Nnebue Chinomnso C, Ebenebe Uzo E, Duru Chukwuma B, Egenti Nonye B, Emelumadu Obiageli F, Ibeh Christian C
Department of HIV Care and Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Department of Community Medicine, NAU/NAUTH, Nnewi, Anambra State, Nigeria.
Int J Prev Med. 2016 Mar 1;7:44. doi: 10.4103/2008-7802.177885. eCollection 2016.
In some primary health care settings, even where the health services are not available, provisions are not made to ensure continuity of care. This study aimed to determine the availability and level of continuity of care for maternal health services in the primary health centers (PHCs) in Nnewi, Nigeria.
This was a cross-sectional survey. Using multistage sampling technique, 280 women utilizing maternal health services from four randomly selected public PHCs in Nnewi, Nigeria were chosen for the study. Data collection employed a mix of quantitative and qualitative methods.
The mean ± standard deviation for age of the respondents was 29.2 ± 5.9 years. The facilities studied provided out-patient services, but the only in-patient services provided was for women who delivered or those in labor. None of the facilities is equipped to provide even basic essential obstetric care services. None had standardized a protocol for referring clients, referral forms, a transport system, or a community loan scheme in place. Forty-four (15.7%) women were referred for care outside of the PHCs for the following reasons: Lack of drugs and supplies (9.1%); lack of equipment (90.9%), lack of skilled personnel (45.5%) among others.
This study showed that despite the unavailability of some services, appropriate strategies were not in place to ensure the coherent pattern of services within and between the PHCs and other levels of care. Delivery to the clients of comprehensive and integrated maternal health services, and efficient referral systems are thus recommended.
在一些初级卫生保健机构中，即使没有卫生服务，也未采取措施确保医疗服务的连续性。本研究旨在确定尼日利亚纽维初级卫生中心（PHCs）孕产妇保健服务的可及性和连续性水平。
这是一项横断面调查。采用多阶段抽样技术，从尼日利亚纽维随机选取的4个公立初级卫生保健中心中，选择280名使用孕产妇保健服务的妇女作为研究对象。数据收集采用定量和定性相结合的方法。
受访者的平均年龄±标准差为29.2±5.9岁。所研究的机构提供门诊服务，但仅为分娩妇女或临产妇女提供住院服务。没有一个机构具备提供基本产科护理服务的条件。没有一个机构制定了标准化的转诊协议、转诊表格、交通系统或社区贷款计划。44名（15.7%）妇女因以下原因被转诊至初级卫生保健中心以外的机构接受治疗：药品和物资短缺（9.1%）；设备短缺（90.9%），缺乏专业人员（45.5%）等。
本研究表明，尽管一些服务无法提供，但并未制定适当的策略来确保初级卫生保健中心内部以及与其他医疗级别之间服务的连贯模式。因此，建议为客户提供全面综合的孕产妇保健服务和有效的转诊系统。
