MacKeith N, Chinganya O J M, Ahmed Y, Murray S F
Institute of Child Health, University College, London.
Afr J Reprod Health. 2003 Apr;7(1):92-102.
Urban African maternity care systems face problems, as rapid population growth puts them under increasing pressure. In 1983 a decentralised system with midwife-run maternity units at health centres was initiated in Lusaka. A community-based survey of 1210 women conducted in 1999 examined access, coverage and quality of care in these maternity services. Results were generally positive: 99% of respondents received some antenatal check-ups and three quarters had five or more. Institutional delivery rate was 89.5%. Home birth was associated with belonging to a "very poor" household. Sixty three per cent of births were in the decentralised units. Eighty nine per cent reported care as "good" or "very good", but 21% remembered someone who had treated them badly during labour, principally by shouting or scolding. One fifth of women reported having been left alone for "too long" in labour. Less than half of the women said they would like a lay labour companion and three quarters would prefer a companion at the delivery.
城市非洲产妇护理系统面临诸多问题，因为人口的快速增长使其承受着越来越大的压力。1983年，卢萨卡启动了一个分散式系统，在健康中心设立由助产士管理的产妇护理单元。1999年对1210名妇女进行了一项基于社区的调查，调查了这些产妇护理服务的可及性、覆盖范围和护理质量。结果总体上是积极的：99%的受访者接受了一些产前检查，四分之三的人进行了五次或更多次检查。机构分娩率为89.5%。在家分娩与属于“非常贫困”家庭有关。63%的分娩在分散式单元进行。89%的人报告护理“良好”或“非常好”，但21%的人记得有人在分娩期间对他们态度恶劣，主要是大喊大叫或责骂。五分之一的妇女报告说在分娩时被单独留下“太长时间”。不到一半的妇女表示希望有一名非专业分娩陪伴人员，四分之三的妇女希望在分娩时有陪伴人员。
