四个国家的助产士领导的分娩中心:一个案例研究
Oliva Bazirete1,2, Kirsty Hughes3, Sofia Castro Lopes4
1College of Medicine and Health, Sciences, University of Rwanda, Kigali, Rwanda. baziretoliva@gmail.com.
在低收入和中等收入国家,成功的助产士领导的分娩中心 (MLBC) 需要有效的融资,社区认可的优质护理,强有力的合作和支持性的领导力. 这些因素对于改善母亲和新生儿健康结果至关重要.
科学领域:
- 全球健康 全球健康
- 孕产妇和儿童的健康
- 加强卫生系统 加强卫生系统
背景情况:
- 助产士对于初级医疗保健至关重要,特别是在改善性,生殖,孕产妇,新生儿和青少年健康方面.
- 助产士主导的分娩中心 (MLBC) 在低收入和中等收入国家 (LMICs) 具有显著的潜力,那里发生了大多数孕产妇和新生儿死亡.
- 关于MLBCs的现有证据主要来自高收入国家.
研究的目的:
- 探讨在四个低收入和中等收入国家建立和维持成功的助产士领导的分娩中心 (MLBC) 的关键因素.
- 了解在多种LMIC环境中有效实施MLBC的具体需求和推动因素.
主要方法:
- 在四个国家 (孟加拉国,巴基斯坦,南非和乌干达) 使用了描述性的案例研究设计.
- 数据是通过与77名MLBC客户和33名医疗服务领导者/政策制定者的关键信息人采访收集的.
- 与100名助产士和MLBC工作人员的焦点小组讨论提供了额外的见解,这些见解得到了赞赏调查方法和护理网络框架的信息.
主要成果:
- 成功的MLBC的关键推动因素包括有效的融资模式和社区对优质助产护理的认可.
- 跨学科和跨机构的协作,包括功能推系统,对于运营成功至关重要.
- 支持和支持各级领导和治理对于MLBC的可持续性至关重要.
结论:
- 这些发现对改善孕产妇和新生儿健康状况以及加强LMICs医疗保健系统具有重大意义.
- 了解成功因素可以为政策,决策和量身定制的孕产妇和新生儿健康计划的设计提供信息.
- 这项研究有助于制定国际准则,并在全球范围内加强助产士职业.
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