• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BMC Health Services Research >Psychosocial, behavioural and health system barriers to delivery and uptake of intermittent preventive treatment of malaria in pregnancy in Tanzania – viewpoints of service providers in Mkuranga and Mufindi districts
【24h】

Psychosocial, behavioural and health system barriers to delivery and uptake of intermittent preventive treatment of malaria in pregnancy in Tanzania – viewpoints of service providers in Mkuranga and Mufindi districts

机译：坦桑尼亚怀孕期间间歇性预防疟疾的传递和吸收的社会心理，行为和卫生系统障碍– Mkuranga和Mufindi地区服务提供商的观点

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Intermittent preventive treatment of malaria in pregnancy (IPTp) using sulphurdoxine-pyrimethamine (SP) is one of key malaria control strategies in Africa. Yet, IPTp coverage rates across Africa are still low due to several demand and supply constraints. Many countries implement the IPTp-SP strategy at antenatal care (ANC) clinics. This paper reports from a study on the knowledge and experience of health workers (HWs) at ANC clinics regarding psychosocial, behavioural and health system barriers to IPTp-SP delivery and uptake in Tanzania. Methods Data were collected through questionnaire-based interviews with 78 HWs at 28 ANC clinics supplemented with informal discussions with current and recent ANC users in Mkuranga and Mufindi districts. Qualitative data were analysed using a qualitative content analysis approach. Quantitative data derived from interviews with HWs were analysed using non-parametric statistical analysis. Results The majority of interviewed HWs were aware of the IPTp-SP strategy’s existence and of the recommended one month spacing of administration of SP doses. Some HWs were unsure of that it is not recommended to administer IPTp-SP and ferrous/folic acid concurrently. Others were administering three doses of SP per client following instruction from a non-governmental agency while believing that this was in conflict with national guidelines. About half of HWs did not find it appropriate for the government to recommend private ANC providers to provide IPTp-SP free of charge since doing so forces private providers to recover the costs elsewhere. HWs noted that pregnant women often register at clinics late and some do not comply with the regularity of appointments for revisits, hence miss IPTp and other ANC services. HWs also noted some amplified rumours among clients regarding health risks and treatment failures of SP used during pregnancy, and together with clients’ disappointment with waiting times and the sharing of cups at ANC clinics for SP, limit the uptake of IPTp-doses. Conclusion HWs still question SP’s treatment advantages and are confused about policy ambiguity on the recommended number of IPTp-SP doses and other IPTp-SP related guidelines. IPTp-SP uptake is further constrained by pregnant women’s perceived health risks of taking SP and of poor service quality.
机译：背景技术使用硫脲嘧啶-乙胺嘧啶（SP）间歇性预防疟疾（IPTp）是非洲重要的疟疾控制策略之一。然而，由于若干需求和供应限制，整个非洲的IPTp覆盖率仍然很低。许多国家在产前护理（ANC）诊所实施IPTp-SP策略。本文来自ANC诊所的卫生工作者（HW）关于在坦桑尼亚传播和吸收IPTp-SP的社会心理，行为和卫生系统障碍的知识和经验的研究报告。方法通过对28家ANC诊所的78名HW进行问卷调查，并与Mkuranga和Mufindi地区的当前和近期ANC用户进行非正式讨论，收集数据。使用定性内容分析方法分析定性数据。使用非参数统计分析分析了来自采访硬件的定量数据。结果大多数接受采访的硬件工作者都知道IPTp-SP策略的存在以及建议的SP剂量建议间隔1个月。一些硬件专家不确定不建议同时使用IPTp-SP和亚铁/叶酸。其他人则按照非政府机构的指示，每位客户服用三剂SP，同时认为这与国家准则相抵触。大约一半的硬件公司认为政府不建议私人ANC提供者免费提供IPTp-SP，因为这样做会迫使私人提供者在其他地方收回成本。硬件专家指出，孕妇通常在诊所登记较晚，有些孕妇不符合预约重诊的常规，因此错过了IPTp和其他ANC服务。硬件专家还注意到，客户之间关于怀孕期间使用SP的健康风险和治疗失败的谣言不断增多，加上客户对等待时间的失望以及在ANC诊所共用SP的杯子，限制了IPTp剂量的使用。结论硬件专家仍然质疑SP的治疗优势，并且对IPTp-SP推荐剂量和其他IPTp-SP相关指南的政策含糊不清。 IPTp-SP的摄入量进一步受到孕妇服用SP的健康风险和服务质量差的限制。

著录项

相似文献

  • 外文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号