了解社区卫生中心对孕产妇健康服务利用的人际影响:印尼的一项混合方法研究
Herwansyah Herwansyah1,2, Katarzyna Czabanowska1,3, Stavroula Kalaitzi4
1Department of International Health, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
人际支持,而不是社会人口统计因素,显著影响了印尼Jambi的孕产妇医疗服务使用情况. 加强社会支持和解决接入障碍对于改善孕产妇健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 获得医疗保健 获得医疗保健 获得医疗保健
背景情况:
- 在初级医疗保健层面使用产妇健康服务对于改善结果至关重要.
- 在确保这些服务的连贯访问和采用方面,仍然存在挑战.
研究的目的:
- 评估社会人口统计学特征对使用孕产妇保健服务的影响.
- 评估人际支持在妇女决定使用产妇健康服务中的作用.
- 在印尼詹比省的三个地区进行的研究.
主要方法:
- 混合方法的顺序解释设计.
- 在432名女性中进行了定量调查.
- 与九个家庭进行了定性焦点小组讨论.
主要成果:
- 在社会人口统计因素 (教育,就业,居住) 和服务使用之间没有发现显著的关联.
- 直接支持 (如配偶陪伴) 和间接支持 (情感,知识共享) 是关键的影响因素.
- 定性数据显示了社交网络和家庭参与的重要性.
结论:
- 人际支持是利用孕产妇健康服务的关键决定因素.
- 干预措施应侧重于加强社会支持系统和改善服务可访问性.
- 为政策制定者和医疗保健提供者推以家庭为中心的策略,以加强孕产妇的医疗保健.
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