Public Health, Medical Education, and Professionalism, School of Medicine, University of los Andes, Bogotá, Colombia.
Int J Gynaecol Obstet. 2020 Jan;148 Suppl 2(Suppl 2):29-35. doi: 10.1002/ijgo.13045.
To explore the perceptions and experiences of pregnant women in accessing healthcare services during the epidemic in Colombia during 2015-2016.
A qualitative study using semistructured interviews was conducted in Villavicencio. Six women who had been diagnosed with Zika virus infection during their pregnancies and whose fetus had suspected microcephaly participated in the investigation. Grounded theory was used and thematic content analysis was made for each category identified.
Three main themes affecting access to healthcare services were identified: (1) women knew basic information about the virus, but it was limited; (2) access to services was delayed due to their lack of availability or limited supply in the municipality; and (3) most of the participants made out-of-pocket payments to get access to services that were not provided.
Several gaps were identified in the provision of healthcare services to pregnant women during the Zika epidemic. Policy makers need to utilize the results from affected communities to develop and implement public policies that adapt and respond to their priorities and needs.
探讨 2015-2016 年哥伦比亚疫情期间孕妇获取医疗服务的感知和体验。
在比亚维森西奥市进行了一项定性研究，采用半结构式访谈。参与调查的有 6 名在怀孕期间被诊断出感染寨卡病毒且其胎儿疑似小头畸形的孕妇。使用扎根理论，对每个确定的类别进行主题内容分析。
确定了影响获得医疗服务的三个主要主题：（1） 妇女了解有关病毒的基本信息，但信息有限；（2） 由于市政当局缺乏或供应有限，服务的获取被延迟；（3） 大多数参与者自费获得未提供的服务。
在寨卡疫情期间，向孕妇提供医疗服务存在一些差距。政策制定者需要利用受影响社区的结果来制定和实施公共政策，以适应和响应他们的优先事项和需求。
