在COVID-19大流行期间获得产妇和儿童健康服务:印度奥迪沙州的一项探索性质量研究
Bijaya K Mishra1, Srikanta Kanungo1, Subhashree Panda1
1Regional Medical Research Centre, Bhubaneswar, Odisha, India.
概括
由于COVID-19大流行影响了母婴健康 (MCH) 服务,印度的孕妇和产后母亲面临着获得护理的挑战. 社区卫生工作者提供了至关重要的支持,但害怕感染和运输问题导致家庭分娩增加.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 孕产妇健康 孕产妇健康
背景情况:
- 在全球范围内,COVID-19大流行严重扰乱了基本的母婴健康 (MCH) 服务.
- 模拟预测表明,由于与流行病有关的医疗保健准入问题,全球孕产妇死亡率可能会上升.
- 在流行病期间对MCH服务可访问性挑战的研究有限,特别是在印度等多样化的环境中.
研究的目的:
- 调查孕妇和产后母亲在印度奥迪沙州COVID-19大流行期间获得MCH服务时所面临的经验和挑战.
- 了解疫情对MCH服务利用的影响,并识别护理障碍.
主要方法:
- 采用了一个探索性的定性研究设计.
- 在奥迪沙的六个随机选择的地区,与产前和产后母亲进行了36次深度访谈 (IDI).
- 采访是在2021年2月至4月期间进行的,重点关注的是从2020年10月至2021年4月访问MCH服务的母亲,直到数据和.
主要成果:
- 大多数母亲报告说,他们从社区卫生工作者 (CHWs) 那里得到了大量的支持,包括门对门服务.
- 减少运输的可用性和对COVID-19感染的恐惧导致人们不愿意访问卫生设施,更倾向于进行家庭分娩.
- 疫情对孕妇和产后妇女造成了身体,精神,社会和经济的影响.
结论:
- 由于COVID-19大流行,孕妇和产后母亲在获得MCH服务方面面临重大障碍.
- 加强卫生系统的准备,改善社区参与和战略干预对于减轻未来流行病中此类挑战至关重要.
- 这些发现强调了需要有弹性的MCH服务交付模式,能够抵御公共卫生危机.
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