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首页> 外文期刊>BMC Pregnancy and Childbirth >An account for barriers and strategies in fulfilling women’s right to quality maternal health care: a qualitative study from rural Tanzania
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An account for barriers and strategies in fulfilling women’s right to quality maternal health care: a qualitative study from rural Tanzania

机译：坦桑尼亚实现妇女享有优质孕产妇保健权的障碍和战略的说明：来自坦桑尼亚农村的定性研究

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Tanzania has ratified and abides to legal treaties indicating the obligation of the state to provide essential maternal health care as a basic human right. Nevertheless, the quality of maternal health care is disproportionately low. The current study sets to understand maternal health services’ delivery from the perspective of rural health workers’, and to understand barriers for and better strategies for realization of the right to quality maternal health care. Semi-structured in-depth interviews were conducted, involving 11 health workers mainly; medical attendants, enrolled nurses and Assistant Medical Officers from primary health facilities in rural Tanzania. Structured observation complemented data from interviews. Interview data were analyzed using thematic analysis guided by the conceptual framework of the right to health. Three themes emerged that reflected health workers’ opinion towards the quality of health care services; “It’s hard to respect women’s preferences”, “Striving to fulfill women’s needs with limited resources”, and “Trying to facilitate women’s access to services at the face of transport and cost barriers”. Health system has left health workers as frustrated right holders, as well as dis-empowered duty bearers. This was due to the unavailability of adequate material and human resources, lack of motivation and lack of supervision, which are essential for provision of quality maternal health care services. Pregnant women, users of health services, appeared to be also left as frustrated right holders, who incurred out-of-pocket costs to pay for services, which were meant to be provided free.
机译：坦桑尼亚已经批准并遵守法律条约，表明国家有义务提供基本的孕产妇保健作为一项基本人权。然而，孕产妇保健的质量极低。当前的研究旨在从农村卫生工作者的角度了解孕产妇保健服务的提供，并了解实现优质孕产妇保健权的障碍和更好的战略。进行了半结构化的深度访谈，主要涉及11名卫生工作者。来自坦桑尼亚农村地区主要医疗机构的医务人员，在册护士和助理医务人员。结构化观察补充了访谈数据。在健康权概念框架的指导下，采用专题分析对访谈数据进行了分析。出现了三个主题，反映了卫生工作者对卫生保健服务质量的看法; “很难尊重妇女的偏好”，“力求用有限的资源来满足妇女的需求”和“试图在交通和成本壁垒的情况下促进妇女获得服务”。卫生系统使卫生工作者成为沮丧的权利持有者，以及丧失职权的人。这是由于缺乏足够的物质和人力资源，缺乏动力和缺乏监督，而这对于提供高质量的孕产妇保健服务至关重要。孕妇，卫生服务的使用者，似乎也受挫为权利持有人，他们承担了支付本应免费提供的服务的自付费用。

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