Walimu, Kampala, Uganda.
Faculty of Medicine, McGill University, Montreal, Québec, Canada.
Acta Paediatr. 2024 Aug;113(8):1845-1851. doi: 10.1111/apa.17182. Epub 2024 Feb 27.
Family Integrated Care (FICare) was developed in high-income countries and has not been tested in resource-poor settings. We aimed to identify the facilitators and constraints that informed the adaptation of FICare to a neonatal hospital unit in Uganda.
Maternal focus groups and healthcare provider interviews were conducted at Uganda's Jinja Regional Referral Hospital in 2020. Transcripts were analysed using inductive content analysis. An adaptation team developed Uganda FICare based on the identified facilitators and constraints.
Participants included 10 mothers (median age 28 years) and eight healthcare providers (seven female, median age 41 years). Reducing healthcare provider workload, improving neonatal outcomes and empowering mothers were identified as facilitators. Maternal stress, maternal difficulties in learning new skills and mistrust of mothers by healthcare providers were cited as constraints. Uganda FICare focused on task-shifting important but neglected patient care tasks from healthcare providers to mothers. Healthcare providers learned how to respond to maternal concerns. Intervention material was adapted to prioritise images over text. Mothers familiar with FICare provided peer-to-peer support to other mothers.
Uganda FICare shares the core values of FICare but was adapted to be feasible in low-resource settings.
家庭综合护理（FICare）是在高收入国家开发的，尚未在资源匮乏的环境中进行测试。我们旨在确定促进因素和制约因素，以了解 FICare 在乌干达新生儿医院病房中的适应情况。
2020 年，在乌干达金贾地区转诊医院进行了母亲焦点小组和医疗保健提供者访谈。使用归纳内容分析法对转录本进行分析。适应团队根据确定的促进因素和制约因素制定了乌干达 FICare。
参与者包括 10 位母亲（中位数年龄 28 岁）和 8 位医疗保健提供者（7 名女性，中位数年龄 41 岁）。减少医疗保健提供者的工作量、改善新生儿结局和增强母亲的能力被认为是促进因素。母亲的压力、母亲学习新技能的困难以及医疗保健提供者对母亲的不信任被认为是制约因素。乌干达 FICare 专注于将重要但被忽视的患者护理任务从医疗保健提供者转移到母亲身上。医疗保健提供者学会了如何回应母亲的担忧。干预材料进行了调整，优先考虑图像而不是文本。熟悉 FICare 的母亲为其他母亲提供了同伴支持。
乌干达 FICare 共享 FICare 的核心价值观，但适应了资源匮乏环境的可行性。
