在索马里兰使用产前护理服务的障碍和促进因素:定性研究
Saad Ahmed Abdiwali1,2, Olubukola A Adesina3,4, Gedefaw Abeje Fekadu5
1Pan African University Life and Earth Sciences Institute (including Health and Agriculture), Ibadan, Oyo State, Nigeria Gooni794@gmail.com.
BMJ open
|November 2, 2024
概括
索马里兰产前护理 (ANC) 的障碍包括缺乏意识,成本和服务质量差. 改善信息传播,配偶支持和服务可访问性可以增加ANC的使用率.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 定性研究是指质量研究.
背景情况:
- 产前护理 (ANC) 对于母亲和婴儿的福祉至关重要.
- 了解利用障碍是改善索马里兰等资源乏地区获得医疗保健的关键.
研究的目的:
- 探索影响索马里兰产前护理 (ANC) 使用的障碍和促进因素.
主要方法:
- 探索性定性研究,利用焦点小组讨论和深入采访.
- 74名参与者的有目的抽样:孕妇,医疗保健提供者,社区长老和宗教领袖.
- 以当地索马里语收集的数据进行主题框架分析.
主要成果:
- 确定了关键障碍:缺乏意识,交通挑战,经济限制,有限的社会支持,文化信仰和不良的医疗保健设施体验 (例如,提供者的方法,等待时间).
- 促进者包括有效的ANC信息传播,配偶支持和负担得起的服务成本.
结论:
- 需要一个多方面的战略来增强ANC的利用.
- 建议包括提高认识,降低成本,提高服务质量,促进以客户为友好的方法和伙伴参与.
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