在约旦河西岸，巴勒斯坦助产妇、医生和护士提供优质计划生育服务的感知障碍和机会：一项定性研究。
Perceived barriers and opportunities of providing quality family planning services among Palestinian midwives, physicians and nurses in the West Bank: a qualitative study.
机构信息
Department of Nursing and Master program of Women's Health, Faculty of Pharmacy, Nursing and Health Professions, Birzeit University, Birzeit, Palestine.
Women's Health and Development Unit, Ministry of Health, Ramallah, Palestine.
出版信息
BMC Health Serv Res. 2024 Jul 9;24(1):786. doi: 10.1186/s12913-024-11216-4.
BACKGROUND
Despite advancements in family planning (FP) services, several barriers persist in the Occupied Palestinian territory (oPt), blocking women's access to suitable, high-quality and equitable FP services. The aim of this study was to understand how healthcare providers perceive their abilities, barriers and opportunities in providing good quality FP services. Furthermore, it seeks to explore knowledge and training regarding FP among healthcare providers engaged in providing FP services.
METHODS
A qualitative study was undertaken from August to September 2022 in seven Primary Health Care (PHC) clinics distributed in three governorates and operating under the Palestinian Ministry of Health (MoH) in the West Bank. Semi-structured, in-depth face-to-face interviews were conducted with 13 health providers (Physicians, midwives and nurses), using an interview guide in Arabic language. Transcripts were subsequently analyzed using the six phases of reflexive thematic analysis.
RESULTS
FP services face various challenges, including shortages in resources such as staff, supplies, infrastructures and FP methods. Midwives possess significant potentials to offer accessible, high-quality, efficient and equitable FP services, yet, their capacities remain underutilized, representing a missed opportunity for a country like Palestine. The study provided a current overview of FP services while illustrating the need for quality FP services and the need for an updated continuous education and training, updated standardized guidelines and protocols and supportive supervision are needed across all levels of healthcare providers. Finally, providers reported a wide range of structural barriers to FP services.
CONCLUSIONS
It is crucial to meticulously address both community-related and health system factors to enhance the fulfillment of FP needs and reduce unintended and closely spaced pregnancies. Policymakers should invest in the development of laws and regulations regarding FP services, promoting a comprehensive and holistic approach to FP services. This includes formulating supportive policies, capacity building of human resources and maintaining security of FP commodities.
背景
尽管计划生育（FP）服务取得了进步，但在巴勒斯坦被占领土（oPt）仍存在一些障碍，阻碍了妇女获得合适、高质量和公平的 FP 服务。本研究旨在了解医疗保健提供者如何看待他们在提供优质 FP 服务方面的能力、障碍和机会。此外，它还旨在探索从事 FP 服务的医疗保健提供者在 FP 方面的知识和培训。
方法
2022 年 8 月至 9 月，在西岸由巴勒斯坦卫生部（MoH）运营的三个省的七个初级保健（PHC）诊所进行了一项定性研究。使用阿拉伯语访谈指南，对 13 名卫生提供者（医生、助产士和护士）进行了半结构化、面对面的深入访谈。随后使用六步反思性主题分析对转录本进行分析。
结果
FP 服务面临各种挑战，包括资源短缺，如人员、用品、基础设施和 FP 方法。助产士拥有提供可及、高质量、高效和公平 FP 服务的巨大潜力，但她们的能力仍未得到充分利用，这对像巴勒斯坦这样的国家来说是一个错失的机会。该研究提供了 FP 服务的当前概述，同时说明了对高质量 FP 服务的需求，以及需要在所有医疗保健提供者层面更新持续教育和培训、更新标准化指南和协议以及提供支持性监督。最后，提供者报告了 FP 服务的广泛结构性障碍。
结论
必须认真解决与社区相关和与卫生系统相关的因素，以加强满足 FP 需求和减少意外和密切间隔的怀孕。政策制定者应投资制定 FP 服务相关的法律和法规，促进 FP 服务的全面和整体方法。这包括制定支持性政策、人力资源能力建设和维护 FP 商品的安全。
Zotero 插件