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首页> 外文期刊>BMC Health Services Research >“The system here isn’t on patients’ side”- perspectives of women and men on the barriers to accessing and utilizing maternal healthcare services in South Sudan
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“The system here isn’t on patients’ side”- perspectives of women and men on the barriers to accessing and utilizing maternal healthcare services in South Sudan

机译：“这里的系统不在患者一边”-男女在南苏丹获得和利用孕产妇保健服务的障碍

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In fragile and war-affected setting such as South Sudan, a combination of physical environmental, socioeconomic factors and healthcare’s characteristic contributes to higher rates of home delivery attended by unskilled attendants. This study aims to understand the community members’ experience, perceptions and the barriers in relation to accessing and utilizing maternal healthcare services in South Sudan. We conducted in-depth one-on-one interview with 30 women and 15 men to investigate their perspectives on the barriers to access maternal and child health related services. We purposively selected women and their partners in this study. Our study revealed that inadequate quality of antenatal care services such as lack of essential medicine, supplies and tools was linked to individual’s mothers dissatisfaction with the services they received. In addition, sudden onset of labor and lack of safety and security were important reasons for home delivery in this study. Furthermore, lack of transport as a result of a combination of long distance to a facility and associated costs either restricted or delayed women reaching the health facilities. Our study highlighted an urgent need for the government of South Sudan to implement security and safety measures in order to improved access to delivery service at night. Incorporating private transports to provide access to affordable and reliable transport services for pregnant and post-partum women is also important. Increasing the budget allocation for medicine and health supplies and improving management of medicine and supply chain logistics are essential.
机译：在诸如南苏丹这样脆弱而受战争影响的环境中，物理环境，社会经济因素和医疗保健特征的结合，导致非熟练服务员上门送货的比率更高。本研究旨在了解南苏丹社区成员在获得和利用孕产妇保健服务方面的经验，看法和障碍。我们与30名女性和15名男性进行了一对一的深入访谈，以调查他们对获得母婴健康相关服务障碍的看法。我们有目的地选择了这项研究中的妇女及其伴侣。我们的研究表明，产前护理服务质量不足（例如缺少基本药物，用品和工具）与个人母亲对其所获得的服务不满意有关。此外，在这项研究中，突然的分娩发作和缺乏安全保障是送货到家的重要原因。此外，由于到机构的长途运输和相关费用的组合，导致运输不足，限制或延迟了妇女到达保健机构。我们的研究强调了南苏丹政府迫切需要执行安保和安全措施，以改善夜间的送货服务。重要的是，纳入私人交通工具以为孕妇和产后妇女提供负担得起的可靠交通服务。必须增加对药品和卫生用品的预算拨款，并改善药品和供应链物流的管理。

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