Morrison Joanna, Jacoby Caroline, Ghimire Sagar, Oyloe Peter
University College London, London, UK
Johns Hopkins Centre for Communication Programs, Baltimore, MD, USA.
Asia Pac J Public Health. 2015 Mar;27(2):NP1263-72. doi: 10.1177/1010539512458950. Epub 2012 Sep 14.
Infection is one of the biggest causes of maternal and neonatal death in low-income countries. Clean Delivery Kits (CDKs) promote clean delivery and neonatal care. Our qualitative research explores reasons for low CDK utilization, and describes community perceptions of CDKs in Nepal.
We conducted 18 focus group discussions and 40 interviews with CDK users and nonusers, service providers, birth attendants, and household decision makers in 6 districts. We also conducted interviews with central level personnel. CDK users were aware of its benefits, and utilization was largely compatible with birth practices. Utilization was prevented by lack of awareness about the benefits and lack of availability. Participants believed that CDKs were for home use.
Poor promotion of CDK is related to the disjuncture of promoting CDK use, while encouraging institutional deliveries. If CDKs are made available and marketed for use in households and health institutions, utilization may increase.
在低收入国家，感染是孕产妇和新生儿死亡的主要原因之一。清洁分娩包（CDK）可促进清洁分娩和新生儿护理。我们的定性研究探讨了CDK使用率低的原因，并描述了尼泊尔社区对CDK的看法。
我们在6个地区对CDK使用者和非使用者、服务提供者、助产士和家庭决策者进行了18次焦点小组讨论和40次访谈。我们还对中央级人员进行了访谈。CDK使用者意识到了其好处，其使用在很大程度上与分娩习俗相符。对好处缺乏认识和难以获取导致了使用率低。参与者认为CDK是供家庭使用的。
CDK推广不力与在鼓励机构分娩的同时促进CDK使用的脱节有关。如果使CDK可供家庭和医疗机构使用并进行销售，使用率可能会提高。
