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首页> 外文期刊>Journal of transcultural nursing: official journal of the Transcultural Nursing Society >Practices of Traditional Birth Attendants in Sierra Leone and Perceptions by Mothers and Health Professionals Familiar With Their Care
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Practices of Traditional Birth Attendants in Sierra Leone and Perceptions by Mothers and Health Professionals Familiar With Their Care

机译：塞拉利昂传统接生员的做法以及熟悉其护理的母亲和保健专业人员的看法

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Study Purpose: Describe practices of traditional birth attendants (TBAs) in assisting women in childbirth and the perceptions of TBAs by mothers and health professionals familiar with their work. Methodology: Qualitative design using focus groups conducted in urban and rural settings in Sierra Leone. Separate audiotaped focus groups conducted for each group of participants lasting between 45 and 90 minutes. Participants: Purposive sample of 20 TBAs, 20 mothers, and 10 health professionals who met the following criteria: (a) at least 18 years of age, (b) TBAs currently practicing, (c) mothers who delivered at least one child assisted by a TBA, and (d) health professionals currently practicing in the hospital and familiar with TBA practices. Findings: TBAs are valued by mothers, health professionals, and the community because they provide accessible and affordable care to mothers who may otherwise have no access to health services. TBAs need training, supervision, and resources for effective referral of mothers. Systemic problems in the health care system create enormous barriers to effective care for mothers and children independent of TBA practices that contribute to high maternal and infant mortality rates. The study findings have implications on broad public policy in improving maternal and child health in the country.
机译：研究目的：描述传统接生员（TBA）在帮助妇女分娩方面的做法以及熟悉其工作的母亲和卫生专业人员对TBA的看法。方法：定性设计，使用在塞拉利昂城市和乡村进行的焦点小组讨论。针对每组参与者进行的单独录音焦点小组，持续45至90分钟。参与者：符合以下标准的20名TBA，20名母亲和10名卫生专业人员的目标样本：（a）年龄至少18岁，（b）当前正在开展的TBA，（c）在至少一名儿童的帮助下分娩的母亲一个TBA，以及（d）当前在医院工作并熟悉TBA做法的卫生专业人员。调查结果：母亲，卫生专业人员和社区重视TBA，因为它们为可能无法获得卫生服务的母亲提供了可负担且负担得起的护理。 TBA需要培训，监督和资源，以有效地推荐母亲。卫生保健系统中的系统性问题为有效地照顾母婴提供了巨大的障碍，而这与TBA做法无关，而母婴死亡率较高。研究结果对改善该国母婴健康的广泛公共政策产生了影响。

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