Makuka Gerald J, Sango Moses M, Mashambo Ayubu E, Mashambo Abednego E, Msuya Sia E, Mtweve Sabina P
Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania.
Community Health Department, Kilimanjaro Christian Medical Centre, P.O. Box 3010, Moshi, Tanzania.
Int J MCH AIDS. 2017;6(1):60-68. doi: 10.21106/ijma.191.
To know and understand the perspectives of women on the quality of maternal health services provided at their health facility (HF) and to incite community self-propelled problem identification and way forward.
A qualitative action- oriented research was conducted in a rural setting in Tanzania from 2011 to 2014. Twenty In-Depth Interviews (IDIs) and two Focus Group Discussions were held. The IDIs were conducted with mothers who had attended antenatal care at the HF and delivered there. The recordings transformed into English texts were used for analysis to get themes and possible explanations that were compared and reflected.
More than half 60% of the respondents reported to have experienced abuse by the health staff, 80% reported lack of amenities and all agreed to unavailability of health services at odd hours or weekends.
This study reveals that the quality of maternal health services provided at the HF is not up to standard. The study demonstrates the importance of self-diagnosis in a community and to propel self-community interventions towards improving rural health services. The government, researchers and other stakeholders have key roles in the elimination of health disparities and unhealthy political mingling in health care.
了解并理解女性对于其所在医疗机构提供的孕产妇保健服务质量的看法，并激发社区自主发现问题及找到解决办法。
2011年至2014年在坦桑尼亚的一个农村地区开展了一项定性的行动导向研究。进行了20次深入访谈（IDI）和两次焦点小组讨论。深入访谈的对象是在该医疗机构接受过产前护理并在那里分娩的母亲。将录音转化成的英文文本用于分析，以得出主题及可能的解释，并进行比较和思考。
超过一半（60%）的受访者称曾遭受医护人员的虐待，80%的受访者表示设施不足，所有人都认同在非工作时间或周末无法获得医疗服务。
本研究表明，该医疗机构提供的孕产妇保健服务质量未达标准。该研究证明了社区自我诊断以及推动社区自我干预以改善农村医疗服务的重要性。政府、研究人员和其他利益相关者在消除医疗保健方面的健康差距和不良政治干预方面发挥着关键作用。
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