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Quality Provision of Comprehensive Sexuality Education and Sexual and Reproductive Health in Resource Constrained Higher Education Institutions: A Case of Mukuba University
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作者 Evans Lifuka Lazarous Chanda 《Advances in Reproductive Sciences》 2023年第3期47-59,共13页
In an effort to ensure that Institutions of Higher Learning provide quality Comprehensive Sexuality Education (CSE) and Sexual and Reproductive Health (SRH) at the level of Universities and Colleges, indeveloping coun... In an effort to ensure that Institutions of Higher Learning provide quality Comprehensive Sexuality Education (CSE) and Sexual and Reproductive Health (SRH) at the level of Universities and Colleges, indeveloping countries such as Zambia, some universities have engaged in offering programmes and services in CSE and SRH. However, the provision of such programmes has had some limitations in terms of resources to ensure quality delivery. As a result, there was a need to examine the provision of CSE and SRH in a resource constrained Mukuba University. The study has three research objectives: 1) to examine the CSE and SRH programmes and services that are available at Mukuba University;2) to determine the actual resources available for the University to ensure quality provision of CSE and SRH to students;3) to use views and opinions of students and academics to examine the extent to which the CSE and SRH are reflected as standards by UNESCO and universities and colleges. The study took a pragmatic philosophy stance and convergent parallel research design of mixed methods;the primary approach is qualitative which will be analysed using thematic analysis, while the quantitative approach was secondary and the data was analysed using descriptive statistics. The study envisaged some implications that include the rise in communicable diseases such as Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), gender based violence, general lack of information on matters relating to CSE and SRH among students at Mukuba University. The policy implication is that policy makers will be able to formulate policies that address the needs and challenges of students in providing quality CSE and SRH programmes and services for a university that is constrained with resources. The study found that there was a need to contextualize the quality provision of CSE and SRH at an institutional level, for instance, Mukuba University has created an enabling environment for quality provision of CSE and SRH activities and programmes through training of the stakeholders. Further, it was found that in any successful programme, it is expected to meet certain challenges that might in some cases make it difficult to implement the programme as envisaged. In other words, this study has revealed that there are some drawbacks as well as lessons that Mukuba University could learn from other universities that offer CSE and SRH. The study provides a synergistic conceptual model that could be used in the implementation of CSE and SRH in colleges and universities for sustainability. It is hoped that this study has proved that even with limited resources a university can provide CSE and SHR programmes and services without depending on support from other external funders and cooperating partners. 展开更多
关键词 QUALITY comprehensive sexuality Education sexual and reproductive health
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Evaluation of Training Course Effects on Integrated Sexual and Reproductive Health Counseling
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作者 Yu-yan LI Jun-qing WU +1 位作者 Yu-ming SHF Shang-chun WU 《Journal of Reproduction and Contraception》 CAS 2006年第3期158-163,共6页
