Warren Alpert Medical School of Brown University, Providence, USA.
Khushi Baby, Udaipur, India.
BMC Pregnancy Childbirth. 2022 Apr 11;22(1):310. doi: 10.1186/s12884-022-04601-6.
To qualitatively assess the barriers and facilitators to uptake of referral services amongst high-risk pregnant women in rural Rajasthan.
A purposive sample of pregnant women with high-risk conditions requiring referral follow-up care (severe hypertension, moderate anemia, and severe anemia) were considered for inclusion. In-depth individual interviews were conducted in the local dialect, Mewari. Interviews were transcribed, coded, and organized for thematic generation as per the analytical framework described in the socio-ecological model.
19 high risk pregnant women of low socioeconomic backgrounds across 15 villages were interviewed. Barriers to referral care included lack of transportation, household responsibilities, and limited awareness, education, and social support. The most prominent barrier was lack of accompaniment to the referral center by a family member or health worker. Facilitators included available husbands, engaged heath workers, supportive neighbors, and other female family members who shared past experiences.
Social support at the interpersonal and community level was key to overcoming referral care barriers faced by high-risk pregnant women in rural Rajasthan. Interventions that enhance social support may improve uptake of referral care services by high-risk pregnant women.
定性评估拉贾斯坦邦农村地区高危孕妇接受转介服务的障碍和促进因素。
选择需要转介随访护理的高危孕妇（严重高血压、中度贫血和严重贫血）作为研究对象。以 Mewari 方言进行深入的个体访谈。根据社会生态模式中描述的分析框架，对访谈进行转录、编码和组织，以生成主题。
在 15 个村庄中，共采访了 19 名社会经济背景较低的高危孕妇。转介护理的障碍包括缺乏交通工具、家庭责任以及意识、教育和社会支持有限。最突出的障碍是缺乏家庭成员或卫生工作者陪同前往转介中心。促进因素包括可提供帮助的丈夫、积极参与的卫生工作者、支持性的邻居以及其他分享过去经验的女性家庭成员。
在人际和社区层面的社会支持是克服拉贾斯坦邦农村高危孕妇转介护理障碍的关键。增强社会支持的干预措施可能会提高高危孕妇对转介护理服务的接受度。
