在埃塞俄比亚中部北舍瓦地区的公共卫生设施评估安全堕胎护理服务的混合方法方法:一个多中心的机构横截面研究
Aklilu Tamire1, Bezawit Birhanu2, Abraham Negash3
1School of Public Health, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
Frontiers in health services
|July 22, 2024
概括
埃塞俄比亚的安全堕胎护理 (SAC) 服务显示出出色的资源可用性,但公平的医疗保健工作者遵守国家指南. 客户满意度中等,表明尽管有可用的资源,但需要改善护理服务.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务评估 医疗保健服务评估
背景情况:
- 在全球范围内,45.1%的堕胎是不安全的,主要是在发展中国家.
- 71%的发达国家合法允许安全堕胎护理 (SAC) 服务,而发展中国家只有16%.
- 撒哈拉以南非洲面临着严重的限制,在43个国家的92%的妇女生活在SAC服务的法律限制之下,导致危险的自我终结.
研究的目的:
- 评估埃塞俄比亚安全堕胎护理 (SAC) 服务的投入,医疗保健提供者的合规性和客户满意度.
- 确定在埃塞俄比亚医疗保健系统内改善SAC服务的领域.
主要方法:
- 一个采用混合方法方法的多中心,横截面研究.
- 数据收集包括对75名医疗保健案例工作人员的直接观察,对296名客户和14名关键信息人员的采访,以及资源库存检查清单.
- 评估使用了40个指标,包括资源可用性,医疗保健工作者合规性和客户满意度,以及满意度因子的后勤回归.
主要成果:
- 为SAC服务提供资源的可用性很高 (94%),只有水,电,等待区和咨询室的小问题.
- 医疗保健工作者对疼痛管理和艾滋病毒检测指南的遵守率很高,但对尊重客户和检测生命体征的遵守率很低 (总体遵守率为62.3%).
- 总体客户满意度为65%,对等待时间和隐私的满意度较低;总体SAC服务评估为72.9%.
结论:
- 埃塞俄比亚展示了SAC服务的卓越资源可用性,与国家标准保持一致.
- 卫生保健工作者遵守国家SAC服务指南是公平的,这表明资源和实践之间存在差距.
- 客户满意度和整体服务评价都很好,但低于预期,强调需要解决提供商-客户互动和等待时间的问题.
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