关键词: Health equity Reproductive health Sexual health Unmet need

Mesh : Humans Delphi Technique England Sexual Health Qualitative Research Health Services Needs and Demand Reproductive Health Services / standards Reproductive Health Female Male Needs Assessment Attitude of Health Personnel

来  源:   DOI:10.1016/j.srhc.2024.100969

Abstract:
BACKGROUND: Unmet need within sexual and reproductive health (SRH) is a concept that is difficult to define and measure. This qualitative Delphi exercise was used to ascertain the opinions of SRH professionals on the conceptualisation and measurement of unmet need within SRH.
METHODS: This exercise was carried out in two rounds. In the first round, respondents responded narratively to three prompts, which were then used to create a series of statements. In the second round, participants responded narratively to the statements created in the first round. Responses from both rounds were then coded and analysed thematically.
RESULTS: Participants felt that an understanding of unmet need is an important part of SRH service design and provision, and believed that certain populations are often underrepresented within the datasets that are used to assess unmet need. Many respondents felt that a full understanding of unmet need within SRH would only come from involvement of relevant stakeholders in the process of investigating unmet need, and that qualitative methods may also have a role to play in gaining a more holistic understanding of unmet need within SRH.
CONCLUSIONS: Respondents within this study felt that unmet need is complex concept that has a significant impact on service delivery and the outcomes and experiences of the most vulnerable populations. We need to improve our understanding of unmet need and prioritise stakeholder voices if we want to create interventions that address unmet need within SRH.
摘要:
背景:性健康和生殖健康(SRH)中未满足的需求是一个难以定义和衡量的概念。此定性Delphi练习用于确定SRH专业人员对SRH中未满足需求的概念化和测量的意见。
方法:本练习分两轮进行。在第一轮中,受访者对三个提示进行了叙述性回应,然后用于创建一系列语句。在第二轮中,参与者对第一轮中创建的陈述进行了叙述性回应.然后对两轮的反应进行编码和主题分析。
结果:参与者认为,对未满足的需求的理解是SRH服务设计和提供的重要组成部分,并认为某些人群在用于评估未满足需求的数据集中往往代表性不足。许多答复者认为,只有相关利益攸关方参与调查未满足需求的过程,才能充分了解SRH内部未满足的需求,定性方法也可能在获得对SRH中未满足的需求的更全面理解方面发挥作用。
结论:本研究中的受访者认为,未满足的需求是复杂的概念,对服务提供以及最弱势群体的结果和经验具有重大影响。如果我们想在SRH中创建解决未满足需求的干预措施,我们需要提高对未满足需求的理解,并优先考虑利益相关者的声音。
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