影响尼泊尔农村机构分娩决策的因素:一种定性研究
Shijan Acharya1, Anju Gautam1, Tulasa Bharati2
1Community Empowerment for Health Promotion (CEHP) Program, Nepal Red Cross Society, Kathmandu, Bagmati, Nepal.
家庭和社区动态在尼泊尔农村地区显著影响分娩地点的决定,特别是在分娩期间. 干预措施应侧重于以家庭为中心的咨询和信任建设,以改善以设施为基础的分娩机会.
科学领域:
- 孕产妇健康 孕产妇健康
- 社会学 社会学 社会学
- 全球健康 全球健康
背景情况:
- 孕产妇死亡率仍然是一个关键的全球卫生问题,不成比例地影响低收入国家.
- 尼泊尔在实现全民医疗机构分娩方面面临着持续的挑战,强调需要了解农村地区的决策过程.
研究的目的:
- 探索尼泊尔农村地区关于分娩地点的复杂决策过程.
- 确定影响妇女和家庭选择产科护理地点的因素.
主要方法:
- 在尼泊尔两个农村地区采用有目的抽样的定性研究.
- 对妇女,丈夫和岳母进行了34次半结构化采访,再加上9次关键信息人采访和8次焦点小组讨论.
- 利用了对录音,转录和翻译数据的专题分析.
主要成果:
- 出生地点的决定是动态的,受到整个怀孕和劳动过程中的因素的影响.
- 虽然女性在怀孕期间领导决策,但丈夫和岳母在分娩期间获得影响力.
- 恐惧,过去的经验,提供者的能力,社区的影响和结构性障碍都会影响及时获得护理.
结论:
- 家庭和社区的动态,特别是在分娩期间,在尼泊尔农村地区严重影响了以设施为基础的分娩决定.
- 建议的干预措施包括以家庭为中心的产前咨询,让丈夫和家庭成员参与,增强对医疗服务的信任.
- 改善服务质量和解决结构性障碍对于及时利用设施化分娩服务至关重要.
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