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移动健康技术在提供孕产妇保健服务方面——加纳上西部地区孕妇面临的认识与挑战

Mobile health technology in providing maternal health services - Awareness and challenges faced by pregnant women in upper West region of Ghana.

作者信息

Bekyieriya E, Isang S, Baguune B

机构信息

REJ Institute, Research and ICT Consultancy Services, P.O. Box TL1139, Tamale, Ghana.

School of Hygiene, Environmental Health Programme, Ministry of Health, Tamale, Ghana.

出版信息

Public Health Pract (Oxf). 2023 Jun 29;6:100407. doi: 10.1016/j.puhip.2023.100407. eCollection 2023 Dec.

Abstract

OBJECTIVES

The study assessed awareness on Mobile Health (mhealth) Technology as well as challenges pregnant women encounter in the utilization of mhealth technology to improve maternal health in rural settings in the Upper West Region (UWR) of Ghana.

STUDY DESIGN

The study was an exploratory design that employed the qualitative method of data collection.

METHODS

Semi-structured interview guide was used to conduct six (6) Focus Group Discussions (FGDs) and nine (9) Key Informant Interviews (KIIs) among pregnant women and health workers respectively from three (3) selected rural districts in the Upper West Region. Data was collected in August 2020. Thematic analysis was conducted and some statements from participants were presented verbatim to illustrate the themes realized.

RESULTS

Participants were aware of the mhealth intervention that had been implemented by Savanna Signatures in their districts. Major sources of information on the mhealth services were from durbars, health education sessions and health care providers. Challenges faced by pregnant women, in the mhealth technology intervention were; financial challenges, lack of mobile network connectivity, lack of electricity in some rural areas, low female literacy rate at household level and cultural barriers.

CONCLUSION

The Savanna Signatures mhealth intervention is widely known but some challenges exist that impede the smooth implementation of the intervention. The mhealth technology intervention implementers should partner with other sectors and policy makers to address the challenges identified by the study.

摘要

目标

本研究评估了对移动健康(mhealth)技术的认知,以及加纳上西部地区(UWR)农村地区孕妇在利用移动健康技术改善孕产妇健康方面遇到的挑战。

研究设计

本研究为探索性设计,采用定性数据收集方法。

方法

使用半结构化访谈指南,分别在上西部地区三个选定的农村地区的孕妇和卫生工作者中进行了六次焦点小组讨论(FGD)和九次关键 informant 访谈(KII)。数据于2020年8月收集。进行了主题分析,并逐字呈现了参与者的一些陈述,以说明所实现的主题。

结果

参与者了解萨凡纳签名组织在其所在地区实施的移动健康干预措施。移动健康服务的主要信息来源是杜尔巴节、健康教育课程和医疗服务提供者。孕妇在移动健康技术干预中面临的挑战包括:经济挑战、缺乏移动网络连接、一些农村地区电力供应不足、家庭层面女性识字率低以及文化障碍。

结论

萨凡纳签名组织的移动健康干预措施广为人知,但存在一些阻碍该干预措施顺利实施的挑战。移动健康技术干预措施的实施者应与其他部门和政策制定者合作,以应对研究中确定的挑战。

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Rural Health Care Access and Policy in Developing Countries.发展中国家的农村医疗保健获取和政策。
Annu Rev Public Health. 2016;37:395-412. doi: 10.1146/annurev-publhealth-032315-021507. Epub 2016 Jan 6.

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