转向助产护理模式:从印度的案例研究中吸取教训
Paridhi Jha1, Bharati Sharma2, Alison McFadden3
1Foundation for Research in Health Systems, Indian Society for Health Administrators Building, Bengaluru, India.
Global health action
|September 17, 2025
概括
将助产士纳入公共卫生系统需要助产士被医疗保健团队和社区接受和信任. 支持,指导和社区认可是成功的助产士整合的关键推动因素.
科学领域:
- 孕产妇和新生儿的健康
- 卫生系统研究 卫生系统研究
- 助产士的实践 助产士的实践
背景情况:
- 在低收入和中等收入国家过渡到助产士主导的护理期间,医疗保健提供者和社区的经验存在有限的证据.
- 了解这些经验对于有效整合助产服务至关重要.
研究的目的:
- 确定将助产士纳入公共卫生系统的机会,推动者和障碍.
- 探索卫生系统和社区的关键利益相关者的观点.
主要方法:
- 在印度古吉拉特邦和特兰加纳邦进行了两项案例研究 (基于社区和基于公共卫生设施).
- 数据收集涉及63个深入采访和5个聚焦小组讨论与各种利益相关者.
- 框架分析以生态系统理论和质量产妇和新生儿护理框架为指导.
主要成果:
- 出现了五个主题,反映了生态系统理论的不同层次,包括专业发展,实践范围,团队整合,社区认可和政策调整.
- 助产士的专业能力,自信和自信对于克服挑战和获得认可至关重要.
- 成功的整合取决于助产士的接受和可信度,得到指导和社区参与的支持.
结论:
- 将助产士整合到卫生系统中是可行的,当助产士被接受和信任时,随着持续的支持和社区敏感化.
- 建立对助产的社会认可,确保政策的协调,对于可持续的融合至关重要.
- 需要进一步的研究来开发能够增强助产士在改善母婴护理质量方面的作用的干预措施.
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