Antenatal Care Services in Rural Uganda: Missed Opportunities for Good-Quality Care
Antenatal Care Services in Rural Uganda: Missed Opportunities for Good-Quality Care
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DOI：
10.1177/1049732311431897
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发表时间：
2012-05-01
影响因子：
3.2
通讯作者：
Sarker, Malabika
中科院分区：
文献类型：
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作者：
Conrad, Paul;De Allegri, Manuela;Sarker, Malabika
孕产妇死亡率较低的国家的经验表明，获得优质孕产妇服务对于改善孕产妇健康至关重要。在这篇文章中，我们评估的产前保健（ANC）服务的质量在乌干达的农村地区。我们使用了混合方法，依赖于与客户和提供者的半结构化访谈，提供者-患者互动的结构化观察，以及对选定卫生设施的基础设施评估的组合。我们发现在提供保健服务方面存在几个瓶颈，包括教育会议组织不力;选择性忽略某些服务;缺乏对重要临床和实验室程序的解释;未能将执行的程序与预防信息联系起来;偶尔缺乏对客户的尊重。这些调查结果的政策影响进行了讨论，需要（a）确保医疗设备和药物的充足供应，（B）提高卫生工作者遵守ANC准则，（c）联合收割机医疗程序与教育信息。
Experience from countries that have achieved low maternal mortality suggests that access to good-quality maternity services is critical to improve maternal health. In this article we appraise the quality of antenatal care (ANC) services in a rural district of Uganda. We used a mixed methods approach, relying on a combination of semistructured interviews with both clients and providers, structured observations of provider-patient interactions, and infrastructure assessment of selected health facilities. We found several bottlenecks in health service delivery, including ineffective organization of educational sessions; selective omission of certain services; lack of explanation of important clinical and laboratory procedures; failure to link the performed procedures with preventive information; and occasional lack of respect for clients. The policy implications of these findings are discussed in relation to the need to (a) ensure an adequate supply of medical equipment and drugs, (b) enhance health workers' compliance with ANC guidelines, and (c) combine medical procedures with educational messages.