An evaluation of a community-based approach to safe motherhood in northwestern Tanzania
An evaluation of a community-based approach to safe motherhood in northwestern Tanzania
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DOI：
10.1016/s0020-7292(03)00081-x
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发表时间：
2003-08-01
影响因子：
3.8
通讯作者：
Kanenda, O
中科院分区：
文献类型：
--
作者：
Ahluwalia, IB;Schmid, T;Kanenda, O
目标：我们对社区生殖健康项目 (CBRHP) 开展的社区能力建设和赋权举措进行了评估，旨在解决孕产妇高发病率和死亡率问题。方法：使用小组访谈的定性数据和 CBRHP 的项目数据来评估社区级交通系统的开发和使用以及对乡村卫生工作者 (VHW) 的支持方面的进展。结果：项目活动提高了社区对孕产妇保健的参与。对危险征兆、计划生育、及时转诊、孕妇前往医院的运送以及对自愿医疗保健人员的支持和保留方面的了解有所增加。越来越多有产科问题的妇女使用社区交通系统前往医院。结论：社区参与以及对 VHW 活动和交通系统的支持可以更好地照顾孕妇，并维持社区和卫生机构之间的联系，从而可能降低孕产妇和婴儿的发病率和死亡率。 (C) 2003 年国际妇产科联合会。由爱思唯尔科学爱尔兰有限公司出版。保留所有权利。
Objectives: We present an evaluation of the Community Capacity Building and Empowerment initiative, undertaken by the Community-Based Reproductive Health Project (CBRHP), designed to address high maternal morbidity and mortality. Methods: Qualitative data from group interviews and program data from CBRHP were used to assess progress in development and use of community level transport systems and support for the village health workers (VHWs). Results: Project activities increased community participation in maternal health. An increase was seen in knowledge of danger signs, birth planning, timely referrals, and transport of pregnant women to hospitals, as well as in support and retention of VHWs. More women with obstetrical problems are using the community-based transport system to get to hospitals. Conclusions: Community participation and support for VHW activities and the transport systems have led to better care for pregnant women and sustained links between the communities and health facilities, which may reduce maternal and infant morbidity and mortality. (C) 2003 International Federation of Gynecology and Obstetrics. Published by Elsevier Science Ireland Ltd. All rights reserved.