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在南苏丹探索家庭内寻求护理的做法:一种混合方法前性研究
Sarah Bauler1, Chiara Altare2, Sule Ismail3,4
1World Vision International, London, UK. sarah_bauler@wvi.org.
BMC public health
|May 13, 2025
概括
使用家庭中上臂周长度 (MUAC) 磁带的护理人员成功识别了营养不良并寻求了护理,但经济和社会障碍阻碍了获得护理. 将MUAC计划与财政支持相结合,改善卫生工作者之间的互动,可以改善儿童营养不良的治疗.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 全球健康 全球健康
背景情况:
- 在使用家庭中上臂周长 (MUAC) 方法识别儿童营养不良后,对护理人员寻求护理行为的证据有限.
- 了解寻求护理的障碍对于有效的儿童营养不良干预至关重要.
研究的目的:
- 在南苏丹的家庭MUAC计划中探索影响寻求护理实践的障碍和促进者.
- 识别促进或阻碍护理人员寻求儿童营养不良治疗的因素.
主要方法:
- 这是一项混合方法,前性研究,涉及南苏丹2,893名儿童及其照顾者.
- 护理人员接受了MUAC测量方面的培训,并在8个月内进行了跟踪,通过调查和重点小组讨论收集数据.
- 健康信念模型指导了对护理寻求的认知,障碍和推动者的定性探索.
主要成果:
- 86.5%的护理人员因发现营养不良而寻求护理,区域差异很大 (瓦拉普地区为97.6%,中赤道地区为79.4%).
- 主要障碍包括设施距离 (18.9%),运输成本 (11.3%) 和治疗成本 (9.4%).
- 定性数据显示,社会耻辱,缺乏知识和健康工作者的负面经历是额外的挑战.
结论:
- 将家庭MUAC计划与社区金融举措 (例如储蓄团体) 整合起来,可以解决财务障碍.
- 调整干预措施以适应农村/城市环境,培训卫生工作者以同情护理,可以提高护理人员的信任度和寻求护理率.
- 解决已识别的障碍对于最大限度地提高家庭MUAC计划对儿童健康结果的影响至关重要.
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