Sommer Albert Jacoline, Younas Ahtisham, Victor Gideon
Creat Nurs. 2020 Feb 1;26(1):e25-e34. doi: 10.1891/1078-4535.26.1.e25.
The global adult lifetime risk of maternal mortality is 1 in 180; in Pakistan, it is 1 in 170; in developed regions, 1 in 4,900 (Alkema et al., 2016; Filippi, Chou, Ronsmans, Graham, & Say, 2016; World Health Organization [WHO], 2015). The differences in maternal mortality between developed and developing countries are mainly due to the quality of antenatal care (ANC) available in the two groups of countries. The purpose of this study was to assess the structural and procedural quality of ANC services provided and to assess satisfaction levels of women receiving ANC services in two large hospitals in Islamabad, Pakistan. A cross-sectional survey was conducted at the hospitals' outpatient maternal and child health clinics, with a random sample of 138 women. The overall quality of ANC was rated as good (61%), average (17.5%), or poor (17.5%). The findings suggest a need to cultivate quality of care at public health facilities, train health workers in communication skills, and build technical capacity by continuing education and supportive supervision to train health-care providers to follow standard protocols for provision of quality ANC services.
全球成年女性一生中孕产妇死亡风险为1/180；在巴基斯坦，这一风险为1/170；在发达地区，为1/4900（阿尔克马等人，2016年；菲利皮、周、朗斯曼斯、格雷厄姆和赛伊，2016年；世界卫生组织[世卫组织]，2015年）。发达国家和发展中国家孕产妇死亡率的差异主要归因于两类国家可获得的产前保健（ANC）质量。本研究的目的是评估所提供的ANC服务的结构和程序质量，并评估巴基斯坦伊斯兰堡两家大型医院中接受ANC服务的女性的满意度水平。在医院的门诊母婴健康诊所进行了一项横断面调查，随机抽取了138名女性。ANC的总体质量被评为良好（61%）、中等（17.5%）或较差（17.5%）。研究结果表明，有必要在公共卫生设施培养护理质量，培训卫生工作者的沟通技巧，并通过继续教育和支持性监督来建设技术能力，以培训医疗保健提供者遵循提供高质量ANC服务的标准规程。
