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纳米比亚奥希科托地区翁丹杰库勒路德教会医院附近的孕妇对使用产待所的看法。

Perspectives of pregnant women on the utilisation of a maternity waiting home near Onandjokwe Lutheran Hospital in Oshikoto Region, Namibia.

机构信息

Department of General Nursing Sciences, Faculty of Health Sciences and Veterinary Medicine, University of Namibia, Rundu.

出版信息

S Afr Fam Pract (2004). 2024 May 14;66(1):e1-e9. doi: 10.4102/safp.v66i1.5943.

DOI:10.4102/safp.v66i1.5943
PMID:38832389
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11151339/
Abstract

BACKGROUND

Despite the efforts of Namibia's Ministry of Health and Social Services to build maternity waiting homes (MWHs), few pregnant women make use of them. Long distances among the general population in Namibia limit the utilisation of MWHs. Little research has investigated what factors are limiting the use of these facilities despite the urgent need for them. The aim of this study thus was to explore and describe the perspectives of pregnant women on the utilisation of the MWHs near Onandjokwe Lutheran Hospital in Oshikoto Region.

METHODS

A qualitative, exploratory, descriptive and contextual design was employed. The accessible population in this study comprised 18 participants who were selected for the study using a purposive sampling technique.

RESULTS

Participants reported numerous barriers to visiting MWHs in Namibia, including an inadequate number of rooms, theft, food scarcity and the effects of poverty on the living conditions of the MWH users. Enablers visiting MWHs included the safe delivery of babies by skilled staff, reduced transport costs, access to timely management of labour complications and affordable accommodation.

CONCLUSION

The study revealed that a number of barriers must be overcome before the desired number of women take advantage of MWHs. Multiple factors act as constraints to their use, including inadequate number of rooms, theft, food scarcity and the long distance between patients' homes and MWH services.Contribution: The study's findings can be used to develop targeted interventions and strategies that can be used by MWH providers to address the identified barriers.

摘要

背景

尽管纳米比亚卫生和社会服务部努力建设产妇等候之家(MWH),但很少有孕妇使用它们。纳米比亚普通民众之间的距离限制了 MWH 的利用。尽管迫切需要这些设施,但很少有研究调查是什么因素限制了它们的使用。因此,本研究旨在探讨和描述在奥希科托地区奥尼恩乔克韦路德教会医院附近的孕妇对 MWH 的利用情况。

方法

采用定性、探索性、描述性和情境设计。本研究的可及人群包括 18 名参与者,他们是通过目的抽样技术选择参加研究的。

结果

参与者报告了在纳米比亚访问 MWH 的许多障碍,包括房间数量不足、盗窃、食物短缺以及贫困对 MWH 用户生活条件的影响。访问 MWH 的促进因素包括熟练工作人员安全分娩、降低交通成本、及时管理分娩并发症和负担得起的住宿。

结论

研究表明,在理想数量的妇女利用 MWH 之前,必须克服许多障碍。多种因素对其使用构成限制,包括房间数量不足、盗窃、食物短缺以及患者家庭和 MWH 服务之间的距离。贡献:研究结果可用于制定有针对性的干预措施和策略,供 MWH 提供者使用,以解决确定的障碍。

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本文引用的文献

1
Confidential Enquiry into Maternal Deaths in Namibia, 2018-2019: A Local Approach to Strengthen the Review Process and a Description of Review Findings and Recommendations.《2018-2019 年纳米比亚产妇死亡情况机密调查:加强审查流程的地方方法以及审查结果和建议描述》。
Matern Child Health J. 2023 Dec;27(12):2165-2174. doi: 10.1007/s10995-023-03771-9. Epub 2023 Sep 30.
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Stakeholders' perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis.利益相关者对母婴等候之家可接受性和可行性的观点:定性综合分析。
Reprod Health. 2023 Jul 5;20(1):101. doi: 10.1186/s12978-023-01615-x.
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Barriers and facilitators to facility-based delivery in rural Zambia: a qualitative study of women's perceptions after implementation of an improved maternity waiting homes intervention.赞比亚农村地区医疗机构分娩的障碍和促进因素:改善产待所干预措施实施后对妇女认知的定性研究。
BMJ Open. 2022 Jul 25;12(7):e058512. doi: 10.1136/bmjopen-2021-058512.
4
Determinants of maternity waiting home utilization in Sidama Zone, Southern Ethiopia: A cross-sectional study.埃塞俄比亚南部锡达马地区产妇在家分娩意愿的决定因素:一项横断面研究。
PLoS One. 2022 Mar 14;17(3):e0264416. doi: 10.1371/journal.pone.0264416. eCollection 2022.
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Maternity Waiting Home Interventions as a Strategy for Improving Birth Outcomes: A Scoping Review and Meta-Analysis.产待一体化服务改善分娩结局的策略:系统评价和 Meta 分析
Ann Glob Health. 2022 Jan 18;88(1):8. doi: 10.5334/aogh.3496. eCollection 2022.
6
A systematic review and meta-analysis of the effectiveness of maternity waiting homes in low- and middle-income countries.低中收入国家产房产前等待之家有效性的系统评价和荟萃分析。
Health Policy Plan. 2021 Aug 12;36(7):1215-1235. doi: 10.1093/heapol/czab010.
7
A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in Ethiopia.一项具有文化敏感性且提供支持的孕产妇保健服务提高了埃塞俄比亚孕产妇候产之家的使用率。
Int J Womens Health. 2020 Oct 9;12:813-821. doi: 10.2147/IJWH.S268245. eCollection 2020.
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Barriers to Accessing Maternal Care in Low Income Countries in Africa: A Systematic Review.非洲低收入国家获取孕产妇保健服务的障碍:系统评价。
Int J Environ Res Public Health. 2020 Jun 16;17(12):4292. doi: 10.3390/ijerph17124292.
9
Factors influencing women's access to the maternity waiting home in rural Southwest Ethiopia: a qualitative exploration.影响埃塞俄比亚西南部农村地区妇女获得母婴等候之家的因素:一项定性探索。
BMC Pregnancy Childbirth. 2020 May 14;20(1):296. doi: 10.1186/s12884-020-02988-8.
10
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BMJ Open. 2019 Aug 28;9(8):e028210. doi: 10.1136/bmjopen-2018-028210.