Cianelli Rosina, Mitchell Emma, Albuja Laura, Wilkinson Carole, Anglade Debbie, Chery Marie, Peragallo Nilda
School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA.
Int J Appl Sci Technol. 2014 Oct;4(5):30-38.
Maternal and neonatal mortality in Haiti are among the highest in the world. This study investigated maternal-child health needs in Haiti, using a mixed method approach including qualitative and quantitative data collection. Participants (n=119) comprised of 39 healthcare workers and 80 Haitian women. The focus group centered around three major themes: difficult access to healthcare; health issues affecting mothers-child; and healthcare workers training. The interviews revealed that 60% of the deliveries happened at home, 52.5% of them were assisted by a lay birth attendant, 42% of the women gave their newborn a drink other than breast milk within the first week of birth, 70% of the women had not been, or did not know, if they had been tested for HIV, 92% did not use condoms during sexual encounters, and 47.5% justified violence against themselves from their partner. Considering the dearth of research concerning maternal-child health in Haiti that incorporates the opinions of healthcare workers and Haitian women, identifying their needs is essential to developing programs, such as the following that contribute to improving their health: nurse-midwife programs, training for lay birth attendants, obstetric-pediatric training, breastfeeding training, and programs to prevent intimate partner violence and HIV.
海地的孕产妇和新生儿死亡率位居世界前列。本研究采用定性和定量数据收集相结合的混合方法，对海地的母婴健康需求进行了调查。参与者（n = 119）包括39名医护人员和80名海地妇女。焦点小组围绕三个主要主题展开：获得医疗保健困难；影响母婴的健康问题；以及医护人员培训。访谈显示，60%的分娩在家中进行，其中52.5%由非专业助产人员协助，42%的妇女在新生儿出生第一周内给其喂过母乳以外的饮品，70%的妇女未曾接受过HIV检测，也不知道自己是否接受过检测，92%的妇女在性行为中未使用避孕套，47.5%的妇女认可伴侣对自己施加暴力行为的合理性。鉴于缺乏纳入医护人员和海地妇女意见的海地母婴健康研究，确定他们的需求对于制定有助于改善其健康状况的项目至关重要，例如以下项目：护士 - 助产士项目、非专业助产人员培训、妇产科培训、母乳喂养培训以及预防亲密伴侣暴力和HIV的项目。
