马拉维利隆圭农村地区孕产妇使用草药的信息来源和影响因素:定性研究

Dziwenji Makombe, Alexander Mboma, Elias Mwakilama, Kondwani Joseph Banda
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引用次数: 0

摘要

现有文献显示,马拉维妇女在怀孕、分娩和处理相关问题时,越来越多地使用草药。除马拉维外,在世界其他地区,妇女在怀孕和分娩期间使用草药也很普遍。然而,人们对马拉维妇女使用草药的确切信息来源和影响因素知之甚少,尤其是在农村地区,因为那里的妇女普遍使用草药。本研究旨在探索马拉维利隆圭农村地区妇女在怀孕和分娩期间使用草药的信息来源并了解影响因素。这是一项定性描述性研究,研究对象是马拉维利隆圭农村地区马利利传统管理机构的四个村庄(卡贡纳村、尚普辛贾村、姆图皮村和曼贾村)有针对性地确定的 28 名女性参与者。从四个焦点小组讨论(每个小组由 6-8 名妇女组成)中收集了数据,并采用内容分析法对讨论内容进行了转录和分析。研究结果表明,在利隆圭农村地区,以往的产科经验(负面和正面)、快速缓解分娩疼痛、加快分娩过程、害怕在分娩过程中被监护人抛弃以及来自同伴(朋友)的鼓励是影响产妇使用草药的关键因素。我们还发现,在马拉维,同伴(朋友)、父母和传统助产士是使用草药的主要信息来源。本研究的结论是,马拉维农村居民在怀孕和分娩期间使用草药在很大程度上受到以前的分娩经历和对分娩时被遗弃的恐惧的影响,而有关草药使用的信息通常来自同伴、父母和传统助产士。因此,本研究揭示了如何利用社区主导的途径来影响马拉维农村地区妇女使用草药的决定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Information sources and factors influencing the use of herbal medicine among women during pregnancy and childbirth in rural Lilongwe, Malawi: A qualitative study
Existing literature shows increased use of herbal medicine during pregnancy, childbirth, and when tackling associated problems among Malawian women. Beyond Malawi, herbal medicine use is also common among women during pregnancy and childbirth in other parts of the world. However, little is known about the precise information sources and factors that affect women’s use of herbal medicine in Malawi, especially in rural areas where it is commonly practiced. This study aimed at exploring information sources and understanding factors that influence herbal medicine use during pregnancy and childbirth among women living in the rural Lilongwe, Malawi. This is a qualitative descriptive study on 28 female participants purposively identified from four villages (Kagona, Champsinja, Mthupi, and Manja) of Traditional Authority Malili in rural Lilongwe, Malawi. Data were collected from four focus group discussions, with each group consisting of 6 – 8 women, and their discussions were transcribed and analyzed using content analysis method. The findings indicated that previous obstetric experiences (negative and positive), quick relief from labor pain, hastened delivery process, fear of abandonment by guardian during childbirth, and encouragement from peers (friends) are key factors influencing herbal medicine use in rural Lilongwe. We also found that peers (friends), parents, and traditional birth attendants are major sources of information regarding herbal medicine use in Malawi. This study concludes that herbal medicine use during pregnancy and childbirth in rural Malawi is largely influenced by previous labor experiences and fears of being abandoned during labor and childbirth, and that information on herbal medicine use is often sourced from peers, parents, and traditional birth attendants. Thus, this study sheds light on how the community-led pathways can be exploited to influence the decisions to use herbal medicine among women in the rural areas of Malawi.
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