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首页> 外文期刊>American Journal of Nursing Science >Effect of the Mandatory Community Midwifery Service on Maternal Health Care Utilization in Nigeria
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Effect of the Mandatory Community Midwifery Service on Maternal Health Care Utilization in Nigeria

机译：尼日利亚强制性社区助产服务对孕产妇保健利用的影响

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The unacceptably high maternal mortality in Nigeria led the Nursing and Midwifery Council of Nigeria to introduce the basic midwifery training with the view of producing skilled personnel to provide midwifery services. Built into the programme is the one-year mandatory community service. The one-year mandatory community service in an intervention aimed at ensuring the availability of midwives (skilled attendants) to provide maternal care in the communities and thus encourage women to access care at the health centre. The study investigated the variation in the levels of utilization of maternal healthcare before and after the inception of the one year mandatory midwives' community service by assessing the perceptions of the Midwives regarding the impact of the mandatory service on the utilization of maternal care services. The General System Theory and the Logic Model were the theoretical models used in this study. The research was conducted in three selected local government areas (LGAs) out of the eighteen (18) LGAs in Ondo State. The time-series type of non-controlled experimental design was the research design used for the study. Records of maternal health care attendance from the selected health facilities from July 2002 to July 2010 were assessed to generate data for the study. The study population comprised the midwives who had participated in the mandatory service in the three selected communities where the three primary health care centres are located. Multistage sampling technique was adopted to select three Local Government Areas (LGAs) from where data was collected. All midwives that have served or are still serving in the selected PHCs were purposely involved, a total of 50 in number. In-depth interview guide and format for recording data from records were used in the study. The interview guide was divided into two sections. Section A, was a checklist was used to explore the participants' opinions on the mandatory community service and Section B was a questionnaire to assess the midwives experience, opinions and challenges. Lastly, a format/checklist was developed to record data from records (antenatal care attendance, deliveries and postnatal care attendance between July 2002 and July 2011). Data from the study was analyzed using both descriptive and inferential statistics utilizing the Statistical Package for the Social Sciences (SPSS) Correlation coefficient was used. The result obtained from the study indicated that there was no significant difference in the levels of utilization of maternal care services before and after the inception of the mandatory community service except for the slight increase in antenatal care utilization. The majority of the midwives claimed that their presence had increased the patronage of maternal care services. However this subjective data was not justified by the statistics obtained. The midwives also highlighted their challenges as well as the way forward.
机译：尼日利亚令人难以接受的高产妇死亡率导致尼日利亚护理和助产士理事会引入了基本的助产士培训，目的是培养技术熟练的人员来提供助产士服务。该计划内置了一年的强制性社区服务。为期一年的强制性社区服务，旨在确保提供助产士（熟练服务员）以在社区中提供孕产妇保健，从而鼓励妇女在保健中心获得保健。该研究通过评估助产士对强制性服务对利用产妇护理服务的影响的看法，调查了在开始强制性助产士一年的社区服务前后的孕产妇保健利用水平的变化。通用系统理论和逻辑模型是本研究中使用的理论模型。该研究是在翁多州的十八（18）个LGA中的三个选定的地方政府区域（LGA）中进行的。时间序列类型的非受控实验设计是用于研究的研究设计。评估了2002年7月至2010年7月期间所选医疗机构的孕产妇保健出勤记录，以生成研究数据。研究人群包括助产士，她们在三个初级保健中心所在的三个选定社区中参加了强制性服务。采用多阶段采样技术从收集数据的地方选择三个地方政府区域（LGA）。在选定的初级保健中心任职或仍在任职的所有助产士都是有目的的，总数为50名。在研究中使用了深度访谈指南和记录记录数据的格式。采访指南分为两个部分。 A部分是一份清单，用于探讨参与者对强制性社区服务的意见，B部分是用于评估助产士的经历，意见和挑战的问卷。最后，开发了一种格式/清单来记录记录中的数据（2002年7月至2011年7月之间的产前护理，分娩和产后护理）。使用描述性和推断性统计数据对研究数据进行了分析，并使用了社会科学统计软件包（SPSS）的相关系数。从研究中获得的结果表明，在开始强制性社区服务之前和之后，产妇护理服务的利用水平没有显着差异，除了产前护理利用的略有增加。大多数助产士声称他们的存在增加了孕产妇保健服务的光顾。但是，这些主观数据不能通过获得的统计数据来证明。助产士还强调了他们的挑战以及前进的道路。

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