探讨在埃塞俄比亚实现优质产前护理的障碍和促进因素:一项定性研究
Addisu Alehegn Alemu1,2, Alec Welsh3,4, Theodros Getachew5,6
1College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia. addisua4@gmail.com.
BMC health services research
|November 19, 2025
概括
在埃塞俄比亚,提高产前护理 (ANC) 质量需要解决设施,助产士和患者障碍. 关键的促进者包括数字化记录,可访问的服务和赋予妇女权力,以获得更好的孕产妇和新生儿健康结果.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 优质的产前护理 (ANC) 对于降低产妇和新生儿死亡率至关重要.
- 尽管埃塞俄比亚的ANC覆盖率增加,但护理质量仍然不理想.
- 这项研究调查了亚的斯亚贝巴高质量ANC的障碍和促进因素.
研究的目的:
- 探索优质产前护理提供和利用的障碍.
- 识别优质产前护理提供和利用的促进者.
- 为改善埃塞俄比亚ANC质量的战略提供信息.
主要方法:
- 探索性深入的个人和焦点小组采访.
- 从三个设施的35名孕妇和助产士有目的地采样样本.
- 使用NVivo 12对阿姆哈拉语转录和翻译的采访数据进行主题分析.
主要成果:
- 障碍包括模拟记录,有限的超声波,资源短缺,助产士脱离,以及患者信任/意识低.
- 促进者包括试点记录数字化,负担得起的服务,可访问的设施,助产士协作和赋权的患者声音.
- 提供和使用高质量的ANC都受到设施,助产士和患者因素的影响.
结论:
- 多种障碍和促进因素影响了埃塞俄比亚的ANC提供和使用质量.
- 政策干预应侧重于资源,数字化记录,转诊系统,助产士支持和患者赋权.
- 解决这些因素对于降低孕产妇和新生儿死亡率至关重要.
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