在埃塞俄比亚西北部贝耶达区评估基本紧急产科和新生儿护理服务的实施忠实性:一个案例研究评估
Hawltu Abeyu Ejigu1, Lake Yazachew2, Getasew Amare2
1Semien Mountains Mobile Medical Service Project, Debark, Ethiopia.
Frontiers in global women's health
|September 18, 2024
概括
孕产妇死亡率仍然很高,在埃塞俄比亚,基本紧急产科护理 (BEmONC) 服务的实施忠实度中等 (74.5%). 提高护理的坚持和质量对于改善母亲和新生儿的结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 在全球范围内,每天有近830名女性因妊娠和分娩并发症而死亡.
- 99%的孕产妇死亡发生在低收入和中等收入国家.
- 基本急诊产科护理 (BEmONC) 对于降低孕产妇死亡率至关重要.
研究的目的:
- 评估北埃塞俄比亚西北部贝耶达区的BEmONC服务的实施忠实性.
- 评估参与者的坚持,响应能力和BEmONC.的交付质量.
主要方法:
- 使用混合方法单个案例研究设计.
- 通过415次客户退出访谈,14次关键信息人访谈和423次文档审查收集的数据.
- 应用了卡罗尔的21个指标的概念框架.
主要成果:
- 总体而言,BEmONC实现的可靠性为74.5% (中等可靠性).
- 坚持 (74.7%),交付质量 (77.2%) 和参与者响应能力 (71.5%) 也处于中等忠实度.
- 具体问题包括不一致的子宫激活药物管理和参与者在新生儿复苏中的不充分参与.
结论:
- 在研究区域的BEmONC服务以中等保真度实现.
- 公共卫生部门必须提高BEmONC实施的可靠性.
- 医疗保健提供者应该遵守协议,并尊重客户.
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