武装冲突对埃塞俄比亚阿姆哈拉州北沃洛地区孕产妇和生殖健康相关服务及结果的影响：一项定性研究
The Impact of Armed Conflict on Services and Outcomes Related to Maternal and Reproductive Health in North Wollo, Amhara, Ethiopia: A Qualitative Study.
作者信息
Kodo Tsion Kokeb, Kidie Atitegeb Abera, Merecho Tilahun Hailu, Tiruneh Misganaw Guadie, Yayeh Berihun Mulu, Getaneh Betel Assalfew, Demesie Alexander Mersha, Wendimagegn Zeru Seyoum
机构信息
Department of Public Health, College of Health Science, Woldia University, Woldia, Ethiopia.
Department of Health Systems and Policy, Institute of Public Health, College Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
出版信息
Int J Womens Health. 2024 Jun 7;16:1055-1066. doi: 10.2147/IJWH.S457529. eCollection 2024.
INTRODUCTION
Armed conflict is a public health problem that poses a serious challenge to the health system. Maternal and reproductive health is among the most affected areas. Maternal death rates were highest in conflict-affected countries. Sexual violence and rape are commonplaces, which contributes to the rise in the number of unwanted pregnancies. Reliable data related to the health of mothers and reproduction is required to inform public health policies. Therefore, this study aimed to assess the impact of armed conflict on services and outcomes related to maternal and reproductive health.
OBJECTIVE
To explore the impact of armed conflict on services and outcomes related to maternal and reproductive health in North Wollo, Amhara, and Ethiopia by 2022.
METHODS
This study used an institutional and community-based exploratory design. Six focus group discussions and 44 in-depth interviews were conducted with healthcare professionals, administrators, women, and Non Governmental Organization workers. Each item was recorded in audio, verbatim transcription was made and converted into English. By using OpenCode version 4.03 thematic analyses was performed.
RESULTS
Three overarching themes were identified. The first theme was the inadequate standards of maternal and reproductive health services. This includes the breakdown of infrastructure, shortages of medicines and medical supplies, and the lack of sterility of available limited materials and procedures. The second theme was poor maternal and reproductive health status. It includes poor pregnancy, delivery, reproductive and fertility-related health outcomes. The last theme was the limited access to maternal and reproductive services.
CONCLUSION
Armed conflicts have enormous effects on services and results related to the health of mothers and reproductive processes. Addressing these effects is essential for designing and implementing public health measures to improve services related to the health of mothers and the reproductive system.
引言
武装冲突是一个公共卫生问题，对卫生系统构成严峻挑战。孕产妇和生殖健康是受影响最严重的领域之一。受冲突影响国家的孕产妇死亡率最高。性暴力和强奸屡见不鲜，这导致意外怀孕数量上升。需要可靠的与孕产妇和生殖健康相关的数据来为公共卫生政策提供依据。因此，本研究旨在评估武装冲突对孕产妇和生殖健康相关服务及结果的影响。
目的
探讨到2022年武装冲突对埃塞俄比亚阿姆哈拉州北沃洛地区孕产妇和生殖健康相关服务及结果的影响。
方法
本研究采用基于机构和社区的探索性设计。与医疗保健专业人员、管理人员、妇女和非政府组织工作人员进行了六次焦点小组讨论和44次深入访谈。每个项目都进行了录音，逐字转录并翻译成英文。使用OpenCode 4.03版本进行主题分析。
结果
确定了三个总体主题。第一个主题是孕产妇和生殖健康服务标准不足。这包括基础设施崩溃、药品和医疗用品短缺，以及现有有限材料和程序缺乏无菌性。第二个主题是孕产妇和生殖健康状况不佳。包括妊娠、分娩、生殖和生育相关的健康状况不佳。最后一个主题是获得孕产妇和生殖服务的机会有限。
结论
武装冲突对与孕产妇健康和生殖过程相关的服务和结果有巨大影响。应对这些影响对于设计和实施公共卫生措施以改善与孕产妇健康和生殖系统相关的服务至关重要。
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