'They treat you like you are not a human being': Maltreatment during labour and delivery in rural northern Ghana
'They treat you like you are not a human being': Maltreatment during labour and delivery in rural northern Ghana
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DOI：
10.1016/j.midw.2013.05.006
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发表时间：
2014-02-01
期刊：
影响因子：
2.7
通讯作者：
Engmann, Cyril M.
中科院分区：
文献类型：
--
作者：
Moyer, Cheryl A.;Adongo, Philip B.;Engmann, Cyril M.
目的：探讨加纳北方农村地区社区和医疗保健提供者对分娩期间虐待的态度，并将调查结果与白色丝带联盟的七项育龄妇女基本权利进行比较。设计：采用深入访谈和焦点小组的横断面定性研究。设置：加纳北方农村的Kassena-Nankana区，2010年7月至10月。参与者：128名社区成员，包括带新生儿的母亲、祖母、户主、大院户主、传统治疗师、传统助产士和社区领袖，以及13名经过正式培训的保健提供者。与社区成员进行了7次重点小组和43次个人访谈，与保健提供者进行了13次个人访谈。所有访谈均逐字转录并输入NVivo 9.0进行分析。尽管大多数受访者报告了积极的经历，但在7个社区焦点小组中有6个、43个社区访谈中有14个、13个与保健提供者的访谈中有8个主动提出了虐待问题。受访者报告了身体虐待、言语虐待、忽视和歧视。确定的另一种虐待是拒绝传统习俗。关键结论：在这个社区，所有类型的受访者都自发地描述了虐待，这表明这个问题并不罕见，可能会阻止一些妇女寻求设施分娩。加纳北方农村地区的服务提供者外展对于解决和纠正这一问题是必要的，确保所有到达设施的妇女及时获得专业的，不带偏见的高质量分娩护理(C)2013爱思唯尔有限公司保留所有权利。
Objective: to explore community and health-care provider attitudes towards maltreatment during delivery in rural northern Ghana, and compare findings against The White Ribbon Alliances seven fundamental rights of childbearing women.Design: a cross-sectional qualitative study using in-depth interviews and focus groups.Setting: the Kassena-Nankana District of rural northern Ghana between July and October 2010.Participants: 128 community members, including mothers with newborn infants, grandmothers, household heads, compound heads, traditional healers, traditional birth attendants, and community leaders, as well as 13 formally trained health-care providers.Measurements and findings: 7 focus groups and 43 individual interviews were conducted with community members, and 13 individual interviews were conducted with health-care providers. All interviews were transcribed verbatim and entered into NVivo 9.0 for analysis. Despite the majority of respondents reporting positive experiences, unprompted, maltreatment was brought up in 6 of 7 community focus groups, 14 of 43 community interviews, and 8 of 13 interviews with health-care providers. Respondents reported physical abuse, verbal abuse, neglect, and discrimination. One additional category of maltreatment identified was denial of traditional practices.Key conclusions: maltreatment was spontaneously described by all types of interview respondents in this community, suggesting that the problem is not uncommon and may dissuade some women from seeking facility delivery.Implications for practice: provider outreach in rural northern Ghana is necessary to address and correct the problem, ensuring that all women who arrive at a facility receive timely, professional, non-judgmental, high-quality delivery care. (C) 2013 Elsevier Ltd. All rights reserved.