Louzado-Feliciano Paola, Vargas Brianna, Dandu Madhavi, Fuller Shannon, Santos Nicole, Quiñones Ángela, Martin Holly M, Caban-Martinez Alberto J
UCSF Institute for Global Health Sciences, San Francisco, CA, United States.
Department of Public Health Sciences, University of Miami Leonard M. Miller School of Medicine, Miami, FL, United States.
Front Public Health. 2020 Dec 16;8:598136. doi: 10.3389/fpubh.2020.598136. eCollection 2020.
Despite national efforts to control pediatric anemia in Peru, each year, 67.4% of all newborns are diagnosed with anemia during their first year of life. The literature on Peruvian mothers' understanding and beliefs of pediatric anemia is limited. In the present study, we aimed to understand mother's perspective of pediatric anemia and explore their perceptions on how to prevent and treat anemia in Peru. During May-June 2018, we administered a short demographic questionnaire and conducted language-sensitive interviews with mothers of children clinically diagnosed with anemia in three different governmental health centers in Arequipa, Peru. Interviews were audio-recorded and transcribed verbatim. We used the Framework Analysis approach to analyze qualitative data. A total of 14 Peruvian mothers were interviewed. Across interviews, three main themes emerged: (I) Mothers' Understanding of Pediatric Anemia; (II) Attitudes about Provider Recommendations for Pediatric Anemia Control; and (III) Barriers to Effective Pediatric Anemia Control. Peruvian mothers expressed skepticism toward national pediatric anemia guidelines as they believe recommendations received at health clinics jeopardized their children's overall health. Participants identified several barriers to effective anemia control: limited and confusing health information received during pediatric healthcare appointments, lack of systematic protocols in health clinics, and inconsistent referral processes. We identified factors that limit the acceptance of current pediatric anemia control guidelines followed at governmental health centers in Arequipa, Peru. Understanding maternal beliefs concerning pediatric anemia can guide future anemia control guidelines at the primary care level for pediatric patients in Peru.
尽管秘鲁在全国范围内努力控制小儿贫血，但每年仍有67.4%的新生儿在其生命的第一年被诊断为贫血。关于秘鲁母亲对小儿贫血的理解和信念的文献有限。在本研究中，我们旨在了解母亲对小儿贫血的看法，并探讨她们对秘鲁如何预防和治疗贫血的认知。2018年5月至6月期间，我们在秘鲁阿雷基帕的三个不同政府卫生中心，向临床诊断为贫血儿童的母亲发放了一份简短的人口统计问卷，并进行了语言敏感访谈。访谈进行了录音，并逐字转录。我们使用框架分析方法来分析定性数据。总共采访了14位秘鲁母亲。在所有访谈中，出现了三个主要主题：（一）母亲对小儿贫血的理解；（二）对医疗服务提供者控制小儿贫血建议的态度；（三）有效控制小儿贫血的障碍。秘鲁母亲对国家小儿贫血指南表示怀疑，因为她们认为在健康诊所收到的建议会危及孩子的整体健康。参与者指出了有效控制贫血的几个障碍：在小儿保健预约期间收到的健康信息有限且令人困惑、健康诊所缺乏系统的方案以及转诊流程不一致。我们确定了限制秘鲁阿雷基帕政府卫生中心目前遵循的小儿贫血控制指南被接受的因素。了解母亲对小儿贫血的信念可以为秘鲁儿科患者初级保健层面未来的贫血控制指南提供指导。
