The maternity waiting home concept: the Nsawam, Ghana experience
The maternity waiting home concept: the Nsawam, Ghana experience
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DOI：
10.1016/s0020-7292(97)00162-8
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发表时间：
1997-11-01
影响因子：
3.8
通讯作者：
Tinkorang, EK
中科院分区：
文献类型：
--
作者：
Wilson, JB;Collison, AHK;Tinkorang, EK
初步研究：在加纳Nsawam区与社区成员进行的焦点小组讨论中，确定了道路条件差、交通匮乏和紧急运输费用过高是前往地区医院治疗产科并发症的障碍。干预措施：为了最大限度地减少并发症的延误，1994年在Nsawam建立了一个产妇等候之家（MWH）。为此目的，对一所废弃医院的一个病房进行了翻新和装修。目的是鼓励产科并发症风险高的妇女搬到妇幼保健中心，以便她们在分娩时可以转到医院。结果：卫生人员在12个月内转诊到MWH的25名妇女中，只有一名依从，住了一晚。与社区成员和医院工作人员进行的焦点小组讨论后来显示，离家的费用和困难、没有保健人员、离医院很远、环境荒凉以及缺乏明显的需求是使用率低的原因。成本：干预成本约为10500美元，由项目和政府平均分担。政府的主要贡献是这座建筑。结论：咨询潜在用户是很重要的，不仅仅是为了发现问题。还要找出合适的解决方案。在进行干预之前，应该进行仔细的“市场研究”。(C) 1997年国际妇产科联合会。
Preliminary studies: Focus group discussions with community members in Nsawam District, Ghana, identified poor roads, scarce transport and exorbitant fees for emergency transport as barriers to reaching the district hospital for treatment of an obstetric complication. Interventions: To minimize delay in the event of a complication, a maternity waiting home (MWH) was established in Nsawam in 1994. One ward of an abandoned hospital was renovated and furnished for this purpose. The objective was to encourage women at high risk of obstetric complications to move to the MWH so they could be transferred to the hospital when labor began. Results: Of 25 women referred to the MWH by health personnel over 12 months, only one complied, for one night. Focus group discussions with community members and hospital staff later revealed that cost and hardship of staying away from home, absence of health personnel, distance from hospital, desolate surroundings and lack of perceived need were reasons for poor utilization. Costs: The intervention cost approximately US $10500, shared approximately equally between the project and government. The main government contribution was the building. Conclusions: It is important to consult potential users not only to identify problems? but also to identify appropriate solutions. Careful 'market research' should be done before launching interventions. (C) 1997 International Federation of Gynecology and Obstetrics.