Challenges and Strategies of Providing Effective Antenatal Education Services in Oman's Public Healthcare System: Perspectives of service providers and pregnant women.

Q3 Medicine
Sultan Qaboos University Medical Journal Pub Date : 2023-11-01 Epub Date: 2023-11-30 DOI:10.18295/squmj.5.2023.032
Maha Y K AlDughaishi, Vidya Seshan, Gerald A Matua
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引用次数: 0

Abstract

Objectives: This study aimed to explore the challenges of providing quality antenatal education from the perspectives of the healthcare service providers and pregnant women. Globally, maternal mortality is considered a critical healthcare issue because statistics consistently show that many deaths and injuries that occur during pregnancy and childbirth are avoidable.

Methods: This qualitative study was conducted from January 2021 to March 2021 at 9 outpatient antenatal clinics located in the public health centres of Muscat governorate, Oman. A purposive sampling technique was used, and data were collected through in-depth interviews and field notes and analysed manually using thematic analysis.

Results: A total of 30 participants were included in this study. The challenges identified by the healthcare service providers included the lack of a consultation room and designated space for health education, work overload, time constraints, under-staffing, lack of educational materials, language barriers, lack of authority and negative attitude. The pregnant women identified lack of focus on women's needs, superficial antenatal education, overcrowding, lack of educational facilities, use of medical jargon and unprofessional staff attitude towards women as key barriers to receiving quality antenatal service. Suggested solutions included improving staffing levels, designating a space for antenatal education, expanding educational activities, continuing education for caregivers, establishing midwife-led units, providing focused antenatal education and improving communication between the providers and users.

Conclusion: Both healthcare service providers and pregnant women experience significant barriers that hinder them from providing and accessing quality antenatal education services, respectively. Therefore, policymakers, health planners and hospital administrators should remove these barriers and integrate some of the recommendations in this study to promote better health outcomes.

阿曼公共医疗系统提供有效产前教育服务的挑战和策略
目标:在全球范围内,孕产妇死亡率被认为是一个关键的保健问题,因为统计数据一贯表明,许多可避免的死亡和伤害发生在怀孕和分娩期间。本研究的目的是从服务提供者和孕妇的角度探讨优质产前教育面临的挑战。方法:采用有目的抽样方法对30名被试进行定性研究。通过深度访谈和实地记录收集数据,并采用主题分析方法进行人工分析。结果:服务提供者认为他们面临的挑战是缺乏健康教育的咨询室和指定空间、工作超载、时间限制、人员不足、缺乏教材、语言障碍、缺乏权威和消极态度。孕妇认为,缺乏对妇女需求的关注、肤浅的产前教育、过度拥挤、缺乏教育设施、使用医学术语以及工作人员对妇女的不专业态度是提供优质服务的主要障碍。补救措施包括改进人员配备水平、为产前教育指定空间、扩大教育活动、对护理人员进行继续教育、建立助产士领导的单位、重点产前教育和改善提供者和使用者之间的沟通。结论:基于结果,卫生保健服务提供者和孕妇分别在提供和获得优质产前教育服务方面遇到了重大障碍。因此,决策者、卫生规划人员和医院管理人员应该消除这些障碍,并整合一些建议,以促进更好的健康结果。关键词:产前教育;挑战;策略;卫生保健提供者;孕妇;阿曼。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
86
审稿时长
7 weeks
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