647717 Université de l'Ontario français , Toronto, ON, Canada.
Faculty of Nursing, 4440 Université Laval , Québec, QC, Canada.
Int J Adolesc Med Health. 2024 Apr 8;36(3):243-250. doi: 10.1515/ijamh-2023-0157. eCollection 2024 Jun 1.
The aim of this study was to explore healthcare professionals' experience of pregnant and motherhood in adolescence in Haiti.
The methodology for collecting and analyzing qualitative data was based on John Dewey's social survey. The study was conducted in nine health institutions in the North and North-East departments of Haiti from October 2020 to January 2021. Data were collected through individual semi-structured interviews with 15 healthcare professionals. All interviews were audio-recorded. The recordings were listened to carefully and transcribed in verbatim form. After checking and validation, the verbatims in Word format were exported to QDA Miner software version 6.0.5 for coding. The data were analyzed using Paillé and Mucchielli thematic analyses.
Health professionals such as gynecologists, nurses, midwives, nursing assistants, matrons and health workers took part in the study. These study participants indicate that teenage pregnancy and motherhood are social and public health problems whose negative consequences affect teenage girls, children, healthcare professionals, the healthcare system, and Haitian society in general. The services offered to adolescent girls are medical, educational, psychological, economic, and social in nature. When caring for pregnant adolescents during the transition to motherhood, healthcare professionals face many challenges that are linked to the socio-economic status and physiological reality of adolescents, as well as the healthcare system.
Programs involving home care visits should also be set up to offer ongoing support to pregnant or parenting teenagers. The distribution of food aid or materials such as clothing, hygiene products and baby kits should also be considered.
本研究旨在探讨海地医疗保健专业人员在青少年时期怀孕和为人母的经历。
收集和分析定性数据的方法基于约翰·杜威的社会调查。该研究于 2020 年 10 月至 2021 年 1 月在海地北部和东北部的 9 家卫生机构进行。通过对 15 名医疗保健专业人员进行个人半结构化访谈收集数据。所有访谈均进行录音。仔细聆听录音并逐字记录。核对和验证后，将 Word 格式的逐字记录导出到 QDA Miner 软件版本 6.0.5 进行编码。使用 Paillé 和 Mucchielli 主题分析对数据进行分析。
研究参与者包括妇科医生、护士、助产士、护理助理、护士长和卫生工作者。这些研究参与者表示，青少年怀孕和母亲身份是社会和公共卫生问题，其负面影响会影响少女、儿童、医疗保健专业人员、医疗保健系统以及整个海地社会。为少女提供的服务具有医疗、教育、心理、经济和社会性质。在照顾过渡到母亲身份的青少年怀孕时，医疗保健专业人员面临着许多挑战，这些挑战与青少年的社会经济地位和生理现实以及医疗保健系统有关。
还应制定家访计划，为怀孕或为人母的青少年提供持续支持。还应考虑分发食品援助或衣物、卫生用品和婴儿用品等材料。
