在埃塞俄比亚使用产科护理服务的障碍:一项探索性的定性研究
Alemu Tamiso1, Meskerem Jisso1, Netsanet Abera1
1Hawassa University, College of Medicine and Health Sciences, Ethiopia.
Ethiopian journal of health sciences
|February 14, 2024
概括
由于意识差距,文化问题和卫生系统障碍,许多埃塞俄比亚的母亲避免了产科护理. 解决这些因素对于改善埃塞俄比亚的孕产妇健康服务和结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 社会学 社会学 社会学
背景情况:
- 产科护理是全球优先事项,但超过50%的埃塞俄比亚母亲在家中分娩,甚至在产后护理.
- 现有的文献缺乏关于促成因素的确研究结果,特别是在埃塞俄比亚的社会文化背景和卫生系统障碍中.
研究的目的:
- 探讨埃塞俄比亚使用产科护理服务的障碍.
- 应用社会生态模型来理解在获得孕产妇医疗保健方面的多方面的挑战.
主要方法:
- 从2021年10月到12月进行了一项探索性定性研究.
- 数据收集涉及关键信息人采访,深度采访和焦点小组讨论.
- 在个人,社区,卫生系统和上下文层面分析了障碍,使用Atlas.ti版本 9.
主要成果:
- 发现的主要障碍包括缺乏意识,不利的看法,文化因素和有限的合作伙伴参与.
- 卫生系统面临的挑战,如供应短缺,基础设施不佳,供应商问题和监测系统不足是显著的.
- 环境因素,如具有挑战性的地形和持续的冲突,也阻碍了产科服务的利用.
结论:
- 埃塞俄比亚产科护理的主要障碍包括意识缺陷,负面看法,卫生系统的弱点,文化规范和地理挑战.
- 干预措施应侧重于改善基本设备的可用性,加强后续系统,提高认识,并加强获得卫生设施的机会.
- 实施冲突解决机制对于改善产科服务提供和结果至关重要.
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