任务共享:通过培训助产士和护士来扩大堕胎护理的准入,在撒哈拉以南的环境中提供第一季度堕胎:多中心前后研究
Abraham Fessehaye Sium1, Sisay Kirba1, Lemi Belay Tolu1
1Department of Obstetrics and Gynecology, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
概括
培训助产士和护士显著扩大了获得第一季度堕胎和堕胎后计划生育服务的机会. 这种分担任务的方法使这些关键的生殖健康服务的可用性增加了一倍以上.
科学领域:
- 生殖健康 生殖健康
- 医疗保健培训 医疗保健培训
- 公共卫生干预 公共卫生干预
背景情况:
- 获得安全的第一季度堕胎和堕胎后的计划生育对妇女健康至关重要.
- 在生殖健康保健中,任务共享有可能改善服务提供.
研究的目的:
- 评估培训助产士和护士对扩大获得第一季度堕胎和堕胎后计划生育服务的影响.
- 评估任务共享在增强生殖健康保健提供方面的有效性.
主要方法:
- 在埃塞俄比亚的14个健康中心实施了前后研究设计.
- 通过记录审查收集了关于第一季度堕胎和堕胎后计划生育的数据.
- 受过培训的助产士和护士提供堕胎护理和计划生育服务.
主要成果:
- 在培训后,第一季度堕胎的数量增加了140%,从790增加到1900.
- 药物流产占干预后流产的67.2%.
- 堕胎后计划生育的普及率从35.3%上升到71.6%,增长了36.3%.
结论:
- 培训助产士和护士显著提高了获得第一季度堕胎护理的机会.
- 堕胎和计划生育服务的任务共享使服务的可用性增加了一倍以上.
- 该干预措施对生殖健康服务扩张产生了实质性的积极影响.
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