检查危地马拉农村地区传统助产士培训计划的文化适当性和可接受性
Yulia Shtanko1, Melissa N Litenski2, Rachel Clarke1
1Medical Education, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus
|October 23, 2024
概括
波赫尔学校计划在危地马拉有效培训了传统的玛雅助产士 (comadronas),改善了产前护理,并可能降低孕产妇死亡率. 培训对文化敏感,受到了很好的欢迎,增强了对comadronas的信心和信任.
科学领域:
- 全球健康 全球健康
- 孕产妇健康 孕产妇健康
- 原住民的健康差异
背景情况:
- 危地马拉的土著妇女经历了不成比例的高孕产妇死亡率.
- 传统的助产士 (comadronas) 在有限的正式培训下提供大多数产科护理.
- 波赫尔学校计划是为了在危地马拉农村提供可持续的,由TBA领导的培训而建立的.
研究的目的:
- 评估PowHER学校培训计划的文化适当性和敏感性.
- 评估培训在改善产前护理和识别高风险怀孕方面的有效性.
- 检查培训对comadronas的信心和患者感知结果的影响.
主要方法:
- 一种混合方法的方法,结合了定量调查和定性焦点小组讨论.
- 这是一项14项利克尔特比例调查,对33名同事进行了调查.
- 与comadronas进行的半结构面试,以收集深入的反.
主要成果:
- 科马德罗纳斯报告了课程的高可用性 (97%) 和可理解性 (97%).
- 对解剖学术语的舒适程度各不相同 (79%的人感到舒适).
- 科马德罗纳表示,他们感到受到欢迎 (97%) 和理解 (94%),但有些人不敢提出问题 (15%).
结论:
- 培训计划被发现是文化敏感和有效的.
- 康马德罗纳报告说,增加了信心,改善了患者护理,并减少了孕产妇死亡率.
- 建议包括开发更多与文化相关的材料,加强与卫生部的合作.
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