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首页> 外文期刊>Maternal health, neonatology and perinatology. >Introducing eHealth strategies to enhance maternal and perinatal health care in rural Tanzania
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Introducing eHealth strategies to enhance maternal and perinatal health care in rural Tanzania

机译：引入电子卫生保健策略以增强坦桑尼亚农村地区的孕产妇和围产期保健

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BackgroundGlobally, eHealth has attracted considerable attention as a means of supporting maternal and perinatal health care. This article describes best practices, gains and challenges of implementing eHealth for maternal and perinatal health care in extremely remote and rural Tanzania. MethodsTeleconsultation for obstetric emergency care, audio teleconferences and online eLearning systems were installed in ten upgraded rural health centres, four rural district hospitals and one regional hospital in Tanzania. Uptake of teleconsultation and teleconference platforms were evaluated retrospectively. A cross sectional descriptive study design was applied to assess performance and adoption of eLearning. ResultsIn 2015 a total of 38 teleconsultations were attended by consultant obstetricians and 33 teleconferences were conducted and attended by 40 health care providers from 14 facilities. A total of 240 clinical cases mainly caesarean sections (CS), maternal and perinatal morbidities and mortalities were discussed and recommendations for improvement were provided. Four modules were hosted and 43 care providers were registered on the eLearning system. For a period of 18–21 months total views on the site, weekly conference forum, chatroom and learning resources ranged between 106 and 1,438. Completion of learning modules, acknowledgment of having acquired and utilized new knowledge and skills in clinical practice were reported in 43–89% of 20 interviewed health care providers. Competencies in using the eLearning system were demonstrated in 62% of the targeted users. ConclusionsE-Health presents an opportunity for improving maternal health care in underserved remote areas in low-resource settings by broadening knowledge and skills, and by connecting frontline care providers with consultants for emergency teleconsultations.
机译：背景技术在全球范围内，eHealth作为支持孕产妇和围产期保健的一种手段已引起了广泛关注。本文介绍了在偏远的坦桑尼亚农村地区实施电子卫生保健以进行孕产妇和围产期保健的最佳做法，收益和挑战。方法在坦桑尼亚的十个升级的农村保健中心，四个农村地区医院和一个地区医院中，安装了产科急诊电话咨询，音频电话会议和在线电子学习系统。回顾性评估电话咨询和电话会议平台的使用情况。采用横断面描述性研究设计来评估电子学习的效果和采用情况。结果2015年，咨询产科医生共进行了38次电话咨询，来自14个机构的40名医疗保健提供者进行了33次电话会议。共讨论了240例临床病例，主要是剖腹产（CS），母婴围产期发病率和死亡率，并提出了改善建议。托管了四个模块，并在电子学习系统上注册了43个护理提供者。在18-21个月的时间里，该站点，每周会议论坛，聊天室和学习资源的总浏览量在106到1,438之间。在20名接受采访的医疗服务提供者中，有43-89％的人报告说学习模块已经完成，承认已经获得并利用了临床实践中的新知识和技能。 62％的目标用户证明了使用电子学习系统的能力。结论电子卫生保健通过扩大知识和技能，并通过联系一线医疗保健提供者与紧急电话咨询顾问，为在资源匮乏的偏远地区提供了改善孕产妇保健的机会。

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