埃塞俄比亚五岁以下儿童获得公平医疗服务的障碍:一项定性探索性研究
Hailu Fekadu1, Wubegzier Mekonnen2, Aynalem Adugna3
1Department of Public Health, Arsi University College of Health Science, Assela, Ethiopia. hailufekadu18@yahoo.com.
BMC health services research
|May 10, 2024
概括
埃塞俄比亚儿童获得医疗保健的不平等程度很高,障碍包括意识低,贫困,距离,医疗保健系统差,政治不稳定等. 解决这些问题需要有利于穷人的政策和改善对边缘化群体的服务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 在埃塞俄比亚,儿童医疗保健服务的使用率存在显著差异.
- 无法获得儿童健康服务的障碍,特别是低社会经济群体和偏远地区的障碍,尚不清楚.
- 这项研究调查了埃塞俄比亚儿童医疗保健服务利用率公平的障碍.
研究的目的:
- 确定和分析导致埃塞俄比亚儿童医疗保健服务利用不平等的障碍.
- 为政策和方案干预提供证据,旨在改善弱势群体获得儿童医疗保健的机会.
- 了解障碍的多面性质,包括社会经济,地理,系统和社会文化因素.
主要方法:
- 定性研究使用20个关键信息人采访 (KII) 和6个焦点小组讨论 (FGD) 与母亲和护理人员.
- 在奥罗米亚地区,阿西区,埃塞俄比亚Zuway Dugda地区进行.
- 使用NVivo 14软件对转录和翻译数据进行主题分析.
主要成果:
- 六个主要主题成为障碍:意识低,社会经济地位低,地理难以接近,缺乏医疗保健系统,社区认知/文化限制以及政治不稳定/冲突.
- 关键的社区层面的障碍包括政治不稳定,冲突和长距离的医疗设施.
- 组织/政策层面的障碍包括运输挑战,服务功能不佳,设施关闭以及对边缘化群体的计划不足.
结论:
- 在儿童医疗利用方面的不平等在埃塞俄比亚是一个重大挑战.
- 支持贫困者的健康政策和结构性变化对于实现平等至关重要.
- 改善医疗保健系统对于提高贫困,受教育程度较低和农村居民的服务利用和获取至关重要,考虑到文化和政治背景.
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