在农村卫生机构促进分娩:肯尼亚西部的一项准实验性研究
Lydia Mwanzia1, Joyce Baliddawa2, Erika Biederman3
1Department of Midwifery and Gender, College of Health Sciences, Moi University, Eldoret, Kenya.
Birth (Berkeley, Calif.)
|October 30, 2023
概括
手机导航可以支持撒哈拉以南非洲的设施分娩. 拥有个人电话是成功实施这一减少孕产妇和新生儿死亡率的战略的关键.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 数字健康干预措施 数字健康干预措施
背景情况:
- 在撒哈拉以南非洲,高的孕产妇和新生儿死亡率仍然存在.
- 增加熟练从业人员的设施分娩可以降低死亡率.
- 移动技术为导航支持提供了一个潜在的途径.
研究的目的:
- 为了评估助产士分娩的有效性,基于手机的导航.
- 增加在卫生中心分娩的妇女的数量.
主要方法:
- 准实验性设计,对208名女性进行随机选择,分为干预 (导航呼叫) 或对照组.
- 干预小组接到了三次来自助产士的电话.
- 通过问卷收集的数据;通过医疗记录确认的分娩地点.
主要成果:
- 在所有女性中,87%的妇女在HC中分娩.
- 干预组略有,不显著的优势 (89%对86%).
- 拥有个人手机的女性的HC出生率明显更高 (91%对79%).
结论:
- 基于电话的导航是支持设施分娩的可行策略.
- 个人手机所有权是干预成功的关键因素.
- 进一步的研究可能会探索基于手机所有权的优化策略.
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