迎接孕妇：在孟加拉国的一家二级医疗机构引入导航和支持服务。
Welcoming pregnant women: introducing navigation and support services in a secondary health facility in Bangladesh.
作者信息
Tonmon Tajrin Tahrin, Sajib Md Refat Uz Zaman, Hossain Lubna, Hasan Kamrul, Mahmood Hassan Rushekh, Ether Saraban, Hasan A M Rumayan, Sayeed Abu, Hassan A K M Mahmudul, Murshid Haroon Bin, Jabeen Sabrina, Azrin Fariha, Akter Ema, Huda Fauzia Akhter, Hoque Dewan Md Emdadul, Zaman Shamsuz, Raghuvanshi Vibhavendra Singh, El Arifeen Shams, Rahman Ahmed Ehsanur, Hassan Abu Sayeed Md, Ahmed Anisuddin
机构信息
International Centre for Diarrhoeal Disease Research, Maternal and Child Health Division, Dhaka, Bangladesh.
University of Illinois Urbana-Champaign, Department of Health and Kinesiology, Urbana, Illinois, USA.
出版信息
J Glob Health. 2025 Jun 6;15:04097. doi: 10.7189/jogh.15.04097.
BACKGROUND
Maternal mortality remains high in low- and middle-income countries like Bangladesh, driven by preventable causes such as inadequate health care access and delays in receiving care in health facilities, highlighting the need for improved support in health facilities. This study aimed to explore the opportunities and difficulties of introducing 'Welcome Persons', a hospital navigation and support cadre for pregnant women, from the perspectives of recipients, patients' attendance, health care providers, and facility managers.
METHODS
This qualitative study was conducted from 15 March to 30 April 2023, in the District Hospital of Gaibandha, Bangladesh. Data were collected through purposive sampling from health care providers, facility managers, 'Welcome Persons', pregnant and delivered women, and their attendants, utilising observations, in-depth interviews, focus group discussions, and key informant interviews, and analytical approaches to ensure scientific rigour. Thematic analysis was performed.
RESULTS
The study revealed the positive influence of 'Welcome Person' in maternal health care provision by ensuring timely services, preventing outsiders' interference, as well as contributing to prompt emergency management, specifically for educationally disadvantaged patients. The triangulated perspectives of the participants highlighted the overall acceptance and usefulness of the 'Welcome Persons' but also discovered challenges such as a lack of human resources on the night shift, logistical constraints, and potential gender insensitivity by the recipients.
CONCLUSIONS
The study findings provided an explicit understanding of the 'Welcome Persons' intervention for facilitating maternal health care services and navigation among pregnant women. While they were well-received, addressing identified barriers is crucial for a sustainable positive impact on maternal health care in secondary health facility settings in Bangladesh.
背景
在孟加拉国等低收入和中等收入国家，孕产妇死亡率仍然很高，原因是可预防的因素，如医疗保健服务获取不足以及在医疗机构接受治疗的延误，这凸显了在医疗机构提供更好支持的必要性。本研究旨在从接受者、患者陪同人员、医疗保健提供者和医疗机构管理人员的角度，探讨引入“迎宾员”（为孕妇提供医院导航和支持的人员）的机遇和困难。
方法
这项定性研究于2023年3月15日至4月30日在孟加拉国盖班达区医院进行。通过目的抽样，从医疗保健提供者、医疗机构管理人员、“迎宾员”、孕产妇及其陪同人员那里收集数据，采用观察法、深入访谈、焦点小组讨论和关键 informant 访谈，并采用分析方法以确保科学严谨性。进行了主题分析。
结果
研究表明，“迎宾员”对孕产妇保健服务有积极影响，可确保及时服务、防止外界干扰，并有助于迅速进行应急管理，特别是对教育程度较低的患者。参与者的多方观点突出了“迎宾员”的总体可接受性和实用性，但也发现了一些挑战，如夜班人力资源短缺、后勤限制以及接受者可能存在的性别不敏感问题。
结论
研究结果明确了“迎宾员”干预措施对促进孕产妇保健服务和为孕妇提供导航的作用。虽然这些措施受到好评，但解决已发现的障碍对于在孟加拉国二级卫生设施环境中对孕产妇保健产生可持续的积极影响至关重要。
注
原文中的“key informant interviews”直译为“关键 informant 访谈”，这里“informant”可译为“ informant（提供信息者、 informant）”等类似表述，因未明确具体含义，保留英文以便更准确传达原文信息。
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