尼日利亚中南部孕妇对助产士在政府拥有的医疗机构提供产前服务的有效性、安全性和及时性的看法

Kanikwu P.N., Chiejina E.N., Odira C.C.H.
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引用次数: 0

摘要

背景:产前服务未得到充分利用和利用不足都会导致母胎结局不佳。孕妇对服务的有效性、安全性和及时性的认识可能会对服务的利用产生重大影响。目的:本研究的目的是确定孕妇对助产士提供的产前服务的有效性、安全性和及时性的看法,以及尼日利亚南部政府所有医疗机构产前服务的效力、安全性与及时性之间的关系。方法:采用横断面研究设计。采用多阶段抽样技术,在尼日利亚中南部的六个州选择了30家政府拥有的初级、二级和三级卫生设施,从中选出了50名受访者。共有1500名孕妇被选入研究。用于数据收集的工具是自行开发的《孕妇对助产士提供产前服务的有效性、安全性和及时性的感知问卷》。该仪器的可靠性是通过使用Cronbachα的重新测试方法确定的,该方法产生了0.715的协同效应。使用频率、百分比、平均值和Spearman秩序相关性对收集的数据进行分析。结果:孕妇对助产士提供产前服务的有效性、安全性和及时性的感知平均值分别为4.27+0.68、3.72+1.03和3.23+1.17。产前服务的安全性和有效性(rho=0.33,p<0.001)以及及时性和有效性之间也存在显著关系(rho=0.010,p<0.001)。结论:尼日利亚南部的孕妇对助产士提供的产前服务的有效性、安全性和及时性有积极的认识。政府所有医疗机构的助产士应定期进行评估,以获得孕妇对其提供的产前服务质量的反馈。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pregnant Women's Perception of the Effectiveness, Safety and Timeliness of Antenatal Services Provided by Midwives in Government-Owned Healthcare Facilities in South-South Nigeria
Background: Both non- and under-utilization of antenatal services can lead to poor materno-fetal outcomes. Perception of the effectiveness, safety and timeliness of the services by pregnant women may substantially affect the utilization. Objectives: The objectives of this study were to determine pregnant women’s perception of the effectiveness, safety and timeliness of the antenatal services provided by midwives, and the relationships between effectiveness, safety and timeliness of antenatal services at government-owned healthcare facilities in South-South Nigeria. Method: A cross-sectional research design was adopted for the study. Multistage sampling technique was used to select 30 primary, secondary and tertiary government-owned health facilities across the six States in South-South Nigeria from which 50 respondents were selected from each of the selected facilities. A total of 1,500 pregnant women were selected for the study. The instrument used for data collection was a self-developed Questionnaire on Pregnant Women’s Perception of the Effectiveness, Safety and Timeliness of Antenatal Services Provided by Midwives. The reliability of the instrument was established through the test-retest method using Cronbach’s alpha which yielded co-efficient of 0.715. Data collected were analyzed using frequencies, percentages, mean and Spearman Rank order correlation. Results: The result showed means of 4.27+0.68, 3.72+1.03, 3.23+1.17 respectively for pregnant women’s perceived effectiveness, safety and timeliness of antenatal services provided by midwives. Significant relationships also existed between safety and effectiveness (rho = 0.33, p < 0.001), as well as between timeliness and effectiveness (rho = 0.10, p < 0.001) of the antenatal services. Conclusion: Pregnant women in South-South Nigeria had a positive perception of effectiveness, safety and timeliness of the antenatal services provided by midwives. Midwives in government-owned healthcare facilities should conduct regular evaluations to get feedback from pregnant women regarding the quality of antenatal services they provide.
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