基于家庭的新生儿护理计划勇敢地承受了COVID-19大流行的沉重负担:一项混合方法研究
Poonam Joshi1, Aloke Biswas2, Bina Halder1
1College of Nursing, All India Institute of Medical Sciences, Kalyani, West Bengal, India.
Journal of family medicine and primary care
|June 23, 2025
概括
印度的家庭新生儿护理计划在COVID-19期间保持了弹性,经过认证的社会卫生活动家 (ASHA) 工作人员确保了尽管存在挑战,但仍然提供了必要的孕产妇和新生儿护理. 支持ASHA工作人员对于持续的有效性至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健提供系统
背景情况:
- 印度的高孕产妇和新生儿死亡率仍然存在,尽管有重要的公共卫生保健计划.
- 基于家庭的新生儿护理 (HBNC) 计划是为了改善母婴保健结果而实施的.
研究的目的:
- 为了比较家庭新生儿护理 (HBNC) 服务的利用率和认可的社会卫生活动家 (ASHA) 工作人员在COVID-19大流行之前和期间面临的挑战,直到2021年12月.
- 分析COVID-19大流行对HBNC服务的交付和有效性的影响.
主要方法:
- 在西孟加拉邦纳迪亚地区的Chakdaha,采用混合方法方法.
- 使用描述性统计数据分析了HBNC指标的定量数据 (2019-2021年).
- 来自ASHA工作人员的定性数据使用专题分析探索了与流行病相关的挑战.
主要成果:
- 超过95%的婴儿在24小时内获得了母乳养;ASHA的家庭访问通常符合标准.
- 由于运输和供应短缺等后勤问题,偏远地区的访问量有所减少.
- 在疫情期间,阿莎工作人员遇到了重大运营挑战,包括工作量增加,资源稀缺以及文化障碍.
结论:
- 在全球卫生中断的情况下,HBNC计划在提供必要的孕产妇和新生儿护理方面表现出了弹性.
- 经过认证的社会卫生活动家 (ASHA) 工作人员在维持服务方面发挥了关键作用,尽管存在大流行引起的障碍.
- 持续的支持和资源对ASHA工作人员至关重要,以确保HBNC服务在不断变化的医疗环境中持续有效.
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