Amaphuzu Avelele Ayinhloko
- Umthelela Obalulekile Empilweni Yomama: Uhlelo lokusebenza lweselula lwe-Text4Life luthuthukise ngempumelelo imiphumela yezempilo kamama emaphandleni aseNigeria ngokubhekana nezinselele zokuthutha ezivimbela abesifazane abakhulelwe ekutholeni usizo oluphuthumayo.
- Izinga Lempumelelo Eliphezulu: Amaphesenti angama-91 abesifazane ababike izinkinga ngokusebenzisa uhlelo lwe-Text4Life athuthelwe ngempumelelo ezikhungweni zezempilo. Ngokuphawulekayo, kwakungekho ukufa komama phakathi kwabahlanganyeli phakathi nesikhathi socwaningo.
- Ukusebenzelana Komphakathi: Impumelelo yalolu hlelo kakhulu ibe umphumela wokuzibandakanya komphakathi, okuhlanganisa ukusebenzisana nabashayeli bamatekisi abaseduze nabahlinzeki bezempilo.
- I-Scalable futhi Iyaphindaphindeka: Isinyathelo se-Text4Life sibonisa amandla okuba ubuchwepheshe beselula bukhuliswe futhi buhlanganiswe namasu ezempilo kazwelonke, kunikeze imodeli ephindaphindekayo kwezinye izilungiselelo zezinsiza eziphansi.
Isendlalelo Lo mgomo kafushane ufingqa imininingwane ebalulekile evela esihlokweni kanye nasethulweni kaSolwazi Friday Okonofua ku- DIMA Health Webinar, ebhekana nenselelo eqhubekayo yokushona komama eNigeria, ikakhulukazi ezindaweni zasemaphandleni ezingenakufinyelela okulinganiselwe ekunakekelweni kwezempilo. Ngo-2017, iNigeria yabalelwa ku-23% wokushona komama emhlabeni wonke, kanti abesifazane basemaphandleni basengozini enkulu ngenxa yengqalasizinda yokunakekelwa kwezempilo eyanele kanye nezithiyo zezenhlalo namasiko. Nakuba uhulumeni enze imizamo yokuthuthukisa izinsiza zezempilo komama, ezokuthutha ziseyisithiyo esikhulu, esivimbela abesifazane abaningi ukuthi bafinyelele ezikhungweni zezempilo kusenesikhathi. Ukubhekana nale nkinga ebucayi, kwakhiwe uhlelo lokusebenza leselula le-Text4Life. Lesi sixazululo esisha sixhuma abesifazane abakhulelwe emaphandleni aseNigeria nabahlinzeki bezokuthutha eziphuthumayo kanye nokunakekelwa kwezempilo, okuhloswe ukunciphisa ukufa komama ngokuqinisekisa ukufinyelela ngesikhathi ekunakekelweni kwezokwelapha kulezi zifunda ezingagciniwe. I-Intervention Overview I-Text4Life iyisicelo seselula esenza abesifazane abakhulelwe bakwazi ukucela izinto zokuhamba eziphuthumayo lapho behlangabezana nezinkinga ngesikhathi bekhulelwe. Lolu hlelo lwazisa abaholi bomphakathi nabahlinzeki bezempilo, abe esehlanganisa ezokuthutha nabashayeli bamatekisi endawo ababhaliswe ngaphambilini. Le ndlela yokuqinisekisa ukuthi abesifazane ezindaweni zasemakhaya bangafika ngokushesha nangokuphepha ezikhungweni zokunakekelwa kwezempilo okuyisisekelo noma badluliselwe ezikhungweni ezisezingeni eliphezulu uma kunesidingo. Okutholakele Okubalulekile Phakathi nocwaningo lwezinyanga ezingu-18 olwenziwa emiphakathini yasemaphandleni ye-20 e-Edo State, uhlelo lwe-Text4Life lubhalise abesifazane abakhulelwe abayi-1,620. Kulaba, abesifazane abangu-56 (3.5%) basebenzise uhlelo lokusebenza ukubika izinkinga. Lolu hlelo luzuze izinga lempumelelo elingama-91% ekuthuthweni kwalaba besifazane ezikhungweni zezempilo, abesifazane abangama-46 belashwa ezikhungweni zezempilo eziyisisekelo kwathi aba-5 badluliselwa ezikhungweni ezisezingeni eliphezulu. Okumangazayo, akukho ukushona komama okwenzekile phakathi kwabahlanganyeli phakathi nocwaningo, okugqamisa ukusebenza kahle kohlelo lokusebenza ekuvimbeleni ukufa komama. Imithelela Yenqubomgomo Impumelelo ye-Text4Life ikhombisa amandla obuchwepheshe beselula ukubhekana nezithiyo ezibalulekile ekufinyeleleni ekunakekelweni kwezempilo ezindaweni zasemakhaya. Ukuhlanganiswa kwalolu hlelo nezinhlaka zomphakathi kanye nezinga lalo eliphezulu lempumelelo ekuqinisekiseni ukungenelela kwezokwelapha okufika ngesikhathi kunikeza icala eliphoqelelayo lokukhulisa lesi sinyathelo kulo lonke elaseNigeria. Ngaphezu kwalokho, imodeli ye-Text4Life ingasebenza njengesifanekiso sokungenelela okufanayo kwezinye izilungiselelo zezinsiza eziphansi emhlabeni jikelele. Izincomo
- Ukunwetshwa Kwezwe Lonke: Nweba uhlelo lwe-Text4Life ukuze uhlanganise izindawo eziningi zasemakhaya kulo lonke elaseNigeria, okuhloswe ngalo ukuqaliswa ezweni lonke ukuze kwandiswe umthelela walo empilweni kamama.
