Balikuddembe Michael S, Wakholi Peter K, Tumwesigye Nazarius M, Tylleskär Thorkild
Department of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Norway.
School of Computing and Information Technology, Makerere University Kampala.
Stud Health Technol Inform. 2018;247:456-460.
A third of women in childbirth are inadequately monitored, partly due to the tools used. Some stakeholders assert that the current labour monitoring tools are not efficient and need improvement to become more relevant to childbirth attendants. The study objective was to explore the expectations of maternity service providers for a mobile childbirth monitoring tool in maternity facilities in a low-income country like Uganda. Semi-structured interviews of purposively selected midwives and doctors in rural-urban childbirth facilities in Uganda were conducted before thematic data analysis. The childbirth providers expected a tool that enabled fast and secure childbirth record storage and sharing. They desired a tool that would automatically and conveniently register patient clinical findings, and actively provide interactive clinical decision support on a busy ward. The tool ought to support agreed upon standards for good pregnancy outcomes but also adaptable to the patient and their difficult working conditions. The tool functionality should include clinical data management and real-time decision support to the midwives, while the non-functional attributes include versatility and security.
三分之一的分娩妇女未得到充分监测，部分原因在于所使用的工具。一些利益相关者断言，当前的分娩监测工具效率不高，需要改进，以便与分娩护理人员更相关。该研究的目的是在像乌干达这样的低收入国家，探索产科服务提供者对产科设施中移动分娩监测工具的期望。在进行主题数据分析之前，对乌干达城乡分娩设施中经过有目的挑选的助产士和医生进行了半结构化访谈。分娩服务提供者期望有一个能够实现快速、安全的分娩记录存储和共享的工具。他们希望有一个能自动、方便地记录患者临床检查结果，并在繁忙的病房中积极提供交互式临床决策支持的工具。该工具应该支持关于良好妊娠结局的商定标准，但也要能适应患者及其艰难的工作条件。该工具的功能应包括临床数据管理和对助产士的实时决策支持，而非功能属性包括通用性和安全性。
