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首页> 外文期刊>Conflict and Health >“The more children you have, the more praise you get from the community”: exploring the role of sociocultural context and perceptions of care on maternal and newborn health among Somali refugees in UNHCR supported camps in Kenya
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“The more children you have, the more praise you get from the community”: exploring the role of sociocultural context and perceptions of care on maternal and newborn health among Somali refugees in UNHCR supported camps in Kenya

机译：“你拥有的孩子越多，你来自社区的赞美越赞一些”：探索社会文化背景的作用和对难民专员办事处支持难民营难民营难民营难民营难民难民难民的妇幼保健治疗的关怀

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Maternal and neonatal survival are key components of population health and may be particularly vulnerable in humanitarian contexts of civil unrest and displacement. Understanding what factors contribute to poor health outcomes throughout the reproductive life cycle and across the continuum of care is crucial for improving health programming in acute and protracted refugee settings. We undertook a mixed-methods baseline assessment of factors related to maternal and neonatal health among refugees living in the Dadaab refugee complex in eastern Kenya. The qualitative component included 23 focus group discussions with 207 community members and 22 key informant interviews with relevant UN and non-governmental organization staff, community leaders, health managers, and front-line health care providers. We analysed qualitative data for content and themes using inductive and deductive techniques. Taking a life course perspective, we found that the strong desire for large families and the primary social role of the woman as child bearer impacted maternal and neonatal health in the camps through preferences for early marriage, low demand for contraception, and avoidance of caesarean sections. Participants described how a strong fear of death, disability, and reduced fecundity from caesarean sections results in avoidance of the?surgery, late presentation to the health facility in labour, and difficulty gaining timely informed consent. Mistrust of health service providers also played a role in this dynamic. In terms of newborn care practices, while breastfeeding is culturally supported and women increasingly accept feeding?colostrum?to the newborn, mixed feeding?practices and application of foreign substances to the umbilicus continue to present risks to newborn health in this community. The findings from our study showcase the role that specific sociocultural beliefs and practices and perceptions of health?care?services have on maternal and neonatal health. An in-depth understanding of how these factors impact the utilization of biomedical health services provides valuable information for targeted improvements in health service provision that are tailored to the local context.
机译：孕产妇和新生儿生存是人口健康的关键组成部分，可能特别容易受到内乱和流离失所的人道主义背景。了解在整个生殖生命周期内的健康结果不佳的因素以及整个关注的因素对于改善急性和长期难民环境中的健康计划至关重要。我们对肯尼亚东部达达布难民综合体的难民难民进行了混合方法的基础评估，这些因素有关妇幼保健症的因素。定性成分包括23个焦点小组与207个社区成员的讨论，以及与联合国和非政府组织工作人员，社区领导，卫生经理和前线医疗保健提供者的主要线人访谈。我们使用归纳和演绎技术分析了内容和主题的定性数据。采取生命课程的观点，我们发现，对于大型家庭的强烈渴望和妇女的主要社会角色作为儿童承担者通过偏好对营地的母亲和新生儿健康产生了对早期婚姻，对避孕的需求低，以及避免剖腹产。与会者描述了对死亡，残疾和疾病的繁殖程度强烈害怕剖腹产会导致避免？手术，延迟介绍劳动力设施，难以获得及时知情同意。对卫生服务提供者的不信任也在这种动态中发挥了作用。在新生儿护理措施方面，母乳喂养受到文化支持的，妇女越来越多地接受喂养？初乳？到新生儿，混合喂养？外国物质对脐部的实践和应用继续在这一社区中对新生儿健康产生风险。我们的研究结果展示了特定的社会文化信仰和习俗和对健康的看法的作用？护理？服务对孕产妇和新生儿健康。深入了解这些因素如何影响生物医疗保健服务的利用提供了有价值的卫生服务规定的有价值的信息，这些信息是根据本地背景量身定制的。

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