利益相关者对加纳被认为低于标准的紧急产科和新生儿护理的意见
Alice Ayawine1, Mathias J A Asaarik2, Roger A Atinga3
1School of Public Health, Catholic University of Ghana, Fiapre, Sunyani, P.O. Box 363, Ghana. alice.ayawine@cug.edu.gh.
BMC health services research
|April 12, 2024
概括
利益相关者指出,集中医疗,资金缺口和培训缺口等系统性问题是加纳北部低标准紧急产科和新生儿护理 (EmONC) 的关键驱动因素,阻碍了实现可持续发展目标3的进展.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 孕产妇和儿童的健康
背景情况:
- 撒哈拉以南非洲地区面临着实现可持续发展目标3 (SDG3) 关于孕产妇和新生儿健康的挑战.
- 该地区被认为低于标准的孕产妇和新生儿护理有助于应对这些挑战.
研究的目的:
- 探讨利益相关者对加纳北部低标准紧急产科和新生儿护理 (EmONC) 的因素的意见.
- 识别卫生机构内影响护理质量的特定复杂性.
主要方法:
- 采用六个焦点小组讨论 (FGD) 与42名医疗保健提供者进行的定性研究.
- 与管理层,客户和护理人员进行了27次深入采访.
- 利用从基本和综合设施的有目的抽样以及主题分析.
主要成果:
- 确定了四个主要主题和13个子主题作为低标准护理的根本原因.
- 关键的驱动因素包括EmONC服务的集中,资金不足和经验培训不足.
- 员工招聘延迟和提供者对这个职业不感兴趣也是重要的发现.
结论:
- 加纳的培训和招聘系统,农村卫生投资不足,以及提供者处置,导致产科护理水平低下.
- 建议针对这些系统和个体因素进行有针对性的干预,以提高护理质量.
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