在Vhembe区的5岁以下儿童获得和使用初级医疗保健服务的障碍
Livhuwani Tshivhase1, Idah Moyo, Sophie M Mogotlane
1Department of Nursing, School of Health Care, Sefako Makgatho Health Sciences University, Pretoria. livhuwani.tshivhase@smu.ac.za.
概括
南非五岁以下儿童获得初级卫生保健 (PHC) 的障碍包括卫生系统问题,人员行为,设施基础设施和监护人相关因素. 解决这些问题对于改善儿童健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 撒哈拉以南非洲面临着全球最高的五岁以下儿童死亡率.
- 在南非,五岁以下儿童的初级医疗保健 (PHC) 服务是免费的,但获取仍然是一个挑战.
- 可治疗的儿童疾病,如肺炎,腹和疟疾,导致五岁以下儿童死亡率.
研究的目的:
- 探索进入和利用五岁以下初级卫生保健 (PHC) 服务的障碍.
- 专注于Vhembe区,以了解特定的上下文挑战.
主要方法:
- 使用半结构化个人访谈进行解释性现象学设计.
- 16名参与者 (五岁以下儿童的监护人) 的有目的抽样.
- Colaizzi的数据分析步骤,确保可信度和道德原则.
主要成果:
- 确定了四个主要障碍主题:卫生系统,卫生人员行为,卫生设施基础设施和监护人相关因素.
- 副主题包括距离,资源限制,长时间等待,员工态度不佳,设施不足 (水,卫生设施) 和监护人的信仰.
- 疾病的紧迫性也成为影响访问的重要因素.
结论:
- 创造一个有利和专业的环境对于改善五岁以下儿童的医疗保健服务是必不可少的.
- 必须考虑监护人背景,以提高幼儿护理质量.
- 解决已识别的障碍可以降低五岁以下儿童死亡率并改善儿童健康结果.
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