Preserving the pot and water: A traditional concept of reproductive health in a Yoruba community, Nigeria

Preserving the pot and water: A traditional concept of reproductive health in a Yoruba community, Nigeria
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DOI:
10.1016/s0277-9536(96)00052-4
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发表时间:
1996-12-01
影响因子:
5.4
通讯作者:
Adetunji, JA
Adetunji, JA
中科院分区:
医学2区
文献类型:
--
作者:
Adetunji, JA

文献摘要

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在1994年开罗会议成果的背景下,本文描述了尼日利亚社区产前护理的传统概念,并指出其对该地区有效提供生殖健康服务的影响。所使用的数据来自1988-89年和1991年两次社区实地考察期间的定性访谈。这项研究的发现突出了一个当地的比喻,将怀孕和分娩的风险比作一群妇女,她们带着陶罐长途跋涉到当地的一条小溪去取水:有些人摔倒了,打碎了罐子;有些人走错了台阶,把水洒了,但没丢水壶,还有一些人平安归来。第一组是孕产妇死亡病例;第二组是流产、死产或婴儿死亡的病例,第三组是怀孕和生下的婴儿的成功结果。书中描述了传统上为确保母亲既不丢锅也不泼水而采取的各种措施。本文讨论了这些发现对政策和研究的影响。版权所有爱思唯尔科学有限公司
Within the background of the outcome of the 1994 Cairo Conference, this paper describes a traditional conceptualization of prenatal care in a Nigerian community and draws their implication for effective delivery of reproductive health services in the area. The data used were from qualitative interviews during 2 field trips to the community in 1988-89 and 1991. The finding of the study highlights a local metaphor that likened the risks of pregnancy and child birth to a group of women that trekked to a local brook to fetch water with their earthen pots: some fell, broke their pots; some missed steps and spilt their water but kept their pots, and others returned without any mishap. The first group represented cases of maternal mortality; the second group were cases of miscarriage, still-births or infant deaths, and the third group represented successful outcomes for both pregnancy and the resultant baby. Various steps that were traditionally taken to ensure that the mother neither lost her pot nor spilled her water are described. The implications of these findings for policy and research are discussed in the paper. Copyright (C) 1996 Elsevier Science Ltd.