影响桑给巴尔提供高质量的产后护理服务的因素:定性研究
Anna Öjendal1, Herborg Holter2, Helen Elden2
1Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
撒哈拉以南非洲地区的高孕产妇死亡率与不充分的产后护理有关. 这项在桑给巴尔的研究发现,有限的资源,不良的认识和长时间的等待阻碍了优质的产后服务,需要改进的策略,以获得更好的孕产妇健康结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医疗保健的质量 医疗保健的质量
背景情况:
- 撒哈拉以南非洲地区在产后期面临着高的孕产妇死亡率,而护理质量不足有很大影响.
- 坦桑尼亚和桑给巴尔在实现孕产妇健康可持续发展目标方面取得的进展不足.
- 关于桑给巴尔的产后随访利用和质量的知识有限.
研究的目的:
- 探索影响城市桑给巴尔提供高质量的产后护理服务的因素.
主要方法:
- 使用诱导方法进行定性内容分析.
- 五个焦点小组讨论以斯瓦希里语与城市桑给巴尔初级医疗保健单位的25名医疗保健提供者进行.
- 采访被录音,字面转录,并翻译成英语.
主要成果:
- 阻碍高质量的产后护理的因素包括出席率低 (等待时间长,意识低,自付费),缺乏资源 (人员短缺,空间/设备不足) 和护理程序不足 (缺乏指导方针,信息流量差).
- 妇女对产后护理的看法往往不同于其预期的目的,访问主要是为了紧急问题.
- 资源有限,等待时间长,会对服务声誉产生负面影响.
结论:
- 增加基础资源,修改健康教育和加强跨层次信息流对于改善产后护理质量至关重要.
- 需要具体的背景策略,才能有效地接触到所有妇女,并加强产后护理服务.
- 解决资源局限性和提高认识是桑给巴尔改善孕产妇健康结果的关键.
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