Factors influencing choice of delivery sites in Rakai district of Uganda
Factors influencing choice of delivery sites in Rakai district of Uganda
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DOI：
10.1016/s0277-9536(99)00275-0
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发表时间：
2000-01-01
影响因子：
5.4
通讯作者：
Nuwaha, F
中科院分区：
文献类型：
--
作者：
Amooti-Kaguna, B;Nuwaha, F
为了了解影响因素的选择交付地点在乌干达西南部的Rakai区，八个焦点小组讨论的基础上的态度，社会影响，自我效能模型举行了32名妇女和32名男子。半结构化的采访，还举行了211名妇女从21个随机集群样本谁在过去12个月内（从1997年6月2日）交付。44%的样本在家中分娩，17%在传统助产士处分娩，32%在公共卫生单位分娩，7%在私人诊所分娩。影响分娩地点选择的因素包括：获得产科服务;来自配偶、其他亲属、传统助产士和卫生工作者的社会影响;自我效能;习惯（以前的经验）以及正常妊娠与异常妊娠的概念。对各种交付地点的态度信念得到了很好的理解和阐述。如果母亲被告知怀孕是正常的，产前护理可能会阻碍她们在保健单位分娩。为了使分娩更安全，需要改善获得孕产妇服务的机会，培训传统助产士，为他们配备分娩包，改变母亲的自我效能信念，并让配偶参与安全分娩教育。(C)1999爱思唯尔科技有限公司。保留所有权利。
In order to understand factors influencing choice of delivery sites in Rakai district of south-western Uganda, eight focus group discussions based on the Attitudes-Social influence-Self efficacy model were held with 32 women and 32 men. Semi-structured interviews were also held with 211 women from 21 random cluster samples who had a delivery in the previous 12 months (from 2 June 1997). Forty four percent of the sample delivered at home, 17% at traditional birth attendant's (TBA) place, 32% at public health units, and 7% at private clinics. Among the factors influencing choice of delivery site were: access to maternity services; social influence from the spouse, other relatives, TBAs and health workers; self-efficacy; habit (previous experience) and the concept of normal versus abnormal pregnancy. Attitudinal beliefs towards various delivery sites were well understood and articulated. Attendance of ante-natal care may discourage delivery in health units if the mothers are told that the pregnancy is normal. In order to make delivery safer, there is need to improve access to maternity services, train TBAs and equip them with delivery kits, change mother's self-efficacy beliefs, and involve spouses in education about safe delivery. (C) 1999 Elsevier Science Ltd. All rights reserved.