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首页> 外文期刊>International Journal of Preventive Medicine >BRIEF COMMUNICATION: AVAILABILITY AND CONTINUITY OF CARE FOR MATERNAL HEALTH SERVICES IN THE PRIMARY HEALTH CENTRES IN NNEWI, NIGERIA (JANUARY - MARCH 2010)
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BRIEF COMMUNICATION: AVAILABILITY AND CONTINUITY OF CARE FOR MATERNAL HEALTH SERVICES IN THE PRIMARY HEALTH CENTRES IN NNEWI, NIGERIA (JANUARY - MARCH 2010)

机译：简短的通信：尼日利亚新世界主要卫生中心物质卫生服务的可获得性和连续性（2010年1月至2010年3月）

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Background: In some primary health care settings, even where the health services are not available, provisions are not made to ensure continuity of care. This study aimed to determine the availability and level of continuity of care for maternal health services in the primary health centers (PHCs) in Nnewi, Nigeria.Methods: This was a cross?sectional survey. Using multistage sampling technique, 280 women utilizing maternal health services from four randomly selected public PHCs in Nnewi, Nigeria were chosen for the study. Data collection employed a mix of quantitative and qualitative methods.Results: The mean ± standard deviation for age of the respondents was 29.2 ± 5.9 years. The facilities studied provided out?patient services, but the only in?patient services provided was for women who delivered or those in labor. None of the facilities is equipped to provide even basic essential obstetric care services. None had standardized a protocol for referring clients, referral forms, a transport system, or a community loan scheme in place. Forty?four (15.7%) women were referred for care outside of the PHCs for the following reasons: Lack of drugs and supplies (9.1%); lack of equipment (90.9%), lack of skilled personnel (45.5%) among others.Conclusions: This study showed that despite the unavailability of some services, appropriate strategies were not in place to ensure the coherent pattern of services within and between the PHCs and other levels of care. Delivery to the clients of comprehensive and integrated maternal health services, and efficient referral systems are thus recommended.
机译：背景：在某些初级卫生保健机构中，即使没有卫生服务，也没有规定确保医疗保健的连续性。本研究旨在确定尼日利亚Nnewi初级卫生中心（PHC）的孕产妇保健服务的可用性和连续性水平。方法：这是一项横断面调查。使用多阶段抽样技术，从尼日利亚Nnewi的四个随机选择的公共PHC中选择了280名利用孕产妇保健服务的妇女进行研究。结果：受访者年龄的平均±标准差为29.2±5.9岁。所研究的设施提供了门诊服务，但唯一的住院服务是为分娩或正在工作的妇女提供的。没有设施可以提供基本的基本产科护理服务。没有人制定标准化的推荐客户协议，推荐表格，运输系统或社区贷款计划。有44名（15.7％）妇女在初级保健中心以外被转诊，其原因如下：缺乏药品和用品（9.1％）;缺乏设备（90.9％），缺乏熟练人员（45.5％）等。结论：本研究表明，尽管某些服务不可用，但仍没有适当的策略来确保PHC内部和之间的服务协调一致和其他级别的护理。因此，建议向客户提供全面和综合的孕产妇保健服务以及有效的转诊系统。

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