User and provider perspectives on emergency obstetric care in a Tanzanian rural setting: a qualitative analysis of the three delays model in a field study.
User and provider perspectives on emergency obstetric care in a Tanzanian rural setting: a qualitative analysis of the three delays model in a field study.
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用户和提供者对坦桑尼亚农村地区紧急产科护理的看法：实地研究中三个延迟模型的定性分析。
DOI：
10.4314/ajrh.v15i2.69630
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发表时间：
2011
影响因子：
1
通讯作者：
P. Elsass
中科院分区：
文献类型：
--
作者：
B. L. Sørensen;B. B. Nielsen;V. Rasch;P. Elsass
这项实地研究的目的是分析在坦桑尼亚当地农村环境中参加和提供高质量分娩护理的主要动态和冲突。这些妇女及其亲属没有孤立地看待怀孕和生育问题，而是与她们在贫困背景下面临的其他多个问题联系在一起。当地卫生专业人员知道卫生设施的护理质量很差，但仍在指责社区。这项研究描述了在广泛使用的“三延迟模式”的概念框架内，在理清不同观点和确定可行的行动战略以改善及时和有效的产科急救服务方面的困难。似乎有必要建立一个补充分析模型，更明确地将卫生系统作为改善产妇健康的中心因素。为此，提出了一种改进的“行为模型”。
The aim of this field study was to analyze the main dynamics and conflicts in attending and providing good quality delivery care in a local Tanzanian rural setting. The women and their relatives did not see the problems of pregnancy and birth in isolation but in relation to multiple other problems they were facing in the context of poverty. Local health professionals were aware of the poor quality of care at health facilities but were still blaming the community. The study describes the difficulties within the conceptual framework of the widely used "three delays model" to disentangle different perspectives and to identify a feasible strategy of action to improve access to timely and effective emergency obstetric care. There seems to be a need for a supplementary analytic model that more clearly has the health system as the central agent responsible for improving maternal health. A modified "actantial model is suggested for that purpose.