A mobile cesarean birth center as a solution to improve access to surgical birth in rural Ethiopia: a mixed methods research protocol.
A mobile cesarean birth center as a solution to improve access to surgical birth in rural Ethiopia: a mixed methods research protocol.
复制标题
一个移动的剖腹产中心作为改善埃塞俄比亚农村手术分娩的解决方案：一项混合方法研究协议。
DOI：
10.1186/s40814-021-00955-4
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发表时间：
2021-12-15
影响因子：
1.7
通讯作者：
Muldrow M
中科院分区：
文献类型：
--
作者：
Harrison MS;Yarinbab T;Dorsey-Holliman B;Aarons GA;Betran AP;Goldenberg RL;Muldrow M
作为预防孕产妇和新生儿发病率和死亡率的循证干预措施，埃塞俄比亚西南部农村的剖宫产率低于2%，这是一个不可接受的公共卫生问题，与较发达地区相比，在使用这种挽救生命的治疗方面存在重大差距。本研究的目的是探索一种创新的临床解决方案（一个移动的剖腹产中心），以降低剖腹产率所造成的三个延迟，以紧急产科护理在埃塞俄比亚和世界上孤立和服务不足的地区。我们将使用混合但主要是定性的方法来探索和准备移动的剖腹产中心，以便随后在Bench Sheko和West Omo区的社区实施。这将涉及与关键利益相关者的访谈和焦点小组，以及以用户为中心的设计活动的务虚会。我们将向利益相关者展示一辆原型手术车，帮助他们构思剖宫产中心的概念，并讨论与人员配备、供应、转诊模式、术前和术后护理以及与阴道分娩地点的关系有关的实施问题。完成我们的研究目标，将使我们能够描述参与者的看法的障碍和促进剖宫产和他们的态度的适当性，可接受性和可行性的移动的剖宫产中心作为一种解决方案。它还将产生一个具体、可衡量、可实现、相关和及时（SMART）的实施蓝图，并确定实施战略和征聘计划。这将包括制定一个逻辑模型和流程图，一个实施的时间轴，其中选定的战略将指导实施，并对移动的中心进行额外的适应/调整，以确保适合感兴趣的社区。作为本研究的一部分，未对人类参与者进行医疗干预，因此本研究尚未注册。
As an evidence-based intervention to prevent maternal and neonatal morbidity and mortality, cesarean birth at rates of under 2%, which is the case in rural Southwest Ethiopia, is an unacceptable public health problem and represents an important disparity in the use of this life-saving treatment compared to more developed regions. The objective of this study is to explore an innovative clinical solution (a mobile cesarean birth center) to low cesarean birth rates resulting from the Three Delays to emergency obstetric care in isolated and underserved regions of Ethiopia, and the world. We will use mixed but primarily qualitative methods to explore and prepare the mobile cesarean birth center for subsequent implementation in communities in Bench Sheko and West Omo Zones. This will involve interviews and focus groups with key stakeholders and retreat settings for user-centered design activities. We will present stakeholders with a prototype surgical truck that will help them conceive of the cesarean birth center concept and discuss implementation issues related to staffing, supplies, referral patterns, pre- and post-operative care, and relationship to locations for vaginal birth. Completion of our study aims will allow us to describe participants’ perceptions about barriers and facilitators to cesarean birth and their attitudes regarding the appropriateness, acceptability, and feasibility of a mobile cesarean birth center as a solution. It will also result in a specific, measurable, attainable, relevant, and timely (SMART) implementation blueprint(s), with implementation strategies defined, as well as recruitment plans identified. This will include the development of a logic model and process map, a timeline for implementation with strategies selected that will guide implementation, and additional adaptation/adjustment of the mobile center to ensure fit for the communities of interest. There is no healthcare intervention on human participants occurring as part of this research, so the study has not been registered.