探索和优先考虑改善在马拉维Thyolo产后护理服务的采用策略:一个定性研究
Alinane Linda Nyondo-Mipando1, Marumbo Chirwa1, Sangwani Salimu1
1Department of Health Systems and Policy, School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
优化马拉维的产后护理 (PNC) 需要社区参与和改善诊所服务. 策略包括预约提醒,提供者培训和延长诊所时间,以提高对基本母婴健康服务的需求和供应.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产后护理 (PNC) 对于母亲和儿童健康结果至关重要,但全球采用率较低.
- 确定有效的策略,以提高PNC服务在低资源环境中的利用率是一个优先事项.
研究的目的:
- 探索和优先考虑战略,以优化马拉维的产后护理 (PNC) 服务的采用和提供.
主要方法:
- 使用焦点小组讨论和深入采访进行的定性描述性研究.
- 使用名义小组技术来优先考虑已识别的战略.
- 数据收集发生在马拉维的三个医疗机构.
主要成果:
- 需求侧策略包括预约提醒,免费健康护照,社区意识和男性参与.
- 供应侧战略重点是提供者培训,改善诊所运营 (任务转移,时间),基础设施和服务链接.
- 优先考虑的战略包括复习培训,改善诊所运营,预约提醒和加强护理联系.
结论:
- 为增加PNC的采用和交付,有背景和可接受的策略是必不可少的.
- 教育医疗保健工作者和社区对于提高PNC服务的需求和供应至关重要.
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