重新构建"三次延误"框架:影响海地农村地区女主妇转诊设施的因素
Milenka Jean-Baptiste1, Christophe Millien2, Pierre Ricard Pognon3
1Department of Health Behavior, The University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, USA milenka@email.unc.edu.
在海地,传统的助产士在将孕妇送往医院时面临着复杂的挑战. 解决这些障碍对于改善母亲和儿童健康结果至关重要.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 有限的研究存在于海地传统的助产士 (孕妇) 的转介经验.
- 了解这些经验对于加强海地农村的孕产妇,新生儿和儿童健康 (MNCH) 计划至关重要.
研究的目的:
- 探索孕妇在向海地中央高原的医疗保健机构推孕妇的经验.
- 识别在推过程中影响女主管决策的因素.
主要方法:
- 使用七个焦点小组讨论 (FGDs) 进行的定性研究.
- 以海地克里奥尔语收集数据,然后进行转录,翻译成英语,并进行主题分析.
- 使用适应的三次延迟框架开发概念模型.
主要成果:
- 孕妇遇到影响转诊决定的因素的复杂相互作用,包括信仰,资源的可用性和对护理质量的感知.
- 这些因素与传统的三次延迟框架保持一致并使其复杂化,突出了周期性和相互交织的挑战.
- 调查结果强调需要重新评估社区/社会背景的"三次延迟"框架.
结论:
- 需要加强卫生系统,以更好地支持孕妇转诊,并改善母婴健康结果.
- 将孕妇整合到正式的卫生系统中可以增强MNCH服务的连续性,从家到设施.
- 解决孕妇面临的多方面的障碍对于弥合社区和医疗机构之间的差距至关重要.
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