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马拉维女性对孕产妇保健服务质量的看法。

Women's perspectives on quality of maternal health care services in Malawi.

作者信息

Machira Kennedy, Palamuleni Martin

机构信息

Department of Agriculture Economics, Lilongwe University of Agriculture and Natural Resources, Lilongwe, Malawi.

Population and Research Unit, North West University, Mmabatho, Republic of South Africa.

出版信息

Int J Womens Health. 2018 Jan 9;10:25-34. doi: 10.2147/IJWH.S144426. eCollection 2018.

Abstract

Despite promotion by many stakeholders to improve maternal health outcome in many developing countries including Malawi, many analysts agree that the utmost success in maternal health will arise if maternal health care services are an unparallel led source for women's health care solutions for any problem related to childbirth. Health advocates worldwide claim that even though maternal services are provided, women's utilization of such services has not been ascertained. The objective of this study was to explore women's perspectives on the quality of health care service delivery in Malawi. This article therefore investigates women's perspectives on the quality of maternal health care services in Malawi. We used six focus group discussions in six health facilities that were selected across Malawi. We found that erratic availability of medical resources and unethical practices among health workers adversely affected quality of maternal health care service delivery. We concluded that the expensive routine operational audits of medical resources and service delivery across health facilities are imperative if women's health outcomes are to be enhanced in Malawi.

摘要

尽管包括马拉维在内的许多发展中国家的众多利益相关者都在推动改善孕产妇健康状况,但许多分析人士一致认为,如果孕产妇保健服务成为解决妇女分娩相关任何问题的无与伦比的主要妇女保健解决方案来源,孕产妇健康将取得最大成功。全球健康倡导者称,尽管提供了孕产妇服务,但妇女对这些服务的利用情况尚未得到确定。本研究的目的是探讨马拉维妇女对医疗服务提供质量的看法。因此,本文调查了马拉维妇女对孕产妇保健服务质量的看法。我们在马拉维各地挑选的六个卫生设施中进行了六次焦点小组讨论。我们发现,医疗资源供应不稳定以及医护人员的不道德行为对孕产妇保健服务的提供质量产生了不利影响。我们得出结论,如果要在马拉维改善妇女健康状况,对各卫生设施的医疗资源和服务提供进行昂贵的常规运营审计势在必行。

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