影响Pyuthan区产后护理服务利用的因素:混合方法研究
Tulsi Ram Thapa1,2, Reshu Agrawal Sagtani2, Anita Mahotra3
1Policy, Planning and Monitoring Division, Ministry of Health and Population, Kathmandu, Nepal.
在尼泊尔,产后护理 (PNC) 的利用率很低,只有38.43%的母亲得到足够的护理. 影响PNC使用的关键因素包括社会经济地位,分娩地点和对产后护理服务的了解.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 产后期对母亲和新生儿的福祉至关重要,但产后护理 (PNC) 服务往往缺乏足够的关注和利用.
- 在尼泊尔,在确保持续有效地利用基本的产后护理服务方面,仍然存在挑战.
研究的目的:
- 确定与尼泊尔产后护理 (PNC) 服务利用相关的因素.
- 探索影响母亲采用PNC服务的促进者和障碍.
主要方法:
- 采用基于设施的并发三角测量混合方法方法.
- 使用调查从243名母亲收集的定量数据,并使用多变量逻辑回归分析.
- 通过专题分析收集的定性数据,以确定促进者和障碍.
主要成果:
- 遵守协议的PNC服务使用率为38.43%.
- 预测PNC使用的预测因素包括社会经济地位,交付地点,PNC的知识和通往可驾驶道路的机会.
- 确定的主要促进者是PNC,交通和家庭访问的知识,而障碍包括设施的接近和COVID-19的影响.
结论:
- 在研究区观察到,充分利用PNC服务的流行率很低.
- 干预措施应侧重于提高认识,修订政策,解决社会决定因素,加强PNC家庭访问计划,以改善服务采用.
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