Department of Geography, Simon Fraser University, Burnaby, Canada.
Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
Soc Sci Med. 2020 Nov;264:113297. doi: 10.1016/j.socscimed.2020.113297. Epub 2020 Aug 19.
This study explores the informal care roles involved in the delivery of maternal health services by Rwanda's elected maternal community health workers. We conducted semi-structured interviews with 20 such workers in five Rwandan districts to explore their understandings of why they were elected for this voluntary position; what motivates them to fulfill their responsibilities; and their experiences of providing maternal health services in a resource-limited context. Thematically exploring the findings using an ethics of care lens, we highlight how responsibility, vulnerability and mutuality inform the place of these workers' roles in the maternal care system and their villages. We conclude by acknowledging the significant responsibilities assigned by these works and that the burden that may result from taking on such care may negatively affect the sustainability of this initiative.
本研究探讨了卢旺达选举产生的产妇社区卫生工作者在提供孕产妇保健服务中所扮演的非正式护理角色。我们在卢旺达的五个地区对 20 名这样的工作人员进行了半结构化访谈，以探讨他们为何被选为这一志愿职位；激励他们履行职责的因素；以及他们在资源有限的情况下提供孕产妇保健服务的经验。我们使用关怀伦理的视角对研究结果进行主题探讨，强调了这些工作人员在产妇护理系统及其所在村庄中的角色所依据的责任、脆弱性和相互性。最后，我们承认这些工作者所承担的重大责任，以及承担这种护理可能带来的负担可能会对这一举措的可持续性产生负面影响。
