College of Nursing and Health Sciences, Flinders University, Australia; Medical Faculty, Cenderawasih University, Papua, Indonesia.
College of Nursing and Health Sciences, Flinders University, Australia; School of Nursing and Midwifery, Deakin University, Australia.
Women Birth. 2022 Mar;35(2):201-209. doi: 10.1016/j.wombi.2021.04.007. Epub 2021 Apr 24.
High infant mortality remains a global health problem, particularly in less developed countries. Indonesia has one of the highest infant mortality rates in Southeast Asia. Known factors relate to documented medical conditions and do not necessarily explain their origin.
To identify and explore factors that contribute to infant mortality in Papua, Indonesia, through the lens of health workers' perceptions.
A qualitative descriptive approach using semi-structured interviews was used. Twelve Indonesian health workers participated. Interviews were audio-recorded and transcribed, and then analysed thematically.
Five main themes were generated: beliefs and practices related to pregnancy, birth, and infants; infant health factors; maternal health factors; barriers to seeking, receiving and providing infant health care; and enablers and strategies for improving infant health.
Cultural factors were perceived as contributing to poor health outcomes by shaping decisions, help seeking behaviour and health care access. Poverty, health literacy, road access and transport, shortage of health staffing, and health equipment and medicines exacerbate poor health outcomes.
Cultural knowledge and sensitivity are central to the provision and acceptance of health care by local families in Papua, Indonesia. Recommendations include: improving cultural sensitivity and cultural safety of service; implementing community health promotion to enhance maternal and infant health; improving community participation in health care planning and delivery; and enhancing collaboration between national, provincial, regency and local governments.
高婴儿死亡率仍然是一个全球性的健康问题，特别是在欠发达国家。印度尼西亚是东南亚婴儿死亡率最高的国家之一。已知的因素与有记录的医疗条件有关，但不一定能解释其根源。
通过卫生工作者的观点，确定并探讨印度尼西亚巴布亚婴儿死亡的相关因素。
采用半结构式访谈的定性描述方法，选取 12 名印度尼西亚卫生工作者参与研究。对访谈进行录音和转录，然后进行主题分析。
生成了五个主要主题：与妊娠、分娩和婴儿有关的信仰和实践；婴儿健康因素；产妇健康因素；寻求、接受和提供婴儿保健服务的障碍；以及改善婴儿健康的促进因素和策略。
文化因素被认为通过影响决策、寻求帮助的行为和获得医疗保健的机会，对不良健康结果产生影响。贫困、健康素养、道路状况和交通、卫生人员短缺以及卫生设备和药品的缺乏进一步加剧了不良健康结果。
文化知识和敏感性是印度尼西亚巴布亚当地家庭提供和接受医疗保健的核心。建议包括：提高服务的文化敏感性和文化安全性；实施社区健康促进，以改善母婴健康；增强社区参与医疗保健规划和提供；加强国家、省、县和地方政府之间的合作。
