Perceived barriers to utilization of maternal health services in rural Cambodia

Perceived barriers to utilization of maternal health services in rural Cambodia
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DOI:
10.1016/j.healthpol.2009.12.011
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发表时间:
2010-05-01
期刊:
影响因子:
3.3
通讯作者:
Okitsu, Akiko
Okitsu, Akiko
中科院分区:
医学3区
文献类型:
--
作者:
Matsuoka, Sadatoshi;Aiga, Hirotsugu;Okitsu, Akiko

文献摘要

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目的:本研究的目的是确定柬埔寨妇女不使用孕产妇保健服务提供熟练的birth attendants.Method的根本原因:66育龄妇女进行了定性研究,磅湛省。柬埔寨.通过30个半结构式访谈和6个焦点小组收集数据。结果:我们确定了5个障碍,利用孕产妇保健服务:(i)经济障碍;(ii)物理障碍;(iii)认知障碍;(iv)组织障碍;(v)心理和社会文化障碍。结论:柬埔寨卫生部及其发展伙伴在推广使用孕产妇保健服务时应考虑到这些障碍。这些障碍应积极加以解决。一个成功的方法,以增加使用产妇保健服务,应涉及改变服务方案和公众教育。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Objective:The aim of this study was to identify the underlying causes of Cambodian women's non-use of maternal health services provided by skilled birth attendants.Method: A qualitative study of 66 reproductive-age women was conducted in Kampong Cham Province. Cambodia. Data were collected through 30 semi-structured interviews and 6 focus groups.Results: We identified 5 barriers to the utilization of maternal health services: (i) financial barriers; (ii) physical barriers; (iii) cognitive barriers; (iv) organizational barriers; and (v) psychological and socio-cultural barriers.Conclusions: The Cambodian Ministry of Health and its development partners should take these barriers into account when promoting the use of maternal health services. These barriers should be addressed proactively. A successful approach to increasing use of maternal health services should involve changes to both service programs and public education. (C) 2009 Elsevier Ireland Ltd. All rights reserved.