Mugo Ngatho S, Dibley Michael J, Damundu Eliaba Yona, Alam Ashraful
Sydney School of Public Health, Edward Ford Building (A27), University of Sydney, Sydney, NSW, 2006, Australia.
UNICEF South Sudan, Toto Chan Compound, P.O. Box 45, Juba South, Sudan.
BMC Health Serv Res. 2018 Jan 9;18(1):10. doi: 10.1186/s12913-017-2788-9.
In fragile and war-affected setting such as South Sudan, a combination of physical environmental, socioeconomic factors and healthcare's characteristic contributes to higher rates of home delivery attended by unskilled attendants. This study aims to understand the community members' experience, perceptions and the barriers in relation to accessing and utilizing maternal healthcare services in South Sudan.
We conducted in-depth one-on-one interview with 30 women and 15 men to investigate their perspectives on the barriers to access maternal and child health related services. We purposively selected women and their partners in this study.
Our study revealed that inadequate quality of antenatal care services such as lack of essential medicine, supplies and tools was linked to individual's mothers dissatisfaction with the services they received. In addition, sudden onset of labor and lack of safety and security were important reasons for home delivery in this study. Furthermore, lack of transport as a result of a combination of long distance to a facility and associated costs either restricted or delayed women reaching the health facilities.
Our study highlighted an urgent need for the government of South Sudan to implement security and safety measures in order to improved access to delivery service at night. Incorporating private transports to provide access to affordable and reliable transport services for pregnant and post-partum women is also important. Increasing the budget allocation for medicine and health supplies and improving management of medicine and supply chain logistics are essential.
在南苏丹这样脆弱且受战争影响的地区，自然环境、社会经济因素以及医疗保健特点等多种因素共同导致了由非专业人员接生的家庭分娩率较高。本研究旨在了解南苏丹社区成员在获取和利用孕产妇保健服务方面的经历、看法及障碍。
我们对30名女性和15名男性进行了深入的一对一访谈，以调查他们对获取母婴健康相关服务障碍的看法。在本研究中，我们有目的地选择了女性及其伴侣。
我们的研究表明，产前护理服务质量不足，如缺乏基本药品、用品和工具，与母亲个人对所接受服务的不满有关。此外，分娩突然发作以及缺乏安全保障是本研究中家庭分娩的重要原因。此外，由于距离医疗机构较远以及相关费用导致缺乏交通工具，限制或延误了妇女前往医疗机构。
我们的研究强调，南苏丹政府迫切需要实施安全保障措施，以改善夜间分娩服务的可及性。引入私人交通工具，为孕妇和产后妇女提供负担得起且可靠的交通服务也很重要。增加药品和卫生用品的预算拨款以及改善药品管理和供应链物流至关重要。
