Nabukera Sarah K, Witte Kim, Muchunguzi Charles, Bajunirwe Francis, Batwala Vincent K, Mulogo Edgar M, Farr Celeste, Barry Souleymane, Salihu Hamisu M
Department of Maternal and Child Health, University of Alabama at Birmingham, Ryals Buliding, 1665 University Blvd, Suite 440, Birmingham, AL 35205, USA.
J Community Health. 2006 Apr;31(2):84-93. doi: 10.1007/s10900-005-9003-3.
The purpose of this study was to explore the knowledge, attitudes and barriers to use of postpartum care service among rural communities in Uganda. Study was a part of a larger reproductive health evaluation project, and was cross-sectional in nature utilizing qualitative research methods using the narrative inquiry. Two matched rural communities were used in this study; Semuto in Luwero district, and Lwamaggwa in Rakai district. Fifty key informants who were purposefully selected from each study site were interviewed. They included community leaders, political leaders, health care providers, women leaders and community members. One-on-one interviews were conducted with key community informants using an interview guide. The purpose of the interview was explained to each participant, and written informed consent was obtained before the start of the interview. Respondents were allowed to express their views, opinions and observations on several health issues including postpartum health care services. There was a low level of knowledge about postpartum care services among the respondents of the two communities. There was lack of awareness about postpartum care and it's benefits. The main barriers to use of services were; misconceptions regarding the importance of postpartum care, distance to health facilities, poverty, and health system factors notably; poor facilities, lack of essential drugs, and poor attitudes of health workers. In the effort to improve reproductive health care services, there is an urgent need to improve postpartum services, and make them more accessible and user friendly. The training of providers at all levels is essential, in addition to educating families on the importance of postpartum care services.
本研究的目的是探讨乌干达农村社区对产后护理服务的认知、态度及使用障碍。该研究是一个更大的生殖健康评估项目的一部分，本质上是横断面研究，采用叙事探究的定性研究方法。本研究使用了两个匹配的农村社区，分别是卢韦罗区的塞穆托和拉凯区的卢瓦马格瓦。从每个研究地点有目的地挑选了50名关键信息提供者进行访谈。他们包括社区领袖、政治领袖、医疗服务提供者、女性领袖和社区成员。使用访谈指南与关键社区信息提供者进行一对一访谈。向每位参与者解释了访谈目的，并在访谈开始前获得了书面知情同意。受访者被允许就包括产后保健服务在内的几个健康问题表达他们的观点、意见和观察结果。两个社区的受访者对产后护理服务的了解程度较低。对产后护理及其益处缺乏认识。使用服务的主要障碍包括：对产后护理重要性的误解、到卫生设施的距离、贫困以及卫生系统因素，特别是设施简陋、缺乏基本药物以及医护人员态度恶劣。为了改善生殖健康护理服务，迫切需要改善产后服务，使其更容易获得且更方便用户使用。除了向家庭宣传产后护理服务的重要性外，对各级服务提供者进行培训也至关重要。
