影响八次接触政策下产前保健就诊率的因素:马拉维布兰太尔部分孕产妇保健服务机构的案例。

IF 2.8 2区 医学 Q1 OBSTETRICS & GYNECOLOGY BMC Pregnancy and Childbirth Pub Date : 2024-10-26 DOI:10.1186/s12884-024-06895-0
Elida Mwenebanda, Antonio Machado, Ajra Ilyas Patel, Alinane Linda Nyondo-Mipando, Isabel Kazanga Chiumia
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引用次数: 0

摘要

背景:撒哈拉以南非洲和马拉维的孕产妇死亡率居高不下。有效的产前保健(ANC)服务可以降低孕产妇发病率和死亡率。然而,产前检查诊所的就诊率和服务质量仍是一项挑战。马拉维采用了 2016 年世界卫生组织产前护理模式,因此有必要评估影响产前护理就诊率的因素。本研究的主要目的是评估在布兰太尔实施八次产前检查接触政策期间影响就诊率的因素:本研究采用探索性定性设计,在数据收集过程中,28 名受访者参与了深度访谈和焦点小组讨论。研究地点包括两个医疗机构,即伊丽莎白女王中央医院和 Bangwe 健康中心,以及布兰太尔区的一个农村社区(William Village Bangwe Rural)。28 名研究参与者包括 11 名产前检查参加者(其中包括 7 名孕期最后三个月的妇女和 4 名产后妇女)、5 名产前检查诊所的助产士和 12 名未使用产前检查的妇女。录音被逐字转录。数据使用 Microsoft Excel 和 Microsoft word 进行整理,并使用归纳内容分析法进行分析:在八项产前保健接触政策的背景下,促进产前保健出席率的因素包括:卫生工作者、家人和配偶的激励,以及妇女对产前保健的看法,特别是产前保健在预防、检测和治疗疾病以及预防不良妊娠结局方面的作用。另一方面,阻碍妇女参加产前检查的因素包括缺乏对新的产前检查指南的了解、经济限制、所提供医疗服务的质量、医护人员的态度、医护人员的可用性和培训不足、认为产前检查服务质量差以及个人信仰:结论:为产前部门的医护人员提供有关世界卫生组织产前检查新建议的全面培训至关重要。这将有助于提高产前检查诊所的服务质量,包括确保提供所有必要的资源以鼓励孕产妇参加产前检查。此外,促进全面的配偶支持、鼓励参与活动以及充分规划预定的就诊时间,都有助于克服经济障碍,进一步支持产前检查的出席率。
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Factors influencing antenatal care attendance in the eight contact era policy: a case of selected maternal health service facilities in Blantyre, Malawi.

Background: Maternal mortality in sub-Saharan Africa and Malawi remains high. Effective antenatal care (ANC) services can reduce maternal morbidity and mortality. However, attendance to ANC clinics and the quality of services provided remain a challenge. Malawi adopted the 2016 WHO antenatal care model and there is a need to assess factors that influence antenatal care attendance. The main objective of this study was to assess factors influencing attendance in the era of the eight ANC contact policy in Blantyre.

Methods: This was an exploratory qualitative design in which 28 respondents participated using in-depth interviews and focus group discussions for the data collection process. The study sites included two healthcare facilities, namely Queen Elizabeth Central Hospital and Bangwe Health Centre, and a rural community (William Village Bangwe Rural) in Blantyre district. The 28 study participants included 11 ANC attendees, which comprised seven women in their final trimester and four postpartum women who attended ANC during their pregnancy, five midwives running the ANC clinics, and 12 non-users of ANC. The recordings were transcribed verbatim. The data were organized using Microsoft Excel and Microsoft word and analyzed using inductive content analysis.

Results: The factors promoting ANC attendance in the context of the eight ANC contact policy include; motivation from health workers, family, and spouses and the women's perceptions of ANC particularly the role it plays in preventing, detecting, and treating illness, but also preventing adverse pregnancy outcomes. On the other hand, the hindering factors to ANC attendance included lack of knowledge of the new ANC visit guidelines, financial constraints, quality of health services provided, attitude of healthcare workers, inadequate availability and training of healthcare workers, perceived poor quality of ANC services and personal beliefs.

Conclusion: It is essential to provide comprehensive training to healthcare workers in the antenatal department regarding the new WHO ANC recommendations. This will help improve the quality of services at the antenatal clinics, including ensuring the availability of all necessary resources to encourage attendance. Additionally, promoting comprehensive spousal support, encouraging participation in activities, and adequately planning scheduled visits can help overcome financial barriers and further support antenatal attendance.

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来源期刊
BMC Pregnancy and Childbirth
BMC Pregnancy and Childbirth OBSTETRICS & GYNECOLOGY-
CiteScore
4.90
自引率
6.50%
发文量
845
审稿时长
3-8 weeks
期刊介绍: BMC Pregnancy & Childbirth is an open access, peer-reviewed journal that considers articles on all aspects of pregnancy and childbirth. The journal welcomes submissions on the biomedical aspects of pregnancy, breastfeeding, labor, maternal health, maternity care, trends and sociological aspects of pregnancy and childbirth.
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