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“扩大的免费孕产妇服务”能否使肯尼亚在2030年前实现全民健康覆盖:关于母亲和医疗服务提供者经历的定性研究

Can "the expanded free maternity services" enable Kenya to achieve universal health coverage by 2030: qualitative study on experiences of mothers and healthcare providers.

作者信息

Ombere Stephen Okumu

机构信息

Centre for the Advancement of Scholarship, University of Pretoria, Pretoria, South Africa.

Department of Sociology and Anthropology, Maseno University, Kisumu, Kenya.

出版信息

Front Health Serv. 2024 Sep 10;4:1325247. doi: 10.3389/frhs.2024.1325247. eCollection 2024.

Abstract

INTRODUCTION

Universal health coverage is a global agenda within the sustainable development goals. While nations are attempting to pursue this agenda, the pathways to its realization vary across countries in relation to service, quality, financial accessibility, and equity. Kenya is no exception and has embarked on an initiative, including universal coverage of maternal health services to mitigate maternal morbidity and mortality rates. The implementation of expanded free maternity services, known as the (Taking Care of the Mother) targets pregnant women, newborns, and infants by providing cost-free maternal healthcare services. However, the efficacy of the (LM) initiative remains uncertain. This article therefore explores whether .

METHODS

This descriptive qualitative study employs in-depth interviews, focus group discussions, informal conversations, and participant observation conducted in Kilifi County, Kenya, with mothers and healthcare providers.

RESULTS AND DISCUSSION

The findings suggest that has resulted in increased rates of skilled care births, improved maternal healthcare outcomes, and the introduction of comprehensive maternal and child health training for healthcare professionals, thereby enhancing quality of care. Nonetheless, challenges persist, including discrepancies and shortages in human resources, supplies, and infrastructure and the politicization of healthcare both locally and globally. Despite these challenges, the expanding reach of offers promise for better maternal health. Finally, continuous sensitization efforts are essential to foster trust in Linda Mama and facilitate progress toward universal health coverage in Kenya.

摘要

引言

全民健康覆盖是可持续发展目标中的一项全球议程。各国在努力推进这一议程时,实现该议程的途径在服务、质量、财务可及性和公平性方面因国家而异。肯尼亚也不例外,已启动一项倡议,包括普及孕产妇保健服务,以降低孕产妇发病率和死亡率。扩大免费孕产妇服务(称为“关爱母亲”)的实施,通过提供免费的孕产妇保健服务,惠及孕妇、新生儿和婴儿。然而,“关爱母亲”倡议的成效仍不确定。因此,本文探讨是否……

方法

这项描述性定性研究在肯尼亚基利菲县对母亲和医疗服务提供者进行了深入访谈、焦点小组讨论、非正式交谈和参与观察。

结果与讨论

研究结果表明,“关爱母亲”导致熟练助产率提高、孕产妇保健成果改善,并为医疗专业人员引入了全面的母婴健康培训,从而提高了护理质量。尽管如此,挑战依然存在,包括人力资源、物资和基础设施方面的差异和短缺,以及地方和全球层面医疗保健的政治化。尽管存在这些挑战,“关爱母亲”覆盖范围的不断扩大为改善孕产妇健康带来了希望。最后,持续的宣传努力对于增进对“关爱母亲”的信任并推动肯尼亚实现全民健康覆盖的进展至关重要。

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1
Gearing health systems for universal health coverage.使卫生系统适应全民健康覆盖。
Front Health Serv. 2023 Sep 21;3:1200238. doi: 10.3389/frhs.2023.1200238. eCollection 2023.
4
Editorial: Realizing universal health coverage in India.社论:在印度实现全民健康覆盖
Front Public Health. 2023 Jul 27;11:1243676. doi: 10.3389/fpubh.2023.1243676. eCollection 2023.

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