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探索埃塞俄比亚 6-59 月龄儿童维生素 A 补充摄入和方案实施的障碍:一种定性方法。

Exploring Barriers to Vitamin A Supplementation Uptake and Program Implementation Among Children Aged 6-59 Months in Ethiopia: A Qualitative Approach.

机构信息

Department of Public Health, College of Health Sciences, Woldia University, Woldia, Ethiopia.

出版信息

Int J Public Health. 2023 Sep 29;68:1606167. doi: 10.3389/ijph.2023.1606167. eCollection 2023.

Abstract

Children in Ethiopia do not receive the recommended dose of vitamin A supplementation (VAS). This study aimed to explore the barriers to VAS uptake and program implementation among children aged 6-59 months in Ethiopia. Data were collected qualitatively using focus group discussions and in-depth interviews. The data were audio-recorded, transcribed, and inductively coded. The results were displayed using thematic analysis and the well-spoken verbatim of the respondents. The barriers to VAS uptake were low parental awareness of the program and low interest or motivation, low promotion of the program among health professionals, an excessive workload for health extension workers, and low professional attention to VAS compared to other health services. Both client-side and supply-side issues posed significant obstacles to the uptake of VAS. It is important to educate mothers about VAS. Health workers should receive refresher training to raise their level of concern about VAS's importance and its schedule. It's crucial to initiate outreach programs for remote communities. The departmentalization of health extension packages will improve service and access.

摘要

埃塞俄比亚的儿童无法获得推荐剂量的维生素 A 补充剂(VAS)。本研究旨在探讨埃塞俄比亚 6-59 个月儿童 VAS 摄入量和方案实施的障碍。使用焦点小组讨论和深入访谈进行定性数据收集。对数据进行了录音、转录和归纳编码。使用主题分析和受访者的精彩原话来展示结果。VAS 摄入量的障碍包括父母对该计划的意识低,兴趣或动机低,卫生专业人员对该计划的宣传力度低,卫生工作者的工作量过大,以及与其他卫生服务相比,专业人员对 VAS 的关注度低。客户端和供应端的问题都对 VAS 的摄入量构成了重大障碍。教育母亲关于 VAS 很重要。卫生工作者应接受进修培训,以提高他们对 VAS 的重要性及其时间表的关注程度。为偏远社区开展外展计划至关重要。卫生推广包的部门化将改善服务和获得服务的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a11/10572360/af9671ae5368/ijph-68-1606167-g001.jpg

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