Clapham S, Pokharel D, Bird C, Basnett I
Health Adviser, DFID Nepal, PO Box 106, Kathmandu, Nepal.
Trop Doct. 2008 Oct;38(4):197-201. doi: 10.1258/td.2008.070291.
Increasing access to professional care during labour and delivery is the central strategy in Nepal's commitment to reducing its maternal mortality ratio. This paper outlines a number of complementary interventions used by the Nepal Safer Motherhood Project to address the negative attitudes prevalent among service providers, which is a contributing factor to the under-utilization of the health-care services. The perspectives of the community and the service providers are presented, with a discussion of the importance of effective communication, the establishment of positive relationships and a demonstration of the critical role of local ownership and involvement in bringing about a positive change.
增加分娩期间获得专业护理的机会是尼泊尔致力于降低孕产妇死亡率的核心战略。本文概述了尼泊尔安全孕产项目采用的一些补充干预措施，以应对服务提供者中普遍存在的消极态度，这种态度是导致医疗服务利用不足的一个因素。文中呈现了社区和服务提供者的观点，讨论了有效沟通、建立积极关系的重要性，并展示了地方自主权和参与在带来积极变化方面的关键作用。
