose: Prenatal substance use continues to be a critical public health concern. Integrating reproductive health promotion with addiction treatment is a promising approach to addressing this issue. This study was designed to understand strengths and challenges of a pilot reproductive health program, consisting of preconception/interconception health classes, childbirth education classes, and access to free doula services, for people in addiction treatment. Methods: The study design was a qualitative formative evaluation. Observations of the program (n=9) were conducted along with interviews (n=12) with clients, counselors, and program facilitators. Results: Strengths included a good fit between the program and clients’ needs and commitment to further integrate the program. Challenges included inconsistent participation and issues of facilitator selection and training. Barriers were noted related to the complex and chaotic lives of the clientele. Techniques to address inconsistent participation through mandated attendance as well as rotating and reviewing content showed mixed success. Conclusion: The study found the program to be well-regarded by stakeholders, but several structural challenges were identified. Future programs should strive for greater integration between treatment providers and reproductive health facilitators. Research is also needed to assess the effectiveness of providing integrated reproductive health education to clients engaged in addiction treatment.
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