Johns Hopkins School of Public Health, 615 North Wolfe St, E8011, Baltimore, MD, 21205, USA.
University Research Co., LLC, 5404 Wisconsin Ave, Suite, Chevy Chase, MD, 800, USA.
BMC Pregnancy Childbirth. 2020 Apr 28;20(1):249. doi: 10.1186/s12884-020-02894-z.
Quality and respect are increasingly recognized as critical aspects of the provision of health care, and poor quality may be an essential driver of low health care utilization, especially for maternal and neonatal care. Beyond differential access to care, unequal levels of quality exacerbate inequity, and those who need services most, including displaced, migrant, and conflict-affected populations, may be receiving poorer quality care, or may be deterred from seeking care at all.Examples from around the world show that mothers and their children are often judged and mistreated for presenting to facilities without clean or "modern" clothing, without soap or clean sheets to use in the hospital, or without gifts like sweets or candies for providers. Underfunded facilities may rely on income from those seeking care, but denying and shaming the poor further discriminates against vulnerable women and newborns, by placing additional financial burden on those already marginalized.The culture of care needs to shift to create welcoming environments for all care-seekers, regardless of socio-economic status. No one should fear mistreatment, denial of services, or detainment due to lack of gifts or payments. There is an urgent need to ensure that health care centers are safe, friendly, respectful, and hospitable spaces for women, their newborns, and their families.
质量和尊重越来越被认为是医疗保健提供的关键方面，而低质量可能是医疗保健利用不足的一个重要驱动因素，特别是在孕产妇和新生儿护理方面。除了获得医疗服务的机会不同之外，质量不平等加剧了不平等现象，那些最需要服务的人，包括流离失所者、移民和受冲突影响的人群，可能会得到质量较差的护理，或者根本不愿意寻求护理。世界各地的例子表明，母亲和她们的孩子经常因为穿着不整洁或“现代”的衣服、没有肥皂或干净的床单在医院使用、或者没有给医护人员送糖果或糖果等礼物而受到评判和虐待。资金不足的医疗机构可能依赖寻求医疗服务的人的收入，但拒绝和羞辱穷人会进一步歧视弱势妇女和新生儿，因为这会给已经处于边缘地位的人增加额外的经济负担。护理文化需要转变，为所有寻求护理的人创造一个欢迎的环境，无论其社会经济地位如何。任何人都不应该担心受到虐待、拒绝服务或因缺乏礼物或付款而被拘留。迫切需要确保医疗中心是妇女、她们的新生儿及其家人安全、友好、尊重和热情的空间。
