赞比亚现代孕产妇等待家庭用户的社区声音
Melvin Kunda Mwansa1, Kafiswe Chimpinde2, Mergan Naidoo3
1Discipline of Public Health Medicine, School of Nursing and Public Health, University of KwaZulu Natal, Durban, South Africa.
Frontiers in global women's health
|August 30, 2024
概括
在赞比亚的社区反强调,舒适的助产士管理的产妇院 (MMWHs),可访问的员工和儿童保育信息显著影响了他们的使用. 配偶支持至关重要,尽管财务影响也是一个考虑因素.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 助产士管理的产妇院 (MMWHs) 对于改善母亲和新生儿的结果至关重要.
- 了解社区观点对于优化MMWH利用至关重要.
研究的目的:
- 探索社区对影响赞比亚助产妇管理产妇院 (MMWHs) 使用因素的意见.
- 从母亲及其配偶的角度确定MMWH使用的促进者和障碍.
主要方法:
- 从2021年1月到2022年12月,在赞比亚的四个医疗机构进行了一项混合方法研究.
- 用有目的的抽样来招募使用MMWH的母亲及其配偶.
- 通过深入访谈 (IDI) 和焦点小组讨论 (FGD) 收集数据,并根据主题进行分析.
主要成果:
- 影响MMWH利用的关键因素包括设施的舒适性,接近性,对并发症的恐惧,护理质量和儿童保育信息的可用性.
- 由于护理质量和现代设施,配偶支持MMWH的使用,但注意到潜在的财务负担.
- 在研究期间,在研究的设施中没有报告母亲或新生儿并发症或死亡.
结论:
- 在本研究中报告的MMWH是有效的干预措施,没有任何不良结果.
- 解决距离和财务问题等因素,以及利用配偶支持,可以提高MMWH的利用率.
- 这些发现强调了社区参与加强孕产妇保健服务的重要性.
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