Villadsen Sarah Fredsted, Tersbøl Britt Pinkowski, Negussie Dereje, GebreMariam Abebe, Tilahun Abebech, Friis Henrik, Rasch Vibeke
Department of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Rolighedsvej 25, 1958 Frederiksberg C, Denmark ; Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Oester Farimagsgade 5, P.O. Box 2099, 1014 Copenhagen K, Denmark.
Department of International Health, Immunology and Microbiology, Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3, 2200 Copenhagen N, Denmark.
J Environ Public Health. 2014;2014:945164. doi: 10.1155/2014/945164. Epub 2014 Aug 31.
We assessed how health system priorities matched user expectations and what the needs for antenatal care (ANC) strengthening were for improved maternal health in Jimma, Ethiopia.
A questionnaire survey among all recent mothers in the study area was conducted to study the content of ANC and to identify the predictors of low ANC satisfaction. Further, a qualitative approach was applied to understand perceptions, practices, and policies of ANC.
There were no national guidelines for ANC in Ethiopia. Within the health system, the teaching of health professional students was given high priority, and that contributed to a lack of continuity and privacy. To the women, poor user-provider interaction was a serious concern hindering the trust in the health care providers. Further, the care provision was compromised by the inadequate laboratory facilities, unstructured health education, and lack of training of health professionals.
Health system trials are needed to study the feasibility of ANC strengthening in the study area. Nationally and internationally, the leadership needs to be strengthened with supportive supervision geared towards building trust and mutual respect to protect maternal and infant health.
我们评估了埃塞俄比亚吉马地区卫生系统的优先事项如何与用户期望相匹配，以及加强产前保健（ANC）对改善孕产妇健康的需求。
对研究区域内所有近期分娩的母亲进行问卷调查，以研究产前保健的内容并确定低产前保健满意度的预测因素。此外，采用定性方法来了解产前保健的观念、做法和政策。
埃塞俄比亚没有产前保健的国家指南。在卫生系统内部，卫生专业学生的教学被高度重视，这导致了连续性和隐私性的缺乏。对女性来说，医患互动不佳是一个严重问题，阻碍了她们对医疗服务提供者的信任。此外，实验室设施不足、健康教育缺乏系统性以及卫生专业人员缺乏培训，影响了保健服务的提供。
需要进行卫生系统试验，以研究在研究区域加强产前保健的可行性。在国家和国际层面，需要加强领导，并进行支持性监督，以建立信任和相互尊重，从而保护母婴健康。
