Uptake and provision of self-care interventions for sexual and reproductive health: findings from a global values and preferences survey
Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers' confidence i...
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| Vydané v: | Sexual and Reproductive Health Matters Ročník 29; číslo 3; s. 226 - 246 |
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| Hlavní autori: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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England
Taylor & Francis
01.01.2022
Taylor & Francis, Ltd Informa UK Limited Taylor & Francis Ltd Taylor & Francis Group |
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| ISSN: | 2641-0397, 2641-0397 |
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| Abstract | Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers' confidence in promoting SRH self-care interventions, and how this may differ based on personal uptake experiences. To address these knowledge gaps, we conducted a web-based cross-sectional survey among health workers and laypersons from July to November 2018. We investigated the following information about SRH self-care interventions: knowledge and uptake; decisions for use; and associations between health workers' uptake and providing prescriptions, referrals, and/or information for these interventions. Participants (n = 837) included laypersons (n = 477) and health workers (n = 360) from 112 countries, with most representation from the WHO European Region (29.2%), followed by the Americas (28.4%) and African (23.2%) Regions. We found great heterogeneity in knowledge and uptake by type of SRH self-care intervention. Some interventions, such as oral contraception, were widely known in comparison with interventions such as STI self-sampling. Across interventions, participants perceived benefits of privacy, convenience, and accessibility. While pharmacies and doctors were preferred access points, this varied by type of self-care intervention. Health workers with knowledge of the self-care intervention, and who had themselves used the self-care intervention, were significantly more likely to feel confident in, and to have provided information or referrals to, the same intervention. This finding signals that health workers can be better engaged in learning about self-care SRH interventions and thereby become resources for expanding access. |
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| AbstractList | Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers' confidence in promoting SRH self-care interventions, and how this may differ based on personal uptake experiences. To address these knowledge gaps, we conducted a web-based cross-sectional survey among health workers and laypersons from July to November 2018. We investigated the following information about SRH self-care interventions: knowledge and uptake; decisions for use; and associations between health workers' uptake and providing prescriptions, referrals, and/or information for these interventions. Participants (
= 837) included laypersons (
= 477) and health workers (
= 360) from 112 countries, with most representation from the WHO European Region (29.2%), followed by the Americas (28.4%) and African (23.2%) Regions. We found great heterogeneity in knowledge and uptake by type of SRH self-care intervention. Some interventions, such as oral contraception, were widely known in comparison with interventions such as STI self-sampling. Across interventions, participants perceived benefits of privacy, convenience, and accessibility. While pharmacies and doctors were preferred access points, this varied by type of self-care intervention. Health workers with knowledge of the self-care intervention, and who had themselves used the self-care intervention, were significantly more likely to feel confident in, and to have provided information or referrals to, the same intervention. This finding signals that health workers can be better engaged in learning about self-care SRH interventions and thereby become resources for expanding access. Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers’ confidence in promoting SRH self-care interventions, and how this may differ based on personal uptake experiences. To address these knowledge gaps, we conducted a web-based cross-sectional survey among health workers and laypersons from July to November 2018. We investigated the following information about SRH self-care interventions: knowledge and uptake; decisions for use; and associations between health workers’ uptake and providing prescriptions, referrals, and/or information for these interventions. Participants (n = 837) included laypersons (n = 477) and health workers (n = 360) from 112 countries, with most representation from the WHO European Region (29.2%), followed by the Americas (28.4%) and African (23.2%) Regions. We found great heterogeneity in knowledge and uptake by type of SRH self-care intervention. Some interventions, such as oral contraception, were widely known in comparison with interventions such as STI self-sampling. Across interventions, participants perceived benefits of privacy, convenience, and accessibility. While pharmacies and doctors were preferred access points, this varied by type of self-care intervention. Health workers with knowledge of the self-care intervention, and who had themselves used the self-care intervention, were significantly more likely to feel confident in, and to have provided information or referrals to, the same intervention. This finding signals that health workers can be better engaged in learning about self-care SRH interventions and thereby become resources for expanding access. Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers' confidence in promoting SRH self-care interventions, and how this may differ based on personal uptake experiences. To address these knowledge gaps, we conducted a web-based cross-sectional survey among health workers and laypersons from July to November 2018. We investigated the following information about SRH self-care interventions: knowledge and uptake; decisions for use; and associations between health workers' uptake and providing prescriptions, referrals, and/or information for these interventions. Participants (n = 837) included laypersons (n = 477) and health workers (n = 360) from 112 countries, with most representation from the WHO European Region (29.2%), followed by the Americas (28.4%) and African (23.2%) Regions. We found great heterogeneity in knowledge and uptake by type of SRH self-care intervention. Some interventions, such as oral contraception, were widely known in comparison with interventions such as STI self-sampling. Across interventions, participants perceived benefits of privacy, convenience, and accessibility. While pharmacies and doctors were preferred access points, this varied by type of self-care intervention. Health workers with knowledge of the self-care intervention, and who had themselves used the self-care intervention, were significantly more likely to feel confident in, and to have provided information or referrals to, the same intervention. This finding signals that health workers can be better engaged in learning about self-care SRH interventions and thereby become resources for expanding access.Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers' confidence in promoting SRH self-care interventions, and how this may differ based on personal uptake experiences. To address these knowledge gaps, we conducted a web-based cross-sectional survey among health workers and laypersons from July to November 2018. We investigated the following information about SRH self-care interventions: knowledge and uptake; decisions for use; and associations between health workers' uptake and providing prescriptions, referrals, and/or information for these interventions. Participants (n = 837) included laypersons (n = 477) and health workers (n = 360) from 112 countries, with most representation from the WHO European Region (29.2%), followed by the Americas (28.4%) and African (23.2%) Regions. We found great heterogeneity in knowledge and uptake by type of SRH self-care intervention. Some interventions, such as oral contraception, were widely known in comparison with interventions such as STI self-sampling. Across interventions, participants perceived benefits of privacy, convenience, and accessibility. While pharmacies and doctors were preferred access points, this varied by type of self-care intervention. Health workers with knowledge of the self-care intervention, and who had themselves used the self-care intervention, were significantly more likely to feel confident in, and to have provided information or referrals to, the same intervention. This finding signals that health workers can be better engaged in learning about self-care SRH interventions and thereby become resources for expanding access. Self-care interventions hold the potential to improve sexual and reproductive health (SRH) and well-being. Yet key knowledge gaps remain regarding how knowledge and uptake vary across different types of self-care interventions. There is also limited understanding of health workers’ confidence in promoting SRH self-care interventions, and how this may differ based on personal uptake experiences. To address these knowledge gaps, we conducted a web-based cross-sectional survey among health workers and laypersons from July to November 2018. We investigated the following information about SRH self-care interventions: knowledge and uptake; decisions for use; and associations between health workers’ uptake and providing prescriptions, referrals, and/or information for these interventions. Participants (n = 837) included laypersons (n = 477) and health workers (n = 360) from 112 countries, with most representation from the WHO European Region (29.2 %), followed by the Americas (28.4 %) and African (23.2 %) Regions. We found great heterogeneity in knowledge and uptake by type of SRH self-care intervention. Some interventions, such as oral contraception, were widely known in comparison with interventions such as STI self-sampling. Across interventions, participants perceived benefits of privacy, convenience, and accessibility. While pharmacies and doctors were preferred access points, this varied by type of self-care intervention. Health workers with knowledge of the self-care intervention, and who had themselves used the self-care intervention, were significantly more likely to feel confident in, and to have provided information or referrals to, the same intervention. This finding signals that health workers can be better engaged in learning about self-care SRH interventions and thereby become resources for expanding access. Les interventions d’auto-prise en charge ont le potentiel d’améliorer la santé sexuelle et reproductive (SSR) et le bien-être. Pourtant, des lacunes clés demeurent concernant la manière dont la connaissance et l’utilisation varient selon différents types d’interventions d’auto-prise