{"id":47307,"date":"2026-03-16T14:52:13","date_gmt":"2026-03-16T14:52:13","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=47307"},"modified":"2026-03-16T14:52:13","modified_gmt":"2026-03-16T14:52:13","slug":"including-fertility-awareness-methods-in-routine-nhs-contraceptive-consultations","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/ro\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/including-fertility-awareness-methods-in-routine-nhs-contraceptive-consultations\/","title":{"rendered":"Includerea metodelor de con\u0219tientizare a fertilit\u0103\u021bii \u00een consulta\u021biile de rutin\u0103 ale NHS privind contracep\u021bia"},"content":{"rendered":"
Sec\u021biunea intitulat\u0103 modul-1<\/span><\/a>
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Includerea metodelor de con\u0219tientizare a fertilit\u0103\u021bii \u00een consulta\u021biile de rutin\u0103 ale NHS privind contracep\u021bia<\/h1>\n

Finan\u021bare<\/strong><\/h2>\n

Finan\u021barea capacit\u0103\u021bii de cercetare ICB a NHS Bristol, North Somerset \u0219i South Gloucestershire.<\/p>\n

Care este problema?<\/strong><\/h2>\n

Sarcina neplanificat\u0103 r\u0103m\u00e2ne o problem\u0103 semnificativ\u0103 de s\u0103n\u0103tate public\u0103 \u00een Regatul Unit, rata de utilizare a contraceptivelor fiind \u00een sc\u0103dere, iar ratele de avort \u00een cre\u0219tere \u00een ultimii ani. Aceste rezultate afecteaz\u0103 \u00een mod dispropor\u021bionat persoanele care tr\u0103iesc \u00een zone mai defavorizate, comunit\u0103\u021bile minorit\u0103\u021bilor etnice \u0219i pe cele cu dizabilit\u0103\u021bi de \u00eenv\u0103\u021bare, reflect\u00e2nd inegalit\u0103\u021bi mai ample \u00een materie de s\u0103n\u0103tate.<\/p>\n

Preferin\u021bele \u00een materie de contracep\u021bie s-au schimbat. Unele persoane renun\u021b\u0103 la metodele hormonale din cauza \u00eengrijor\u0103rilor legate de efectele secundare sau a dorin\u021bei pentru op\u021biuni mai \u201cnaturale\u201d. Metodele de con\u0219tientizare a fertilit\u0103\u021bii (MAF), adesea sus\u021binute de aplica\u021bii pentru smartphone, sunt din ce \u00een ce mai populare. Aceste metode implic\u0103 identificarea zilelor fertile prin urm\u0103rirea ciclurilor menstruale \u0219i a semnelor biologice, cum ar fi temperatura corpului \u0219i mucusul cervical, \u0219i evitarea actului sexual neprotejat \u00een aceste perioade.<\/p>\n

De\u0219i unele aplica\u021bii FAM sunt bazate pe dovezi \u0219i eficiente, av\u00e2nd \u00een vedere educa\u021bia \u0219i sprijinul clinic, multe aplica\u021bii nu sunt validate \u0219i pot oferi predic\u021bii inexacte, \u00een special dup\u0103 na\u0219tere, avort sau pentru cicluri neregulate. F\u0103r\u0103 \u00eendrumare \u0219i sprijin din partea NHS, dependen\u021ba de aceste instrumente ar putea cre\u0219te num\u0103rul de sarcini nedorite \u0219i avorturi ulterioare, \u00een special \u00een r\u00e2ndul grupurilor care se confrunt\u0103 deja cu inegalitate.<\/p>\n

\u00cen prezent, consult\u0103rile NHS privind contracep\u021bia nu ofer\u0103 \u00een mod constant informa\u021bii clare \u0219i bazate pe dovezi despre metodele de \u00eengrijire natural\u0103 (MAF). Abordarea acestei lacune se aliniaz\u0103 cu priorit\u0103\u021bile Consiliului de \u00cengrijire Integrat\u0103 (ICB) din Bristol, North Somerset \u0219i South Gloucestershire (BNSSG) privind s\u0103n\u0103tatea reproductiv\u0103, preven\u021bia, alegerea informat\u0103 \u0219i reducerea inegalit\u0103\u021bilor \u00een materie de s\u0103n\u0103tate.<\/p>\n

Care este scopul cercet\u0103rii?<\/strong><\/h2>\n

Finan\u021barea RCF va sprijini activitatea de dezvoltare bazat\u0103 pe servicii pentru a rafina o interven\u021bie de con\u0219tientizare a fertilit\u0103\u021bii \u0219i a preg\u0103ti o viitoare aplica\u021bie solid\u0103 de cercetare NIHR. Activit\u0103\u021bile vor include implicarea pacien\u021bilor \u0219i a publicului (PPI), implicarea p\u0103r\u021bilor interesate \u0219i o analiz\u0103 rapid\u0103 a literaturii de specialitate.<\/p>\n

