Barriers in providing maternal health care services in a mountainous area

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-06-17 DOI:10.1016/j.srhc.2024.100998

Phuong Anh Hoang , Thi Thanh Huong Nguyen , Thi Hoa Huyen Nguyen , Ngoc Tran Tran , Thi Thuy Hao Mai

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Abstract

Purpose

While programs had been implemented by both the government and non-governmental organizations to address inequity in maternal health care in mountainous areas in Vietnam, the expected outcomes were not fully reached due to existing barriers from health workers mainly providing the health services. This study explores prominent issues faced by health workers in delivering maternal care in Cao Bang, focusing on their impact on the local population’s daily lives and overall development.

Methods

A qualitative study was conducted with 15 participants working as health managers, commune health workers, commune midwives, and village health workers in selected communes of a mountainous and border district located in the Northeast Cao Bang province.

Results

Main barriers include the incompetent healthcare workforce, ineffective use of facility resources, lack of work commitment, and unscientific traditional beliefs.

Conclusion

Future community programs should implement strict policies, defined rights, and clear responsibilities for health workers handling these obstacles to optimize the quality of maternal health care services in these remote areas.

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山区提供孕产妇保健服务的障碍

目的虽然政府和非政府组织都实施了一些计划，以解决越南山区孕产妇保健不公平的问题，但由于主要提供保健服务的医务工作者所面临的现有障碍，预期成果并未完全实现。本研究探讨了高平医护人员在提供孕产妇保健服务时面临的突出问题，重点关注这些问题对当地居民日常生活和整体发展的影响。研究方法在高平省东北部山区和边境地区的部分乡镇，对 15 名卫生管理人员、乡镇卫生员、乡镇助产士和村卫生员进行了定性研究。结果主要障碍包括医护人员能力不足、设施资源利用效率低、缺乏工作责任心以及不科学的传统观念。结论未来的社区项目应为处理这些障碍的医护人员实施严格的政策、明确的权利和责任，以优化这些偏远地区的孕产妇保健服务质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.