en charge. On dispose également d’une compréhension limitée de la confiance des agents de santé à l’égard de la promotion des interventions d’auto-prise en charge de SSR et comment cela peut différer en fonction de l’expérience personnelle. Pour combler ces lacunes dans la connaissance, nous avons mené une enquête transversale basée sur le web auprès d’agents de santé et de profanes de juillet à novembre 2018. Nous avons étudié les informations suivantes sur les interventions d’auto-prise en charge de SSR: connaissance et emploi; décisions sur l’utilisation; et associations entre l’utilisation par l’agent de santé et la fourniture d’ordonnances, d’aiguillages et/ou d’informations pour ces interventions. Les participants (n = 837) comprenaient des non-professionnels (n = 477) et des agents de santé (n = 360) de 112 pays, la région européenne de l’OMS étant la plus représentée (29.2 %), suivie des régions des Amériques (28.4 %) et de l’Afrique (23.2 %). Nous avons observé une grande hétérogénéité dans la connaissance et l’utilisation par type d’intervention d’auto-prise en charge de SSR. Certaines interventions, comme la contraception orale, étaient largement connues par comparaison avec des interventions telles que l’autotest pour le dépistage des IST. Pour l’ensemble des interventions, les participants appréciaient les avantages de la confidentialité, la commodité et l’accessibilité. Si les pharmacies et les médecins étaient les points d’accès préférés, cela variait par type d’intervention. Les agents de santé qui connaissaient l’intervention d’auto-prise en charge et qui y avaient eu eux-mêmes recours, avaient sensiblement plus de probabilités d’avoir confiance dans cette même intervention et d’avoir fourni des informations ou un aiguillage à cet égard. Ce résultat montre que les agents de santé peuvent participer plus utilement à l’apprentissage sur les interventions d’auto-prise en charge des interventions de SSR et par conséquent devenir des ressources pour en élargir l’accès. et par conséquent devenir des ressources pour en élargir l’accès. Las intervenciones de autocuidado tienen el potencial de mejorar la salud sexual y reproductiva (SSR) y el bienestar. Sin embargo, aún existen importantes brechas de conocimiento con relación a la manera en que el conocimiento y la aceptación varían entre los diferentes tipos de intervenciones de autocuidado. Además, existe limitada comprensión de la confianza de los trabajadores de salud en promover intervenciones de autocuidado de SSR, y cómo éstas podrían diferir según las experiencias de aceptación personal. Para abordar estas brechas de conocimiento, realizamos una encuesta transversal por internet entre trabajadores de salud y personas laicas entre julio y noviembre de 2018. Investigamos la siguiente información sobre las intervenciones de autocuidado de SSR: conocimiento y aceptación, decisiones para uso y asociaciones entre la aceptación por trabajadores de salud y la provisión de recetas médicas, referencias y/o información para estas intervenciones. Los participantes (n = 837) eran laicos (n = 477) y trabajadores de salud (n = 360) provenientes de 112 países; la mayor parte representaba a la región europea de la OMS (29.2%), seguida de las regiones de las Américas (28.4%) y África (23.2%). Encontramos gran heterogeneidad en conocimiento y aceptación por tipo de intervención de autocuidado de SSR. Algunas intervenciones, como la anticoncepción oral, eran ampliamente conocidas en comparación con intervenciones como la autotoma de muestra para la detección de ITS. En todas las intervenciones, los participantes percibieron los beneficios de privacidad, conveniencia y accesibilidad. Aunque las farmacias y médicos eran los puntos de acceso preferidos, esto varió por tipo de intervención. Los trabajadores de salud con conocimiento de una intervención de autocuidado de SSR que habían utilizado esa intervención eran significativamente más propensos a confiar en la intervención y a proporcionar información o referencias a la misma. Este hallazgo indica que los trabajadores de salud pueden participar mejor en el aprendizaje sobre intervenciones de autocuidado de SSR y, por ende, llegar a ser recursos para ampliar el acceso. |
| Author | Narasimhan, Manjulaa Logie, Carmen H. Berry, Isha Ferguson, Laura Donkers, Holly Malama, Kalonde |
| Author_xml | – sequence: 1 givenname: Carmen H. orcidid: 0000-0002-8035-433X surname: Logie fullname: Logie, Carmen H. organization: Environment and Health – sequence: 2 givenname: Isha orcidid: 0000-0003-3138-664X surname: Berry fullname: Berry, Isha organization: University of Toronto – sequence: 3 givenname: Laura orcidid: 0000-0002-1340-793X surname: Ferguson fullname: Ferguson, Laura – sequence: 4 givenname: Kalonde surname: Malama fullname: Malama, Kalonde organization: University of Toronto – sequence: 5 givenname: Holly surname: Donkers fullname: Donkers, Holly organization: University of Toronto – sequence: 6 givenname: Manjulaa orcidid: 0000-0003-0598-6887 surname: Narasimhan fullname: Narasimhan, Manjulaa organization: World Health Organization |
| BackLink | https://cir.nii.ac.jp/crid/1873679867553469312$$DView record in CiNii https://www.ncbi.nlm.nih.gov/pubmed/35100942$$D View this record in MEDLINE/PubMed |
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| Title | Uptake and provision of self-care interventions for sexual and reproductive health: findings from a global values and preferences survey |
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