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COVID-19大流行期间孕妇的求医行为:一项定性研究。

Health-seeking behaviour among pregnant women during the COVID-19 pandemic: A qualitative study.

作者信息

Onchonga David, Alfatafta Huda, Ngetich Enoch, Makunda Wilbroda

机构信息

Doctoral School of Health Sciences, Faculty of Health Sciences, University of Pécs, Hungary.

School of Public Health, Mount Kenya University-Nairobi, Kenya.

出版信息

Heliyon. 2021 Sep;7(9):e07972. doi: 10.1016/j.heliyon.2021.e07972. Epub 2021 Sep 10.

Abstract

BACKGROUND

The novel coronavirus pandemic has killed millions of people globally while significantly destroying the social, economic, and political wellbeing of people. The global pandemic has negatively impacted pregnant women's access to prenatal care. The current study sought to understand the health-seeking behaviour of women who were pregnant during the onset of the COVID-19 pandemic in Kenya.

METHODS

The "Three Delay" model theoretical framework was applied to piece together the pregnant women's health-seeking behaviour during the early stages of the pandemic through focus group discussions. The collected qualitative data was analysed using thematic analysis.

RESULTS

The delays in deciding to seek care, delays in reaching healthcare facilities and delays in receiving quality healthcare services at the healthcare facility were a result of the fear of contracting the virus. These delays were occasioned by participants' personal experiences and uncertainties about COVID-19 pandemic, compulsory quarantines, national cessation of movements, compulsory lockdowns, loss of income to many households and the influence of traditional birth attendants (TBAs).

CONCLUSION

The current study found that fear of COVID-19 was a major factor that hindered access to maternal healthcare services. In this regard, there is a need to upscale awareness creation on the significance of seeking maternal health services during the pandemic to reduce the possibility of obliterating the gains made in reducing poor health-seeking behaviours among pregnant women.

摘要

背景

新型冠状病毒大流行在全球造成数百万人死亡,同时严重破坏了人们的社会、经济和政治福祉。这场全球大流行对孕妇获得产前护理产生了负面影响。本研究旨在了解肯尼亚在新冠疫情爆发期间怀孕的妇女的求医行为。

方法

应用“三个延误”模型理论框架,通过焦点小组讨论梳理大流行早期孕妇的求医行为。使用主题分析法对收集到的定性数据进行分析。

结果

决定求医的延误、到达医疗机构的延误以及在医疗机构接受优质医疗服务的延误是由于害怕感染病毒。这些延误是由参与者的个人经历以及对新冠疫情的不确定性、强制隔离、全国性的行动限制、强制封锁、许多家庭收入损失以及传统助产士的影响造成的。

结论

本研究发现,对新冠病毒的恐惧是阻碍获得孕产妇医疗服务的一个主要因素。在这方面,有必要加强关于在大流行期间寻求孕产妇保健服务重要性的宣传,以减少抹去在减少孕妇不良求医行为方面取得的成果的可能性。

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