Webber Gail, Chirangi Bwire, Magatti Nyamusi
Bruyere Research Institute, 85 Primrose Ave, Ottawa, ON, K1R 6M1, Canada.
Shirati KMT District Hospital, Rorya, Mara, Shirati, Tanzania.
BMC Health Serv Res. 2018 Aug 22;18(1):658. doi: 10.1186/s12913-018-3463-5.
Disrespectful and abusive care of women during their pregnancies has been shown to be a barrier for women accessing health care services for antenatal care and delivery. As part of an implementation research study to improve women's access to health care services in Rorya District, Mara, Tanzania, we conducted a pilot study training reproductive health care nurses to be more sensitive to women's needs based on the "Health Workers for Change" curriculum.
Six series of workshops were held with a total of 60 reproductive health care nurses working at the hospitals, health centres and dispensaries in the district. The participants provided comments on a survey and participated in focus groups at the conclusion of the workshop series. These qualitative data were analyzed for common themes.
The participants appreciated the training and reflected on the poor quality of health care services they were providing, recognizing their attitudes towards their women patients were problematic. They emphasized the need for future training to include more staff and to sustain positive changes. Finally, they made several suggestions for improving women's experiences in the future.
The qualitative findings demonstrate the success of the workshops in assisting the health care providers to become aware of their negative attitudes towards women. Future research should examine the impact of the workshops both on sustaining attitudinal changes of the providers and on the experiences of pregnant women receiving health care services.
孕期妇女遭受无礼和虐待性护理已被证明是妇女获得产前护理和分娩医疗服务的障碍。作为坦桑尼亚马拉省罗里亚区一项改善妇女获得医疗服务的实施性研究的一部分，我们开展了一项试点研究，基于“变革的卫生工作者”课程培训生殖健康护理人员，使其对妇女需求更加敏感。
我们与该地区医院、健康中心和诊所的60名生殖健康护理人员举办了六期系列研讨会。参与者在调查中发表意见，并在系列研讨会结束时参加焦点小组。对这些定性数据进行分析以找出共同主题。
参与者对培训表示赞赏，并反思了他们所提供的医疗服务质量不佳的情况，认识到他们对女性患者的态度存在问题。他们强调未来培训需要纳入更多工作人员并维持积极变化。最后，他们提出了一些改善未来妇女体验的建议。
定性研究结果表明研讨会成功地帮助医疗服务提供者意识到他们对妇女的负面态度。未来研究应考察研讨会对维持提供者态度变化以及对接受医疗服务的孕妇体验的影响。
