...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Reproductive Health >Barriers to utilisation of antenatal care services in South Sudan: a qualitative study in Rumbek North County
【24h】

Barriers to utilisation of antenatal care services in South Sudan: a qualitative study in Rumbek North County

机译：南苏丹利用产前护理服务的障碍：伦贝克北部县的定性研究

获取原文
   

获取外文期刊封面封底 >>

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

摘要

Background Access to adequate antenatal care (ANC) is critical in ensuring a good maternal health and in preventing maternal and neonatal morbidity and mortality. South Sudan has one of the world’s poorest health indicators due to a fragile health system and a combination of socio-cultural, economic, and political factors. This study was conducted to identify barriers to utilisation of ANC services in Rumbek North County. Methods Using a qualitative design, data were collected through 14 focus group discussions with 169 women and 45 men and 12 key informant interviews with community leaders, staff working in health facilities, and the staff of the County Health Department. Data were analysed using inductive content analysis. Results The perceived barriers to ANC utilisation were categorised as follows: 1) Issues related to access to health facilities and lack of resources. These included long distance to health facilities, lack of means of transportation to the health facilities, floods and poor roads, and demand for payment for health care at some health facilities; 2) The influence of the socio-cultural context and conflict including heavy burden of domestic chores, the negative influence of husbands who were reluctant to allow their wives to attend ANC, and insecurity; 3) Perceptions about pregnancy including misperceptions about the benefits of ANC and low perceived risk of pregnancy-related complications; and 4) Perceptions about the quality of care and the efficacy of medical treatment. Conclusions This study identified a myriad of factors deeply entrenched in the society, which prevent women from utilising ANC services. It also elicits broad aspects of interconnectedness among the barriers. To ensure effectiveness, strategies to improve utilisation of ANC in the study area and in similar contexts need to take into account the barriers identified by this study.
机译：背景技术获得适当的产前护理（ANC）对于确保良好的孕产妇健康以及预防孕产妇和新生儿的发病率和死亡率至关重要。由于卫生体系脆弱，加上社会文化，经济和政治因素，南苏丹的健康指标是全球最差的指标之一。进行这项研究是为了确定伦贝克北部县使用ANC服务的障碍。方法采用定性设计，通过与169位女性和45位男性进行的14次焦点小组讨论以及与社区负责人，卫生机构工作人员和县卫生局工作人员进行的12次关键知情人访谈，收集了数据。使用归纳含量分析法分析数据。结果感知到的使用ANC的障碍分为以下几类：1）与获得医疗设施和缺乏资源有关的问题。其中包括到保健设施的距离长，到保健设施的运输工具的缺乏，洪水和道路不畅以及对某些保健设施的保健付款的需求; 2）社会文化背景和冲突的影响，包括繁重的家务负担，不愿让妻子参加ANC的丈夫的负面影响以及不安全感; 3）对怀孕的看法包括对ANC的益处的误解以及对与怀孕有关的并发症的感知风险低; 4）对护理质量和医疗效果的看法。结论本研究确定了社会中深深扎根的众多因素，这些因素阻止了妇女使用ANC服务。它还引起了障碍之间相互联系的广泛方面。为了确保有效性，在研究区域和类似情况下提高ANC利用率的策略需要考虑到本研究确定的障碍。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 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