在马达加斯加的社区环境中对袋鼠护理的人类学概述
Emilia Brazy-Nancy1, Chiarella Mattern2, Brigitte Irene Rakotonandrasana3
1Institut Pasteur de Madagascar, 1274 Ambatofotsikely Avaradoha, 101, Antananarivo, BP, Madagascar. emilia.brazy@gmail.com.
BMC women's health
|November 23, 2023
概括
在马达加斯加,建议对早产婴儿进行"袋鼠护理" (皮肤与皮肤接触),但其实践面临挑战. 成功取决于医疗保健系统,文化信仰和家庭结构,这往往阻碍了有效实施.
科学领域:
- 新生儿护理 新生儿护理
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
背景情况:
- 由于农村设施有限和数据稀缺,马达加斯加的早产管理是一个重大挑战.
- 世界卫生组织 (WHO) 建议对早产婴儿进行"袋鼠护理" (皮肤接触).
研究的目的:
- 检查马达加斯加社区环境中的袋鼠护理成功的条件和障碍.
- 确定影响早产婴儿袋鼠护理有效实施的因素.
主要方法:
- 在2021年在安坦纳纳里沃和马哈扬加地区进行的定性研究.
- 通过54次半结构面试和两次与家长和医疗保健专业人员的焦点小组会议收集的数据.
主要成果:
- 障碍包括不完整/不准确的知识导致不一致的实践 (持续时间,夜间护理,母乳养,皮肤接触).
- 成功因素取决于医疗保健系统,当地的怀孕解释和家庭结构.
- 医疗系统的缺陷,文化惯例和核/单亲家庭阻碍了袋鼠护理的升级.
结论:
- 关于马达加斯加早产婴儿管理和袋鼠护理的社区战略需要解决系统性,文化和家庭障碍.
- 改善医疗保健系统的支持和适应当地环境对于成功实施袋鼠护理至关重要.
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