埃塞俄比亚利用产科护理服务的障碍:一项探索性定性研究。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES
Alemu Tamiso, Meskerem Jisso, Netsanet Abera, Akalewold Alemayehu, Anteneh Gadisa, Abdurezak Umer, Mesfin Kebede, Hussen Mohammed, Bekele Yazie, Habtamu Sime Gizaw, Biru Abdissa Mizana, Elias Ali Yesuf, Binyam Tilahun, Berhanu Fikadie Endehabtu, Tajebew Zayede Gonete, Kassahun Dessie Gashu, Dessie Abebew Angaw, Kassu Ketema Gurmu, Rekiku Fikre
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引用次数: 0

摘要

背景:产科护理一直是全球和国家议程的中心。50%以上的孕妇仍倾向于在家分娩,有些甚至在接受了全面的产前护理后仍选择在家分娩。然而,一些文献对造成这一问题的因素进行了研究,但并没有得出结论,也没有考虑埃塞俄比亚不同的社会文化背景和与医疗服务相关的不同障碍。因此,本研究旨在利用社会生态模式探讨埃塞俄比亚产科护理服务利用的障碍:方法:采用探索性定性研究,在 2021 年 10 月至 12 月期间进行了主要信息提供者访谈、深度访谈和焦点小组讨论;探讨了个人、社区、医疗系统和环境障碍。使用 Atlas ti.版本 9 进行分析:结果:缺乏认识、不利看法、缺乏合作伙伴参与、文化障碍、供应短缺、基础设施薄弱、与提供者有关的因素、监测和评估系统不完善、地形复杂以及冲突是阻碍埃塞俄比亚母亲接受产科服务的主要障碍:结论:缺乏认识、不利的观念、冲突、卫生系统的结构和程序问题以及文化和地理条件是埃塞俄比亚的主要障碍。因此,政府和非政府组织必须采取一揽子干预措施,提供必要的设备,加强跟踪系统,提高人们的认识,增加使用医疗设施的机会,以改善服务。此外,实施冲突解决机制对于提供更好的产科服务也很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Barriers Towards Obstetric Care Service Utilization in Ethiopia: An Explorative Qualitative Study.

Background: Obstetric care has been at the center of both global and national agendas. More than 50% of pregnant mothers are still preferring to give birth at home with some even after having full antenatal care. However, a few literatures looked at contributing factors for this problem but they are not conclusive and do not consider different sociocultural context of Ethiopia and different health service related barriers. Hence, the aim of this study was to explore barriers to obstetric care service utilization in Ethiopia using the socio-ecological model.

Methods: Explorative qualitative study was employed involving key-informant interviews, in-depth interviews, and focus group discussions between October and December 2021; Individual, community, health system, and contextual barriers were explored. Atlas ti. Version 9 was used for analysis.

Result: Lack of awareness, unfavorable perception, lack of partner involvement, cultural barrier, shortage of supplies, poor infrastructure, provider-related factors, poor monitoring, and evaluation system, challenging topography, and conflict were the major barriers that hinder mothers from receiving obstetrics service in Ethiopia.

Conclusion: Lack of awareness, unfavorable perception, conflict, problems with health system structure and process, and cultural and geographical conditions were major barriers in Ethiopia. Therefore, packages of intervention is important to avail essential equipment, strengthening follow up system, create awareness, and increase access to health facilities is very important for service improvement by the government and non-governmental organizations. Additionally, implementing conflict resolution mechanism is important for addressing better obstetric service.

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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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