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制度化尊重产妇护理作为护理标准:印度马哈拉施特拉州的一个案例研究
Aparajita Gogoi1, Mercy Manoranjini1, Tina Ravi1
1Centre for Catalyzing Change, New Delhi, India.
实施尊重产妇护理 (RMC) 干预措施改善了服务提供,但并没有消除所有不尊重和虐待的情况. 系统性问题仍然存在,需要持续努力,在公共卫生系统中充分制度化RMC.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 尊重产妇护理 (RMC) 是至关重要的,但尚未成为许多公共卫生系统的标准.
- 在全球范围内,分娩期间的不尊重和虐待 (D和A) 仍然是严重的问题.
研究的目的:
- 开发,实施和评估旨在制度化RMC的干预方案.
- 评估干预措施对减少产妇服务中不尊重和虐待的影响.
主要方法:
- 使用混合方法方法,结合定性和定量数据.
- 干预方案包括能力建设研讨会,指导和行为改变沟通材料.
- 通过退场采访,深度采访以及干预前后分娩室观察收集的数据.
主要成果:
- 在九种不尊重和虐待类型 (D和A) 中观察到显著改善.
- 然而,11种类型的D和A,包括沟通和隐私问题,在干预后仍然存在.
- 干预方案使得产妇护理服务的整体提供得到改善.
结论:
- 书面政策,定期培训和沟通材料可以增强RMC.
- 持续的D和A实例凸显了医疗保健中的问题的系统性质.
- 需要进一步的系统变化,才能充分制度化尊重产妇护理.
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