印度提供围产期精神卫生服务和《2023年国家护理和助产委员会法》：内涵

Q3 Medicine

Ethics, Medicine and Public Health Pub Date : 2025-01-01 DOI:10.1016/j.jemep.2025.101130

R. Behl

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引用次数: 0

摘要

世卫组织最近建议定期筛查产后抑郁和焦虑，并提供治疗干预措施，非专业卫生工作者也可以胜任这些工作。在印度，最近实施了《2023年国家护理和助产委员会法》，以规范和维持护理和助产专业人员的教育标准和规定的服务，以及发展和采用医疗保健模式中的科学进步。目的了解在《2023年NNMC法》规定的范围内，印度的护理和助产人员是否可以切实提供围产期精神卫生服务，以及哪一类人员可以切实提供这种服务。方法采用规范性法学方法对NNMC法案中有关护理和助产人员的规定进行识别，并采用比较解释法分析这些人员提供PHM服务的可行性。结果《NNMC法案，2023》对护理和助产进行了广泛的区分，并规定了护理和助产人员组下的不同干部。助产士执业护士（NPM）可以最理想地提供PMH服务，在他们缺席的情况下，助产士专业人员可以通过综合方法承担这项任务。然而，在全国范围内，护理和助产人员严重短缺。结论2023年NNMC法案可以促进PMH服务的提供，但必须增加现有人力资源的数量，并对现有的卫生保健人员进行充分的培训。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Delivery of perinatal mental health services in India, and the National Nursing and Midwifery Commission Act, 2023: The connotations

Background

The WHO recently recommended regular screening of postnatal depression and anxiety, and delivery of treatment interventions, which can be competently undertaken by non-specialist health workers as well. In India, the National Nursing and Midwifery Commission (NNMC) Act, 2023 has been recently enforced to regulate, and maintain standards of education, and services prescribed for nursing and midwifery professionals, and the development and adoption of scientific advancements in healthcare models.

Aim

To understand if delivery of perinatal mental health (PMH) services in the context of provisions of the NNMC Act, 2023 can be feasibly undertaken by nursing and midwifery personnel in India, and which group of the personnel can feasibly deliver the same.

Methods

Normative Juridical method was used to identify the provisions of the NNMC Act relating to nursing and midwifery personnel, and a comparative interpretative method was utilized to analyze the feasibility of delivery of PHM services by these personnel.

Results

The NNMC Act, 2023 expansively differentiates between nursing, and midwifery, and provides for different cadres under the nursing, and midwifery groups of personnel. The Nurse Practitioner in Midwifery (NPM) can most optimally deliver PMH services, and in their absence, Midwifery Professionals can undertake the task through an integrated approach. However, an acute shortage of nursing and midwifery personnel exists at the nationwide level.

Conclusion

The NNMC Act, 2023 can facilitate the delivery of PMH services but the number of available human resources must be increased, and the existing healthcare personnel must be sufficiently trained.

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来源期刊

Ethics, Medicine and Public Health Medicine-Health Policy

CiteScore

2.20

自引率

0.00%

发文量

107

审稿时长

42 days

期刊介绍： This review aims to compare approaches to medical ethics and bioethics in two forms, Anglo-Saxon (Ethics, Medicine and Public Health) and French (Ethique, Médecine et Politiques Publiques). Thus, in their native languages, the authors will present research on the legitimacy of the practice and appreciation of the consequences of acts towards patients as compared to the limits acceptable by the community, as illustrated by the democratic debate.