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首页> 外文期刊>Reproductive Health >Do Malawian women critically assess the quality of care? A qualitative study on women’s perceptions of perinatal care at a district hospital in Malawi
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Do Malawian women critically assess the quality of care? A qualitative study on women’s perceptions of perinatal care at a district hospital in Malawi

机译：马拉维妇女是否会严格评估护理质量？在马拉维一家地区医院对妇女对围产期护理的看法进行定性研究

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Background Malawi has a high perinatal mortality rate of 40 deaths per 1,000 births. To promote neonatal health, the Government of Malawi has identified essential health care packages for improving maternal and neonatal health in health care facilities. However, regardless of the availability of health services, women’s perceptions of the care is important as it influences whether the women will or will not use the services. In Malawi 95% of pregnant women receive antenatal care from skilled attendants, but the number is reduced to 71% deliveries being conducted by skilled attendants. The objective of this study was to describe women’s perceptions on perinatal care among the women delivered at a district hospital. Methods A descriptive study design with qualitative data collection and analysis methods. Data were collected through face-to-face in-depth interviews using semi-structured interview guides collecting information on women’s perceptions on perinatal care. A total of 14 in depth interviews were conducted with women delivering at Chiradzulu District Hospital from February to March 2011. The women were asked how they perceived the care they received from health workers during antepartum, intrapartum and postpartum. They were also asked about the information they received during provision of care. Data were manually analyzed using thematic analysis. Results Two themes from the study were good care and unsatisfactory care. Subthemes under good care were: respect, confidentiality, privacy and normal delivery. Providers’ attitude, delay in providing care, inadequate care, and unavailability of delivery attendants were subthemes under unsatisfactory care. Conclusions Although the results show that women wanted to be well received at health facilities, respected, treated with kindness, dignity and not shouted at, they were not critical of the care they received. The women did not know the quality of care to expect because they were not well informed. The women were not critical of the care they received because they were not aware of the standard of care. Instead they had low expectations. Health workers have a responsibility to inform women and their families about the care that women should expect. There is also a need for standardization of the antenatal information that is provided.
机译：背景马拉维的围产期死亡率很高，每千名婴儿中有40例死亡。为了促进新生儿保健，马拉维政府确定了基本保健方案，以改善保健设施中的孕产妇和新生儿保健。但是，无论是否有医疗服务，妇女对医疗服务的看法都是重要的，因为这会影响妇女是否会使用该服务。在马拉维，有95％的孕妇接受了熟练服务员的产前护理，但人数减少到了熟练服务员进行的分娩的71％。这项研究的目的是描述在地区医院分娩的妇女对围产期护理的看法。方法采用定性数据收集和分析方法的描述性研究设计。通过使用半结构化访谈指南的面对面深度访谈收集数据，以收集有关妇女对围产期保健看法的信息。从2011年2月至2011年3月，在奇拉祖鲁区医院分娩的妇女总共进行了14次深度访谈。询问妇女在产前，产中和产后如何看待卫生工作者的护理。还向他们询问了他们在提供护理期间收到的信息。使用主题分析手动分析数据。结果研究的两个主题是良好护理和不满意护理。受到良好照顾的子主题是：尊重，保密，隐私和正常交付。服务提供者的态度，提供护理的时间延迟，护理不足以及分娩服务员无法获得都是未得到满意护理的子主题。结论尽管结果表明，妇女希望在医疗机构中受到好评，受到尊重，善待，尊严并且不大喊大叫，但她们并不批评接受的护理。这些妇女不了解所期望的护理质量，因为她们的情况不多。这些妇女并不批评她们所接受的护理，因为她们不了解护理标准。相反，他们的期望值很低。卫生工作者有责任告知妇女及其家庭妇女应得到的照顾。还需要标准化所提供的产前信息。

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