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加纳农村地区的孕产妇死亡:加纳上东部地区的案例研究

Maternal Death in Rural Ghana: A Case Study in the Upper East Region of Ghana.

作者信息

Apanga Paschal Awingura, Awoonor-Williams John Koku

机构信息

Talensi District Hospital, Ghana Health Service, Talensi, Ghana.

Policy, Planning, Monitoring and Evaluation Division, Ghana Health Service, Accra, Ghana.

出版信息

Front Public Health. 2018 Apr 9;6:101. doi: 10.3389/fpubh.2018.00101. eCollection 2018.

Abstract

Maternal mortality remains a challenge in providing quality maternal and other reproductive healthcare services in Ghana. This is a case investigation of a maternal death in rural Ghana that seeks to unravel the circumstances that lead to her death. We conducted three in-depth interviews with healthcare staff as well as a focused group discussion comprising of six relatives of the deceased, including her husband. The investigation revealed that lack of logistics, medical, and laboratory equipment, inadequate knowledge about the benefits of antenatal care services as well as non-adherence of healthcare workers to treatment protocols and standard operating procedures were found as major setbacks to the provision of effective and quality maternal healthcare services in Ghana. It is, therefore, imperative for the Government of Ghana and other Non-Governmental Organizations to invest in strengthening the healthcare delivery system especially in rural Ghana by making available basic logistics, medical, and laboratory equipment, as well as improving upon maternal health education, and consistently organizing capacity building training programs for healthcare workers.

摘要

在加纳提供优质的孕产妇及其他生殖保健服务方面,孕产妇死亡率仍然是一项挑战。这是对加纳农村地区一名孕产妇死亡案例的调查,旨在查明导致其死亡的情况。我们对医护人员进行了三次深入访谈,并与包括死者丈夫在内的六名死者亲属进行了焦点小组讨论。调查显示,缺乏后勤、医疗和实验室设备,对产前保健服务益处的认识不足,以及医护人员不遵守治疗方案和标准操作程序,被发现是加纳提供有效和优质孕产妇保健服务的主要障碍。因此,加纳政府和其他非政府组织必须投资加强医疗服务提供系统,特别是在加纳农村地区,提供基本的后勤、医疗和实验室设备,改善孕产妇健康教育,并持续为医护人员组织能力建设培训项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1746/5900389/41415e9629d6/fpubh-06-00101-g001.jpg

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