释放索马里兰传统助产士的潜力:关于医疗保健系统整合的定性研究
Jama Ali Egal1,2, Amina Esse3, Fatumo Osman4
1Health and Welfare, Birmingham City University - Edgbaston Campus, Birmingham, UK jaa@du.se.
BMJ open
|December 30, 2025
概括
索马里兰的传统助产士正在转换角色,成为正式医疗保健的关键环节. 他们的社区信任促进了获得专业孕产妇健康服务的机会,为普及医疗覆盖提供了具有成本效益的战略.
科学领域:
- 产妇和生殖健康 产妇和生殖健康
- 社区卫生系统 社区卫生系统
- 获得医疗保健和公平的机会.
背景情况:
- 传统的分娩助理 (TBA) 在历史上在索马里岛社区中发挥了重要作用.
- 医疗医疗管理的不断变化的功能及其与正式医疗保健系统的整合仍未得到充分探索.
研究的目的:
- 从他们自己的角度调查传统助产士的过去和现在的角色和做法.
- 了解TBA和索马里兰的正式医疗保健系统之间的不断变化的关系.
主要方法:
- 一项利用有目的和雪球采样技术的探索性研究.
- 通过采访索马里兰所有六个地区的TBA收集的数据 (2023年1月至12月).
- 以布劳恩和克拉克为灵感的专题分析被用于数据解释.
主要成果:
- 从历史上看,TBA参与了怀孕护理,分娩和女性生殖器切割/切割.
- 最近的一个重大转变是,TBAs在社区和正式医疗保健之间发挥着关键的作用.
- 医疗健康协会利用强大的社区信任来调解获得专业的孕产妇和生殖健康服务.
结论:
- 传统的助产士正在成为值得信赖的中间人,将社区需求与正式医疗保健相结合.
- 将TBA整合到助产士主导的护理模式中,为加强孕产妇保健和在索马里兰实现全民医疗覆盖提供了一个具有成本效益的战略.
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