Solnes Miltenburg Andrea, Lambermon Fleur, Hamelink Cees, Meguid Tarek
Department of Community Medicine, Institute of Health and Society, University of Oslo, Oslo, Norway.
Athena Institute for Research on Innovation and Communication in Health and Life Sciences, VU University Amsterdam, Zanzibar Town, The Netherlands.
BMC Int Health Hum Rights. 2016 Jul 2;16(1):17. doi: 10.1186/s12914-016-0091-1.
A human rights approach to maternal health is considered as a useful framework in international efforts to reduce maternal mortality. Although fundamental human rights principles are incorporated into legal and medical frameworks, human rights have to be translated into measurable actions and outcomes. So far, their substantive applications remain unclear. The aim of this study is to explore women's perspectives and experiences of maternal health services through a human rights perspective in Magu District, Tanzania.
This study is a qualitative exploration of perspectives and experiences of women regarding maternity services in government health facilities. The point of departure is a Human Rights perspective. A total of 36 semi-structured interviews were held with 17 women, between the age of 31 and 63, supplemented with one focus group discussion of a selection of the interviewed women, in three rural villages and the town centre in Magu District. Data analysis was performed using a coding scheme based on four human rights principles: dignity, autonomy, equality and safety.
Women's experiences of maternal health services reflect several sub-standard care factors relating to violations of multiple human rights principles. Women were aware that substandard care was present and described a range of ways how the services could be delivered that would venerate human rights principles. Prominent themes included: 'being treated well and equal', 'being respected' and 'being given the appropriate information and medical treatment'.
Women in this rural Tanzanian setting are aware that their experiences of maternity care reflect violations of their basic rights and are able to voice what basic human rights principles mean to them as well as their desired applications in maternal health service provision.
在国际社会降低孕产妇死亡率的努力中，采用人权方法处理孕产妇健康问题被视为一个有用的框架。尽管基本人权原则已纳入法律和医疗框架，但人权必须转化为可衡量的行动和成果。到目前为止，其实际应用仍不明确。本研究的目的是从人权角度探索坦桑尼亚马古区妇女对孕产妇保健服务的看法和经历。
本研究是对妇女在政府卫生设施中接受孕产妇服务的观点和经历进行的定性探索。出发点是人权视角。在马古区的三个农村村庄和镇中心，对17名年龄在31岁至63岁之间的妇女进行了总共36次半结构化访谈，并对部分受访妇女进行了一次焦点小组讨论。使用基于尊严、自主、平等和安全这四项人权原则的编码方案进行数据分析。
妇女在孕产妇保健服务方面的经历反映了一些不符合标准的护理因素，这些因素与多项人权原则的侵犯有关。妇女意识到存在不符合标准的护理情况，并描述了一系列能够尊重人权原则的服务提供方式。突出的主题包括：“得到良好和平等的对待”、“得到尊重”以及“获得适当的信息和治疗”。
在坦桑尼亚这个农村地区，妇女意识到她们在孕产妇护理方面的经历反映了对其基本权利的侵犯，并且能够说出基本人权原则对她们意味着什么，以及她们希望这些原则在孕产妇保健服务提供中的应用方式。
