社区助产士在巴基斯坦农村地区提供基本的紧急产科和新生儿护理时遇到的障碍
Ramesh Kumar1,2, Vikram Mehraj3, Jamil Ahmed4
1Health Services Academy, Islamabad, Pakistan. drramesh1978@gmail.com.
BMC health services research
|November 28, 2023
概括
巴基斯坦的社区助产士 (CMW) 面临着巨大的财务,交通和安全障碍,提供必要的孕产妇和新生儿护理. 应对这些挑战对于改善农村医疗保健获取和结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健提供系统
背景情况:
- 巴基斯坦面临高的孕产妇死亡率,导致社区助产士 (CMWs) 在农村地区的部署.
- 尽管CMW扮演着重要的角色,但它们在提供母婴医疗保健服务方面面临着挑战.
- 对于基本的急诊产科和新生儿护理的具体障碍需要进一步研究.
研究的目的:
- 确定和分析社区助产士在巴基斯坦农村地区提供基本的紧急产科和新生儿护理时所面临的障碍.
主要方法:
- 在巴基斯坦的辛德省的十二个地区进行了横截面研究.
- 258个CMW填写了调查问卷,评估了金融,运输和安全领域的挑战.
- 分析了数据,以确定重大障碍及其相关因素.
主要成果:
- 资金困难是CMWs最经常报告的障碍.
- 交通和安全问题也是重大挑战,正规培训,工作经验和工作持续时间与这些问题相关.
- 财务困难与24小时应急可用性相反地相关.
结论:
- 在巴基斯坦农村,CMW通常会遇到金融,运输和安全方面的障碍.
- 这些障碍严重阻碍了基本的急诊产科和新生儿护理.
- 应对这些多方面的挑战对于提高母亲和儿童健康结果至关重要.
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