Beun Monique H, Wood Siri K
Program for Appropriate Technology in Health, Seattle, WA 98107, USA.
J Health Popul Nutr. 2003 Dec;21(4):367-73.
This research was carried out in rural Nepal to explore how different categories of birth attendants at home deliveries accepted and used clean home delivery kit (CHDK) and its contents, including hand-washing practices, during delivery and preparations for birth. In-depth interviews were conducted to collect information from 51 women-both users and non-users of the kit. The respondents were interviewed within one month of their most recent delivery. Results of the interviews showed that the attendants who used the kit perceived it as hygienic and convenient, affordable, and culturally acceptable. The razor blade and thread were the most useful items, and the purpose of the plastic coin was understood. Despite its perceived usefulness, awareness and use of the kit were low, and common reasons for non-use included not knowing about the kit or difficulty in procuring a kit locally. In addition, the kit had limited influence on general hygiene practices. The authors explore the importance of evaluating promotional efforts re-targeted to individuals who hold decision-making power regarding the use of the kit. They recommend that kit promoters emphasize hand-washing and single use of the kit.
这项研究在尼泊尔农村地区开展，旨在探究不同类别的家庭分娩助产人员如何接受并使用清洁的家庭分娩套件（CHDK）及其所含物品，包括分娩期间和分娩准备过程中的洗手做法。研究通过深入访谈从51名女性（包括套件使用者和非使用者）那里收集信息。受访者在其最近一次分娩后的一个月内接受了访谈。访谈结果显示，使用该套件的助产人员认为它卫生、方便、价格实惠且在文化上可以接受。剃须刀片和缝线是最有用的物品，塑料硬币的用途也为人所理解。尽管该套件被认为有用，但人们对其的认知度和使用率较低，不使用的常见原因包括不了解该套件或在当地难以获得套件。此外，该套件对一般卫生习惯的影响有限。作者探讨了评估针对在套件使用方面拥有决策权的个人重新开展推广工作的重要性。他们建议套件推广者强调洗手和套件的一次性使用。
