了解斐济卫生系统在斐济三家三级医院提供预防母婴传播艾滋病毒服务方面面临的挑战。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-03-20 DOI:10.1080/09540121.2024.2331215
Amina Razzaq, Joanne Travaglia, Camille Raynes-Greenow, Neeloy Ashraful Alam
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引用次数: 0

摘要

母婴传播是人类免疫缺陷病毒在儿童中最常见的传播途径,如果治疗得当,获得护理,这种传播是可以预防的。卫生系统面临的挑战可能会阻碍预防母婴传播计划的有效性。我们旨在了解斐济三家三级医院在为孕妇提供预防母婴传播服务方面所面临的卫生系统挑战。2013年4月至5月和2014年2月至3月期间,我们在斐济的三家三级医院和相关诊所进行了深入访谈,收集了相关数据。已获得伦理批准。共采访了 58 位医疗服务提供者,包括医生(12 人)、助产士(19 人)、护士(14 人)、实验室技术人员(5 人)和咨询师(8 人)。我们采用专题分析法对数据进行了分析。我们发现,医护人员面临着广泛的卫生系统挑战,包括机构和人力资源挑战。人员短缺、预防母婴传播培训有限和物资短缺是影响预防母婴传播服务质量的障碍。我们的研究结果将有助于制定克服障碍的策略,因为这对提高斐济和其他类似国家的预防母婴传播服务质量至关重要。
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Understanding Fijian health system challenges in the prevention of mother-to-child transmission of HIV services in the three tertiary hospitals in Fiji.

Mother-to-child transmission is the most common route of human immunodeficiency virus transmission in children, which could be prevented with proper treatment and access to care. Health system challenges can impede the effectiveness of prevention of mother-to-child transmission (PMTCT) programmes. We aim to understand the health system challenges to the provision of PMTCT services for pregnant women in three tertiary hospitals in Fiji. Data were collected using in-depth interviews in the three tertiary hospitals and associated health clinics in Fiji between April-May 2013 and February-March 2014. Ethical approvals were obtained. A total of 58 healthcare providers were interviewed including doctors (n = 12), midwives (n = 19), nurses (n = 14), laboratory technicians (n = 5) and counsellors (n = 8). The data were analysed using thematic analysis. We found that the healthcare workers faced a wide range of health system challenges including institutional and human resource challenges. Staff shortage, limited PMTCT training and shortage of supplies were barriers to the quality of PMTCT services. Our findings would be useful in developing strategies to overcome barriers as it would be imperative in improving the quality of PMTCT service provision in Fiji and other similar settings.

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