Environmental factors and WASH practices in the perinatal period in Cambodia: implications for newborn health.

Environmental factors and WASH practices in the perinatal period in Cambodia: implications for newborn health.
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DOI:
10.3390/ijerph120302392
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发表时间:
2015-02-23
影响因子:
--
通讯作者:
Var C
Var C
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Bazzano AN;Oberhelman RA;Potts KS;Gordon A;Var C

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感染是造成全世界新生儿死亡和残疾的很大一部分原因,其中主要负担发生在出生后第一周。环境条采用定性方法来了解柬埔寨农村省份妇女分娩的卫生中心以及新生儿家庭中感染预防和控制 (IPC) 以及 WASH 相关行为的环境背景。结构化观察和焦点小组讨论揭示了最佳实践中的重要差距,以及在分娩和产后维持 IPC 的结构和社会障碍。已有解决方案来解决已发现的问题,解决这些问题可能会显着改善环境,改善护理质量和新生儿结局。家庭和健康中心环境中的水、环境卫生和个人卫生可能对健康有重要贡献,应在提高新生儿存活率的策略中加以解决。
Infection contributes to a significant proportion of neonatal death and disability worldwide, with the major burden occurring in the first week of life. Environmental conditions and gaps in water, sanitation and hygiene (WASH) practices may contribute to the risk of infection, particularly in settings where health centers are expanding to meet the growing demand for skilled care at birth and homes do not have adequate access to water and sanitation. A qualitative approach was used to understand the environmental context for infection prevention and control (IPC) and WASH associated behaviors in health centers where women give birth, and in homes of newborns, in a rural Cambodian province. Structured observations and focus group discussions revealed important gaps in optimal practices, and both structural and social barriers to maintaining IPC during delivery and post-partum. Solutions are available to address the issues identified, and tackling these could result in marked environmental improvement for quality of care and neonatal outcomes. Water, sanitation and hygiene in home and health center environments are likely to be important contributors to health and should be addressed in strategies to improve neonatal survival.
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