探索巴基斯坦孕妇获得初级医疗保健的挑战:一种定性描述性研究
Bushra Asif Ali Khan1, Humaira Mahmood2, Jawaria Mukhtar Ahmed3
1National University of Medical Sciences (NUMS), Rawalpindi, Pakistan.
BMC health services research
|April 1, 2025
概括
巴基斯坦产前护理 (ANC) 的障碍包括长途旅行和对危险迹象缺乏认识. 改善孕产妇和新生儿健康需要可访问,高质量的护理和社区一级的战略.
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:
- 产妇和新生儿死亡率仍然是全球卫生问题的关键问题.
- 卫生机构的护理质量不佳阻碍了巴基斯坦使用产前护理 (ANC) 服务.
- 这项研究探讨了巴基斯坦旁遮普邦哈兹罗地区使用ANC的障碍.
研究的目的:
- 在巴基斯坦旁遮普省哈兹罗的孕妇中发现使用产前护理 (ANC) 的障碍.
- 了解孕妇对ANC服务利用不足的看法.
- 为改善母亲和儿童健康结果的战略提供信息.
主要方法:
- 与36名孕妇进行了四次焦点小组讨论 (FGD).
- 参与者至少参加了三次ANC访问.
- 通过有目的的抽样收集数据,并使用NVivo 12进行分析.
主要成果:
- 出现了三个关键主题,与三个延迟模型保持一致:寻求护理的决定,到达设施的延迟以及获得适当护理的延迟.
- 长距离,旅行时间和成本是重要的障碍,尽管财务限制不是.
- 缺乏对危险信号的认识,员工的不可用性,消极的态度,资源不足和差的推系统是关键问题.
结论:
- 迫切需要负担得起,易于获得和响应的母婴医疗保健.
- 利益相关者必须优先考虑母亲,新生儿和儿童健康 (MNCH) 倡议和改革.
- 协作努力对于将多元化社区政策转化为有效的社区层面战略至关重要.
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