探索尊重产妇护理及其决定因素:来自印度中部农村地区的混合方法横截面研究
Chullithala Athira1, Anindo Majumdar2, Roshan F Sutar3
1Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India. athirachullithala@gmail.com.
在印度农村地区, 尊重产妇保健 (RMC) 对母亲健康至关重要. 不良的RMC与医疗机构的分娩,不充分的产前检查和与患者相关的因素有关,需要改变政策以获得更好的护理.
科学领域:
- 公共卫生
- 母亲健康
- 医疗保健的质量
背景情况:
- 尊重产妇保健 (RMC) 对于改善孕产妇健康状况和降低死亡率至关重要,符合可持续发展目标.
- 这项研究重点关注印度中部农村的RMC及其决定因素,
研究的目的:
- 调查印度中部农村地区尊重产妇护理的普遍性和决定性因素.
- 确定影响提供有尊严,私密和自主分娩体验的因素.
主要方法:
- 在印度的Madhya Pradesh进行了融合并行混合方法研究.
- 使用以人为中心的产妇护理 (PCMC) 尺度和深入采访收集了母亲的数据.
- 通过逻辑回归分析定量数据,通过主题分析分析定性数据.
主要成果:
- 26.3%的妇女获得了良好的尊重产妇护理,平均PCMC分数为48.6.
- 不良的RMC与政府机构的分娩,少于四次产前检查,阴道分娩和正常出生体重的婴儿有关.
- 质量主题包括对RMC的认识,尊重护理的障碍以及卫生系统因素.
结论:
- 医疗系统的限制 (人力资源,培训) 和患者相关因素 (社会地位,文化障碍,文盲,自主性,性别偏见) 显著预测RMC.
- 医疗系统物流的系统改进和解决患者相关因素对于确保RMC至关重要.
- 迫切需要改变政策和实践, 以加强印度农村卫生保健机构的尊重产妇护理.
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