在莫桑比克实施世卫组织安全分娩清单 (SCC) 的障碍和促进者:使用实施研究综合框架 (CFIR) 进行定性研究
Anqi He1, Elsa Luís Kanduma2,3, Rafael Pérez-Escamilla4
1Department of Health Policy, Yale School of Public Health, New Haven, Connecticut, United States of America.
在莫桑比克实施安全分娩检查清单 (SCC) 面临卫生系统障碍,但由提供者承诺促进. 根据当地需求定制SCC对于提高孕产妇和新生儿护理质量至关重要.
科学领域:
- 全球健康 全球健康
- 实施科学 实施科学
- 孕产妇和儿童的健康
背景情况:
- 莫桑比克面临着高的孕产妇和新生儿死亡率,出生死胎的研究不足.
- 在资源较低的环境中,可预防的分娩并发症对这些死亡有很大影响.
- 世界卫生组织的安全分娩检查清单 (SCC) 旨在减少全球不良分娩结果.
研究的目的:
- 确定在莫桑比克实施安全分娩清单 (SCC) 的促进者和障碍者.
- 收集来自助产士,临床管理人员和决策者的观点.
- 在莫桑比克的背景下为未来的SCC实施策略提供信息.
主要方法:
- 使用焦点小组讨论和个人采访进行定性研究.
- 使用实施研究综合框架作为指导.
- 翻译成绩单的演性主题分析.
主要成果:
- 障碍包括卫生系统疲软:资金不足的孕产妇护理,缺乏基础设施和提供者的动机低.
- 促进者包括SCC的简单性,提供商承诺和愿意采用检查清单.
- 为了可行性和常规集成,建议对SCC进行特定背景的定制.
结论:
- 解决系统性弱点对于SCC成功实施至关重要.
- 利用提供者的承诺,并将SCC适应当地需求,可以提高分娩质量.
- 实施前的评估对于可持续改善孕产妇和新生儿护理至关重要.
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