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南非豪登省半城市医疗保健设施中产前护理服务提供方面的组织相关挑战。

Organizational related challenges in antenatal care service delivery in semi-urban healthcare facilities in Gauteng, South Africa.

机构信息

Department of Nursing Sciences: Sefako Makgatho Health Sciences University Pretoria 0001, RSA.

Population Solutions for Health Harare, Zimbabwe. Research Fellow for the Department of Health Studies, University of South Africa, Pretoria, RSA.

出版信息

Afr J Reprod Health. 2022 Oct;26(10):44-54. doi: 10.29063/ajrh2022/v26i10.6.

DOI:10.29063/ajrh2022/v26i10.6
PMID:37585045
Abstract

Antenatal care is vital in improving pregnancy outcomes. It is a vehicle for assisting in the reduction of maternal mortality. For this to be realized, there is a need for antenatal care that is effective, acceptable, and accessible to the users. However, South Africa is faced with challenges that impact the utilization of the service. A descriptive phenomenological design was used to explore the challenges of pregnant women attending antenatal care at selected facilities in Gauteng Province. Data were collected from 14 purposefully selected participants through in-depth individual telephonic interviews. Data analysis was guided by the Colaizzi steps. Credibility, dependability, confirmability, and transferability measures were applied to ensure trustworthiness. Ethical principles were adhered to throughout the study. Three themes emerged: resources and Covid-19-related challenges, overwhelming logistical processes, and suggested recommendations for ANC improvement. Management should provide sufficient resources and counselling services for staff and prioritize antenatal care services.

摘要

产前护理对于改善妊娠结局至关重要。它是协助降低孕产妇死亡率的一种手段。为了实现这一目标,需要提供有效、可接受和用户可及的产前护理。然而,南非面临着一些挑战,这些挑战影响了服务的利用。本研究采用描述性现象学设计,旨在探索在豪登省选定医疗机构接受产前护理的孕妇所面临的挑战。通过深入的个人电话访谈,从 14 名有目的地选择的参与者那里收集数据。数据分析遵循科拉齐步骤。为了确保可信度,应用了可信度、可靠性、可确认性和可转移性措施。整个研究都遵守了伦理原则。出现了三个主题:资源和与新冠疫情相关的挑战、压倒性的后勤流程以及改善 ANC 的建议。管理层应为员工提供充足的资源和咨询服务,并优先考虑产前护理服务。

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