Healthcare workers' behaviors and personal determinants associated with providing adequate sexual and reproductive healthcare services in sub-Saharan Africa: a systematic review.
Healthcare workers' behaviors and personal determinants associated with providing adequate sexual and reproductive healthcare services in sub-Saharan Africa: a systematic review.
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DOI：
10.1186/s12884-017-1268-x
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发表时间：
2017-03-13
影响因子：
3.1
通讯作者：
Reddy P
中科院分区：
文献类型：
--
作者：
Jonas K;Crutzen R;van den Borne B;Reddy P
医护人员可能会因其行为或态度而影响性和生殖保健(SRH)服务的利用及其护理质量。这可能成为获得和利用生殖健康服务的障碍，特别是年轻人，因此需要更好地了解这些行为和相关因素，以改善获得和利用生殖健康服务。对文献进行了系统的回顾，以确定关于撒哈拉以南非洲地区(1990年1月至2015年10月)与提供适当的SRH服务相关的医护人员的行为和个人决定因素的研究。使用根据每个具体数据库的技术要求调整的搜索战略，搜索了5个数据库，直至2015年10月30日。两名研究人员对文章进行了独立的资格筛选。在125篇筛选的全文文章中，35篇研究符合所有纳入标准。医护人员的负面行为和态度，以及其他个人决定因素，如对SRH服务的知识和技能较差，以及相关因素，如基本药物和设备的可获得性，与提供的SRH服务不足有关。一些医护人员仍然对使用避孕药具的年轻人持负面态度，特别是更有可能限制青少年获得和使用SRH。根据世卫组织建议的指南，对特定SRH组成部分的了解和实施低于最佳水平。医护人员的消极行为和态度一般不太可能鼓励妇女获得和利用SRH服务，更具体地说，是鼓励年轻妇女。SSA的医护人员对SRH服务，包括基本的紧急产科护理(EmOC)的了解不足。这项系统性审查的方案已在Propero注册，注册号为：CRD42015017509。本文的在线版本(doi：10.1186/s12884-0171268-x)包含补充材料，授权用户可以使用。
Healthcare workers may affect the utilization of sexual and reproductive healthcare (SRH) services, and quality of care thereof, for example by their behaviours or attitudes they hold. This can become a hindrance to accessing and utilizing SRH services, particularly by young people, and thus a better understanding of these behaviours and associated factors is needed to improve access to and utilization of SRH services. A systematic review of literature was conducted to identify studies focusing on healthcare workers’ behaviors and personal determinants associated with providing adequate SRH services in sub-Saharan Africa (January 1990 - October 2015). Five databases were searched until 30th October 2015, using a search strategy that was adapted based on the technical requirements of each specific database. Articles were independently screened for eligibility by two researchers. Of the 125-screened full-text articles, 35 studies met all the inclusion criteria. Negative behaviours and attitudes of healthcare workers, as well as other personal determinants, such as poor knowledge and skills of SRH services, and related factors, like availability of essential drugs and equipment are associated with provision of inadequate SRH services. Some healthcare workers still have negative attitudes towards young people using contraceptives and are more likely to limit access to and utilization of SRH by adolescents especially. Knowledge of and implementation of specific SRH components are below optimum levels according to the WHO recommended guidelines. Healthcare workers’ negative behaviours and attitudes are unlikely to encourage women in general to access and utilize SRH services, but more specifically young women. Knowledge of SRH services, including basic emergency obstetric care (EmOC) is insufficient among healthcare workers in SSA. A protocol for this systematic review was registered with PROSPERO and the registration number is: CRD42015017509. The online version of this article (doi:10.1186/s12884-017-1268-x) contains supplementary material, which is available to authorized users.