Mrisho Mwifadhi, Schellenberg Joanna Armstrong, Mushi Adiel K, Obrist Brigit, Mshinda Hassan, Tanner Marcel, Schellenberg David
Ifakara Health Research and Development Centre, Dar es Salaam, Tanzania.
Trans R Soc Trop Med Hyg. 2008 Jul;102(7):669-78. doi: 10.1016/j.trstmh.2008.04.029. Epub 2008 Jun 2.
In order to understand home-based neonatal care practices in rural Tanzania, with the aim of providing a basis for the development of strategies for improving neonatal survival, we conducted a qualitative study in southern Tanzania. In-depth interviews, focus group discussions and case studies were used through a network of female community-based informants in eight villages of Lindi Rural and Tandahimba districts. Data collection took place between March 2005 and April 2007. The results show that although women and families do make efforts to prepare for childbirth, most home births are assisted by unskilled attendants, which contributes to a lack of immediate appropriate care for both mother and baby. The umbilical cord is thought to make the baby vulnerable to witchcraft and great care is taken to shield both mother and baby from bad spirits until the cord stump falls off. Some neonates are denied colostrum, which is perceived as dirty. Behaviour-change communication efforts are needed to improve early newborn care practices.
为了解坦桑尼亚农村地区的家庭新生儿护理情况，以便为制定提高新生儿存活率的策略提供依据，我们在坦桑尼亚南部开展了一项定性研究。通过林迪农村和坦达希姆巴地区八个村庄的女性社区信息提供者网络，进行了深入访谈、焦点小组讨论和案例研究。数据收集于2005年3月至2007年4月期间进行。结果显示，尽管妇女和家庭确实会为分娩做准备，但大多数家庭分娩由无技能的助产人员协助，这导致母婴缺乏即时的适当护理。脐带被认为会使婴儿易受巫术侵害，人们会格外小心地保护母婴免受恶灵侵扰，直到脐带残端脱落。一些新生儿被拒绝喂食初乳，因为初乳被认为是脏的。需要开展行为改变沟通工作，以改善早期新生儿护理做法。
