PDF(Pubmed)
Abstract：
BACKGROUND: Female genital mutilation/cutting (FGM/C) is tied to one of the most conservative cultures in the Mediterranean and Sub-Saharan Africa. More than 200 million girls and women in 30 African, Asian and the middle Eastern countries have undergone FGM/C. However, healthcare professionals are not adequately trained to prevent and manage FGM/C-related complications including sexual health problems. This study aimed to assess the need and acceptability of a curriculum to train nursing and medical students in the sexual healthcare of clients with FGM/C in Tanzania.
METHODS: We used a descriptive and cross sectional study design to collect and analyse information from 271 medical and 137 nursing students in Tanzania. A Qualtrics online survey was used to obtain quantitative data on training interest, previous training received, and the curriculum delivery method. Open-ended questions were used to explore their insights on significance to obtain the necessary competencies to treat and prevent FGM/C. Descriptive statistics were used to analyze quantitative data while qualitative data were analyzed using a thematic approach.
RESULTS: Almost half of the participants reported they had little to no training in sexual healthcare for women with FGM/C (47%). In all, 82.4% reported the training to be acceptable. Following thematic analysis of open-ended questions, participants expressed a desire to improve their competencies to meet the current and future sexual and psychological health needs of women and girls who have undergone FGM/C.
CONCLUSIONS: It is a necessary and acceptable to develop a curriculum to train healthcare students to diagnose, treat and prevent sexual health complications related to FGM/C. In our study, designing a culturally sensitive curriculum and its delivery method, that includes practical sessions with simulated patients, was considered the most beneficial and favorable.
METHODS: We used a descriptive and cross sectional study design to collect and analyse information from 271 medical and 137 nursing students in Tanzania. A Qualtrics online survey was used to obtain quantitative data on training interest, previous training received, and the curriculum delivery method. Open-ended questions were used to explore their insights on significance to obtain the necessary competencies to treat and prevent FGM/C. Descriptive statistics were used to analyze quantitative data while qualitative data were analyzed using a thematic approach.
RESULTS: Almost half of the participants reported they had little to no training in sexual healthcare for women with FGM/C (47%). In all, 82.4% reported the training to be acceptable. Following thematic analysis of open-ended questions, participants expressed a desire to improve their competencies to meet the current and future sexual and psychological health needs of women and girls who have undergone FGM/C.
CONCLUSIONS: It is a necessary and acceptable to develop a curriculum to train healthcare students to diagnose, treat and prevent sexual health complications related to FGM/C. In our study, designing a culturally sensitive curriculum and its delivery method, that includes practical sessions with simulated patients, was considered the most beneficial and favorable.
摘要：
背景：女性生殖器切割/切割（FGM/C）与地中海和撒哈拉以南非洲最保守的文化之一有关。30个非洲国家有2亿多女孩和妇女,亚洲和中东国家经历了FGM/C。然而,医疗保健专业人员没有接受足够的培训来预防和管理FGM/C相关并发症，包括性健康问题。这项研究旨在评估课程的需求和可接受性，以培训坦桑尼亚FGM/C患者的护理和医学生的性保健。
方法：我们使用描述性和横断面研究设计来收集和分析来自坦桑尼亚271名医学和137名护理专业学生的信息。Qualtrics在线调查用于获取有关培训兴趣的定量数据，以前接受过的培训，和课程交付方法。使用开放式问题来探索他们对获得治疗和预防FGM/C的必要能力的重要性的见解。描述性统计用于分析定量数据，而定性数据则使用主题方法进行分析。
结果：几乎一半的参与者报告说，他们几乎没有接受过FGM/C女性的性保健培训（47％）。总之,82.4%的人表示培训是可以接受的。在对开放式问题进行主题分析之后，与会者表示希望提高他们的能力，以满足遭受FGM/C的妇女和女孩当前和未来的性和心理健康需求。
结论：开发课程以培训医疗保健学生诊断，治疗和预防与FGM/C相关的性健康并发症在我们的研究中,设计一个文化敏感的课程及其交付方法，包括模拟病人的实践课程，被认为是最有利和最有利的。
方法：我们使用描述性和横断面研究设计来收集和分析来自坦桑尼亚271名医学和137名护理专业学生的信息。Qualtrics在线调查用于获取有关培训兴趣的定量数据，以前接受过的培训，和课程交付方法。使用开放式问题来探索他们对获得治疗和预防FGM/C的必要能力的重要性的见解。描述性统计用于分析定量数据，而定性数据则使用主题方法进行分析。
结果：几乎一半的参与者报告说，他们几乎没有接受过FGM/C女性的性保健培训（47％）。总之,82.4%的人表示培训是可以接受的。在对开放式问题进行主题分析之后，与会者表示希望提高他们的能力，以满足遭受FGM/C的妇女和女孩当前和未来的性和心理健康需求。
结论：开发课程以培训医疗保健学生诊断，治疗和预防与FGM/C相关的性健康并发症在我们的研究中,设计一个文化敏感的课程及其交付方法，包括模拟病人的实践课程，被认为是最有利和最有利的。
