Compliance with focused antenatal care services: do health workers in rural Burkina Faso, Uganda and Tanzania perform all ANC procedures?
Compliance with focused antenatal care services: do health workers in rural Burkina Faso, Uganda and Tanzania perform all ANC procedures?
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DOI：
10.1111/j.1365-3156.2011.02923.x
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发表时间：
2012-03-01
影响因子：
3.3
通讯作者：
Sarker, Malabika
中科院分区：
文献类型：
--
作者：
Conrad, Paul;Schmid, Gerhrd;Sarker, Malabika
目的评估乌干达、坦桑尼亚和布基纳法索农村地区卫生工作者对重点产前护理（ANC）指南中规定的程序的遵守情况;比较三个研究地点内部和之间的遵守情况;并评估各自的后勤和供应卫生设施（HF）。方法在三个非洲国家的农村HF中进行横断面研究。这项描述性观察性研究在布基纳法索努纳（5）、乌干达伊甘加（6）和坦桑尼亚鲁菲吉（7）的HF中进行。总共观察了788次ANC会议和服务提供，计算了每次ANC服务提供的持续时间，并评估了各自HF的基础设施。结果所有HF的卫生工作者执行了大部分程序，但也省略了ANC指南中规定的某些操作。在国家地点内和国家地点之间，保健基金提供的产前护理服务有很大差异。调查结果还显示，在所有三个地点，首次就诊的时间不到15分钟，卫生工作者在随后的就诊中花费的时间更少。在大多数设施中，ANC重点指南中概述的实验室检测试剂和药物往往缺货。所有三个国家地点的卫生工作者都没有执行重点产前护理准则规定的所有程序;这不能总是用缺乏用品来解释。必须反复指出非洲人国民大会核心程序的必要性。
Objective To assess health workers compliance with the procedures set in the focused antenatal care (ANC) guidelines in rural Uganda, Tanzania and Burkina Faso; to compare the compliance within and among the three study sites; and to appraise the logistic and supply of the respective health facilities (HF). METHODS The cross-sectional study was conducted in the rural HF in three African countries. This descriptive observational study took place in HF in Nouna, Burkina Faso (5), Iganga, Uganda (6) and Rufiji, Tanzania (7). In total, 788 ANC sessions and service provisions were observed, the duration of each ANC service provision was calculated, and the infrastructures of the respective HF were assessed. results Health workers in all HF performed most of the procedures but also omitted certain practices stipulated in the focused ANC guidelines. There was a substantial variation in provision of ANC services among HF within and among the country sites. The findings also revealed that the duration of first visits was < 15 min and health workers spent even less time in subsequent visits in all three sites. Reagents for laboratory tests and drugs as outlined in the focus ANC guidelines were often out of stock in most facilities. conclusion Health workers in all three country sites failed to perform all procedures stipulated in the focused ANC guideline; this could not be always explained by the lack of supplies. It is crucial to point out the necessity of the core procedures of ANC repeatedly.