Objective To evaluate the training course effects on integrated sexual and reproductive health (SRH) counseling, so as to improve family planning providers' capacities of SRH counseling. Methods The SRH training co... Objective To evaluate the training course effects on integrated sexual and reproductive health (SRH) counseling, so as to improve family planning providers' capacities of SRH counseling. Methods The SRH training course was conducted by using new curriculum and participatory training methods. The purpose was meeting the SRH needs of clients. Evaluations were done by pre- and post-training questionnaires to trainees. Results The average total scores of trainees were 54.9 before trained and 83.4 after trained respectively. As to trainees' self evaluation of the capacities, the capacity for comfortably discussing sexuality and related issues with clients increased from 9.9% to 90.7%, the capacity for helping clients to understand their sexual risk factors increased from 12.5% to 92.2%, the capacity for helping clients assessing their own needs for SRH services, information and emotional support increased from 16.0% to 87.8%, and the capacity for helping clients to develop negotiation and communication skills increased from 12.0% to 86. 0%. Conclusion The training course of integrated SRH counseling changed the traditional training types and services concept o f family planning service providers, and the trainees' capacities of implementing integrated SRH counseling also improved very much. 展开更多
关键词 sexual and reproductive health (SRH) integrated counseling training effects
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性与生殖健康综合咨询能力调查及培训效果评估 被引量:2
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作者 李玉艳 王行 +3 位作者 金梦华 姜楠 赵瑞 武俊青 《中国性科学》 2023年第3期157-160,共4页
目的通过调查了解计划生育/妇产科从业人员开展性与生殖健康(SRH)综合咨询服务的能力,并评估其参加培训的效果。方法对参加SRH综合咨询能力培训的315名计划生育/妇产科从业人员进行培训前/后的问卷调查,由参加培训人员评估培训前/后的SR... 目的通过调查了解计划生育/妇产科从业人员开展性与生殖健康(SRH)综合咨询服务的能力,并评估其参加培训的效果。方法对参加SRH综合咨询能力培训的315名计划生育/妇产科从业人员进行培训前/后的问卷调查,由参加培训人员评估培训前/后的SRH综合咨询能力。结果培训前,计划生育/妇产科从业人员“倾听”能力为“好”的比例占49.8%,其他SRH综合咨询能力以“一般”为主;培训后,相关的8个能力为“好”的比例占40%以上。多因素Logistic回归分析显示本研究的培训能显著提高对象开展SRH综合咨询服务的能力,培训前能力得分及格的比例为20.3%、培训后升高到50.5%(OR=4.17,95%CI:2.77~6.28);此外,开展过咨询服务的对象,其开展SRH综合咨询服务的能力显著升高(OR=1.97,95%CI:1.24~3.13)。结论SRH综合咨询能力培训可显著提高相关从业人员的SRH综合咨询服务能力,从而更好地满足服务对象的需求。 展开更多
关键词 性与生殖健康综合咨询能力 培训 效果评估
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中国青少年生殖健康可及性调查基础数据报告 被引量:140
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作者 郑晓瑛 陈功 《人口与发展》 CSSCI 北大核心 2010年第3期2-16,共15页
目的是了解中国未婚青少年性与生殖健康的知识、态度和行为现状,评价青少年性与生殖健康服务的可得性与可及性,为改善青少年的性与生殖健康可及性提供政策支持。利用分层和概率比例规模抽样相结合的四阶段混合的抽样方法,用结构化问卷对... 目的是了解中国未婚青少年性与生殖健康的知识、态度和行为现状,评价青少年性与生殖健康服务的可得性与可及性,为改善青少年的性与生殖健康可及性提供政策支持。利用分层和概率比例规模抽样相结合的四阶段混合的抽样方法,用结构化问卷对15-24岁未婚青少年的三类子总体进行匿名一对一面访式调查。青少年整体缺乏全面正确的生殖健康知识,22.4%的青少年具有性经历。首次和最近一次性行为中,未采取任何避孕措施的比例分别为51.2%和21.4%。在有性经历的女性青少年中,怀孕率为21.3%,多次怀孕率为4.9%。书/杂志、同学/朋友、学校老师、网络以及电影/电视是青少年生殖健康知识的五大来源。学校课程对青少年的性与生殖健康知识具有积极作用,但青少年参加相关课程/讲座的比例不足40%。50%以上的咨询和治疗需求未实现。分析了原因,提出了对策和建议。 展开更多
关键词 未婚青少年 性与生殖健康 知识 态度 行为 可及性 知识来源 咨询 治疗
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青少年综合性性教育须面对的挑战 被引量:2
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作者 普睿 焦锋 +1 位作者 李馨 邓睿 《卫生软科学》 2017年第11期57-60,共4页
基于我国目前的具体国情,从青少年性与生殖健康权利的角度出发,对国内外相关文献进行回顾和思考,总结分析国外成功的经验、案例,提出在我国开展以性与生殖健康权利为核心的综合性性教育的建议和措施。
关键词 青少年 综合性性教育 性健康 生殖健康权利
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以工作场所为基础的干预对流动人口性与生殖健康咨询服务的影响 被引量:2
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作者 李玉艳 武俊青 +4 位作者 赵洪鑫 叶江枫 詹绍康 程建萍 余金明 《中国计划生育和妇产科》 2011年第2期13-17,共5页
目的评估以工作场所为基础的干预对流动人口性与生殖健康咨询服务的影响。方法多阶段整群抽取上海市闵行区流动人口集中的工厂、建筑工地、服务娱乐场所,随机分为干预组和对照组。通过倡导、动员,管理,培训,计划生育宣传教育服务,性与... 目的评估以工作场所为基础的干预对流动人口性与生殖健康咨询服务的影响。方法多阶段整群抽取上海市闵行区流动人口集中的工厂、建筑工地、服务娱乐场所,随机分为干预组和对照组。通过倡导、动员,管理,培训,计划生育宣传教育服务,性与生殖健康咨询服务,避孕节育技术服务,随访服务,转诊机制等干预活动对研究对象进行避孕节育、生殖健康综合服务干预。应用χ2及有序多分类Logistic回归分析等方法对其影响进行分析。结果本研究基线共调查2001人,评估调查时随访到有效样本1791人(失访率10.49%)。基线调查时,对照组和干预组对象接受过咨询服务的比例分别为16.65%、17.82%,两组比较差异无统计学意义(P>0.05);评估调查时,干预组对象接受过咨询服务的比例为36.77%,高于对照组的17.69%,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示干预促进了流动人口接受性与生殖健康咨询服务,近似值差异率(oddratio,OR)为2.802,95%可信区间为(2.190,3.584)。基线调查时对照组和干预组有咨询服务需求的比例分别为63.87%、66.93%;评估调查时分别为65.27%、67.14%,两组相比较差异均无统计学意义(P>0.05),多因素分析也显示干预对研究对象的咨询服务需求没有显著性影响。结论干预项目取得一定成效,促进了流动人口接受性与生殖健康咨询服务的比例,但仍未满足需求。今后需要加强对流动人口性与生殖健康相关的咨询服务。 展开更多
关键词 流动人口 以工作场所为基础的干预 性与生殖健康 咨询服务
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流动人口性与生殖健康综合咨询框架及案例剖析 被引量:4
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作者 武俊青 李玉艳 《中国计划生育和妇产科》 2016年第2期75-78,共4页
该文阐述了性与生殖健康综合咨询的瑞迪(REDI)框架,介绍了流动人口性与生殖健康咨询的案例及剖析,为今后开展流动人口性与生殖健康服务提供参考。
关键词 性与生殖健康综合咨询 咨询框架 流动人口 案例剖析
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