加强IPTp-SP的普及:社区和利益相关者的建议,以改善访问和利用 - - 从Bayelsa-Nigeria的一项研究的见解
Patricia Ogba1, Andrea Baumann1, Tunde Alabi2
1Global Health Office, Faculty of Health Sciences, McMaster University, Main St. W, Hamilton, Ontario, Canada.
MalariaWorld journal
|May 14, 2025
概括
参与者驱动的建议旨在增加尼日利亚孕妇中使用硫胺-胺胺 (IPTp-SP) 的间歇性预防治疗. 在多个层面解决障碍对于改善疟疾预防和孕产妇健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 热带医学 热带医学
- 孕产妇健康 孕产妇健康
背景情况:
- 尼日利亚怀孕期间的疟疾存在重大风险,导致高孕产妇发病率和死亡率.
- 世界卫生组织建议在孕妇中进行间歇性预防性治疗,使用硫素-甲胺 (IPTp-SP) 预防疟疾.
- 尽管有建议,但尼日利亚孕妇的IPTp-SP吸收率仍然很低.
研究的目的:
- 探索影响IPTp-SP普及的社区层面因素.
- 在社会生态框架内,为增强IPTp-SP的采用产生参与者驱动的建议.
主要方法:
- 在尼日利亚Bayelsa的两个社区进行的探索性描述性定性研究.
- 数据是通过与17个主要利益相关者的个人访谈和与36名孕妇的6个焦点小组讨论收集的.
- 使用NVivo 14软件进行感应-演主题分析.
主要成果:
- 参与者提出了针对个人,人际关系,社区和医疗保健系统障碍的多层次干预措施.
- 关键建议包括社区教育,加强医疗保健提供者培训,整合传统分娩护理人员,以及改善IPTp-SP.SP.
- 还强调了确保功能健康中心,解决劳动力短缺问题,并保证一致的IPTp-SP供应.
结论:
- 参与者驱动的建议提供了一个整体战略,以改善尼日利亚和其他疟疾流行地区的IPTp-SP吸收.
- 实施这些基于证据的建议可以加强疟疾预防,改善母婴健康结果.
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