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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Causal Beliefs Affect Treatment Practices and Preferences for Neonatal Danger Signs in Northwest Ethiopia: A Qualitative Study
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Causal Beliefs Affect Treatment Practices and Preferences for Neonatal Danger Signs in Northwest Ethiopia: A Qualitative Study

机译：因果信念会影响西北埃塞俄比亚新生儿危险迹象的治疗实践和偏好：定性研究

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This study was conducted to explore the experiences of community members, particularly mothers, concerning their beliefs about the causes, treatment practices, and preferences for World Health Organization-defined neonatal danger signs in northwest Ethiopia. A phenomenological qualitative study was conducted in three districts of north Gondar Zone, Amhara region, Ethiopia, from March 10 to 28, 2016. Twelve focus group discussions were conducted involving 98 individuals. In-depth interviews were conducted with six health extension workers and 30 women who were either pregnant or who delivered in the past 6 months. Six subthemes emerged explaining the causes of neonatal danger signs. The causes varied from danger sign to danger sign and from person to person. Most of the perceived causes of danger signs in neonates do not align with the current biomedical science. Causal assumptions and perceived seriousness of danger signs influenced treatment practices and preferences. Four subthemes also emerged for treatment practices and preferences. In some cases, respondents indicated that non-biomedical sources of treatment were superior in outcome compared with biomedical treatment options. Unsatisfactory outcomes were mentioned as major reasons to opt for treatments from non-biomedical sources. Religious and cultural reasons were reported to be major impediments for treatment seeking for newborn danger signs. There is an urgent need to introduce or expand locally modified program interventions, such as community-based newborn care, to educate the community on the causes of neonatal danger signs and the need for prompt care seeking from qualified providers.
机译：该研究进行了探讨社区成员，特别是母亲的经验，涉及他们对世界卫生组织定义的新生儿危险迹象的原因，治疗法和偏好的信念。从2016年3月10日至28日，埃塞俄比亚阿哈拉地区阿哈拉地区的三个地区进行了现象学定性研究。涉及98人的12个焦点小组讨论。深入的访谈是用六名健康延长工人和30名怀孕或在过去6个月内交付的女性进行的访谈进行。出现了六个次节，解释了新生儿危险迹象的原因。原因从危险标志到危险标志和人员的原因不同。新生儿中危险迹象的大多数感知原因都不与当前的生物医学科学对齐。因果假设和感知危险的严重性影响治疗实践和偏好。为治疗实践和偏好也出现了四个次节。在某些情况下，受访者表明，与生物医学治疗方案相比，非生物医学源的治疗源优异。将不令人满意的结果作为选择非生物医学来源治疗的主要原因。据报道，宗教和文化的原因是寻求新生危险迹象的治疗的主要障碍。迫切需要介绍或扩展本地修改的计划干预，例如社区的新生儿护理，教育社区对新生儿危险迹象的原因以及迅速关心寻求合格提供者的需求。

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