影响索韦托,约翰内斯堡产前护理出席率的因素:三次延迟模型
Nellie Myburgh1, Thabisile Qwabi, Lunghile Shivambo
1Department of Vaccines and Infectious Disease Analytics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg. nellie.myburgh@wits-vida.org.
概括
索韦托妇女在产前护理方面面临重大障碍,包括对怀孕的不认识,对人类免疫缺陷病毒 (HIV) 检测的恐惧以及诊所条件差. 应对这些挑战对于改善母亲和婴儿健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 产前护理 (ANC) 对母亲和婴儿健康至关重要,但在南非,出席仍然是一个挑战.
- 了解ANC的障碍对于减少可预防死亡率至关重要.
研究的目的:
- 探讨妇女在参加产前护理时所面临的挑战 在约翰内斯堡的索韦托.
- 应用三延期模型来理解获得孕产妇医疗保健服务的机会.
主要方法:
- 定性,探索性和描述性的研究设计.
- 在索威托,深入采访了10名孕妇和4名近期分娩的妇女.
主要成果:
- 寻求护理的延迟与怀孕不知情,文化因素以及对人类免疫缺陷病毒 (HIV) 检测的恐惧有关.
- 障碍包括交通问题,距离,设施条件,长时间等待,语言障碍和医疗人员的虐待.
- 迟迟开始产前护理往往是一种避免服务质量差的策略.
结论:
- 多种因素,包括社会文化信仰和医疗保健机构内的系统问题,延迟了早期产前护理的启动.
- 建议包括基于社区的健康教育,综合艾滋病毒支持,以及改善公共产前护理服务的质量.
- 应对这些多方面的挑战对于改善南非的孕产妇医疗保健和结果至关重要.
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