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成功的任务转移:对紧急产科护理计划进行混合方法的横截面评估,以增加尼泊尔农村地区获得剖腹产的机会
Rita Thapa Budhathoki1, Abigail G Knoble2,3, Suresh Tamang1
1Research Advocacy, and Monitoring, Nick Simons Institute, Lalitpur, Nepal.
Global health action
|December 3, 2024
概括
尼泊尔的高级熟练分娩助理 (ASBA) 计划成功培训医务人员进行剖腹产,改善孕产妇获得医疗保健并减少产科并发症. 这一举措有效地解决了农村医院的人力资源短缺的问题.
科学领域:
- 全球健康 全球健康
- 产科和妇科 产科和妇科
- 医疗卫生的人力资源
背景情况:
- 直接产科原因占全球母亲死亡的86%.
- 尼泊尔因可预防的产科并发症和有限的熟练人员而面临高的孕产妇死亡率.
- 人力资源的局限性对尼泊尔的产科护理服务产生了重大影响.
研究的目的:
- 评估尼泊尔高级熟练分娩助理 (ASBA) 任务转移计划的有效性.
- 评估培训医务人员进行剖腹产和管理产科紧急情况的影响.
- 了解ASBA毕业生的持续实践和感知的好处.
主要方法:
- 一项针对93名高级熟练分娩助理 (ASBA) 毕业生的调查.
- 与七家农村医院的医疗保健专业人员进行深入访谈和重点小组讨论.
- 对调查,采访和焦点小组数据进行三角分析,以验证发现.
主要成果:
- 培训后立即,92.7%的ASBA毕业生进行了CS,65.6%继续这样做.
- 缺乏功能性的手术室 (51.7%) 是ASBAs不执行CSs的一个关键障碍.
- ASBAs显著增加了服务利用率,改善了访问,减少了外部推,并分散了工作量.
结论:
- 该ASBA计划有效地减少了低收入和中等收入国家 (LMICs) 人力资源短缺.
- 该倡议扩大了在农村地区获得拯救生命的剖腹产的机会.
- 该计划改善了农村医院的工作条件和医疗保健服务.
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