Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
School of Medical Sciences, Kathmandu University, Dhulikhel, Nepal.
Glob Health Action. 2024 Dec 31;17(1):2385177. doi: 10.1080/16549716.2024.2385177. Epub 2024 Aug 7.
All Nepalese citizens have the right to high-quality healthcare services free of charge. To achieve this, healthcare services for the rural population in Nepal need to be improved in terms of personnel, medicines, and medical equipment.
To explore challenges and possible improvements healthcare personnel experience when travelling to rural parts of Nepal to provide healthcare.
Data was collected from various health professionals using focus group discussions at Dhulikhel Hospital in Nepal. The data were transcribed and analysed using Systematic text condensation.
Twenty-two professional healthcare personnel participated in five group discussions. Four categories emerged from the collected material: Finding ORC services being underutilised, Wanting to fulfil tasks and do a good job, Facing inadequate resources, and Seeing the need for improved organisation and cooperation. There was consensus that rural clinics are important to maintaining health for the rural population of Nepal. However, there was frustration that the rural population was not benefitting from all available healthcare services due to underutilisation.
Rural healthcare clinics are not utilised appropriately, according to healthcare workers at the rural outreach clinics. Potential ways of overcoming the perceived challenges of underutilising available healthcare services include financial and human resources. The rural population´s health awareness needs to be increased, and the work environment for rural healthcare workers needs to be improved. These issues need to be prioritised by the government and policymakers.
所有尼泊尔公民都有权免费获得高质量的医疗保健服务。为了实现这一目标，需要改善尼泊尔农村人口的医疗保健服务，包括人员、药品和医疗设备。
探讨医疗保健人员在前往尼泊尔农村地区提供医疗保健时所面临的挑战和可能的改进措施。
在尼泊尔的 Dhulikhel 医院，通过焦点小组讨论收集了来自不同医疗保健专业人员的数据。对数据进行转录，并使用系统文本凝结进行分析。
22 名专业医疗保健人员参加了五次小组讨论。从收集的材料中出现了四个类别：发现农村诊所服务未得到充分利用、希望完成任务并做好工作、面临资源不足、以及认为需要改进组织和合作。大家一致认为，农村诊所对于维护尼泊尔农村人口的健康非常重要。然而，由于农村人口未能充分利用所有现有的医疗保健服务，这让大家感到沮丧。
根据农村外展诊所的医疗保健工作者的说法，农村医疗保健诊所没有得到适当的利用。克服现有医疗保健服务利用不足的潜在方法包括财力和人力资源。需要提高农村人口的健康意识，并改善农村医疗保健工作者的工作环境。这些问题需要政府和政策制定者优先考虑。
