为什么,什么以及如何进行预孕护理:印度卡纳塔克州的一项探索性描述性定性研究
Agnita Robert Narendra1, Ambuja Kowlgi2, Gururaj H Patil2
1Maternal, Neonatal, Child Health and Nutrition Thematic, Karnataka Health Promotion Trust (KHPT), Bengaluru, India. agnita.rn@khpt.org.
Archives of public health = Archives belges de sante publique
|September 29, 2023
概括
孕前护理对于改善母亲和儿童健康结果至关重要,特别是在印度农村地区,社会文化因素延迟了护理. 需要采取干预措施来解决营养不良和性别规范等障碍.
科学领域:
- 生殖健康 生殖健康
- 孕产妇健康 孕产妇健康
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 妇女的健康和营养对生殖结果至关重要,胎儿的器官发育在怀孕早期开始.
- 印度农村的社会文化因素往往会把产前护理推迟到第二个三个月,这凸显了怀孕前干预的重要性.
- 优化母婴健康需要在怀孕前解决生物医学,行为和社会因素.
研究的目的:
- 探索与农村环境中实施孕前护理干预措施相关的挑战和机遇.
- 确定有效的孕前健康计划的障碍和促进因素.
主要方法:
- 一项描述性的定性研究,涉及25个主要利益相关者 (女性,男性,家庭成员) 的深入,半结构化访谈.
- 此外,还采访了31名政府官员和各级行政部门的学者.
- 与前线卫生工作者举行了四次重点小组讨论,使用预先测试的数据收集指南.
- 数据分析采用了现象学方法,使用了使用NVivo软件的诱导和演方法.
主要成果:
- 社会和文化规范显著影响寻求医疗保健的行为,这对预孕护理构成了挑战.
- 确定的主要障碍包括不良的饮食多样性,低识字率,工作压力,有限的女性赋权和早期受孕压力.
- 利益相关者强调需要进行预孕干预,政府官员建议将其纳入生殖性母亲,新生儿,儿童和青少年健康 (RMNCH+A) 战略.
结论:
- 结构化的预孕干预措施对于提高孕产妇健康和改善妊娠结果至关重要.
- 政府的建议表明,将孕前护理纳入现有RMNCH+A战略的可行性.
- 解决社会文化和与健康有关的障碍对于成功的孕前护理计划至关重要.
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