Global Child Health Department, Angkor Hospital for Children, Siem Reap, Cambodia
Global Child Health Department, Angkor Hospital for Children, Siem Reap, Cambodia.
BMJ Open. 2020 Jul 12;10(7):e035449. doi: 10.1136/bmjopen-2019-035449.
Neonatal mortality remains persistently high in low-income and middle-income countries. In Cambodia, there is a paucity of data on the perception of neonatal health and care-seeking behaviours at the community level. This study aimed to identify influencers of neonatal health and healthcare-seeking behaviour in a rural Cambodian province.
A qualitative study using focus group discussions and thematic content analysis.
Four health centres in a rural province of Northern Cambodia.
Twenty-four focus group discussions were conducted with 85 community health workers in 2019.
Community health workers recognised an improvement in neonatal health over time. Key influencers to neonatal health were identified as knowledge, sociocultural behaviours, finances and transport, provision of care and healthcare engagement. Most influencers acted as both barriers and facilitators, with the exception of finances and transport that only acted as a barrier, and healthcare engagement that acted as a facilitator.
Understanding health influencers and care-seeking behaviours is recognised to facilitate appropriate community health programmes. Key influencers and care-seeking behaviours have been identified from rural Cambodia adding to the current literature. Where facilitators have already been established, they should be used as building blocks for continued change.
在低收入和中等收入国家，新生儿死亡率仍然居高不下。在柬埔寨，关于社区层面新生儿健康和寻求护理行为的看法的数据很少。本研究旨在确定柬埔寨农村省份新生儿健康和医疗保健寻求行为的影响因素。
使用焦点小组讨论和主题内容分析的定性研究。
柬埔寨北部一个农村省份的四个卫生中心。
2019 年，24 次焦点小组讨论在 85 名社区卫生工作者中进行。
社区卫生工作者认识到新生儿健康随时间的改善。确定的新生儿健康的主要影响因素包括知识、社会文化行为、财务和交通、护理提供以及医疗保健参与。大多数影响因素既是障碍也是促进因素，除了财务和交通仅作为障碍，以及医疗保健参与作为促进因素。
了解健康影响因素和寻求护理行为被认为有助于促进适当的社区卫生计划。已经从柬埔寨农村地区确定了关键的影响因素和寻求护理行为，这增加了当前的文献。在已经建立了促进因素的地方，应该将其用作持续变革的基础。
