'I never thought that this baby would survive; I thought that it would die any time': perceptions and care for preterm babies in eastern Uganda
'I never thought that this baby would survive; I thought that it would die any time': perceptions and care for preterm babies in eastern Uganda
复制标题
DOI：
10.1111/j.1365-3156.2010.02603.x
复制
发表时间：
2010-10-01
影响因子：
3.3
通讯作者：
Pariyo, George W.
中科院分区：
文献类型：
--
作者：
Waiswa, Peter;Nyanzi, Stella;Pariyo, George W.
目的了解乌干达东部社区成员对早产儿的护理现状及对早产儿的认知。方法一名新生儿助产士在1所综合医院和15个卫生中心观察了早产儿的护理情况。对11名社区卫生工作者(CHW)以及10名早产儿的母亲、6名父亲和3名祖母进行了深入访谈。与社区中的助产士和男女进行了三次焦点小组讨论。对数据进行内容分析。结果社区成员提出了许多可以正确用于识别早产儿的特征。保健机构和社区一级对早产儿的护理做法不足，而且可能有害。卫生机构在方案、卫生工作者的技能、基本设备、药品和其他用品方面缺乏照顾早产儿的能力。然而，社区成员和社区妇女表示，他们接受引入早产护理做法，如皮肤对皮肤和袋鼠母亲护理。结论在这种情况下，早产儿的护理在卫生设施和社区层面都是不够的。然而，接受社区建议的新生儿护理做法是推出早产儿方案的机会之窗。在这样做时，需要考虑到卫生设施提供的护理以及社区护理方面的差距，这些差距在很大程度上受到信仰、观念和缺乏认识的影响。
OBJECTIVE To explore the current care for and perceptions about preterm babies among community members in eastern Uganda.METHODS A neonatal midwife observed care of preterm babies in one general hospital and 15 health centres using a checklist and a field diary. In-depth interviews were conducted with 11 community health workers (CHWs) and also with 10 mothers, six fathers and three grandmothers of preterm babies. Three focus group discussions were conducted with midwives and women and men in the community. Content analysis of data was performed.RESULTS Community members mentioned many features which may correctly be used to identify preterm babies. Care practices for preterm babies at health facilities and community level were inadequate and potentially harmful. Health facilities lacked capacity for care of preterm babies in terms of protocols, health workers' skills, basic equipment, drugs and other supplies. However, community members and CHWs stated that they accepted the introduction of preterm care practices such as skin-to-skin and kangaroo mother care.CONCLUSION In this setting, care for preterm babies is inadequate at both health facility and community level. However, acceptance of the recommended newborn care practices indicated by the community is a window of opportunity for introducing programmes for preterm babies. In doing so, consideration needs to be given to the care provided at health facilities as well as to the gaps in community care that are largely influenced by beliefs, perceptions and lack of awareness.