评估乌干达和加纳产后出血护理的结构和过程准备:混合方法研究
Tara Tancred1, Andrew D Weeks2, Vincent Mubangizi3
1Department of International Public Health, Liverpool School of Tropical Medicine, Liverpool, UK.
BJOG : an international journal of obstetrics and gynaecology
|September 20, 2024
概括
加纳和乌干达在医疗机构的产后出血 (PPH) 护理方面表现出良好的准备. 需要改进的关键领域包括人员配置,血液供应和使用干预措施,如tranexamic acid和子宫气球吸管.
科学领域:
- 产科和妇科 产科和妇科
- 全球健康 全球健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全球范围内,产后出血 (PPH) 仍然是孕产妇死亡的主要原因.
- 评估卫生设施的准备性对于有效的PPH管理至关重要.
- 在低收入和中等收入国家,推级设施往往面临资源限制.
研究的目的:
- 评估加纳和乌干达对PPH护理的结构和过程准备情况.
- 确定加强PPH响应服务的具体领域.
- 为改善孕产妇健康结果提供有针对性的干预信息.
主要方法:
- 在加纳和乌干达的选定的地区进行了一项混合方法的横截面研究.
- 定量医疗机构评估评估了结构准备 (药物,设备,人员).
- 与提供者进行的定性深入访谈评估了基于世卫组织PPH指南的过程准备.
主要成果:
- 设施通常表现出对PPH护理的良好结构准备.
- 常见的缺陷包括专业人员不足和缺乏输血血液.
- 对于子宫动力学和管理保留的胎盘/水的过程准备度很强,但对于tranexamic acid和子宫气球吸管使用的过程准备度很弱.
结论:
- 加纳和乌干达的卫生设施对PPH管理表现出相当大的准备.
- 通过与世卫组织关于干预包的指导方针保持一致,有机会加强PPH护理.
- 在特定领域的最小投资可以在PPH响应方面取得显著的改善.
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