Womens' opinions on antenatal care in developing countries: results of a study in Cuba, Thailand, Saudi Arabia and Argentina.

Womens' opinions on antenatal care in developing countries: results of a study in Cuba, Thailand, Saudi Arabia and Argentina.
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DOI:
10.1186/1471-2458-3-17
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发表时间:
2003-05-20
期刊:
影响因子:
4.5
通讯作者:
Lindmark G
Lindmark G
中科院分区:
医学2区
文献类型:
--
作者:
Nigenda G;Langer A;Kuchaisit C;Romero M;Rojas G;Al-Osimy M;Villar J;Garcia J;Al-Mazrou Y;Ba'aqeel H;Carroli G;Farnot U;Lumbiganon P;Belizán J;Bergsjo P;Bakketeig L;Lindmark G

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介绍了在四个发展中国家(古巴、泰国、沙特阿拉伯和阿根廷)进行的定性研究的结果。这项研究是在一项随机对照试验的背景下进行的,目的是测试新的产前护理方案的好处,该方案减少了去看医生的次数,使技术的应用合理化,并改进了向妇女提供与每个国家应用的传统方案有关的信息。通过重点小组讨论,我们能够评估妇女对产前护理诊所接受护理的概念和经验的评价所依据的概念和期望。164名妇女参加了所有国家的24个重点小组讨论。本文件特别涉及三个方面:a)关于怀孕和保健的概念,b)保健服务和保健提供者的经验,以及c)关于经修改的产前保健(ANC)方案的意见。在所有三个专题中,都确定了相似之处以及与特定国家的社会和文化价值有关的具体意见。总体而言,妇女对新的非国大议定书持积极态度,特别是在她们收到的信息方面。然而,出现了一些有争议的问题,如访问次数的减少,特别是在古巴,那里的妇女习惯于在一个妊娠期内进行18次非国大访问。正在提出改进非国大服务绩效的建议。任何对适用新的非国大议定书感兴趣的国家都应重视妇女对变革的意见和接受程度。
The results of a qualitative study carried out in four developing countries (Cuba, Thailand, Saudi Arabia and Argentina) are presented. The study was conducted in the context of a randomised controlled trial to test the benefits of a new antenatal care protocol that reduced the number of visits to the doctor, rationalised the application of technology, and improved the provision of information to women in relation to the traditional protocol applied in each country. Through focus groups discussions we were able to assess the concepts and expectations underlying women's evaluation of concepts and experiences of the care received in antenatal care clinics. 164 women participated in 24 focus groups discussion in all countries. Three areas are particularly addressed in this paper: a) concepts about pregnancy and health care, b) experience with health services and health providers, and c) opinions about the modified Antenatal Care (ANC) programme. In all three topics similarities were identified as well as particular opinions related to country specific social and cultural values. In general women have a positive view of the new ANC protocol, particularly regarding the information they receive. However, controversial issues emerged such as the reduction in the number of visits, particularly in Cuba where women are used to have 18 ANC visits in one pregnancy period. Recommendations to improve ANC services performance are being proposed. Any country interested in the application of a new ANC protocol should regard the opinion and acceptability of women towards changes.
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发表时间: 2002-07-19
期刊: BMC women's health
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