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.

项目概要/摘要尽管月经是一种自然的生理过程，但它通常与健康和安全相关挑战，特别是在尼泊尔，90% 的妇女和女孩至少有一次月经。最极端的限制是chhaupadi，这是一种社会宗教传统，妇女在这种传统中生活在隔离期间。月经，使她们面临有害的健康后果，但缺乏有效的证据。解决 chhaupadi 问题的方法仍然很广泛研究：这项社区参与的研究旨在。严格审查现有的干预证据，并共同设计和试点与文化相关的chhaupadi 最终改善尼泊尔妇女健康的干预措施该研究的目的如下：目标 1 - 开展一项现实主义综合阐明迄今为止 chhaupadi 干预措施成功或失败的机制，包括关键知情人访谈 (KII) (n=35) - 与妇女 (n=30) 共同设计 chhaupadi 干预措施，分三期进行。使用参与性、以人为本的设计活动的地区将通过社区完善干预措施。会议 (n=6) 和 KII (n=25) 目标 3 - 在两个匹配的社区中试点测试干预措施（干预和干预）。控制，n = 45）将进行标准化措施和焦点小组讨论（n = 6）的调查。评估可行性、可接受性以及预期受到影响的健康态度和行为的变化候选人：Sara Baumann 博士是匹兹堡大学医学院的助理教授。公共卫生，行为和社区健康科学系，之前接受过广泛的培训尼泊尔的社区参与研究和妇女生殖健康培训：将实现四个培训目标。支持鲍曼博士成为一名独立研究者的轨迹：1）获得现实主义技能综合以确定干预成功或失败的潜在因果机制和原因 2) 制定；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) 获得以下方面的基本技能：领导力、指导、资助写作和研究管理：鲍曼博士将担任。由国际和多学科专家组成的杰出团队提供支持，包括多元化的指导她在尼泊尔的团队、顾问委员会、顾问和合作组织拥有专业知识。基本内容和方法领域，如干预措施开发、评估、临床试验和她的全面职业发展计划包括大量的指导、说教。在匹兹堡大学（美国）和特里布万大学（尼泊尔）进行培训和体验式学习。成功完成这些严格的职业发展和研究计划后，鲍曼博士将充分准备转变为一名成功的独立全球健康研究员和干预专家社区参与的方法来改善中低收入国家妇女的生殖健康。