中央インドの農村部で実施された混合的方法の横断的な研究
Chullithala Athira1, Anindo Majumdar2, Roshan F Sutar3
1Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India. athirachullithala@gmail.com.
BMC pregnancy and childbirth
|August 22, 2025
まとめ
インドの農村部では 妊産婦の健康に 敬意を払った妊産婦ケア (RMC) が重要です 低水準のRMCは,施設での出産,不十分な産前訪問,および患者に関連する要因と関連しており,より良いケアのための政策変更が必要である.
科学分野:
- 公衆衛生
- 母親 の 健康
- 医療の質について
背景:
- 妊産婦の健康状態を改善し,妊産婦の死亡率を低減するために,持続可能な開発目標と整合させるには,尊重すべき妊産婦ケア (RMC) が不可欠です.
- この研究はRMCとその決定因子について インド中部の田舎の環境で, 出産時の尊厳,プライバシー,自律性を強調しています.
研究 の 目的:
- 中央インドの農村部における 敬虔な妊産婦ケア (RMC) の普及と決定要因を調査する.
- 尊厳あるプライベートで自律的な出産体験の提供に影響を与える要因を特定する.
主な方法:
- インドのMadhya Pradeshでコンバージェントの並列混合方法の研究が行われました.
- PCMCスケールと深層面談を用いて母親からデータを収集した.
- 定量的なデータはロジスティック回帰を用いて分析され,定性的なデータはテーマ分析を用いて分析された.
主要な成果:
- 女性の26.3%が良好な"尊敬する産婦人ケア"を受け,平均PCMCスコアは48.6でした.
- 貧弱なRMCは,政府施設での出産,4回未満の産前訪問,陰道出産,正常な出生体重の赤ちゃんと関連していました.
- 定性的なテーマには,RMCの認識の知識,尊重的なケアへの障壁,および保健システム要因が含まれています.
結論:
- 医療制度の制約 (人材,研修) と患者に関連する要因 (社会的地位,文化的障壁,文盲,自律性,ジェンダーバイアス) がRMCを有意に予測します.
- 医療システムの物流を体系的に改善し,患者に関連する要因に対処することは,RMCの確保に不可欠です.
- インドの田舎の保健医療施設で 敬虔な妊産婦のケアを強化するために 政策と実践の変更が緊急に必要です
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