布基纳法索孕产妇和新生儿健康共同决策

J. Perkins, Cecilia Capello, Aminata Bargo, C. Santarelli
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摘要

社区参与卫生部门的决策是推进初级卫生保健工作的一个重要组成部分。自2006年以来,瑞士非政府组织“世界儿童”(Enfants du Monde)与当地非政府组织布基纳法索社区发展基金会(FDC/BF)合作,一直在支持卫生部将社区纳入与孕产妇和新生儿保健服务有关的决策。值得注意的是,开展了参与性社区评估,为社区成员提供了一个平台,讨论妇幼保健需求并参与卫生部门的决策。在共同行动计划期间,参与者确定需求并确定优先次序,并提出改善产妇保健的解决办法,然后将这些解决办法纳入年度地区保健行动计划。综合干预措施包括:促进分娩准备和并发症准备;对保健服务提供者进行咨询技能培训;提高男性对妇女健康问题的认识及其支持妇女的能力;加强社区机构管理产科和新生儿并发症。纳入这些干预措施有助于在布基纳法索的三个地区推进初级保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Shared Decision-making in Maternal and Newborn Health in Burkina Faso
Community participation in decision-making within the health sector is an essential component in advancing efforts toward primary health care (PHC). Since 2006, Enfants du Monde, a Swiss non-governmental organization (NGO), in collaboration with the local NGO Fondation pour le Developpement Communautaire/Burkina Faso (FDC/BF), has been supporting the Ministry of Health (MoH) to include communities in decision-making related to maternal and newborn health (MNH) services. Notably, participatory community assessments (PCA) are conducted to provide a platform for community members to discuss MNH needs and be involved in the decision-making within the health sector. During the PCAs, participants identify and prioritize needs and propose solutions to improve MNH, solutions which are then integrated in the annual district health action plan. Integrated interventions include: promotion of birth preparedness and complication readiness; training health care providers in counselling skills; building awareness of men on MNH issues and their capacity to support women; and strengthening community bodies to manage obstetrical and neonatal complications. The inclusion of these interventions has contributed to the advancement of PHC in three regions in Burkina Faso.
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