The role of midwives in implementing reproductive health services in Islamic Republic of Iran.

IF 1.7 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Mahsa Khoshnam Rad, Elham Ehsani-Chimeh, Ali Mohammad Mosadeghrad, Shahla Khosravi, Seyedeh Tahereh Mirmolei
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Abstract

Background: It is essential to study the availability of reproductive health services and the capacities of providers, to provide evidence for improving service quality.

Aims: To identify the role of midwives in the provision of reproductive health services and recommend improvements.

Methods: A national review of government health resources in the Islamic Republic of Iran was conducted to explore available reproductive health services. Through semi-structured interviews with 30 midwives, information was collected about the compatibility of services with the capacity and scope of the activities of midwives. A panel of 12 experts was assembled to develop a proposed service package. The content analysis method was applied to data analysis and interpretation.

Results: The service package developed covered 82 services that midwives can offer at the 8 healthcare facility groups. Although midwives were trained to manage a range of primary and gynaecological care services, certain essential aspects of reproductive health services were not being delivered on the frontline. These include sexually transmitted diseases and human papilloma virus management, diagnosis and treatment of common gynaecological problems, sexual education and counselling, and childbirth services. Midwives were not adequately engaged to provide reproductive health care at the secondary level.

Conclusion: There are drawbacks to the current reproductive health service delivery in the Islamic Republic of Iran. The service package designed and proposed in this study aims to strengthen reproductive health care services and planning and better integration of midwife-led programmes.

助产士在伊朗伊斯兰共和国实施生殖健康服务方面的作用。
背景:必须研究生殖健康服务的可得性和提供者的能力,为提高服务质量提供证据。目的:确定助产士在提供生殖健康服务中的作用,并提出改进建议。方法:对伊朗伊斯兰共和国的政府卫生资源进行全国审查,以探索现有的生殖健康服务。通过对30名助产士的半结构化访谈,收集了有关服务与助产士的能力和活动范围的兼容性的信息。召集了一个由12名专家组成的小组,以拟订拟议的一揽子服务。采用内容分析法对数据进行分析和解释。结果:开发的服务包涵盖了助产士可以在8个医疗机构组提供的82项服务。虽然助产士接受了管理一系列初级和妇科护理服务的培训,但生殖健康服务的某些重要方面并没有在一线提供。这些服务包括性传播疾病和人类乳头瘤病毒的管理、常见妇科问题的诊断和治疗、性教育和咨询以及分娩服务。助产士没有充分参与提供二级生殖保健服务。结论:伊朗伊斯兰共和国目前的生殖健康服务提供存在缺陷。这项研究设计和提出的一揽子服务旨在加强生殖保健服务和规划,并更好地整合助产士主导的方案。
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来源期刊
Eastern Mediterranean Health Journal
Eastern Mediterranean Health Journal HEALTH CARE SCIENCES & SERVICESPUBLIC, ENV-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
CiteScore
3.30
自引率
4.80%
发文量
112
期刊介绍: The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean. The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health. The EMHJ: -publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region -encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition -provides up-to-date information on public health developments with special reference to the Region. The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.
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