Challenges in accessing maternal and child health services during COVID-19 and the potential role of social networking technologies.

Challenges in accessing maternal and child health services during COVID-19 and the potential role of social networking technologies.
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DOI:
10.1177/20552076221086769
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发表时间:
2022-01
期刊:
影响因子:
3.9
通讯作者:
Haberer JE
Haberer JE
中科院分区:
医学3区
文献类型:
--
作者:
Musiimenta A;Tumuhimbise W;Atukunda EC;Ayebaza S;Kobutungi P;Mugaba AT;Asasira J;Mugyenyi GR;Katusiime J;Zender R;Pinkwart N;Haberer JE

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新冠肺炎大流行给仍需要产后护理的妇女及其婴儿带来了新的挑战。社交网络技术(SNTS)的新应用可能会在这一困难时期提高医疗保健的可及性。本研究描述了在这场新冠肺炎大流行期间,受教育程度有限或没有受教育的妇女在获得妇幼保健服务方面所面临的挑战,并讨论了国家工作队在这场危机中支持妇幼保健的潜力。我们对最近在农村地区分娩的妇女进行了调查,并有目的地采访了一组妇女,以确定她们在新冠肺炎大流行期间获得妇幼保健服务的经历。我们的分析包括使用STATA 13对定量数据进行描述性分析,以描述研究参与者的特征,并对定性数据进行内容分析,以得出描述孕产妇健康挑战的类别。在50名女性中,中位年龄为28岁(四分位数范围为24-34岁),42名(84%)完成了高级小学教育。进入医疗设施受到运输挑战、对感染新冠肺炎的恐惧以及设施延误的限制。由于新冠肺炎危机,42名妇女(84%)错过了设施参观,46名(92%)经历了经济困难,43名(86%)粮食不安全,44名(88%)感到压力。国家卫生服务可以促进远程和及时地获取保健服务和信息,并实现虚拟社会联系和支持。国家工作队有可能缓解在目前的新冠肺炎大流行中在获得妇幼保健服务方面面临的挑战。
The COVID-19 pandemic causes new challenges to women and their babies who still need to access postnatal care amidst the crisis. The novel application of social network technologies (SNTs) could potentially enhance access to healthcare during this difficult time. This study describes the challenges experienced in accessing maternal and child health services by women with limited or no education during this COVID-19 pandemic and discusses the potential of SNTs to support maternal and child health amidst this crisis. We administered surveys to women who had recently given birth in a rural setting and interviewed a purposively selected subset to ascertain their experiences of accessing maternal and child health services during the COVID-19 pandemic. Our analysis involved descriptive analysis of quantitative data using STATA 13 to describe study participants’ characteristics, and content analysis of qualitative data to derive categories describing maternal health challenges. Among 50 women, the median age was 28 years (interquartile range 24–34), 42 (84%) completed upper primary education. Access to the health facility was constrained by transport challenges, fear of contracting COVID-19, and delays at the facility. Due to the COVID-19 crisis, 42 (84%) women missed facility visits, 46 (92%) experienced financial distress, 43 (86%) had food insecurity, and 44 (88%) felt stressed. SNTs can facilitate remote and timely access to health services and information, and enable virtual social connections and support. SNTs have the potential to mitigate the challenges faced in accessing maternal and child health services amidst the ongoing COVID-19 pandemic.
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