自我报告的预孕护理和相关因素的提供
Everlyne N Morema1, Collins Ouma2, Robert Egessa1
1School of Nursing Midwifery and Paramedic sciences, Masinde Muliro University of Science and Technology, Kenya.
The East African health research journal
|September 5, 2024
概括
肯尼亚的孕前护理 (PCC) 提供率很低,只有39%,受到卫生工作者干部和经验的影响. 投资培训,特别是护士的培训,可以改善母亲和新生儿的健康结果.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肯尼亚的孕产妇和新生儿健康指标仍然很差,尽管认可了怀孕前护理 (PCC) 的价值.
- 肯尼亚对PCC的需求与可用的人力资源和基础设施之间存在很大的差距.
- 这项研究解决了基苏穆县PCC供应中未测量的差距.
研究的目的:
- 确定肯尼亚基苏穆县卫生服务提供者提供妊娠前护理 (PCC) 的自我报告率.
- 确定影响PCC提供率的医疗保健提供者特征.
- 通过增强的PCC,为改善孕产妇和新生儿健康结果的战略提供信息.
主要方法:
- 采用了横截面研究设计.
- 与476名医疗保健提供者进行了结构化访谈,以评估他们对PCC的知识,感知和实践.
- 统计分析包括学生的t测试和线性回归来检查提供者特征和PCC提供率之间的差异和关系.
主要成果:
- 自行报告的PCC供应量估计为39%.
- 根据卫生工作者干部 (护士与非护士) 和经验年数 (≤5年与>5年) 观察到PCC供应的显著差异.
- 卫生工作者干部和多年的经验是PCC提供的重要决定因素,护士和经验较少的人员的提供率更高.
结论:
- 基苏穆县卫生工作者自我报告的孕前护理 (PCC) 提供率很低,受干部和经验的影响.
- 人力资本因素,包括知识,感知和培训充分性,对于有效的PCC交付至关重要.
- 建议有针对性的投资为卫生服务提供者,特别是护士提供就业培训,并加强农村地区的初级医疗保健设施,以改善PCC服务供应.
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