乌干达北部红十字会安全孕产项目后受益人的变化

Ai Ogata, Mie Naiki, Yukiya Saito, Alex Onzima
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摘要

背景:日本红十字会(JRCS)和乌干达红十字会(URCS)于 2010 年至 2016 年在乌干达北部合作实施了针对育龄妇女和社区居民的安全孕产项目,以改善生殖健康。后续访问尚未开展,有关受益人详细变化的信息也很有限。目标:探讨在乌干达北部实施红十字安全孕产项目后受益者的变化。研究方法使用访谈指南进行定性内容分析。研究结果在获得机构审查委员会的批准后,研究开始进行。所有研究参与者都被告知了研究目标、方法和伦理考虑因素,并同意参与研究。研究参与者共六人,其中三对受益夫妇。从访谈中得出了以下方面的变化:安全孕产和一般保健知识、在经济上提供帮助和准备的态度、视妇女为贵人的态度、到保健中心就诊的做法、避免传染病的做法、增加产前检查次数和在医疗机构分娩的做法、男性参与安全孕产的做法。结论后续访问显示,项目结束后受益人发生了积极变化,但安全孕产项目的可持续性需要持续的支持。关键词受益人;红十字会安全孕产;乌干达北部。
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Changes of beneficiaries after Red Cross safe motherhood project in Northern Uganda
Background: The Japanese Red Cross Society (JRCS) and the Uganda Red Cross Society (URCS) collaboratively implemented the safe motherhood project for women of reproductive age and community people to improve reproductive health in Northern Uganda from 2010 to 2016. Follow-up visit has not been conducted and the information on detailed changes of the beneficiaries were limited. Objectives: To explore the beneficiaries’ changes after the Red Cross safe motherhood project in Northern Uganda. Methods: Study design was qualitative content analysis using interview guides. Findings: After the approval of Institutional Review Board Clearance, the study was started. All participants of the study were informed the study objectives, methods, and ethical considerations and consented to participate. The study participants were six people, three beneficiary couples. Changes in knowledge of safe motherhood and general healthcare, attitude helped and prepared financially, attitude to look women as valuable people, practice of visiting health center to get something, practice of avoiding infectious diseases, practice of increment of ANC visit and facility-based delivery, practice of male involvement for safe motherhood were derived from the interview. Conclusion: Follow-up visit revealed positive changes of beneficiaries after the project, however continuous support is needed for sustainability of the safe motherhood project. Keywords: Beneficiaries; Red Cross safe motherhood; Northern Uganda.
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