Faculté des Sciences Infirmières, Université Laval, Quebec, Canada.
Faculté de Médecine, Université Laval, Quebec, Canada.
Pan Afr Med J. 2023 Mar 17;44:138. doi: 10.11604/pamj.2023.44.138.36736. eCollection 2023.
an intervention aiming to improve the maternal and children environment in healthcare facilities (BECEYA) was launched in three regions of Mali. This study aimed to explore the perceptions and experiences of patients and their companions, community actors, and healthcare facilities staff on the effects of the BECEYA intervention in two regions of Mali.
we conducted a qualitative study using an empirical phenomenological approach. Through purposive sampling, women who attended antenatal care in the selected healthcare centres, companions, and health facility staff members were recruited. Data were collected during January and February 2020 through semi-structured individual interviews and focus groups. According to Braun and Clarke's approach, audio recordings were transcribed verbatim, and a thematic analysis was conducted in five main steps. Donabedian conceptual framework of quality of care was used to present the perceived changes following the implementation of the BECEYA project.
we recruited 26 participants in individual interviews (20 women attending prenatal care and maternity services, 10 per health centre, four companions, and two healthcare centre managers) and 21 healthcare centre staff members (10 in Babala, 11 in Wayerma 2) in focus groups. Themes that emerged from data analysis are perceived changes in terms of infrastructure (perceived changes in the characteristics of the healthcare facilities setting, including the infrastructure introduced by the BECEYA project), process (changes in the delivery and use of care introduced or resulting from BECEYA activities), and outcome (the direct and indirect effects of these changes on the health status of patients and the population).
the study highlighted some positive effects on women users of the services, their companions, and health centre staff following the implementation of the intervention. This study contributes to showing some links between improving the environment of healthcare centres and the quality of care in developing countries.
旨在改善医疗保健设施中的母婴环境（BECEYA）的干预措施在马里的三个地区启动。本研究旨在探讨患者及其同伴、社区行为者和医疗机构工作人员对 BECEYA 干预在马里两个地区的影响的看法和经验。
我们采用实证现象学方法进行了定性研究。通过目的抽样，在选定的医疗中心招募了参加产前保健的妇女、同伴和卫生设施工作人员。数据于 2020 年 1 月和 2 月通过半结构化的个人访谈和焦点小组收集。根据 Braun 和 Clarke 的方法，对录音进行逐字转录，并按照五个主要步骤进行主题分析。根据 Donabedian 护理质量概念框架，介绍了在实施 BECEYA 项目后感知到的变化。
我们在个人访谈中招募了 26 名参与者（20 名参加产前保健和产妇服务的妇女，每个医疗中心 10 名，4 名同伴，2 名医疗中心经理）和 21 名医疗中心工作人员（Babala 10 名，Wayerma 2 名 11 名）在焦点小组中。数据分析中出现的主题包括基础设施方面的感知变化（对医疗设施环境特征的感知变化，包括 BECEYA 项目引入的基础设施）、过程（由于 BECEYA 活动引入或产生的护理提供和使用的变化）和结果（这些变化对患者和人群健康状况的直接和间接影响）。
研究强调了在实施干预措施后，对服务的女性使用者、她们的同伴和医疗中心工作人员的一些积极影响。本研究有助于展示改善医疗中心环境与发展中国家护理质量之间的一些联系。
