Department of Public Health, Global Health Section, University of Copenhagen, Øster Farimagsgade 5, 1014, Copenhagen K, Denmark.
Maternity Foundation, Sortedam Dossering 81, 2100, Copenhagen Ø, Denmark.
Reprod Health. 2019 May 9;16(1):50. doi: 10.1186/s12978-019-0725-6.
Health workers in many low-income countries are not adequately trained to deliver pregnant women safely. In response to this, the Safe Delivery App (SDA) has been developed, which provides animated clinical instruction videos in basic emergency obstetric and neonatal care. The SDA aims to improve knowledge and skills of health workers located in the periphery of the health system in order to improve quality of care and potentially save the lives of mothers and newborns. The objective of this qualitative study was to explore the users' experiences with using the SDA and in which ways the SDA influences their work situation and their perceived ability to conduct safe deliveries.
Eleven focus group discussions and four individual interviews were conducted with a total of 56 midwives, nurses and health extension workers from five districts in West Wollega Zone, Oromiya region of Ethiopia. The data further include observations and informal conversations. All interviews were recorded, transcribed verbatim, checked for corrections and analysed using systematic text condensation.
The findings indicate that health workers perceive the SDA as a useful tool, which helps them memorize and update knowledge and skills, and improves their confidence. User patterns follow the relevancy of the tool to the health workers' work situation - those who conduct many deliveries have more often used the app in emergency situations, whereas those who conduct few deliveries more often use it to improve their knowledge and to provide health education to pregnant women. Thus, the SDA is used in varying ways depending on internal and external factors such as own competencies, availability of equipment and frequency of births attended. Health workers experienced that community members showed more recognition and trust in their abilities and ascribed this to their increased confidence in assisting in deliveries. The increased recognition from communities may also be associated to a medical technology.
The health workers perceive the SDA as having improved their ability to manage complications during childbirth and have gained increased recognition and trust from the communities.
许多低收入国家的卫生工作者没有接受足够的培训，无法安全地为孕妇接生。为了解决这个问题，开发了安全分娩应用程序（SDA），该程序提供基本紧急产科和新生儿护理的动画临床指导视频。SDA 的目的是提高位于卫生系统外围的卫生工作者的知识和技能，以提高护理质量，并有可能挽救母亲和新生儿的生命。本定性研究的目的是探讨用户使用 SDA 的经验，以及 SDA 以何种方式影响他们的工作情况及其对进行安全分娩的感知能力。
在埃塞俄比亚奥罗米亚地区西沃洛格泽区的五个区，对 56 名助产士、护士和卫生推广工作者进行了 11 次焦点小组讨论和 4 次个人访谈。数据还包括观察和非正式对话。所有访谈都进行了录音、逐字记录、检查纠正并使用系统文本浓缩进行分析。
调查结果表明，卫生工作者认为 SDA 是一种有用的工具，可以帮助他们记忆和更新知识和技能，并提高他们的信心。用户模式遵循工具与卫生工作者工作情况的相关性——那些进行多次分娩的人更经常在紧急情况下使用该应用程序，而那些进行较少分娩的人更经常使用它来提高知识水平并为孕妇提供健康教育。因此，SDA 根据内部和外部因素（如自身能力、设备可用性和分娩频率）以不同的方式使用。卫生工作者表示，社区成员对他们的能力表现出更多的认可和信任，并将其归因于他们在协助分娩方面的信心增强。社区的这种认可也可能与医疗技术有关。
卫生工作者认为 SDA 提高了他们处理分娩并发症的能力，并获得了社区的更多认可和信任。
