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A call for collaboration on respectful, person-centered health care in family planning and maternal health

机译:呼吁在计划生育和孕产妇保健方面开展以人为本的尊重卫生保健方面的合作

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Background Striking tales of people judged, disrespected, or abused in reproductive, maternal, newborn, child, and adolescent health (RMNCAH) services are commonly exchanged among friends and families throughout the world while remaining sorely under-addressed in global health. Disrespect and abuse of individuals and providers in health services across the RMNCAH continuum must be stopped through collaborative, multi-tiered efforts. Call for collaboration A new focus on health care quality in the Sustainable Development Goals offers an opportunity to seriously reexamine user experiences and their impact on health care utilization. The new framework provides an opening to redress the insidious problem of negative interactions with care across the RMNCAH services continuum and redraft the blueprint for service delivery and performance measurement, placing individuals and their needs at the center. Both the maternal health and family planning fields are at a turning point in their histories of defining and addressing individuals’ experiences of care. In this commentary, we review these histories and the current state-of-the-art in both fields. Though the approaches and language in each sub-field vary, person-centered care principles related to the essential role of individuals’ preferences, needs and values, and the importance of informed decision-making, respect, privacy and confidentiality, and non-discrimination, are integral to all. Promoting respectful, person-centered care also requires recognizing the factors that lead to poor treatment of clients, including gender norms and unsupportive working conditions for providers. Lessons can be learned from innovative efforts across the continuum to support health care providers to provide respectful, person-centered care. Conclusion Efforts in the maternal health and family planning fields to define respectful, person-centered care provide a useful foundation from which to connect across the continuum of RMNCAH services. Now is the time to creatively work together to develop new approaches for promoting respectful treatment of individuals in all RMNCAH services.
机译:背景技术在生殖,孕产妇,新生儿,儿童和青少年健康(RMNCAH)服务中被判断,不尊重或虐待的人们的震撼故事通常在全世界的朋友和家人之间进行交流,而在全球健康中却仍然受到严重重视。必须通过多层合作来制止在RMNCAH连续体中对个人和医疗服务提供者的不尊重和虐待。呼吁合作在可持续发展目标中对卫生保健质量的新关注提供了一个机会,可以认真地重新审视用户体验及其对卫生保健利用的影响。新框架为解决RMNCAH服务连续性中隐性负面互动的隐患提供了一个机会,并重新草拟了服务交付和绩效评估的蓝图,将个人及其需求置于中心位置。孕产妇保健和计划生育领域正处于定义和解决个人护理经历的历史的转折点。在这篇评论中,我们回顾了这些历史以及这两个领域的最新技术。尽管每个子领域的方法和语言各不相同,但以人为本的护理原则与个人偏好,需求和价值观的基本作用以及知情决策,尊重,隐私和保密以及非歧视的重要性有关。 ,是所有人不可或缺的。提倡尊重的,以人为中心的护理还需要认识到导致对客户的不良对待的因素,包括性别规范和提供者的无支持的工作条件。从整个连续性的创新努力中可以吸取教训,以支持卫生保健提供者提供尊重的,以人为本的护理。结论在孕产妇保健和计划生育领域,为定义尊重的,以人为本的护理所做的努力,为在整个RMNCAH服务之间建立联系提供了有用的基础。现在是时候创造性地合作开发新的方法,以促进在所有RMNCAH服务中对个人的尊重对待。

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