在科特迪瓦利用生殖健康服务的障碍和促进因素:基于社区的定性研究
Marie Laurette Agbré-Yacé1,2, Kadidiatou Raïssa Kourouma1,2, Daouda Doukouré1,2
1Institut national de santé publique de Côte d’Ivoire – Abidjan – Côte d’Ivoire
概括
改善科特迪瓦的生殖性母婴新生儿青少年健康加营养 (RMNCAH+N) 服务需要解决不尊重护理和缺乏自主权等障碍. 促进者包括社区意识和男性参与,以获得更好的RMNCAH+N指标结果.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 生殖健康 生殖健康
背景情况:
- 撒哈拉以南非洲在改善生殖性母婴新生儿青少年健康加营养 (RMNCAH+N) 指标方面面临挑战.
- 了解服务利用障碍和促进者对于加强卫生系统至关重要.
研究的目的:
- 确定在科特迪瓦低指标地区使用RMNCAH+N服务的障碍和促进因素.
- 为提高RMNCAH+N服务利用率提供有针对性的干预信息.
主要方法:
- 在2021年9月进行的定性案例研究.
- 涉及3个卫生区的76名RMNCAH+N服务受益者.
- 利用个人访谈和重点小组,然后进行主题分析.
主要成果:
- 关键障碍包括设备不可用,不尊重护理,妇女的财务/决策自主权有限,以及男性提供者.
- 确定的促进者是地理可访问性,男性参与和社区意识.
结论:
- 干预措施应解决已识别的障碍,以改善RMNCAH+N服务利用率.
- 促进尊重,以患者为中心的护理和社区意识是重要的策略.
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