- Ukuhlanganiswa Kwesu Lezempilo Likazwelonke: Shumeka uhlelo lwe-Text4Life ohlelweni lwesu lezempilo lomama likazwelonke laseNigeria kanye nohlaka lokunakekelwa kwezempilo okuyisisekelo ukuze kuqinisekiswe ukusimama kwesikhathi eside.
- Thuthukisa Ukuqeqeshwa Komphakathi: Tshala imali ekwakhiweni kwamandla abasebenzi bezempilo bomphakathi kanye namavolontiya ukuze balawule futhi basimamise ukungenelela kwe-Text4Life ngempumelelo.
- Qinisa Ubambiswano Lomphakathi Noluzimele: Sebenzisana nabahlinzeki bezokuthutha bendawo kanye nezinkampani zokuxhumana ngocingo ukuze kuqinisekiswe ukutholakala kwenethiwekhi okuthembekile kanye nezinsizakalo zokuthutha ezindaweni zasemakhaya.
- Sekela Izifundo Ezinkulu: Yenza ukuhlolwa kwesilinganiso esikhulu ukuhlola umthelela wesikhathi eside, ukukala, kanye nokusebenza kahle kwezindleko kohlelo lwe-Text4Life, ukuhlinzeka ngedatha ukuze yazise izinqumo zenqubomgomo zesikhathi esizayo.
- Thuthukisa Amamodeli Okuxhaswa Ngezimali Okusimeme: Sungula amamodeli oxhaso abandakanya uhulumeni, ama-NGO, nababambiqhaza bemboni ezimele ukuze kuvikelwe ukusimama kwezezimali kohlelo lwe-Text4Life.
Isiphetho Uhlelo lokusebenza lweselula lwe-Text4Life lumelela indlela yokuguqula yokuthuthukisa imiphumela yezempilo kamama ezindaweni zasemaphandleni zaseNigeria ngokubhekana nenkinga ebalulekile yezokuthutha. Impumelelo yalolu hlelo ekuvimbeleni ukushona komama kanye namandla ako okwandisa ezweni lonke igcizelela isidingo sokwamukelwa kabanzi kwezixazululo zezempilo ezihambayo ngaphakathi kwamasu okunakekelwa kwezempilo kazwelonke. Ngokwandisa nokuhlanganisa izinto ezintsha ezinjalo, iNigeria ingenza inqubekelaphambili ebalulekile ekunciphiseni ukufa komama, ikakhulukazi ezindaweni zayo zasemaphandleni ezisengozini kakhulu. Main Reference Okonofua, F., Ntoimo, L., Johnson, E., Sombie, I., Ojuolape, S., Igboin, B., Imongan, W., Ekwo, C., Udenigwe, O., Yaya, S . kanye no-Wallis, AB (2023). Ukuthumela umlayezo wokuphila impilo yonke: uhlelo lokusebenza lweselula lokuxhuma abesifazane abakhulelwe ngezokuthutha eziphuthumayo kanye nokunakekelwa kokubelethisa emaphandleni aseNigeria. I-BMC Ukukhulelwa Nokubeletha, 23(1), 139. https://doi.org/10.1186/s12884-023-05424-9 Okunye Okubhekisela Kuyo: I-National Population Commission (NPC)[Nigeria] kanye ne-ICF. Ucwaningo lweDemographic and Health Survey lwaseNigeria lwango-2018. I-Abuja ne-Rockville: i-NPC ne-ICF; 2019. Ntoimo, LFC, Okonofua, FE, Igboin, B., Ekwo, C., Imongan, W., & Yaya, S. (2019). Kungani abesifazane basemaphandleni bengasebenzisi izikhungo zezempilo eziyisisekelo ekunakekelweni kokukhulelwa: ubufakazi obuvela ocwaningweni lwekhwalithi eNigeria. I-BMC Ukukhulelwa Nokubeletha, 19, 1-13. I-World Health Organization. (2019). Amathrendi ekufeni komama kusukela ngo-2000 kuya ku-2017: izilinganiso ze-WHO, i-UNICEF, i-UNFPA, i-World Bank Group kanye ne-United Nations Population Division: isifinyezo esiphezulu (No. WHO/RHR/19.23). I-World Health Organization.