Improving Menstrual Health Among Women and Girls Using Community Engaged Intervention Development in Nepal

尼泊尔利用社区参与的干预措施改善妇女和女孩的月经健康

基本信息

批准号：
10802924
负责人：
Sara Elizabeth Baumann
金额：
$ 14.98万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-16 至 2028-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10802924
关键词：
Active Learning Address Area Attitude Attitude to Health Awareness Behavior Therapy Behavioral Model Cessation of life Clinical Trials Clinical Trials Design Collaborations Communities Community Health Data Development Development Plans Discrimination Educational Curriculum Educational Models Educational workshop Ensure Environment Evaluation Exclusion Failure Family Feedback Focus Groups Future Goals Grant Health Health Sciences Health behavior Human Rights Individual Infection International Intervention Intervention Studies Interview Leadership Life Literature Loneliness Menstruation Mental Health Mentors Mentorship Methodology Modeling Morbidity - disease rate Mothers Nepal Outcome Participant Personal Satisfaction Physiological Processes Process Public Health Public Health Schools Randomized Randomized, Controlled Trials Religion Reporting Reproductive Health Research Research Personnel Resource-limited setting Risk Safety Schools Self Efficacy Sleep Snake Bites Statistical Data Interpretation Stigmatization Surveys Testing Theoretical model Training United States National Institutes of Health Universities Update Validation Woman Women&apos s Health Work Writing Youth acceptability and feasibility behavioral health career career development community engaged research community engagement comparison control design gender-based violence girls global health health knowledge human centered design implementation science improved informant innovation low and middle-income countries meetings member mortality multidisciplinary physical abuse physical conditioning pilot test postnatal period professor psychosocial research and development role model self esteem skill acquisition skills sleep difficulty social social situation social stigma standardize measure success therapy design therapy development uptake

项目摘要

PROJECT SUMMARY/ABSTRACT Despite being a natural physiological process, menstruation is often associated with health and safety challenges, especially in low-resource settings. In Nepal, 90% of women and girls follow at least one menstrual restriction. The most extreme is chhaupadi, a social-religious tradition in which women live in isolation during menstruation, exposing them to harmful health consequences. There is a dearth of evidence regarding effective approaches to address chhaupadi, which remains widespread. Research: This community-engaged study aims to rigorously review extant intervention evidence, as well as co-design and pilot a culturally relevant chhaupadi intervention to ultimately improve women’s health in Nepal. The study aims are as follows: Aim 1 - Conduct a Realist Synthesis to elucidate the mechanisms of success or failure of chhaupadi interventions to date, including key-informant interviews (KIIs) (n=35). Aim 2 - Co-design a chhaupadi intervention with women (n=30) in three districts using participatory, human-centered design activities. The intervention will be refined via community meetings (n=6) and KIIs (n=25). Aim 3 - Pilot test the intervention in two matched communities (intervention and control, n=45). Surveys with standardized measures and focus group discussions (n=6) will be conducted to assess feasibility, acceptability, and changes in health attitudes and behaviors expected to be impacted by the intervention. Candidate: Dr. Sara Baumann is an Assistant Professor at the University of Pittsburgh School of Public Health, Department of Behavioral and Community Health Sciences with extensive previous training in community-engaged research and women’s reproductive health in Nepal. Training: Four training goals will support Dr. Baumann’s trajectory toward becoming an independent investigator: 1) Acquire skills in Realist Synthesis to identify underlying causal mechanisms and reasons for intervention success or failure; 2) develop expertise in intervention development and assessment, as well as implementation science; 3) attain new skills in clinical trial design applicable to low- and middle-income countries (LMICs); and 4) gain essential skills in leadership, mentorship, grant writing, and study management. Mentors/Environment: Dr. Baumann will be supported by an exceptional team of international and multidisciplinary experts including a diverse mentorship team, advisory board, consultants, and collaborating organizations in Nepal. Her mentorship team has expertise in essential content and methodological areas such as intervention development, evaluation, clinical trials, and statistical analyses. Her comprehensive career development plan includes substantial mentorship, didactic training, and experiential learning at the University of Pittsburgh (US) and Tribhuvan University (Nepal). By successfully completing these rigorous career development and research plans, Dr. Baumann will be fully prepared to transition into a successful independent global health researcher and interventionist who harnesses community-engaged approaches to improve women’s reproductive health in LMICs.

项目摘要/摘要尽管是一个自然的身体过程，但月经通常与健康和安全有关挑战，尤其是在低资源环境中。在尼泊尔，有90％的妇女和女孩至少遵循月经最极端的是Chhaupadi，这是一种社会宗教传统月经，使他们承受有害的健康后果。关于有效的证据死亡解决Chhaupadi的方法，这仍然是宽度的。研究：这项社区参与研究的目的严格审查额外的干预证据，以及共同设计和驾驶文化相关的chhaupadi 干预以最终改善尼泊尔妇女健康。研究目的如下：目标1-进行现实主义者的合成以阐明迄今为止的成功或失败的机制，包括钥匙信息访谈（KII）（n = 35）。 AIM 2-在三个使用参与，以人为本的设计活动的地区。干预将通过社区进行完善会议（n = 6）和KII（n = 25）。目标3-试点测试两个匹配社区的干预措施（干预和控制，n = 45）。通过标准措施的调查和焦点小组讨论（n = 6）将进行评估可行性，可接受性和健康的变化，预计将受到预期的行为干涉。候选人：Sara Baumann博士是匹兹堡大学的助理教授公共卫生，行为和社区健康科学系，并在先前的培训中进行了广泛的培训尼泊尔的社区参与研究和妇女的生殖健康。训练：四个培训目标将支持鲍曼博士的轨迹成为一名独立调查员：1）获得现实主义者的技能综合以识别潜在的因果机制和干预成功或失败的原因； 2）发展干预开发和评估以及实施科学方面的专业知识； 3）获得新技能适用于低收入和中等收入国家（LMIC）的临床试验设计； 4）获得基本技能领导力，精通授权写作和学习管理。导师/环境：鲍曼博士将由一支由国际和多学科专家组成的杰出团队的支持尼泊尔的团队，顾问委员会，顾问和合作组织。她的攻向团队有专业知识在基本内容和方法论领域，例如干预开发，评估，临床试验以及统计分析。她全面的职业发展计划包括实质性的指导，教学培训，匹兹堡大学（美国）和Tribhuvan大学（尼泊尔）的专家学习。经过成功完成了这些严格的职业发展和研究计划，鲍曼博士将完全准备过渡到成功的独立全球卫生研究者和干预主义者社区参与的方法来改善LMIC的妇女生殖健康。