助产士领导的流动产前诊所:坦桑尼亚普瓦尼提高服务利用率的创新方法。

3区 综合性期刊
Beatrice E Mwilike, Joanne Welsh, Kasusu K Nyamuryekung'e, Alex J Nyaruchary, Andrea B Pembe, Mechthild M Gross
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引用次数: 0

摘要

参加产前检查是降低孕产妇和新生儿不良分娩结局的一个重要决定因素。我们旨在评估坦桑尼亚普瓦尼地区由熟练助产士领导的流动诊所提供的产前检查(ANC)服务的利用率,并确定其可接受性。流动诊所绰号 "Mkunga Kitaani",配备了必要的工具和工作人员,为基萨拉韦地区缺乏医疗设施的七个村庄提供服务,为期一年。本研究采用描述性研究设计,结合了定性和定量方法。分别通过 12 次访谈和 214 份孕妇病历收集了定性和定量数据。结果显示,约有 17% 的妇女提前开始了产前保健,36% 的妇女在怀孕三个月时就开始了产前保健。由于流动诊所能提供全面的护理服务,参与者普遍更喜欢流动诊所而不是传统设施。不过,他们也注意到了一些挑战,如雨季期间诊所的不稳定性以及包括产科超声波检查在内的检查项目有限。尽管存在这些障碍,但研究强调了产前保健服务的普及和社区参与度的提高,这表明流动诊所有可能扩展到其他服务不足的农村地区。研究结果强调了在医疗基础设施有限的地区采用创新方法提供产前护理的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Midwife-Led Mobile Antenatal Clinic: An Innovative Approach to Improve Utilization of Services in Pwani, Tanzania.

Participating in antenatal clinics is a major determinant in reducing poor maternal and neonatal birth outcomes. We aimed to evaluate the utilization of antenatal clinic (ANC) services provided by a mobile clinic led by skilled midwives and determine the acceptability in the Pwani region, Tanzania. For a year, the mobile clinic, nicknamed "Mkunga Kitaani" and equipped with necessary tools and staff, served seven villages in the Kisarawe district that lacked health facilities. The research was conducted using a descriptive study design, incorporating both qualitative and quantitative methods. Qualitative and quantitative data were collected through 12 interviews and 214 medical records among pregnant women, respectively. The results show that approximately 17% of the women initiated ANC early, while 36% made their visit during their third trimester. Participants generally preferred the mobile clinic over traditional facilities due to its provision of comprehensive care. However, challenges such as clinic unreliability during the rainy season and limited availability of tests, including obstetric ultrasounds, were noted. Despite hurdles, the study highlighted increased ANC access and community engagement, suggesting potential for expansion to other underserved rural areas. The findings underscore the importance of innovative approaches to ANC delivery in regions with limited healthcare infrastructure.

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来源期刊
自引率
0.00%
发文量
14422
期刊介绍: International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health. The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.
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