在坦桑尼亚东南部的Mtwara农村寻求儿童疾病的护理:混合方法研究
Salum Mshamu1,2, Judith Meta3, Casiana Sanga1
1CSK Research Solutions, Mtwara, Tanzania.
概括
在坦桑尼亚农村地区,寻求儿童疾病的护理往往因症状严重程度和成本而被推迟. 护理质量和机构因素显著影响及时获得医疗保健设施.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在坦桑尼亚的Mtwara农村调查了寻求护理的行为.
- 这项研究是在对新型设计房屋对健康影响的研究之前进行的.
研究的目的:
- 了解影响儿童疾病寻求护理的因素.
- 确定坦桑尼亚农村及时获得医疗保健的障碍.
主要方法:
- 混合方法研究,涉及60个村庄的578名居民 (2020年4月至8月).
- 包括一个寻求医疗保健的调查 (550名参与者),深度访谈 (17),和关键信息人访谈 (28).
主要成果:
- 症状严重程度 (95.4%) 是寻求护理的主要驱动因素.
- 寻求护理的延迟是常见的,超过三分之一 (36.0%) 需要>12小时.
- 治疗费用 (61.4%) 阻止了医疗机构的访问;只有3.6%的医疗保险.
结论:
- 护理质量和机构因素对于及时寻求儿童疾病护理至关重要.
- 仅仅是设施的可访问性是不足以确保在坦桑尼亚的Mtwara及时获得医疗保健.
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