Revizuirea rapid\u0103 va identifica dovezile existente privind barierele \u0219i factorii care faciliteaz\u0103 furnizarea de metode contraceptive naturale (MAF) \u00een cadrul consult\u0103rilor de rutin\u0103 ale NHS privind contracep\u021bia. PPI \u0219i implicarea p\u0103r\u021bilor interesate vor explora percep\u021biile privind utilizabilitatea, fezabilitatea \u0219i acceptabilitatea \u0219i vor identifica situa\u021biile preferate (de exemplu, dup\u0103 na\u0219tere, avort, \u00een timpul consult\u0103rilor de rutin\u0103 privind s\u0103n\u0103tatea reproductiv\u0103) \u0219i contextele pentru implementare (de exemplu, cabinetele medicilor de familie, serviciile de s\u0103n\u0103tate sexual\u0103, farmaciile).<\/p>\n

Pentru a sprijini implicarea incluziv\u0103, se va utiliza o gam\u0103 larg\u0103 de abord\u0103ri de implicare, inclusiv grupuri mici de discu\u021bii (p\u00e2n\u0103 la cinci participan\u021bi), \u00eent\u00e2lniri individuale \u0219i op\u021biuni online sau fa\u021b\u0103 \u00een fa\u021b\u0103. Vor fi recruta\u021bi p\u00e2n\u0103 la 20 de membri din diverse medii socio-demografice din cadrul BNSSG, cu sprijinul organiza\u021biilor comunitare (de exemplu, Caafi Health, Bristol Health Partners). Participan\u021bii vor include persoane eligibile pentru contracep\u021bie cu experien\u021b\u0103 variat\u0103 \u00een accesul la asisten\u021b\u0103 medical\u0103.<\/p>\n

P\u00e2n\u0103 la 10 p\u0103r\u021bi interesate (de exemplu, medici, comisari) vor fi, de asemenea, recrutate pentru a participa la discu\u021bii individuale pentru a identifica barierele la nivelul serviciilor \u0219i cele structurale. Finan\u021barea RCF va oferi, de asemenea, timp dedicat pentru dezvoltarea aplica\u021biei NIHR, asigur\u00e2ndu-se c\u0103 propunerea reflect\u0103 experien\u021ba tr\u0103it\u0103 \u0219i priorit\u0103\u021bile serviciilor.<\/p>\n

Cum se va realiza acest lucru?<\/strong><\/h2>\n

Proiectul finan\u021bat de NIHR se va baza pe \u00eenv\u0103\u021b\u0103mintele dob\u00e2ndite \u00een urma furniz\u0103rii actuale de servicii, a feedback-ului pacien\u021bilor \u0219i a constat\u0103rilor din faza RCF. Acesta va implementa \u0219i evalua furnizarea de metode de con\u0219tientizare a fertilit\u0103\u021bii \u00een cadrul consult\u0103rilor contraceptive NHS, identificate ca fiind adecvate \u00een timpul activit\u0103\u021bii finan\u021bate de RCF.<\/p>\n

Cercetarea va evalua impactul, acceptabilitatea, fezabilitatea \u0219i costurile administr\u0103rii FAM ca parte a \u00eengrijirii de rutin\u0103 a NHS. Va examina dac\u0103 furnizarea de FAM bazate pe dovezi \u0219i sprijin \u00eembun\u0103t\u0103\u021be\u0219te alegerea informat\u0103 \u0219i autonomia reproductiv\u0103, men\u021bin\u00e2nd \u00een acela\u0219i timp siguran\u021ba \u0219i echitatea.<\/p>\n

Datele cantitative vor include rezultate precum ratele sarcinilor neplanificate \u0219i ale avorturilor \u00een cadrul BNSSG. Datele calitative vor explora experien\u021bele interven\u021biei de la utilizatorii serviciilor \u0219i profesioni\u0219tii din domeniul s\u0103n\u0103t\u0103\u021bii. O evaluare economic\u0103 va analiza costurile \u0219i poten\u021bialul raport calitate-pre\u021b pentru NHS.<\/p>\n

Interven\u021bia va fi realizat\u0103 \u00een colaborare cu pacien\u021bi \u0219i medici pentru a asigura adecvarea cultural\u0103 \u0219i accesibilitatea, \u00een special pentru popula\u021biile CORE20PLUS. Scopul general este de a consolida calitatea, consecven\u021ba \u0219i echitatea consilierii contraceptive oferite de NHS, sus\u021bin\u00e2nd \u00een acela\u0219i timp alegerea informat\u0103 \u0219i reduc\u00e2nd inegalit\u0103\u021bile \u00een materie de s\u0103n\u0103tate.<\/p>\n

Cine conduce cercetarea?<\/strong><\/h2>\n

Aceast\u0103 cercetare este condus\u0103 de Dr. China Harrison, cercet\u0103tor la Universitatea din Bristol.<\/p>\n

Informa\u021bii suplimentare<\/strong><\/h2>\n

Pentru mai multe informa\u021bii sau pentru a v\u0103 implica \u00een acest proiect, v\u0103 rug\u0103m s\u0103 trimite\u021bi un e-mail la\u00a0bnssg.research@nhs.net<\/strong><\/a><\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

The intended NIHR-funded project will build on learning from current service provision, patient feedback, and findings from the RCF phase.<\/p>","protected":false},"author":16,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-47307","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/47307","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/comments?post=47307"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/47307\/revisions"}],"predecessor-version":[{"id":47309,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/47307\/revisions\/47309"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/media?parent=47307"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/tags?post=47307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}